One of the most common rheumatic diseases in pediatric rheumatology is juvenile idiopathic arthritis (JIA). This is a rapidly progressing inflammatory disease of the joints, characterized by erosive-destructive changes, severe pain, and limitation of movements and subsequent disability of the patient. The most favorable course of the disease is in patients who were diagnosed and prescribed pathogenetic therapy in the first 6 months from the onset of articular syndrome. As is known, the initial examination of patients is carried out by a family doctor, therefore, it is at the initial stage of his examination that early recognition of the symptoms of JIA and timely referral to a rheumatologist is important.
In this regard, not only rheumatologists, but also primary care doctors need to improve their knowledge on the diagnosis and treatment of rheumatic diseases.
In order to exchange knowledge and clinical experience to improve the competencies of graduates of general medical practice residency at the Department of Internal Medicine and Rheumatology from 13th to 24th of May, 2024, a Summer School was held on the topic: “Modern methods of diagnosis and treatment of juvenile idiopathic arthritis.” The topic of the report “Definition, etiology, pathogenesis of JIA” was presented by 2nd year GP resident Rauan Myrzabekova. Resident rheumatologist 1year Aigerim Karakanova prepared a video of a technique for examining a patient with rheumatoid arthritis in children. The first two days included reports from rheumatologists Bakytova A., DoszhanovaZh., Siyazova A., Syzdykova A., Serikova T. on the main nosological forms of JIA with a focus on clinical features, diagnosis and choice of drug therapy in childhood. In the following days, GP residents had the opportunity to examine patients with JIA who are currently in the pediatric department of the SMU, NCJSC, by this way they directly become familiar with the method of examining the musculoskeletal system in children using the pGALS system, and assess the effectiveness of antirheumatic therapy in patients with JIA (AKR-pedi), calculation of the JADAS index.
At the end of this event, residents were awarded participant certificates and received positive feedback from both residents and teachers.