Veidlapa Nr. M-3 (8)

Study Course Description

Digestive Endoscopy II

Main Study Course Information

Course Code

RGO_021

Branch of Science

Clinical medicine; Internal medicine

ECTS

16.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Ilona Vilkoite

Residency Speciality

Speciality

Gastroenterologist

Supervisor of Medical Speciality

Ilona Vilkoite

Contacts

About Study Course

Objective

To provide theoretical knowledge and acquisition of practical skills in digestive endoscopy according to the gastrointestinal endoscopy specialty Terms of Reference enabling the physician to prepare for the additional certification in the gastrointestinal endoscopy specialty, following the Latvian Association of Gastrointestinal Endoscopy requirements set for examination numbers, in addition to certification in the basic specialty.

Learning Outcomes

Knowledge

1.Regarding the gastrointestinal endoscopy department set up, the possibilities of standard endoscopic equipments (endoscopes, instruments and accessories), organization of the examinations (including teamwork with endoscopy nurses), indications, contra-indications and limitations, patient selection, preparation, endoscopic terminology, diagnostic criteria, definitions, complications and their prevention, endoscopic findings documentation, options of endoscopic documentation and filling requirements, endoscopic database design principles, cooperation with radiologists and surgeons.

Skills

1.Able to perform routine esophagogastroduodenoscopy under supervision, standard colonoscopy under supervision, and proctosigmoscopy - with complete documentation of endoscopy.

Competences

1.to be able to create, assemble and provide small endoscopy unit work; the ability to collect, analyse endoscopy section work indicators, to choose their development paths, to predict possible risks.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
To get acquainted with the nature of gastrointestinal endoscopy, possibilities and use of the endoscopic simulators and practical endoscopy in order to learn basic upper gastrointestinal endoscopy and colonoscopy (including terminal ileum intubation) examination skills; to acquire endoscopic scene interpretation and further endoscopic investigative assistance level; to get acquainted with the possibilities of therapeutic endoscopy, learn and be able to perform their own standard therapeutic endoscopic manipulations, including emergency situations. Prepare 5-12 slides for each seminar with endotherapy and theoretical part, eg "cold loop" polypectomy. Record 3 upper endotherapy training videos during the training course. Prepare a short presentation / report on the latest in endotherapy.

Examination

Title	% from total grade	Grade
1. Examination	-	-
1. resident's practical skills and theoretical knowledge according to each rotation discipline; 2. in separate stages of education, i.e. 2 times a year (1 – December-January and 2 – before the end of the study year with: a) self-assessment of the resident; b) compliance of theoretical and practical education with the requirements of the study program; c) analysis of the assessment of the resident by practice supervisors and giving feedback to the student at the end. In the 3rd residency final exam: a) test of theoretical knowledge: 1) 100 tests with one correct answer and a criterion of 70% correct answers; 2) the answer to the exam ticket – a problem question, where the theoretical basis, its modernity, completeness, a summary of literature and experience are assessed in the answer; b) in the presence of the commission, the resident defends prepared scientific, clinical or applied research, which is submitted to the commission in writing in advance; the commission listens to the reviewer's report and evaluates the resident's answers; c) submit to the examination commission a summary of the work done during the studies, including at least one presentation at a professional meeting, 1 publication at least at the national level, as well as a report on the optional work. The final exam of the residency is evaluated with a grade, information about the exam is recorded in the protocol, which is signed by the chairman of the commission and all members of the commission.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Therapeutic endoscopy methods. Classification. Benefits risks and Limitations.

Seminar

Modality	Location
On site	Specialized room

Topics

Endoscopic non-variceal bleeding hemostasis methods. Risks, benefits.

Seminar

Modality	Location
On site	Specialized room

Topics

Endoscopic variceal bleeding hemostasis methods. Risks, benefits.

Seminar

Modality	Location
On site	Specialized room

Topics

Pancreatobiliary endoscopy and endotherapy.

Seminar

Modality	Location
On site	Specialized room

Topics

Paliative digestive endoscopy.

Seminar

Modality	Location
On site	Specialized room

Topics

Mucosectomu. Submucosal dissection. Tuneling (POEM)

Seminar

Modality	Location
On site	Specialized room

Topics

Errors, their causes in the upper endoscopy.

Seminar

Modality	Location
On site	Specialized room

Topics

Diagnostic possibilities of functional disorders in digestive endoscopy.

Seminar

Modality	Location
On site	Specialized room

Topics

Errors, their causes inthe colonoscopy.

Total ECTS (Creditpoints):

16.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

03.2009. MK noteikumi Nr.268 "Noteikumi par ārstniecības personu un studējošo, kuri apgūst pirmā vai otrā līmeņa profesionālās augstākās medicīniskās izglītības programmas, kompetenci ārstniecībā un šo personu teorētisko un praktisko zināšanu apjomu" ("LV", 58 (4044), 16.04.2009.) ar pēd.grozījumiem Ministru kabineta 24.05.2016. noteikumi Nr. 315/LV, 101 (5673), 26.05.2016./Stājas spēkā 01.06.2016.

Klīniskā medicīna. Prof. A.Lejnieka red. Rīga, Zvaigzne, 2012.

Pokrotnieks J. Gastrointestinālā endoskopija. Rīga, Pilatus, 2000, 144.lpp.

A.Danilāns. Hroniskas aknu slimības. I, II un III daļa. Rīga, Medicīnas apgāds, 2009-2012.

The European Board and Section of Gastroenterology & Hepatology. Par gastroenteroloģiju kā specialitāti ES. The Blue Book 2017 ar prasībām gastroenteroloģijā http://www.eubog.org/docs/Blue_Book.pdf

M.Feldman, L.S.Friedman, L.J.Brandt.: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management, 2-Volume Set. WB Saunders 2020 11 ed. 2616 lpp.

Co, 2016.

Additional Reading

Cotton and Williams' Practical Gastrointestinal Endoscopy: The Fundamentals. 7th Edition, 208 pp. New York, Wiley, 2014.

Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 8th Edition. 2-Volume Set, 2015.

Other Information Sources

The Gastroenterology Training Handbook for Specialists Registrar

EASL Clinical Practice Guidelines

Z.Maratka, J.R.ArmengoldMiro. Endoscopic Diagnosis in Gastroenterology and N.O.T.E.S. Normedia DVD Gastro. Version 5.2 (2013)

World Endoscopy organization (WEO) mājaslapa ar MST 3.0 un citām digestīvās endoskopijas aktualitātēm

Gastroenteroloģijas Atbalsta biedrības un Latvijas Gastroenterologu asociācijas mājaslapa

United European gastroenterology mājaslapa

ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic