Endocrine Diseases III, Including Andrology
Study Course Implementer
Residency Speciality
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About Study Course
Objective
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
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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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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.
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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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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.
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Study Course Theme Plan
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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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Specialized room
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Topics
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Hypothalamus and neurohypophysis. Brain and pituitary endocrinology. The importance of the pituitary gland in health and disease. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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Hyperandrogenism. Androgen insensitivity and similar changes. Androgen deficiency changes. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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Postmenopausal osteoporosis. (Prof. A. Lejnieks)
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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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Specialized room
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Topics
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Endocrinology of pregnancy. Endocrine diseases and pregnancy. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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Physical therapy and rehabilitation of obese patients. (Dr I. Mihejeva)
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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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Specialized room
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Topics
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Pituitary gland: its hormones and changes. Adrenocorticotropin: physiology and clinical aspects. Hyperprolactinemia. (Prof. A. Lejnieks)
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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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Specialized room
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Topics
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Hypopituitarism. Acromegaly and gigantism. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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Female endocrinology. Menopause. Postmenopausal syndrome. (Prof. D. Rezeberga)
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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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Specialized room
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Topics
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Endocrine surgery. Surgical peculiarities. Preparing patients for surgery. Postoperative monitoring and therapy. (Dr. D. Jakovels)
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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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Specialized room
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Topics
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Physical therapy and rehabilitation of diabetic patients. (Dr I. Mihejeva)
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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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Specialized room
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Topics
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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)
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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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Specialized room
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Topics
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Multiple endocrine neoplasia (MEN I, MEN IIA, MEN IIB): diagnosis, differential diagnosis, pathogenesis and treatment. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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Testis function and morphology. Androgenic action and pharmacological use. Mutations affecting androgen receptor functions. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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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).
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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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Specialized room
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Topics
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PCOS - polycystic ovary syndrome. Insulin resistance. HOMA index. (Prof. I. Konrāde)
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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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Specialized room
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Topics
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Anabolic steroids. Gynaecomastia. Physiology and pathophysiology of androgenetic alopecia. Testosterone. (Prof. A. Lejnieks / Dr I. Rasa)
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Bibliography
Required Reading
Handbook of Inpatient Endocrinology, by Rajesh K. Garg (Editor), James V. Hennessey (Editor), & more, 2020
Speroff’s Clinical Gynecologic Endocrinology and Infertility. 9th Edition, 2019
Williams Textbook of Endocrinology. 14th Edition, 2019
Goldman-Cecil Medicine, 2-Volume Set - 26th Edition, 2019
Harrison’s principles of internal medicine. 20th Edition, 2018
Harrison's Endocrinology. 4th Edition, 2017
THE WASHINGTON MANUAL™ Endocrinology. Endocrinology subspecialty consult. 3rd Edition, 2013
Greenspan Basic and Clinical Endocrinology. 5th Edition, Appleton & Lange, 2011.
Osteoporozes klīniskās vadlīnijas. Rīga, 2011.
Andrology. Nieschlag, Eberhard; Behre, Hermann M.; Nieschlag, Susan (Eds.), 3rd Edition, 2010
Klīniskā medicīna. Profesora Aivara Lejnieka redakcija, 2010.
Additional Reading
Gynecological Endocrinology, Journal
Diabetes Care
Diabetologie
Endocrinology
Journal of Clinical Endocrinology & Metabolism
Latvijas Ārstu žurnāls