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Otorhinolaryngology

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:21.05.2024 16:22:01
Study Course Information
Course Code:ORLK_007LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; OtorhinolaryngologyTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Gunta Segliņa
Study Course Implementer
Structural Unit:Department of Otorhinolaryngology
The Head of Structural Unit:
Contacts:Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 23, otorinokatatrsu[pnkts]lv, +371 67615148
Study Course Planning
Full-Time - Semester No.1
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)11Class Length (academic hours)3Total Contact Hours of Classes33
Total Contact Hours33
Study course description
Preliminary Knowledge:
Anatomy, physiology, including pathological physiology, acoustics, general surgery and pharmacology. Recommended knowledge in radiology, oncology, infectious diseases and neurology.
Objective:
Provide knowledge in the role of otorhinolaryngology in general pathology, introduce students with clinical symptoms, current diagnostic, treatment and prophylaxis of ENT organ diseases and acquire necessary skills in clinical examination of the ENT organs.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Clinical Anatomy and Physiology of the Nose, Pharynx, Larynx and Ears. ENT Organ Investigation.Classes1.00clinical base
2Acute and Chronic Rhinitis and Rhinosinusitis. Intracranial and Intraorbital ComplicationsClasses1.00clinical base
3Acute and Chronic Pharyngitis, Tonsillitis. Deep Neck InfectionsClasses1.00clinical base
4Acute and Chronic Laryngitis. Functional Voice Disorders. Vocal Cord Paralysis. Laryngeal Stenosis. TracheostomyClasses1.00clinical base
5Colloquium IClasses1.00clinical base
6Diseases of the Auricle and External Auditory Canal. Acute and Chronic Otitis Media. Intratemporal and Intracranial Complications. Hearing impairmentClasses1.00clinical base
7Injuries and Foreign Bodies of the ENT Organs. EpistaxisClasses1.00clinical base
8Head and Neck TumoursClasses1.00clinical base
9Paediatric Otolaryngology. Consultation in Paediatrics. Adenotonsillar Diseases. Secretor Middle Ear Inflammation. Hearing Impairment in Paediatric Population and Rehabilitation Options. Laryngomalacia. Most Common Craniofacial Syndromes. Head and Neck Tumours in Children. Congenital Malformations of the NeckClasses1.00clinical base
10Colloquium IIClasses1.00clinical base
11Final Class. Presentation of a Clinical Case. DiscussionClasses1.00clinical base
Assessment
Unaided Work:
Students independently acquire skills in the ENT organ investigation. At the end of the course students present a clinical case.
Assessment Criteria:
1)Assessment of theoretical knowledge held on E-studies prior to the corresponding practical class in a format of MCQ test (Multiple Choice Questions) about individually read material and literature about the topic. 2)During each practical class, each student is evaluated individually with a mark in a 10-grade system according to student’s involvement and activity during the class and the knowledge that he/she demonstrates. Criteria: • Student arrives on time for the class, • Student is in appropriate attire (white coat, change of shoes), • Student actively participates in the discussion, patient examination and/or analysis of clinical cases, correctly answers teacher’s questions and is able to defend ones opinion. 3)Two colloquia are held on the 5th and 10th practical class. Colloquium I (on the 5th practical class) consists of two parts – theoretical and practical part. Students’ theoretical knowledge is evaluated during two open (written) questions about practical classes 1-4, and practical skills in ENT organs' investigation during individual demonstration of specific manipulations. Colloquium II (on the 10th practical class) consists only of two written theoretical questions about practical classes 6-9. 4)Clinical case presentation is organised on the 11th practical class. Each student orally presents independently prepared clinical case of a patient examined during one of the practical classes. 5)Final examination – oral exam is held after successful completion of the course during examination period of the corresponding semester. During the exam students’ theoretical knowledge about aetiology, pathogenesis, clinical manifestations, diagnostics, treatment principles and prophylaxis of ENT organs' diseases is evaluated. Final grade is in 10-grade scale. Final grade at the end of the course consists of the mean mark of the individual evaluations during practical classes, both colloquia grades and clinical presentation grade (accordingly 10%, 25%, 25% and 40%) - with a condition that student has no missed classes without valid reason during the semester, every class is evaluated with a mark ≥ 4 and both colloquia and clinical case presentation has been successfully passed with the first try. If a student wishes to acquire higher grade, has missed classes without valid reason, has gotten a mark in the practical class <4 or has not successfully passed colloquia or clinical case presentation wit the first try, he/ she undertake exam. In such a case final grade of the course consists only from the exam grade.
Final Examination (Full-Time):Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Upon successful completion of the course students will have acquired knowledge and will be able to: • characterise clinical anatomy of the nose and paranasal sinuses, pharynx, larynx and ear, outline physiology of the ENT organs and their main functions; • describe structure, principle of function and possible impairment of hearing and vestibular apparatus; • explain production of the speech, language and voice; • identify diseases of the ear, nose and throat; • classify treatment methods and organize treatment plan; • timely recognize complications of the diseases, in case of complicated and challenging treatment be able to organize multidisciplinary cooperation; • explain peculiarities of ENT organs in different age groups.
Skills:Upon successful completion of the course students: • demonstrate skills and abilities in endoscopic examination of the ENT organs; • are able to interpret results obtained by additional tests: rhinomanometry, hearing tests and radiological investigation; • explain and recommend methods for preventing ear, nose and throat diseases and ear hygiene methods to the patients and/or their parents; • comprehend pharmacological and surgical treatment methods of the ENT organ diseases.
Competencies:• Are capable to plan their scientific thesis, use the results from the evidence based clinical trials found in literature reviews; • justify own opinion in planning treatment for a ENT disease; • gauge and give prognosis of the disease results; • know risk factors, treatment methods and prognosis affecting factors of the oncological diseases in the ENT organs.
Clinical Skills:
No.SkillLevel
1Anterior rhinoscopyB1 - Basic level
2Balance assessment using the Romberg TestA - Beginner level
3Finger-nose testA - Beginner level
4Indirect laryngoscopyB1 - Basic level
5Otoscopy with the head lampB1 - Basic level
6PharyngoscopyB1 - Basic level
7Posterior rhinoscopyB1 - Basic level
8Rinne testA - Beginner level
9Weber testA - Beginner level
Bibliography
No.Reference
Required Reading
1Nodarbību informācija avoti E-studijās
2Basic otorhinolaryngology: a step by step learning guide. 2nd edition. By R. Probst, G. Grevers, H. Iro. Thieme, 2006
3ABC of Ear, Nose and Throat. 6th edition. By Harold S. Ludman, Patrick Bradley, and Patrick J. Bradley. BMJ Books, 2012
4Bailey's Head and Neck Surgery—Otolaryngology. 5th edition. By Clark A. Rosen and Jonas T. Johnson. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014
5Human Anatomy, Color Atlas and Textbook. 6th edition. By John Gosling, Philip Harris, John Humpherson, Ian Whitmore, Peter Willan. Elsevier, 2016 (Chapter 7: Head and Neck)
Additional Reading
1Cummings Otolaryngology. 6th edition. By Paul W. Flint; Bruce H. Haughey; K. Thomas Robbins; J. Regan Thomas; John K. Niparko; Valerie J. Lun. Saunders, 2015
2Ballenger's Otorhinolaryngology: Head and Neck Surgery. 17th edition. By James B. Snow, Phillip A. Wackym, John Jacob Ballenger. People's Medical Pub. House/B C Decker, Shelton, Conn., 2009
3Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th edition. By Ron Walls, Robert Hockberger, Marianne Gausche-Hill, et.al. Elsevier, 2022 (Chapter 15. Dizziness and Vertigo, Chapter 19. Sore Throat, Chapter 33. Head Trauma and 34. Facial Trauma, Chapter 36. Neck Trauma, Chapter 51. Foreign Bodies, Chapter 56. Oral Medicine, Chapter 58. Otolaryngology, Chapter 61. Upper Respiratory Tract Infections)
4Head and Neck Cancer: Treatment, Rehabilitation, and Outcomes. 2nd edition. By Elizabeth C. Ward, Corina J. van As-Brooks. Plural Publishing, 2014
5Otorhinolaryngology, Head and Neck Surgery (European Manual of Medicine). By Matti Anniko, Manuel Bernal-Sprekelsen, Victor Bonkowsky, et.al. Springer, 2010