Internal Medicine
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.Knowledge and understanding characteristic for creative thinking or research and operation in interaction of various fields in an occupation of family physician. Understands aspects of treatment, rehabilitation and secondary prevention in medicine sub-sectors and nosologies with diagnostics (including laboratory, morphology, instrumental, non-instrumental and beam diagnostics), differential diagnosis, medical (clinical pharmacology, pharmacotherapy) and non-medical (diet therapy, physiotherapy). Is able to make decisions independently, solve complicated situations related to health care, diagnostics and treatment
Skills
1.• assessment of clinical and biochemical laboratory examination data, • ECG record, assessment (rhythm disturbance, leading disturbance, features of acute ischaemia, congestions), assessment of ECHO, veloergometry, • to set indications for invasive tactics, emergency and scheduled (coronarography, percutaneous coronary intervention). • usage of treating algorithms for acute conditions. • to manage mastering of one's competences and specialization independently • to undertake the responsibility for personnel group work results and related analysis • to perform work, research or further education in complicated and unpredictable conditions and change them by using new approaches if necessary. During post-graduate education a family physician must acquire indications and contraindications of application for the following additional methods in diagnostics of respiratory diseases: • assessment of core indicators of outer respiratory functions, • assessment of functional assay (bronchial permeability) • bronchoscopy, • CT, • blood gas analysis, • pulmonary X-ray (one must be able to assess results), • technique of aerosols inhalation, • picflowmetry.
Competences
1.Competences acquired allow to fortify decisions, to make additional analysis if necessary: - Is able to explain the impact of environmental changes on spread of a disease on the population, to understand the usage of preventive, diagnostic and therapeutic methods in this aspect. - Is able to evaluate patient's complaints, their relation to patient's health condition. Has got a wide understanding on diseases and their risk factors, on widespread diseases among the population, care of chronic diseases, on diseases which causes disability, on conditions which require emergency help. - Has got an understanding on usage of preventive and diagnostic manipulations in primary health care which includes nearly all specialities (i.e. paediatrics, gynaecology, surgery, ear, nose and throat diseases, dermato-venereology, ophthalmology, psychiatry, cardiology). - Ability to ensure treatment for the patient at the level of primary care, organize rehabilitation if necessary. - Understanding on diagnostic opportunities in primary and secondary health care level, on opportunities to send the patient to physician specialist if necessary. - Ability to organize and lead consultations in issues of health care organization, especially in issues related to health care of a mother and a child, family planning. - Understanding on issues of public health. - Ability to understand significance of positive physician-patient relationships, to teach patients to understand their complaints, learn to coexist along with those. - Ability to work in a team with other members of the primary health care team and other specialists. Is able to integrate knowledge in various fields: - An understanding on issues of health care organization on the whole and in particular of the primary health care organization. - Knowledge on legislation and directives in the health care, an ability to participate in developing them.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Small group work - analysis of clinical cases. Preparation of the presentation - according to the theme of the rotation cycle.
Educational work with different groups of the population (development of informative materials, lectures).
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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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|---|---|---|
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1.
Examination |
-
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-
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2.
Examination |
-
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-
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Attendance at seminars - 50%
Analysis of clinical cases - 25%
Practical work skills, manipulations - 25%
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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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Auditorium
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Topics
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Differential diagnosis of joint diseases.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Cough. Upper respiratory disease in the practice of a family doctor. Temperature pathogenesis.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Prevention, therapy, teamwork in the care of patients with type 2 diabet
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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More common endocrine diseases in the family doctor's practice. Family doctor tactics.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Arterial hypertension in the practice of a family doctor.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Gastroenterological diseases. Early diagnosis of gastrointestinal tumors.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Urogenital infections in the family doctor's practice.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Early and timely diagnosis of lung diseases (including oncological) in the practice of a family doctor. Case studies.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Deep respiratory diseases in the practice of a family doctor.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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tactics for the diagnosis and treatment of chronic heart failure.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Chronic venous insufficiency, principles of diagnosis and treatment
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Differential diagnosis of urinary syndrome. The concept of chronic kidney disease, stages, treatment.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Differential diagnosis of inflammatory kidney diseases in the work of a family doctor.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Cardiological load tests, indications, methodology, interpretation of results.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Diagnosis and principles of treatment of anemia.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Principles of diagnostics of haematological diseases.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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-
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Topics
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Topicalities of cardiopulmonary resuscitation
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Differential diagnosis of rash and further tactics in GP practice.
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Bibliography
Required Reading
Practice Guidelines in Primary Care 2021-2022. Jacob A. David. E-book Download Clinical Guidelines in Family Practice Full Online, 2020, Oralee348Ostrander, Format: PDF / EPUB / MOBI
2019. ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk: The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS). François Mach, Colin Baigent, Alberico L. Catapano, et.al.
2018 ESC/ESH Guidelines for the management of arterial hypertension. Michel Azizi, Michel Burnier, Denis L Clement, et.al. ESC Scientific Document Group
Kalvelis A., Lejnieks A. Galveno kardiovaskulāro slimību un izpausmju klīniskās formas un diagnozes formulējumi. Rīga, 2017.
Jirgensons J., Kalējs O., Lejnieks A. (Sast.). Klīniskā medicīna. Pirmā grāmata, Rīga, 2010.
William J. Bremner, Wellington Hung, C. Ronald Kahn. Family Practice Center, Houston, TX , USA. Medical Diagnosis & Treatment. Stephen McPhee, Maxine Papadakis, Lawrence Tierney, 2007.
Ērglis A., Kalvelis A., Jirgensons J., u.c. Stabila stenokardija. Rīga, 2007.
Kalvelis A., Kalniņš U. Kardiovaskulāro slimību profilakse. Rīga, 2007.
Additional Reading
Family Practice Guidelines. 5th Edition, May 2020. Jill C. Cash, Cheryl A. Glass, Jenny Mullen. ISBN:978-0-8261-3583-4 (Print)
Practice Guidelines in Primary Care 2021-2022. Jacob A. David E-book Download Clinical Guidelines in Family Practice Full Online, 2020, Oralee348Ostrander, Format: PDF / EPUB / MOBI
Medscape. Family Medicine Clinical Practice Guidelines - 2019 Year in Review. Stay current with new guidelines and recommendations.
New: global initiative for asthma 2021 executive summary on asthma management and prevention
Pocket guide to copd diagnosis, management, and prevention. A Guide for Health Care Professionals 2021
2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal. Volume 39, Issue 33, 1 September 2018. Pages 3021–3104
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. European Heart Journal (2016) 37,( 2893–2962).
Kamzola G. Ehokardiogrāfijas loma sirds mazspējas difernciāldiagnostikā. Latvijas ārsts. 2016. februāris. (12.-20.lpp.)