Veidlapa Nr. M-3 (8)
Study Course Description
Health of Mother and Child (Gynaecology, Obstetrics)
Course Code
RGA_031
Branch of Science
Anatomy; Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Gunta Tīcmane
Residency Speciality
Speciality
General Practicioner
Supervisor of Medical Speciality
Gunta Tīcmane
Contacts
-
About Study Course
Objective
To ensure acquisition of in-depth theoretical and practical skills on “Health of Mother and Child. Gynaecology and Obstetrics”, in accordance with the competence requirements of the family doctor specialty, prepare a specialist who is able to provide constant, uninterrupted and comprehensive care of the patient and their family members and help the patient make a choice between the offered health care services, ensuring the patient’s abilities for better physical, mental and social functioning, is able to assess the patient’s state of health, diagnose diseases and provide supportive treatment according to the defined competences. To prepare the doctor for certification in the specialty of family doctor, in accordance with the regulatory documents of the Republic of Latvia.
Learning Outcomes
Knowledge
1.In women’s health care, the medical resident: 1. Has knowledge and understanding of normal female anatomy and physiology, stages of reproductive development: - performing gynaecological examination, - menstruation cycle (physiology, menstrual cycle disorders, premenstrual syndrome), - menopause (normal physiology, hormone replacement therapy, emotional and sexual problems), 2. Has knowledge and understanding of care and examination of pregnant women, - in the care of a pregnant woman, be ready to manage a normal pregnancy, to manage the course of a normal birth, in the evaluation of embryonic development, in the evaluation of pregnancy-related diseases, in emotional and sexual problems, - in obstetrics, family counselling on childbirth, postpartum care, 3. Has knowledge and understanding of the main threats to a woman’s life and health: - abortions (spontaneous, artificial; indications, complications), - childbirth, - injuries, - malignant tumours, - cardiovascular and other diseases. 4. Orients oneself in the specifics of preventive work, rehabilitation measures: - contraception, - preventive measures (cancer screening programmes, oncocytology, breast examination, mammography, gynaecological examination, occult blood test, prostate cancer screening), - osteoporosis prevention (exercise, physical load). 5. Has knowledge and understanding of specific women’s health problems: - inflammations in the small pelvis, - endometriosis, - precancerous conditions, - tumours, - chronic pelvic pain, - vaginitis, - sexually transmitted diseases, - sterility, problems related to pelvic muscle dysfunction: urinary incontinence, uterine prolapse, - psychological problems: domestic violence, rape, postpartum, post-abortion depression.
Skills
1.Skills to be strengthened during the family medicine education programme – examination, treatment methods, disease prevention and health promotion measures: Gynaecological procedures: - gynaecological examination, - breast examination, palpation, - taking bacteriological and cytological smears from the vagina, cervix, - explanation of hormonal contraception issues, - insertion and removal of intrauterine coils, - advice on cervical ring placement, - determination of the time of pregnancy, - assisting in childbirth, Skills in women’s care: - consulting on issues related to birth control, - insertion and removal of intrauterine spirals, insertion and removal of the cervical ring, - bladder catheterisation, - collection of the oncocytologic sample, - breast palpation, - consulting a pregnant woman, - diagnosis and management of normal pregnancy, - care in the postnatal period. Health examination and related consultations: - knowledge of diagnostic methods, - assessment of physical work capacity, - explaining the harmfulness of tobacco, - sexual education, - counselling in cases of psychological problems, stress management, - education about hormone replacement therapy for menopausal women.
Competences
1.The acquired competences allow to justify decisions, to perform additional analysis if necessary: - Able to explain the impact of environmental changes on the incidence of diseases in the population, to understand the application of preventive, diagnostic and therapeutic methods in this aspect. - Able to assess patient complaints, their connection to the patient’s state of health. Has a broad understanding of diseases and risk factors thereof, the most common diseases in the population, care in case of chronic diseases, diseases that cause disability, and conditions that require emergency care. - Has an understanding of the use of preventive and diagnostic manipulations in primary health care. - Ability to provide treatment to the patient at the level of primary care, organise rehabilitation if necessary. - Understanding of diagnostic possibilities at the primary and secondary level of health care, the possibilities of referring the patient to a specialist doctor if necessary. - Ability to organise and conduct consultations on issues related to the organisation of health care, especially in matters related to maternal and child health care, family planning.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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-
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The medical resident independently studies the literature and available e-resources, prepares clinical cases for seminars and writes a research paper. Performs patient care at the clinical learning centre.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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-
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2.
Examination |
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-
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Assessment of theoretical knowledge and practical skills at the end of the study course in a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Menopause, andropause, action algorithm in the family doctor’s practice.
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Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
1
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Vībergas Ilzes redakcija. Ginekoloģija. 2013
2.
Andrējeva Svetlana, u.c. Ginekoloģija. Nacionālais apgāds, 380 lpp., 2006
3.
Lazdāne Gunta un līdzautori. Ginekoloģijas rokasgrāmata. 2000
4.
Practical Gynecological Oncology. J.S. Berek. 1998
5.
Klīniskās vadlīnijas. “Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana”. Latvijas Ginekologu un dzemdību speciālistu asociācija. Rīga, 2021.
6.
Current Medical Diagnosis & Treatment 2021. Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow.
7.
Daces Rezebergas redakcija. Dzemdniecība. Rīga. 2016.
8.
Medical eligibility criteria for contraceptive use. 5th ed. WHO, 2015
9.
Development, updates, and future directions of the World Health Organization Selected Practice Recommendations for Contraceptive Use Int J Gynecol Obstet 2017;136: 113–119 - 04 January 2017
10.
Selected practice recommendations for contraceptive use. 3rd ed. 2016.
11.
CURRENT Diagnosis & Treatment in Family Medicine. 5th ed. By Jeannette E. South -Paul, Samuel C. Matheny, Evelyn L. Lewis. 2020
12.
John Murtagh’s General Practice. 8ht ed. McGraw-Hill (Australia) Pty Ltd. 2022.
13.
B. Chou, J.L. Bienstock, A.J. Satin. The John Hopkins Manual of Gynecology and Obstetrics. 6th ed. Wolters Kluwer. 2021.
14.
Diane Marie Schadewald, Ursula A. Pritham. et.al. Catherine Juve. Women's Health: A Primary Care Clinical. 5th ed. Pearson. 2020
15.
John Guillebaud, Anne MacGregor. Contraception. Your Questions Answered. 7th ed. 2017. Elsevier.
16.
Pre-teen and teenage pregnancy. A twenty first century reality. By June L Leshman 2007.M&K Update
17.
Managing Complications in Pregnancy and Childbirth: aguide for midwives and doctors. 2nd ed. WHO. 2017
18.
Comprehensive cervical cancer control. A guide to essential practice. 2nd ed. WHO. 2014
19.
Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes. 2022. American Diabetes Association
20.
Hacker and Moore’s. Essentials of obstetrics and gynecology. 6th ed. Elsevier. 2016.
21.
Breast Cancer NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). Version 1. 2019 — March 14, 2019.
22.
Krūts vēzis (C50) ALGORITMI.
23.
Klīniskās vadlīnijas. “Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana”. Latvijas Ginekologu un dzemdību speciālistu asociācija. RĪGA. 2021.
24.
Pasaules Veselības organizācija (PVO) . Medicīniskās atbilstības kritēriji kontracepcijas līdzekļu lietošanai , 5. izd . Ženēva, Šveice : PVO; 2015
25.
Canadian Contraception Consensus. Black A, Guilbert E; Co-Authors, et.al. 2015 Nov; 37(11):1033-9. doi: 10.1016/s1701-2163(16)30054-8.PMID: 26629725 English, French.
Additional Reading
1.
5-Minute Clinical Consult. 9th ed. 2021, by Dr. Frank J. Domino MD.
2.
Family practice guidelines. 4th ed. 2017. Springer Publishing Company
3.
The 5-Minute Pediatric Consult Standard. 7th ed., by Michael Cabana. Wolters Kluwer. 2015
4.
Oxford Handbook of Clinical Examination and Practical Skills. 2nd ed. Edited by Dr James Thomas. 2014. Oxford university press.
5.
Gerald G Briggs Roger K. Freeman Sumner J. Yaffe. Drugs in Pregnancy and Lactation. 9th ed. 2011 by LIPPINCOTT WILLIAMS & WILKINS
6.
Charlotte Frise, Sally Collins. Oxford Specialist Handbooks in obstetrics and gynaecology. Obstetric Medicine. Oxford University Press. 2020
7.
Samar Razaq. Difficult cases in primary care: Women’s health. 2012. Radcliffe Publishing.
8.
Leon Speroff, Philip D. Darney. Aclinical guide for Contraception. 5th ed. 2011 Lippincott Williams & Wilkins
9.
Danielle Mazza. Women’s health in general practice. 2nd ed. Elsevier. 2011
10.
Womens health care handbook. 2nd ed. Edition by Bruce E. Johnson 2000. Hanley& Belfus INC
11.
Guidance for the management of early breast cancer: Recommendations and practice points. Cancer Australia 2020
12.
Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.
13.
Paci, E., et al., European breast cancer service screening outcomes: a first balance sheet of the benefits and harms. Cancer Epidemiol Biomarkers Prev, 2014. 23(7): p. 1159-63.
14.
Klīniskās vadlīnijas. Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana. Latvijas Ginekologu un dzemdību speciālistu asociācija. RĪGA. 2016.
15.
Altshuler AL, Gaffield ME, Kiarie JN. WHO medical eligibility criteria for contraceptive use: 20 years of global guidelines. Curr Opin Obstet Gynecol. 2015
16.
Development, updates, and future directions of the World Health Organization Selected Practice Recommendations for Contraceptive Use. Chen MJ, Kim CR, Whitehouse KC, et.al. 2017 Feb;136(2):113-119. doi: 10.1002/ijgo.12064. Epub 2016 Dec 13.PMID: 28099730
17.
World Health Organization Department of Reproductive Health and Research Selected practice recommendations for contraceptive use Web annex: Development of updated guidance for the third edition. 2016
Other Information Sources
1.
Informatīvais buklets - "Kā pasargāt sevi no dzemdes kakla vēža?" Slimību profilakses un kontroles centrs, 2015.
2.
Veselības aprūpes pakalpojumu onkoloģijas jomā uzlabošanas plāns 2017.-2020. gadam .
3.
Klīniskās vadlīnijas. Krūts vēža (C50, D05) diagnostika, stadijas noteikšana, ārstēšana un novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2014.
4.
Klīniskās vadlīnijas onkoloģijas ginekoloģisko saslimšanu diagnostikai, stadijas noteikšanai, ārstēšanai un novērošanai. Latvijas Onkoginekologu asociācija. Rīga. 2011.
5.
Klīniskās vadlīnijas. Dzemdes kakla vēţa (C53) diagnostika, stadijas noteikšana, ārstēšana un novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2012.
6.
Association of European Cancer Leagues. European Union Council Recommendation on Cancer Screening. 2017.