2018-2019 / GAST1007-1

Exercises

Supervised technical exercises

Bedside training

Duration

Supervised technical exercises : 100h Pr
Bedside training : 150h Pr

Number of credits

 Specialised master in gastroenterology15 crédits 

Lecturer

Supervised technical exercises : Collégialité
Bedside training : Collégialité

Coordinator

Edouard Louis

Language(s) of instruction

French language

Organisation and examination

All year long, with partial in January

Schedule

Schedule online

Units courses prerequisite and corequisite

Prerequisite or corequisite units are presented within each program

Learning unit contents

See GAST1007 A-a and GAST1007 B-a

Supervised technical exercises

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

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.

Learning outcomes of the learning unit

Supervised technical exercises

Objective: -to perform and interpret gastro-inestinal explorations -to discuss best indications of gastro-intestinal explorations

Bedside training

-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

Prerequisite knowledge and skills

Supervised technical exercises

Basic knowledge of diegstive diseases
Regular update of knwoledge
Bedside and ambulatory management of patients with digestive diseases

Bedside training

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....

Planned learning activities and teaching methods

Supervised technical exercises

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

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.

Mode of delivery (face-to-face ; distance-learning)

Supervised technical exercises

Mainly face to face, but attendance to symposium highlighting these techniques is encouraged.

Bedside training

Mainly face to face teaching

Recommended or required readings

Supervised technical exercises

In depth reading of text books describing the learned techniques

Bedside training

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.

Assessment methods and criteria

Supervised technical exercises

At least annual evaluation on involvement and comitment to learning tasks, work organisation, relationships with colleagues, acquired technical experience

Bedside training

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.

Work placement(s)

Supervised technical exercises

Training is performed in the different gastroenterology units collaborating with Liège University (CHU Liège, CHR Citadelle, CHC, Grand Hôpital de Verviers)

Bedside training

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.

Organizational remarks

Supervised technical exercises

Organisation is coordinated by Prof Edouard Louis in collaboration with different responsible teachers (Dr J Deflandre, Dr B Bastens, Dr E Wain) 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

Organisation coordinated by Prof Edouard Louis, in collaboration with the different responsible teachers (Dr J Deflandre, Dr B Bastens, Dr E Wain) 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.

Contacts

Supervised technical exercises

Prof Edouard Louis, service de gastroentérologie, CHU Liège, 4000 Liège. Belgique. edouard.louis@ulg.ac.be

Bedside training

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