Veidlapa Nr. M-3 (8)
Study Course Description

Endocrine Diseases III, Including Andrology

Main Study Course Information

Course Code
REN_011
Branch of Science
Clinical medicine; Internal medicine
ECTS
15.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To provide medical residents with theoretical knowledge and practical skills in the diagnosis of endocrine diseases, differential diagnosis, recognition of various congenital and acquired endocrine syndromes. To improve the knowledge and skills acquired in the study courses Endocrine Diseases I and Endocrine Diseases II. To pay extra attention to ensuring optimal compensation of diabetes, pituitary diseases, gynaecological and andrological endocrine diseases and conditions.

Learning Outcomes

Knowledge

1.Curriculum of the Endocrine Diseases III study course acquired in the intended scope. During the training, the medical resident worked in a specialised endocrinology department and in an outpatient endocrinologist’s office under the guidance of endocrinologists entitled to teach. Regularly participated in medical resident seminars and lectures, prepared speeches for clinic morning sessions and participated in the student training process. Understands in depth and is able to analyse the importance of hormones in the normal development and ageing of an organism, knows the pathology of various endocrine glands, knows the relevant diagnostic, treatment and prevention techniques. To accurately evaluate and choose the specific treatment tactics, especially for patients with diabetes mellitus and thyroid problems.

Skills

1.To recognise and describe various endocrine problems in humans, define possible endocrine pathology, systematise diagnostic examination and organise specific treatment. To independently apply acquired knowledge in solving medical problems, prevention of endocrine diseases, diagnosis, treatment, care. To perform practical manipulations skilfully, has acquired the skills to work in the organisation of Health Care, as well as in education and research; To evaluate, detect and prevent possible risk factors for the development of various endocrine diseases; To be competent in the pharmacokinetics and pharmacodynamics of endocrine preparations, especially in insulin therapy; To understand and interpret the results of various examinations (laboratory, radiological, morphological), know and practically apply the methods of conservative treatment and prevention of endocrine diseases. To know how to perform dynamic care of diabetes patients and training of patients (their relatives), evaluate the early diagnosis of various late complications and learn techniques for their prevention. To critically evaluate specialised literature and base one’s clinical decisions on the foundations of evidence-based medicine.

Competences

1.Ability to independently apply acquired knowledge in solving medical problems, diagnosis, treatment, care and prevention of endocrine diseases. Ability to perform practical manipulations with skill. The medical resident has gained skills in working in a healthcare organisation as well as in education and research.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
The medical resident shall participate in the care of endocrine patients, acquiring knowledge and skills in specialised departments, diagnostic and training rooms and outpatient endocrinology practices. To participate in the planned seminars. To prepare clinical presentations for seminars, to get acquainted with the latest literature and prepare literature reviews. To understand the diagnostic and treatment features of endocrine diseases. Preparation for the examination test.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
2.

Examination

-
-
Successfully completed seminar test works; Demonstrated ability to independently diagnose, examine and prescribe therapy for patients with endocrine diseases, emphasising pituitary, endocrine gynaecology and andrology pathologies; The types and extent of intended manipulations have been learned; Successful assessment of the clinical case analysis by the medical resident.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Hypothalamus and neurohypophysis. Brain and pituitary endocrinology. The importance of the pituitary gland in health and disease. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Hyperandrogenism. Androgen insensitivity and similar changes. Androgen deficiency changes. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Postmenopausal osteoporosis. (Prof. A. Lejnieks)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Endocrinology of pregnancy. Endocrine diseases and pregnancy. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Physical therapy and rehabilitation of obese patients. (Dr I. Mihejeva)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pituitary gland: its hormones and changes. Adrenocorticotropin: physiology and clinical aspects. Hyperprolactinemia. (Prof. A. Lejnieks)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Hypopituitarism. Acromegaly and gigantism. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Female endocrinology. Menopause. Postmenopausal syndrome. (Prof. D. Rezeberga)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Endocrine surgery. Surgical peculiarities. Preparing patients for surgery. Postoperative monitoring and therapy. (Dr. D. Jakovels)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Physical therapy and rehabilitation of diabetic patients. (Dr I. Mihejeva)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Diagnostic possibilities of various pathologies of the pituitary gland. Pituitary tumours, various treatment options. Neurohypophysis, vasopressin, oxytocin. Diabetes insipidus and hyperosmolar syndrome. Altered anti-diuresis and other hypoosmolar states. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Multiple endocrine neoplasia (MEN I, MEN IIA, MEN IIB): diagnosis, differential diagnosis, pathogenesis and treatment. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Testis function and morphology. Androgenic action and pharmacological use. Mutations affecting androgen receptor functions. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Clinical treatment of male infertility. Male sexual dysfunction (erectile dysfunction). Male contraception. Testicular tumours with endocrine manifestations. Endocrinology of benign prostatic hyperplasia. Endocrinology of prostate cancer. (Assoc. Prof. V. Lietuvietis).
  1. Seminar

Modality
Location
On site
Specialized room

Topics

PCOS - polycystic ovary syndrome. Insulin resistance. HOMA index. (Prof. I. Konrāde)
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Anabolic steroids. Gynaecomastia. Physiology and pathophysiology of androgenetic alopecia. Testosterone. (Prof. A. Lejnieks / Dr I. Rasa)
Total ECTS (Creditpoints):
15.00
Number of Residency Seminars:
16
Length (weeks):
12
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Handbook of Inpatient Endocrinology, by Rajesh K. Garg (Editor), James V. Hennessey (Editor), & more, 2020

2.

Speroff’s Clinical Gynecologic Endocrinology and Infertility. 9th Edition, 2019

3.

Williams Textbook of Endocrinology. 14th Edition, 2019

4.

Goldman-Cecil Medicine, 2-Volume Set - 26th Edition, 2019

5.

Harrison’s principles of internal medicine. 20th Edition, 2018

6.

Harrison's Endocrinology. 4th Edition, 2017

7.

THE WASHINGTON MANUAL™ Endocrinology. Endocrinology subspecialty consult. 3rd Edition, 2013

8.

Greenspan Basic and Clinical Endocrinology. 5th Edition, Appleton & Lange, 2011.

9.

Osteoporozes klīniskās vadlīnijas. Rīga, 2011.

10.

Andrology. Nieschlag, Eberhard; Behre, Hermann M.; Nieschlag, Susan (Eds.), 3rd Edition, 2010

11.

Klīniskā medicīna. Profesora Aivara Lejnieka redakcija, 2010.

Additional Reading

1.

Gynecological Endocrinology, Journal

2.

Diabetes Care

3.

Diabetologie

4.

Endocrinology

5.

Journal of Clinical Endocrinology & Metabolism

6.

Latvijas Ārstu žurnāls

Other Information Sources

1.

Acromegaly. 2021

2.

Leslie DeGroot, MD - Endotext Founder 1928-2018

3.

www.endotext.org,

5.

www.netwibes.com/info_med