Syllabus of postgraduate 2nd level professional study programme “Residency in medicine”
Code of speciality: P48
Credit score: 176 CP (264 ECTS)
Duration of programme: 176 weeks
Programme Director: Daina Zepa, Lecturer
Goal of the programme: to provide the theoretical knowledge and skills accordingly the demands of the regulations of the specialty Geriatric medicine, to set the stage for the certification in the specialty agreeably to the laws and regulations of the Republic of Latvia.
Eligibility: MD degree.
- CONTENT OF THE PROGRAMME
17 studies courses – Identify changes that occur with age in the following systems: musculosceletal, cardivascular, respiratory, gastrointestinal, central nervous, special senses, and endocrine. Geriatric assessement. Ethical issues. Medication management based on knowledge of age-related changes in renal and hepatic function, body composition, and Central Nervous System sensitivity. Age releated theorethical and practical issues in surgical, orthopaedic, neurology, psychiatric, internal medicine departments. Organization of long-term care
- STUDY OUTCOMES
Extended and broadened knowledge and understanding of geriatric medicine. Organ system changes that occure with age. Demographic changes resulting from the ageing population. Major biologic theories of ageing. Pharmacokinetic and pharmacodinamic changes that occure with ageing. Optimal assessement in older patients. Geriatric syndromes. Illness and ageing, presentation of acute illness, chronic illnesses. Management of ilness and outcomes in elderly. Role of rehabilitation in common diseases of the older individual. Frail elders. Care in the end of life. Economics of ageing and health care. Ethical aspects of elderly care. Healthy ageing.
Skills that will allow to perfom initial office-based examination of the older patient, understand the principles of the comprehensive problem list. To be able to perform appropriate diagnostic procedures.
Accurately identify clinical situations where life expectancy, functional status, patient preference or goals of care should override standard recommendations for screening tests in older adults. Explain impact of age-related changes on drug selection and dose. based on knowledge of age-related changes. Develop a preliminary management plan for patients presenting with functional deficits, including adaptive interventions and involvement of interdisciplinary team members from appropriate disciplines, such as social work, nursing, rehabilitation, nutrition, and pharmacy.
Present and defend research work, to perform the final state exam.
Study language: Latvian.