Universitat Internacional de Catalunya
Rheumatology and Systemic Diseases
Teaching staff
Students may ask lecturers questions at the end of each class. For enquiries outside of class time, students must make an appointment by email:
Dr. Antoni Rozadilla: arozadilla@uic.es
Dr Lluís Sánchez Sitjes: lluissanchez@uic.es
Sra Montse Romera: mromera@uic.es
Dra Meritxell Sallés: msalles@uic.es
Dr Andrés Ponce: aponce@uic.es
Dra vera Ortiz: vortiz@uic.es
Introduction
The intention of the rheumatology and systemic diseases course is for students to acquire knowledge and skills in the diagnosis and therapeutic management of rheumatic diseases (joint and bone metabolism) and autoimmune disorders with joint and systemic involvement, along with the criteria for care at different levels of healthcare.
Pre-course requirements
Students must have passed the module: Structure and Function of the Locomotor System. Sufficient knowledge of English to read and understand clinical and scientific texts in this language is also essential.
Objectives
The student must acquire the ability to make a diagnosis and define the therapeutic approach for major rheumatic disorders.
More specifically, the objectives of the course are as follows:
- Know the definition, classification and epidemiology of the main rheumatic diseases in our population.
- Know the aetiology of rheumatic diseases, autoimmune disorders and bone metabolism and their Physiopathological mechanisms.
- Learn to recognise systemic manifestations of autoimmune and rheumatic diseases.
- Know the methods used in the diagnosis of rheumatic and systemic diseases.
- Learn how to use diagnostic tools (laboratory, imaging and pathological tools) and know how to interpret their results.
- Learn about the action mechanisms and conditions of use of the most common drugs in the field of rheumatology. Know the indications for joint injection techniques in common periarticular processes.
- Know the functional impact scales for the assessment of disability and quality of life in the various rheumatic and systemic diseases.
Competences/Learning outcomes of the degree programme
- 05 - Recognize own limitations and the need to maintain and upgrade professional skills, with particular emphasis on autonomous learning of new knowledge and skills and motivation for quality.
- 09 - Understand and recognize the effects, mechanisms and manifestations of disease on the structure and function of the human body.
- 10 - To understand and recognise the agents and risk factors which determine health status, and learn how they determine the symptoms and natural development of acute or chronic diseases in individuals and populations.
- 11 - Understand and recognize the effects of growth, development and aging on the individual and their social environment.
- 12 - Understanding the foundations for action, the indications and efficacy of therapeutic interventions, based on available scientific evidence.
- 13 - Obtain and develop a clinical history that contains all relevant information.
- 14 - Perform a physical examination and a mental assessment.
- 15 - Ability to formulate an initial diagnosis and establish a rationalised diagnostic strategy.
- 17 - Establish the diagnosis, prognosis and treatment, applying principles based on the best information possible and safe clinical practice..
- 18 - To indicate the most appropriate (pharmacological, surgical, psychological, social or other) treatments that are pertinent to the most prevalent procedures, in terms of rehabilitation and also terminally ill patients, including an evaluation of their effectiveness.
- 19 - Propose preventive measures appropriate to each clinical situation.
- 25 - Recognize the determinants of public health; genetic and sex-dependent lifestyle, demographic, environmental, social, economic, psychological and cultural determinants.
- 26 - Assume role in the prevention and protection from diseases, injuries or accidents and maintenance and promotion of health, both individual and at the community level.
- 31 - Understand, critically evaluate and know how to use sources of clinical and biomedical information to obtain, organize, interpret and communicate scientific and health care information.
Learning outcomes of the subject
At the end of the course, the student should be able to;
- Draw up a complete medical history of major rheumatic processes including a description of the main local (e.g. pain, functional impairment) and systemic symptoms
- Conduct a systematic exploration of the locomotor system
- Develop a diagnosis other than a rheumatic syndrome (monoarthritis, oligoarthritis, polyarthritis, mechanical and inflammatory back pain)
- Know the main preventive strategies and therapeutic options for common rheumatic diseases (e.g. osteoarthritis, osteoporosis, back and neck pain)
- Read the result of synovial fluid analysis
- Read a radiological study of joint and bone structures methodically and know the utility and indication of other diagnostic techniques.
Syllabus
Lecturers
- Rheumatoid arthritis 1
- Rheumatoid artrhtiris 2. Juvenile idiopathic arthritis.
- Spondyloarthropathy. Introduction. Ankylosing spondylitis.
- Other spondyloarthropathies: psoriatic arthritis, AS associated with inflammatory bowel disease, Reiter's syndrome).
- Introduction to autoimmune diseases. Etiopathogenesis, clinical treatment and diagnosis.
- Systemic lupus erythematosus. Anti-phospholipidic syndrome.
- Sjögren's syndrome. Systemic inflammatory myopathies.
- Systemic sclerosis. Other connective tissue diseases.
- Vasculitis. Introduction. Pathogenesis and classification of vasculitis.
- Small and medium vessel vasculitis.
- Large vessel vasculitis. Horton's vasculitis and polymyalgia rheumatica.
- Autoinflammatory syndromes. Familial Mediterranean fever. Amyloidosis.
- Infectious arthritis (viral and bacterial, fungal, Lyme disease and Whipple's disease).
- Osteoarthritis. Osteonecrosis. Osteochondritis. Non-inflammatory spine diseases.
- Soft tissue rheumatisms and chronic pain syndromes; Fibromialgia and chronic fatigue syndrome. Reflex sympathetic dystrophy.
- Crystal induced arthropathies.
- Post-menopausal osteoporosis.
- Secondary and male osteoporosis.
- Other bone metabolism diseases: Paget’s disease, osteomalacia, and rickets
- Diagnostic imaging in rheumatic diseases.
Case methods
- ANA arthritis +. Connective tissues disease
- Oligo-polyarticular onset arthritis
- Suspecting spondyloarthropathy
- Arthritis in patients with systemic disease
- Acute monoarthritis
- Non-traumatic vertebral fracture
Laboratory skills
- Phisical examination
- Joint injection techniques
Teaching and learning activities
In blended
Lectures: In a classroom, the teacher will transmit knowledge to the entire group of students on the course.
Case Method: Students, divided into two groups, are asked about situations of great importance and so that they conduct a thoughtful analysis of the cases provided. Students seek information about the case in order to respond to questions, and can explore other clinical aspects of the specific case. In the classroom, students present the information obtained and discuss the case actively with the teacher and the rest of the group.
Problem-Based Learning: A group training activity in which, unlike in the case method, the student is responsible for finding a solution to the problem. In this sense, active participation by the student and, particularly, greater integration of the knowledge learned, are required. The teacher plays the role of facilitator of the learning process. It does not include a conclusion or summary of the problem in question.
Laboratory Skills: Students, in small groups, can develop technical skills on the basis of patient simulators, with mannequins and robots.Attendance is mandatory. Injection techniques LH will require a previous task that will be explained the day of the laboratory. Students will act as teachers for the rest of the group through oral presentation and support during the workshop.
E-learning: Individual work on content that has been prepared on the intranet.
Evaluation systems and criteria
In blended
The final evaluation of the student will be the result of the different methodologies worked.
The percentage weight of each one of them is detailed below:
• Theoretical Assessment through a final exam: represents 75% of the final grde. Test with 60 questions, multiple response (4 possible answers). It will require a score greater than or equal to 5 in order to pass the test (a prerequisite).
• Practice evaluation: corresponds to 25% of the final grade. It will take into account the quality of the work presented in the practical methodologies (PBL , LH). In some cases, students must develop a task in these methodologies, that also will be evaluated. In these methods, the 50% of the evaluation will consider the previous work presented, and the rest through participation in practical part of the workshop.
• Participation and involvement : corresponds to 5% of the final grade. It will consider assistance to teaching activities, the record of all the work in the porta-folio and the involvement of students in the different activities throughout the year.
Bibliography and resources
- HARRISON PRINCIPIOS DE MEDICINA INTERNA. 20a edición. Mcgraw Hill, 2019. ISBN: 9781456264864
- FARRERAS-ROZMAN. MEDICINA INTERNA. Rozman Borstnar & Cardellach 19ª edición. Elsevier, 2020.
- KELLEY Y FIRESTEIN, TRATADO DE REUMATOLOGÍA. 10ª edició. Elsevier, 2018. ISBN: 9788491133070
- TRATADO DE ENFERMEDADES REUMÁTICAS DE LA SER 1ª edició. Editorial Mèdica Panamericana. 2018 ISBN 9788491102816
- SEMIOLOGIA DE LAS ENFERMEDADES REUMÁTICAS Editorial Médica Panamericana 2006 ISBN 9788479039073
- MANUAL DE ENFERMEDADES ÓSEAS 2ª edició. Editorial Mèdica Panamericana 2010 ISBN 9788498352306
- TRATADO SER DE DIAGNÓSTICO Y TRATAMIENTO DE ENFERMEDADES AUTOINMUNES SISTÉMICAS 1ª edició. Editorial Mèdica Panamericana 2018 ISBN 9788491102847
- TRATADO DE INFILTRACIONES EN REUMATOLOGÍA. Dr. Delfi Rotes Sala. Temis Medical SL 2007 ISBN978-84-935611-5-4
Pàgines web recomanades.
Evaluation period
- E1 11/01/2021 16:00h
- E2 06/07/2021 19:00h