Evaluation of the Latvian Medical Academy Curriculums Individual report about the Faculty of Medicine, Pediatric Study Programme 1. Goals and aims: To teach more on the undergraduate level of pediatric disciplines: growth a development of child organism, children propedeutics, tactics in diagnostics and treatment: special attention to child infections,child surgery. The pediatric disciplines start from the third course and these give additional loud to curriculum for the students who have chosen the speciality in future as pediatrician. 2. Structure and division of the curriculum: Undergraduate curriculum is overlouded with infections diseases, surgery. Not much attention to psychiatry, immunology, clinical pharmacology. 3. Educational process and assessment: It seems, that undergraduate separate teaching of pediatricians is not so necessary as it has been in Soviet Union. 3. Research, involvment of students: Pediatrics has also after diploma 3 years internship-residency training and there is no necessity to teach pediatric disciplines as obligatory to everybody in undergraduate level. The pediatric disciplines should be electives (options) - B or C level to the medical students. The residency training should give speciality to medical graduates. Conclusion: To accredite the pediatric program for two years to change it on undergraduate level possible to category B or C disciplines. Riga, 08.06. 2000 ProK Lembit Allikjjhets University of Tartu INDIVIDUAL REPORT ABOUT PAEDIATRICS STUDY PROGRAMME IN MEDICINE IN MEDICAL ACADEMY of LATVIA I visited Medical Academy of Latvia like member of the joint Evaluation Commission for the Faculty of Post-graduate education. I read written curriculum. I have possibility to discuss with administration of Latvian Academy of Medicine, teaching staff and students about this Program, training, research work and relations in Academy. Also I can saw methodological provision: classrooms, lectures rooms, reading halls, library, electronic documents etc. Goals and aims of the study programme. This programme is to prepare students in the 3 paediatric specialities: in paediatrics, in children infectious diseases and in children surgical diseases. In Faculty of Paediatrics students studied basic general disciplines in the first 2 years. From 3rd year they studied by there selective specialities. Structure and division of the study programme. From 3rd till 6th year students of Paediatric Faculty studied propedeutics, pathological physiology, pharmacology, internal and surgical diseases more adapted on children body (from birth up to the age of 18). By international standards the undegraduate programmes consists from three subject blocks: 1) block of general humanitarian and social education (this part is mainly in the 1st and 2nd study year); 2) block of general subjects of a studied field of science; 3) block of special development in a chosen type of science. In the programmes I can found all studies subjects by this classification, but disciplines are unequal. By these reasons they are distributed in the compulsory, optional and free choice subjects of study. I can't found this distribution; I can't found free choices subjects of study also. The educational process and assessment. During course study students should be passed various tests, practical skills examination, writing clinical documentation, state and final examination etc. I don't understand aim of postgraduate studies (residency) in same disciplines. For example: in 3rd, 4th, 5l , 6th year undergraduate studies in Paediatrics and same 3 years (132 credits) postgraduate studies; in 5th and 6th year undergraduate studies in children surgical diseases and 5 year (220 credit points!) studies in paediatric surgery. Research. Only in a 6th year I found involvement students in research. But noteworthy, those students are involved in there scientific and research projects by students scientific association. Feedback. To ensure the necessary level of undergraduate studies, no less than 50% of the teachers teaching each block of study programmes must to have a scientific degree or a pedagogical / scientific title. In Paediatric study Programmes I found, that only 34% of teachers have scientific / pedagogical degree. Conclusions and recommendations: > Undergraduate studies in Paediatric Faculty must be distributed in compulsory (obligatory), optional (elective) and free choice subjects of study in the each undergraduate study year; > Teaching staff must be no less than 50% with scientific degree or a pedagogical/scientific title; > All profile of Paediatric doctors (surgeons, neurologists, internists, stomatologists, infectologists etc.) must be prepared through residential studies. My final advice in accordance with above - mentioned points would be to give accreditation in the Faculty of Paediatrics study programmes in Medical Academy of Latvia for 2 years. Assoc. Prof. Juozas Stanaitis, M.D., Ph.D. Head of general surgery clinic of Vilnius University, Lithuania; President of the Baltic Association of Surgeons Riga. 2000-06-08