Veidlapa Nr. M-3 (8)

Study Course Description

Reumatology III

Main Study Course Information

Course Code

RRE_020

Branch of Science

Clinical medicine; Internal medicine

ECTS

43.50

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Anna Mihailova

Residency Speciality

Speciality

Rheumatologist

Supervisor of Medical Speciality

Anna Mihailova

Contacts

About Study Course

Objective

To ensure the acquisition and improvement of theoretical knowledge and practical skills in accordance with the requirements of the specialty of rheumatologist accepted in Latvia, in order to prepare the doctor for certification in the specialty of a rheumatologist, in accordance with the regulatory documents of the Republic of Latvia. To ensure the acquisition of basic theoretical knowledge and practical skills in rheumatology in both inpatient and outpatient practice.

Learning Outcomes

Knowledge

1.Demonstrates in-depth and expanded knowledge of the etiology, pathogenesis, diagnosis, treatment and rehabilitation of diseases of the musculoskeletal system and autoimmune connective tissue system, which provides a basis for creative thinking in clinical practice and research, as well as the ability to interdisciplinary.

Skills

1.The doctor understands the nature of the specific problem, diagnostic algorithms and is able to provide professional specialized assistance, as well as practically implement diagnostic, treatment, and prevention measures. Is able to argue and discuss complex or systemic aspects of rheumatology with both specialists and non-specialists. Able to draw up the medical documentation to be used, make entries on an outpatient and inpatient medical card. Able to independently direct the development and specialization of their competencies, take responsibility for work results and their analysis, conduct business, innovate in rheumatology, perform work, research, or further learning in complex and unpredictable conditions, and, if necessary, transform them using new approaches.

Competences

1.The doctor works in accordance with his / her powers at the highest level of acquisition and use of knowledge, skills, attitudes, diagnosing, treating, rehabilitating, and preventing diseases of the musculoskeletal system and autoimmune connective tissue system, independently planning and organizing the improvement and development of professional competence, takes responsibility for the work of staff teams and is able to innovate and entrepreneurship. Make informed, verifiable and scientifically sound decisions regarding patient health, public health and the environment; justify and reflect decisions in medical records.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
The resident independently gets acquainted with the latest literature data, research results, and constantly prepares presentations for theoretical seminars. Independently learns to perform clinical practical examinations and manipulations.

Examination

Title	% from total grade	Grade
1. Examination	-	-
Current knowledge examination – seminars and practical training during patient analysis, action algorithms, multi choice variants and clinical situation tasks. The Final Examination at the end of the residency consists of examining theoretical knowledge in the form of tests and/ or questions, defense of the research work and answers to the questions of the examination committee.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Osteoarthritis

Seminar

Modality	Location
On site	Specialized room

Topics

Synovial fluid aspiration and intraarticular injection technique

Seminar

Modality	Location
On site	Specialized room

Topics

Lower back pain, spinal stenosis, DISH

Seminar

Modality	Location
On site	Specialized room

Topics

Regional pain syndrome (reflector sympathetic dystrophy)

Seminar

Modality	Location
On site	Specialized room

Topics

Centralized pain syndrome (fibromyalgia, chronic fatigue syndrome)

Seminar

Modality	Location
On site	Specialized room

Topics

Regional musculoskeletal disorders: bursitis, tendinitis, adhesive capsulitis, rupture of rotation tendons, impingement, trigger finger, Dupuytren's contracture

Seminar

Modality	Location
On site	Specialized room

Topics

Osteoporosis

Seminar

Modality	Location
On site	Specialized room

Topics

Osteomalacia, Paget's disease, osteodistrophy of the kidneys, osteomyelitis, osteonecrosis

Seminar

Modality	Location
On site	Specialized room

Topics

Pregnancy and rheumatic diseases

Seminar

Modality	Location
On site	Auditorium

Topics

Pain: pathogenesis, diagnostic algorithms, principles of therapy, rehabilitation and long-term prognosis in patients with rheumatic diseases

Seminar

Modality	Location
On site	Specialized room

Topics

Autoinflammatory disoders

Seminar

Modality	Location
On site	Specialized room

Topics

Palindrome rheumatism

Seminar

Modality	Location
On site	Specialized room

Topics

Congenital hemohromatosis, histiocytosis

Seminar

Modality	Location
On site	Specialized room

Topics

Systemic effects of the inflammatory process: amyloidosis, anemia, atherosclerosis

Seminar

Modality	Location
On site	Auditorium

Topics

Congenital connective tissue and skeletal diseases (Marfan syndrome, Ellers Danlos's syndrome, congenital systemic diseases of the heart)

Seminar

Modality	Location
On site	Specialized room

Topics

Mucopolysaccharidosis, Gaucher's Disease, Fabry's Disease, Farber's Lipogranulomatosis

Seminar

Modality	Location
On site	Specialized room

Topics

Metabolic myopathy, muscular dystrophy

Seminar

Modality	Location
On site	Specialized room

Topics

Malignant musculoskeletal disorders (myeloma, metastatic bone disorders)

Seminar

Modality	Location
On site	Specialized room

Topics

Neuroendocrine immunology of rheumatic diseases

Seminar

Modality	Location
On site	Specialized room

Topics

Symptomatic eye diseases of the rheumatic diseases

Seminar

Modality	Location
On site	Specialized room

Topics

Rheumatic diseases in geriatric patients

Seminar

Modality	Location
On site	Specialized room

Topics

Invasive manipulation in rheumatology: synovial tissue, muscle, skin, subcutaneous fat, salivary gland and bone biopsy

Seminar

Modality	Location
On site	Specialized room

Topics

Perioperative management of patients with rheumatic disease

Seminar

Modality	Location
On site	Specialized room

Topics

Emergency conditions in rheumatology

Seminar

Modality	Location
On site	Specialized room

Topics

Cardiopulmonary pathology in patients with rheumatic disease

Seminar

Modality	Location
On site	Specialized room

Topics

Approach for the patients with rheumatic disease and impaired renal and hepatic function

Seminar

Modality	Location
On site	Specialized room

Topics

Tuberculosis: impairment of the musculoskeletal system. The use of biological medicines in patients with tuberculosis and chronic infections

Seminar

Modality	Location
On site	Specialized room

Topics

Vaccination principles for patients with rheumatic diseases

Seminar

Modality	Location
On site	Specialized room

Topics

The safety aspects of medicinal products used in rheumatology

Seminar

Modality	Location
On site	Specialized room

Topics

Latest medical technologies in rheumatology

Seminar

Modality	Location
On site	Specialized room

Topics

Methodological fundamentals of scientific research in rheumatology

Seminar

Modality	Location
On site	Specialized room

Topics

Cardiopulmonary resuscitation

Total ECTS (Creditpoints):

43.50

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Marc C. Hochberg. Rheumatology. Current edition

Kelley’s Textbook of Rheumatology. Current edition

Oxford Textbook of Rheumatology. Current edition

Additional Reading

Rīgas Stradiņa universitātes zinātniskie raksti. Rīga, RSU.

Zinātniskie medicīnas žurnāli: Scand J. Rheumatol; Clinical Rheumatology; The Journal of Rheumatology; Arthritis Rheumatisms; Annals of Rheumatic Diseases; Rheumatology u.c.