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| GAST0006-1 | Exercises - Supervised technical exercises, 4th year - Bedside training, 4th year
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| Duration : | Supervised technical exercises, 4th year : 100h Pr Bedside training, 4th year : 150h Pr
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| Number of credits : |
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| Lecturer : | Supervised technical exercises, 4th year : Collégialité
Bedside training, 4th year : Collégialité
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| Coordinator : | Edouard Louis |
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Language(s) of instruction :
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| French language |
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Organisation and examination :
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| All year long |
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Course contents :
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| voir GAST0003-A-a and GAST0004-A-a
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 | Main techniques (4th and 5th years of training):
diagnostic and therapeutic endoscopy of the upper and lower gastrointestinal tract
proctologic examination and treatments
capsule endoscopy
Specific techniques learned in the 6th year of training:
Oncology: no specific technique
hepatology: liber bipsies, liver ultrsonography
inflammatory bowel diseases: no specific technique
Functional disorders: oesophageal and ano-rectal manometry, pH-impedancemetry, functional ano-rectal ultrasonography
Advanced endoscopy: diagnostic and therapeutic ERCP, echo-endoscopy including fine needle aspiration, prothesis of the GI tract and biliary tract and pancreas, NOTES |
 |  | Bedside training, 4th year |

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 | Training in the management of all digestive diseases. This training includes basic knowledge about most frequent gastrointestinal disorders but also more specialized training in the field of gastrointestinal oncology, liver diseases, inflammatory bowel diseases, functional disorders of the gastro-inestinal tract and advanced therapeutic endoscopy.
The training in general gastroenterology is performed during the 4th and 5th years of training while the 6th year is devoted to specialisation in a specific domain, mainly oncology, hepatology, inflammatory bowel disease, functional disorders or therapeutic endoscopy.
The teaching includes epidemiology, prevention, diagnosis, tretament and follow up of gastro-inestinal disease as well as important notions of parasitology, bacteriology, virology, immunology, genetics, medical imaging, nuclear medicine. Patient-physician relatioship is also learned and developped. |
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Learning outcomes of the course :
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 |  | Supervised technical exercises, 4th year |

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 | Objective:
-to perform and interpret gastro-inestinal explorations
-to discuss best indications of gastro-intestinal explorations |
 |  | Bedside training, 4th year |

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 | -Epidemiology of digestive diseases
-Semiology of digestive diseases
-Prescription of optimal complementary explorations
-Interpretation and integration of complementary explorations
-Treatment, follow-up and monitroing of digestive diseases |
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Prerequisites and co-requisites/ Recommended optional programme components :
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 |  | Supervised technical exercises, 4th year |

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 | Basic knowledge of diegstive diseases
Regular update of knwoledge
Bedside and ambulatory management of patients with digestive diseases |
 |  | Bedside training, 4th year |

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 | Genral medical and surgical pathology
Internal medicine, including basic knowledge in infectious diseases, immunology, metabolic disorders, as well as in cardiology, pneumology, nephrology, endocrinology, neurology, hematology, general oncology.... |
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Planned learning activities and teaching methods :
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 |  | Supervised technical exercises, 4th year |

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 | Working together with senior gastroenterologists.
Learning of new techniques follows a standardized path. Successively: theory, observation, perform under guidance, perform under supervision of a senior gastroenterologist.
Clinical unit meetings allow to discuss gastro-intestinal diseases and their management. |
 |  | Bedside training, 4th year |

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 | Working together with senior gastroenterologists is the basis of the teaching process. It concerns both hospitalized and ambulatory patients.
Clinical unit meetings allow to discuss clinical cases management.
Literature review meetings allow to update knwoledge and acquire a critical analysis of scientific works.
Thematic meetings which candidate specialsit either attend or prepare also update knowledge in depth for a specific topic and allow to critically analyse the state of the art knowledge and to build up an evidence-based management strategy for specific disorders. |
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Mode of delivery (face-to-face ; distance-learning) :
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 |  | Supervised technical exercises, 4th year |

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 | Mainly face to face, but attendance to symposium highlighting these techniques is encouraged. |
 |  | Bedside training, 4th year |

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 | Mainly face to face teaching |
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Recommended or required readings :
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 |  | Supervised technical exercises, 4th year |

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 | In depth reading of text books describing the learned techniques |
 |  | Bedside training, 4th year |

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 | A full text book of gastroenterology must be read and partly studied during the 3-year training. Most important gastroenterology journals, including Gastroenterology, Hepatology and Gut must be regularly read. Some articles must be read and analysed in depth. |
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Assessment methods and criteria :
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 |  | Supervised technical exercises, 4th year |

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 | At least annual evaluation on involvement and comitment to learning tasks, work organisation, relationships with colleagues, acquired technical experience |
 |  | Bedside training, 4th year |

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 | Annual evaluation by the responsible teacher and his/her team. Assessment is based on comitment to learning, work organisation, relationships with coleagues and othe health care providers, acquired techniques. |
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Work placement(s) :
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 |  | Supervised technical exercises, 4th year |

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 | Training is performed in the different gastroenterology units collaborating with Liège University (CHU Liège, CHR Citadelle, CHC, Grand Hôpital de Verviers) |
 |  | Bedside training, 4th year |

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 | Training performed in the different hospitals collaborating with Liège University (CHU Liège, CHR citadelle, CHC, Grand hôpital de Verviers). Specific training, particularly during the 6th year of cursus, in other Belgian or foreign universities are also encouraged. |
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Organizational remarks :
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 |  | Supervised technical exercises, 4th year |

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 | Organisation is coordinated by Prof Edouard Louis in collaboration with different responsible teachers (Dr J Deflandre, Dr F Fontaine, Dr P Defrance) and in collaboration with senior gastroenterologists of these hospitals. It is also encouraged to perform a year of training in another university hospital, including abroad, particularly for the 6th year of specialized training. |
 |  | Bedside training, 4th year |

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 | Organisation coordinated by Prof Edouard Louis, in collaboration with the different responsible teachers (Dr J Deflandre, Dr F Fontaine, Dr P Defrance) and in collaboration with senior gastroenterologists of these hospitals. Part of the training, particularly the 6th year can also be performed in other Belgian or foreign universities. |
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Contacts :
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 |  | Supervised technical exercises, 4th year |

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 | Prof Edouard Louis, service de gastroentérologie, CHU Liège, 4000 Liège. Belgique. edouard.louis@ulg.ac.be |
 |  | Bedside training, 4th year |

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 | Prof Edouard Louis, Service de Gastroentérologie, CHU Liège, 4000 Liège, Belgique. edouard.louis@ulg.ac.be |
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