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Paediatric Surgery
Study Course Description
Course Description Statuss:Approved
Course Description Version:8.00
Study Course Accepted:20.09.2024 08:44:03
| Study Course Information | |||||||||
| Course Code: | BKK_002 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Surgery | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Arnis Eņģelis | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Paediatric Surgery | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Rīga, Vienības gatve 45, VAS Bērnu KUS, Ārsta māja, bkk rsu[pnkts]lv, +371 67622923 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
| Total Contact Hours | 20 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
| Total Contact Hours | 12 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Human anatomy and physiology, pathology, surgery, pediatrics. | ||||||||
| Objective: | To provide the students with extended knowledge about common pediatric surgical diseases and congenital anomalies, possibilities of prenatal diagnosis and fetal surgery of them, possibilities of operative treatment, creation of postoperative care algorithms and evaluation of life quality criteria of the patients. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Neonatal congenital and acquired gastrointestinal surgical pathologies – esophageal atresia, duodenal atresia, small and large intestine atresia, meconium ileus, NEC. Omphalocele, gastroschisis. | Classes | 1.00 | clinical base | |||||
| 2 | Minor surgical pathologies. Pathology of Processus vaginalis. Umbilical hernia. Acute scrotal pain. Abnormalities of testicular position. Phimosis, paraphimosis. | Classes | 1.00 | clinical base | |||||
| 3 | Acute abdomen I. (Acute appendicitis – uncomplicated, complicated. Peritonitis), bleeding from the GI tract – Meckel's diverticulum, intussusception. | Classes | 1.00 | clinical base | |||||
| 4 | Acute abdomen II (GI tract obstruction (partial/complete; high/low) – pylorostenosis, duodenal atresia, small bowel atresia, adhesion ileus, Hirschsprung's disease, anus atresia) | Classes | 1.00 | clinical base | |||||
| 5 | Pain and deformations in the limbs (Acute hematogenous osteomyelitis. Fractures in children, the basic principles of their treatment. Dysplasia of the hip joint. Congenital clubfoot.) | Classes | 1.00 | clinical base | |||||
| 6 | Simulations in Pediatric Surgery at MITC. | Classes | 1.00 | METC | |||||
| 7 | Interpretation of examinations in pediatric surgery (laboratory and radiological examinations) | Classes | 1.00 | clinical base | |||||
| 8 | Presentation of clinical situation tasks and assessment. | Classes | 1.00 | clinical base | |||||
| 9 | Emergency situations in pediatric surgery | Lectures | 1.00 | SCFME | |||||
| 10 | The most common purulent childhood diseases. | Lectures | 1.00 | SCFME | |||||
| 11 | Acute inflammatory abdominal cavity surgical pathology in children (apendicitis, peritonitis). | Lectures | 1.00 | SCFME | |||||
| 12 | Congenital and acquired ileus (BVA, duodenal atresia, intussusception). | Lectures | 1.00 | SCFME | |||||
| Assessment | |||||||||
| Unaided Work: | • Analysis of clinical cases of pediatric surgical pathologies. • Presentation of clinical cases of pediatric surgical pathologies. • Carrying out independent research: - analysis of scientific publications, summaries, - carrying out research work based on the regulations for students' independent work. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal. | ||||||||
| Assessment Criteria: | EVALUATION in the PEDIATRIC SURGERY study course: - At the beginning of each lesson, a knowledge test on the topic of the lesson (5 questions) – you pass the test if you get at least 3 points; if 2 or less points are obtained - minus one point from Rating I Rating I – grade for the presentation of a selected clinical case during practical classes. It is formed cumulatively from other students' average rating and the teacher's rating (if the student's and the teacher's rating differ, then the teacher's rating is increased or decreased by one point, respectively) o Grade I can be lowered (by one point) if 2 or less points (out of 5 points) are received in the test at the beginning of each lesson, as well as if the test at the beginning of the lesson is not completed. o Rating I can be increased (by one point): - «+» for meaningful activity in the lesson, teacher's signature with a stamp in the corresponding box (5 positive marks = plus one point). - Assisting in operations in a day hospital (list of available times in e-studies) – participation in at least one full day of operations (the number of days of assisted operations does not add up, i.e. maximum plus one point in this position). Rating II – exam grade - The exam is held in person. - The evaluation of the exam takes place in accordance with the evaluation criteria defined in the RSU Study Regulations. - The exam consists of: o 40 theoretical multiple-choice questions make up a total of 40% of the assessment (20 correct answers are required to pass the test section)*. The multiple-choice questions are not identical, but similar in content to the control questions of the semester lessons. They are not published in the e-learning environment. o 2 situation tasks make up a total of 60% of the assessment (to pass at least 35%)*. The exercises, each with 5 questions, will be similar to the cases discussed in the lessons. - Questions that require written answers must be answered briefly, concisely and concretely. Answers to situational tasks should not exceed 250 words (in each situational task). - If the answer contains more than 250 words, the assessment of the relevant situational task is reduced by 10%. * One correctly answered multiple-choice question gives 1% to the total answer score, while one correctly answered situational task question gives 6% to the total answer score. If all questions are answered correctly, the total score is 100%. - The final evaluation for the study course PEDIATRIC SURGERY is formed cumulatively from Evaluation I + Evaluation II. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Students acquire knowledge that allows description of: • congenital and acquired gastrointestinal impenetrability in children; • congenital anomalies of genitourinary tract; • specialties of pediatric traumatology and orthopedics; • acute hematogenous osteomyelitis in children; • etiology, pathogenesis, diagnosis, treatment and prophylaxis of acute appendicitis in children; • possibilities and role of prenatal diagnosis in congenital surgical pathologies; • possible postoperative complications and avoidance of them; • diagnosis, treatment and postoperative care of surgical pathologies of newborn and children. | ||||||||
| Skills: | On successful completion of the study course, students will be able to: • get detailed patient history; • perform physical examination of children; • analyse gathered information; • create an individual plan of diagnosis for each patient; • create a plan of preoperative and postoperative care of children; • define and motive expanded clinical diagnosis, based on differential diagnosis, as well as tactics of treatment (indications for operative and conservative treatment); • prescribe drugs and pharmacological agents for diagnosis and treatment, taking into account effects and side effects, as well as ethical and deontological aspects of drug prescription. | ||||||||
| Competencies: | On successful completion of this course, students will be able to: • independently interpret the signs or symptoms of a given condition, to decide on data to be collected about a patient; • assume responsibility in interpretation of the medical data, arriving at diagnosis and slecting appropriate tactic of treatment. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Continuous skin suture | B1 - Basic level | |||||||
| 2 | Donati suture | B1 - Basic level | |||||||
| 3 | Intradermal suture | B1 - Basic level | |||||||
| 4 | Primary treatment of wounds | B1 - Basic level | |||||||
| 5 | Removing Sutures | B1 - Basic level | |||||||
| 6 | Simple interrupted skin suture | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Puri P. Hollwarth M. Pediatric Surgery – Diagnosis and Management. Springer, 2023. 2.izd. | ||||||||
| 2 | Zachariou Z. Pediatric Surgery Digest. Springer, 2022. 2.izd. | ||||||||
| Additional Reading | |||||||||
| 1 | Gupta D.K. Pediatric Surgery. Diagnosis and Management. McGraw Hill Medical. 2010. | ||||||||
| 2 | Saxena A.K. Essentials of Pediatric Endoscopic Surgery. Springer, 2009. | ||||||||
| 3 | UpToDate | ||||||||
