Veidlapa Nr. M-3 (8)

Study Course Description

Thoracic Surgery III

Main Study Course Information

Course Code

RTK_028

Branch of Science

Clinical medicine; Surgery

ECTS

24.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Donats Breiva

Residency Speciality

Speciality

Thoracic surgeon

Supervisor of Medical Speciality

Donats Breiva

Contacts

About Study Course

Objective

To ensure acquisition and improvement of theoretical knowledge and practical skills in thoracic surgery according to the requirements of the thoracic surgery speciality to prepare doctors for certification in the speciality of thoracic surgery according to regulatory documents of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Able to demonstrate in-depth or extended knowledge and understanding, part of which are in line with the latest discoveries in the respective field of science or professional area and lay the foundation for creative thinking or research, including when working in-between different sectors. -theoretical foundations of thoracic surgery: - anatomy, pathophysiology of the lungs, pleura, bronchial system, oesophagus and chest wall, - diagnostic methods, instrumentation used in thoracic surgery, - surgical tactics in acute cases, - emergency care in cases of necessity, indications for operative treatment, - specific features of post-operative management.

Skills

1.Able to apply theory, methods and problem-solving skills independently to perform highly skilled professional functions - To accurately assess the general condition of the patient. - To examine the patient adequately. - Be able to puncture the pleural space. - Be able to drain the pleural cavity.

Competences

1.Able to independently formulate and critically analyse complicated scientific and professional problems, to substantiate decisions, and to conduct additional analysis, if needed. Able to integrate knowledge from different fields, make a contribution to the creation of new knowledge, development of research or professional activity methods, to demonstrate understanding and ethical responsibility for the scientific result or potential impact of professional activity.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Making presentations on relevant topics. Collecting up-to-date literature and scientific articles.

Examination

Title	% from total grade	Grade
1. Examination	-	-
To be successfully assessed, a medical student must be able to: • provide emergency surgical treatment in acute cases of patients with thoracic pathology, • establish a proper diagnostic scheme and treatment tactics for patients with thoracic pathology, • study possible postoperative complications, their prevention and treatment, to use practical skills in diagnosis and medical manipulation. A. Theoretical knowledge test. Written multiple-choice test of 50 questions, scored on a 10-point scale.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Diaphragmatic pathology. Diaphragm relaxation.

Seminar

Modality	Location
On site	Specialized room

Topics

Diaphragmatic hernias.

Seminar

Modality	Location
On site	Specialized room

Topics

Diaphragmatic tumours.

Seminar

Modality	Location
On site	Specialized room

Topics

Diseases of the oesophagus. Anatomy and physiology. Symptomatology. Examination methods.

Seminar

Modality	Location
On site	Specialized room

Topics

Functional oesophageal diseases: hypokinesia, esophagospasm, achalasia.

Seminar

Modality	Location
On site	Specialized room

Topics

Oesophageal burns.

Seminar

Modality	Location
On site	Specialized room

Topics

Benign tumours of the oesophagus.

Seminar

Modality	Location
On site	Specialized room

Topics

Inflammation of the oesophagus: oesophagitis, reflux-oesophagitis, ulcers, fistulas.

Seminar

Modality	Location
On site	Specialized room

Topics

Oesophageal cancer.

Seminar

Modality	Location
On site	Specialized room

Topics

Oesophageal injuries: iatrogenic, burns, spontaneous rupture.

Seminar

Modality	Location
On site	Specialized room

Topics

Oesophageal strictures.

Seminar

Modality	Location
On site	Specialized room

Topics

Oesophageal diverticula.

Seminar

Modality	Location
On site	Specialized room

Topics

Reconstruction surgery of the oesophagus.

Seminar

Modality	Location
On site	Specialized room

Topics

Varicose veins of the oesophagus.

Seminar

Modality	Location
On site	Specialized room

Topics

Dysphagia

Seminar

Modality	Location
On site	Specialized room

Topics

Diaphragmatic rupture

Seminar

Modality	Location
On site	Specialized room

Topics

Possibilities of video-assisted thoracoscopy in thoracic surgery.

Seminar

Modality	Location
On site	Specialized room

Topics

Barrett’s oesophagus.

Seminar

Modality	Location
On site	Specialized room

Topics

Thoracic outlet syndrome

Seminar

Modality	Location
On site	Specialized room

Topics

Thymectomy in patients with myasthenia gravis

Total ECTS (Creditpoints):

24.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

ESTS Textbook of Thoracic Surgery, 2014

Additional Reading

Difficult Decisions in Thoracic Surgery, An Evidence-Based Approach. Mark K. Ferguson, 2014

Key Questions in Thoracic Surgery. Dr Narain Moorjani, Dr Nicola Viola MD, Dr William S Walker. FRCS, 2016

Sugarbaker's Adult Chest Surgery. 3rd Edition, David Sugarbaker, Raphael Bueno, Bryan M. Burt, Shawn S. Groth, Gabriel Loor, Andrea S. Wolf, 2020

Medical Management of the Thoracic Surgery Patient. Michael I. Lewis, Robert J. McKenna, Jr., George E. Chaux, 2010