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

Clinical Rheumatology of Children II

Main Study Course Information

Course Code
RBR_010
Branch of Science
Anatomy; Clinical medicine
ECTS
31.95
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

1.Ensure the learning and improvement of theoretical skills in accordance with the terms of paediatric rheumatologist speciality regulations adopted in Latvia, and requirements of the European Union regarding the speciality (the program meets the requirements of European education in paediatric rheumatology, which are developed by the Paediatric Rheumatology European section (PRES) and approved by the Paediatric Section of the European Union of Medical Specialists (UEMS)), to prepare medical doctors for certification in the paediatric rheumatologist speciality in accordance to normative documentation of the Republic of Latvia. 2.Ensure the learning of basic theoretical knowledge and practical skills in paediatric rheumatology in a hospital setting.

Learning Outcomes

Knowledge

1.1. Demonstrate deep and broad knowledge regarding children’s musculoskeletal (connective tissue) system and autoimmune connective tissue disease aetiology, pathogenesis, diagnostics, treatment and rehabilitation, which ensures the basics to creative thinking in clinical work as well as research, and the capacity to work in an interdisciplinary environment. 2. Define the specifics of diagnosis, differential diagnosis and treatment of paediatric rheumatologic diseases.

Skills

1.1. The medical doctor understands the nature of the specific problem, diagnostic algorithms and is capable to provide professional specialised emergency aid, as well as realises in practice the diagnostic, treatment and prophylaxis measures, is capable to work, study or research in complicated und unforeseeable circumstances and, if necessary, modify them by using new approaches. The doctor has the capacity for constant development, is able to communicate with different patients, their parents, and colleagues, has pedagogic and research skills, has organisational skills in the workplace. 2. Perform the rheumatologic examination of a patient, be able to communicate with colleagues, patients, persons involved in healthcare and patient relatives even in critical and psychologically traumatic situation; utilise knowledge in morphology, immunology, and radiology in the formulation of diagnosis, differential diagnosis and treatment; use contemporary medical achievements and guide personal professional growth using scientifically obtained evidence.

Competences

1.1. The doctor works according to his/her domain of authority at the highest level of knowledge, skill, and attitude acquisition and application, by performing the diagnosis, treatment, rehabilitation, and prophylaxis of children’s musculoskeletal (connective tissue) system and autoimmune connective tissue diseases, individually plans and organises personal improvement and development of professional competences as a specialist, takes responsibility for group work of the staff and is capable of innovation and entrepreneurship 2. Transfer knowledge in morphology and homeostasis in unified integrative diagnostic action with the aim to evaluate the health condition of the person, determine the diagnosis, develop and implement an individualised health care plan.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
1. The resident prepares the presentations of the seminars by getting acquainted with the literature of the last 5-10 years. 2. Prepares 2 presentations of clinical cases. 3. Independently learns to perform clinical practical examinations and manipulations. 4. Theoretical and practical knowledge of a resident of a rotational discipline shall be assessed in a 10-point system by the head of the relevant rotational discipline, making an entry in the resident's book.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
The final evaluation of the rotation cycle includes: 1. 50% - theoretical assessment preparation of seminar presentations 2. 25% - preparation of presentations of clinical cases 3. 25% - acquisition of manipulations

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Examination of joints according to ACR Pedi criteria. Physician-rated and patient-rated visual analogue scale
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Treatment of acute arthritis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Treatment of chronic arthritis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Systemic lupus erythematosus
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Drug induced SLE
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Neonatal lupus syndrome
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Juvenile dermatomyositis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Systemic scleroderma
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Localised scleroderma
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Overlap syndrome
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Mixed connective tissue disease
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Macrophage activation syndrome
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Antiphospholipid syndrome
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Characteristics and classification of primary vasculitides in paediatrics
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Haemorrhagic vasculitis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Wegener granulomatosis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Takayasu arteritis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Juvenile temporal arteritis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Polyarteritis nodosa
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Kawasaki disease
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Cryoglobulinaemic vasculitis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Seronegative spondyloarthropathies
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Ankylosing spondylitis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Arthritis associated with chronic bowel diseases
Total ECTS (Creditpoints):
31.95
Number of Residency Seminars:
24
Length (weeks):
30
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Robert M. Kliegman, MD, Bonita M.D. Stanton, MD, Joseph St. Geme, Nina Schor and Richard E. Behrman, M.D. Nelson Textbook of Pediatrics. W. B. Saunders Company, 2020.

2.

P. Ross E, MD, PhD. Textbook of Pediatric Rheumatology. Published Elsewier, 2021.

Additional Reading

1.

• Žurnāli:

2.

Pediatric Rheumatology, ACR

3.

The EULAR Journal: Annals of Rheumatis diseases

4.

Oxford Jounals of Rheumatology

Other Information Sources

1.

• Interneta informācijas avoti:

2.

PEDINFO, Medscape, E medicine, PubMed, EndoText u.c.