Geriatrician

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Syllabus of postgraduate 2nd level professional study programme “Residency in medicine”

Speciality: Geriatrician

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

  • Problem lectures

  • 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

  • Paedagogical practice

  • Research

STUDY OUTCOMES

Knowledge

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

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. Generate a differential diagnosis based on recognition of the unique presentations of common conditions in older adults, including acute situations. Identify potential hazards of hospitalization for all older adult patients (including immobility, delirium, medication side effects, malnutrition, pressure ulcers, procedures, peri and post operative periods, transient urinary incontinence, and hospital acquired infections) and identify potential prevention strategies. Medication management. Identify the psychological, social, and spiritual needs of patients with advanced illness and their family members, and link these identified needs with the appropriate interdisciplinary team members.

Competencies

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.

Test

Present and defend research work, to perform the final state exam.

Study language: Latvian.