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Otorhinolaryngology

Study Course Description

Course Description Statuss:Approved
Course Description Version:10.00
Study Course Accepted:25.07.2022 11:49:03
Study Course Information
Course Code:ORLK_001LQF level:Level 7
Credit Points:3.00ECTS:4.50
Branch of Science:Clinical Medicine; OtorhinolaryngologyTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Gunta Sumeraga
Study Course Implementer
Structural Unit:Department of Otorhinolaryngology
The Head of Structural Unit:
Contacts:Riga, Pilsoņu Street 13, VSIA P.Stradiņa KUS, 23rd building, otorinokatatrsu[pnkts]lv, +371 67615148
Study Course Planning
Full-Time - Semester No.1
Lectures (count)9Lecture Length (academic hours)1Total Contact Hours of Lectures9
Classes (count)7Class Length (academic hours)3Total Contact Hours of Classes21
Total Contact Hours30
Full-Time - Semester No.2
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)6Class Length (academic hours)3Total Contact Hours of Classes18
Total Contact Hours18
Study course description
Preliminary Knowledge:
Anatomy, physiology, including pathological physiology, acoustics, general surgery and pharmacology. Recommended knowledge in roentgenology and radiology, oncology, infectious diseases and neurology.
Objective:
Give students knowledge about the role of otorhinolaryngology in general pathology, to acquaint students with clinical symptoms, current diagnostic, treatment and prophylaxis of ENT diseases and to develop necessary skills in clinical examination of the ENT organs.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Clinical Anatomy and Physiology of the Nose, Paranasal Sinuses, Oral Cavity and Middle Part of the PharynxClasses1.00clinical base
2Clinical Anatomy and Physiology of the Nasopharynx, Hypopharynx and Larynx. Pharyngeal Lymphoid Ring: Structure and PhysiologyClasses1.00clinical base
3Clinical Anatomy and Physiology of the Outer, Middle and Inner Ear. Physiology of Hearing and Vestibular SystemClasses1.00clinical base
4ColloquiumClasses1.00clinical base
5Acute and Chronic Pharyngitis, Tonsillitis. Deep Neck InfectionsClasses1.00clinical base
6Rhinitis. Acute and Chronic Rhinosinusitis. Intracranial and Intraorbital ComplicationsClasses1.00clinical base
7Diseases of the Auricle and External Auditory Canal. Acute and Chronic Otitis Media. Intratemporal and Intracranial ComplicationsClasses1.00clinical base
8Rhinitis and RhinosinusitisLectures1.00E-Studies platform
9Acute and Chronic Pharyngitis, Tonsillitis. Deep Neck InfectionsLectures1.00E-Studies platform
10Ear Anatomy and DiseasesLectures1.00E-Studies platform
11Trauma to the ENT Organs, Foreign Bodies, Laryngeal StenosisLectures1.00E-Studies platform
12Granulomatous diseases in ENT organsLectures1.00E-Studies platform
13Hearing Impairment and Peripheral Vestibular DisordersLectures1.00E-Studies platform
14Laryngeal Inflammatory DiseasesLectures1.00E-Studies platform
15Paediatric ENT DiseasesLectures1.00E-Studies platform
16ENT OncologyLectures1.00E-Studies platform
17Acute and Chronic Laryngitis. Functional Voice Disorders. Vocal Cord Paralysis. Laryngeal Stenosis. TracheostomyClasses1.00clinical base
18Injuries and Foreign Bodies of the ENT Organs. EpistaxisClasses1.00clinical base
19Head and Neck TumoursClasses1.00clinical base
20Paediatric Otolaryngology. Consultation in Paediatrics. Adenotonsillar Diseases. Secretor Middle Ear Inflammation. Hearing Impairment in Paediatric Population, Rehabilitation Options. Laryngomalacia. Most Common Craniofacial Syndromes. Head and Neck Tumours. Congenital MalformationsClasses1.00clinical base
21Clinical and Practical ClassClasses1.00clinical base
22Final Class. Presentation of 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 within one week prior to the corresponding practical class in a format of MCQ test (Multiple Choice Questions) or essay type 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 demonstrate. Criteria: • Student arrived 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 case, correctly answers teacher’s questions and is able to defend ones opinion. 3)Colloquium during 5th semester is held on the 4th practical class. Colloquium consists of two parts – theoretical and practical part. Students’ theoretical knowledge is evaluated during two open (written) questions about ENT organ clinical anatomy, physiology and investigation methods, and practical skills in ENT organ investigation during individual demonstration of specific manipulations. 4)Clinical case presentation is organised in the 6th semester’s 6th practical class. Each student orally presents independently prepared clinical case of a patient examined during one of the practical classes of the 6th semester. 5)Final examination – computerized MCQ (Multiple Choice Question) test is held at the end of the 6th semester during examination period. During the exam students’ theoretical knowledge about aetiology, pathogenesis, clinical manifestations, diagnostics, treatment principles and prophylaxis of ENT organ diseases is evaluated. Final grade: At the end of each semester and at the end of the whole course, each student receives a mark in a 10-grade scale. 1. Final grade at the end of 5th semester consists of mean mark of the individual evaluations during practical classes and colloquium grade (accordingly 15% and 85%). 2. Final grade at the end of 6th semester consists of mean mark of the individual evaluations during practical classes and clinical case mark (accordingly 15% and 85%). 3. Final grade for the whole course consists of the 5th semester and 6th semester final grade and exam grade (accordingly 25%, 25% and 50%).
Final Examination (Full-Time):Exam (Written)
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, neck and nose; • 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 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 overviews; • 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
2Finger-nose testA - Beginner level
3Indirect laryngoscopyB1 - Basic level
4Otoscopy with the head lampB1 - Basic level
5PharyngoscopyB1 - Basic level
6Posterior rhinoscopyB1 - Basic level
7Rinne testA - Beginner level
8Romberg testA - Beginner level
9Weber testA - Beginner level
Bibliography
No.Reference
Required Reading
1Basic Otorhinolaryngology A Step-by-Step Learning Guide. R.Probst, G.Grevers, H.Iro Themie 2006, p. 430
2Ballenger’s Otolaryngology: Head and Neck Surgery. 17th edition. Authors: Snow, James B. Wackym, P. Ashley. PMPH USA, Ltd, 2009.
3T.Metin Onerci. Diagnosis in Otorhinolaryngology An Illustrated Guide. Springer 2009, p. 178
4ABC of Ear, Nose and Throat. 6th edition. Harold S. Ludman, Patrick Bradley, and Patrick J. Bradley 2012.
5Head and Neck Cancer: Treatment, Rehabilitation, and Outcomes. Dr Elizabeth C. Ward and Corina J. van As-Brooks, 2014.
6Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th Edition; 2018 (Chapter 62 Otorhinolaryngology)
7Cummings Otolaryngology. 6th Edition. Flint MD, Paul W., Haughey MD FACS, Bruce H., et.al. Thomas 2016.
8Human Anatomy, Color Atlas and Textbook. 6th Edition, 2017 (Chapter 7: Head and Neck)
9Bailey's Head and Neck Surgery—Otolaryngology. 5th Edition. Jonas T. Johnson.
10Lekciju materiāli e-studijās.
Additional Reading
1Otorhinolaryngology, Head & Neck Surgery. European Manual of Medicine. M.Anniko, M,Bernal Sprekelsen, et.al. Springer 2010, p.737
2Pediatric Audiology. Diagnosis, Technology and Management. J.R.Madell, C.Flexer, Themie 2009, p. 329
3Survey of Audiology Fundamentals for Audiologists and Health Professionals. David A DeBonis, Konstance L.Dondrue 2nd ed. P. 538
4Otolaryngology Research Advances: Obstruction Sleep Apnea: Ccauses, Treatment and Health Implication. Author: Sacchetti, Lisandro M. Mangiardi. Priscilla Publisher: Nova Sciense Publishers, Inc 2012
5Imaging for Otolaryngologists. Author: Dunnebier, Erwin. Publisher: TIS, 2011
6Functional and Selective Neck Dissection. Authors: Gavilon, Javier Herianz, Jesus De Santa, Lawuna W. Publisher: Themie Medical Publishers, Inc 2002
7Literatūras avoti meklējami RSU abonētajā datu bāzē- Ebrary eBooks, Clinikal Key un RSU bibliotēkas lasītavā
Other Information Sources
1RSU e-studiju vide