Otorhinolaringology

Code:

MI408

Acronym:

OTOR

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	Yes
Responsible unit:	Department of Senses Organs
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	302	Mestrado Integrado em Medicina 2007	4	-	3,5	38	94,5
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	3,5	38	94,5

Teaching language

Suitable for English-speaking students

Objectives

1. Obtain basic knowledge in the scope of Otorhinolaryngology.

2. Acquire competences in patient evaluation through clinical history and physical examination. 

3. Develop diagnostic strategies and criteria for selection of complementary diagnostic techniques/exams.

4. Enhance the critical view towards the resolution of clinical problems and proposal of management options.

5. Stimulate a spirit of excellence and compassion in the approach of the patient.

 

Learning outcomes and competences

The demonstration of the syllabus coherence is acknowledged by the various competences that wil be the subject of evaluation:

1.Understand the scope of Otorhinolaryngology and the different areas of intervention

2. To collect the clinical history and perform the physical examination of the patient

3. Organize an appropriate diagnostic approach and selection of techniques/complementary exams

4. ropose a therapeutic strategy

5. Participate in ongoing academic / clinical research projects.

                                                                                        

Working method

Presencial

Program

1. Introduction: Sub specialization - Otology (Otoneurology and Otoneurosurgery), Rhinology, Laryngology (Phoniatry), Head and Neck Surgery and Pediatric Otorhinolaryngology; Physical examination in ORL; Fundaments of Pathology, Radiology and Imaging, and Clinical Pharmacology and Therapeutics in the field of Ototrhinolaryngology; Emergencies in ORL.

2. Ear: Summary of the anatomy of the external, middle and internal ear; Embryology of the ear and physiology of the hearing; Complementary exams in audiology; Hearing loss: classification, symptoms, diagnosis and treatment; Neonatal universal hearing screening. Acoustic trauma and its prevention; Ear infections: classification, prevalence, etiology, symptoms, diagnosis, complications and treatment; Balance disorders: classification, etiology, symptoms, diagnosis and treatment; Facial nerve: anatomy, pathology, topographical diagnosis of lesion and treatment.

3. Nose and paranasal sinuses: Brief considerations on the anatomy, embryology and physiology; Common pathologies: diagnosis and treatment; Environmental pollution: effects on the superior respiratory airways.

4. Mouth and pharynx: Summary of the anatomy, embryology and physiology; Common pathologies: diagnosis and treatment; Snoring and sleep apnea syndrome: diagnosis and treatment.

5. Salivary glands: Brief references on the anatomy, embryology and physiology; Diagnosis of the most frequent lesions and treatment.

6. Neck: Summary of the anatomy, embryology and physiology; Diagnosis and treatment of the most frequent pathologies; Phoniatry: Importance of the voice in the social context and of public health; Diagnosis and treatment of the disturbances of the voice; Brief information on reconstructive surgery of the neck; Foreign bodies of the superior and inferior respiratory airways (diagnosis and treatment); Esophageal burns (etiology, diagnosis and treatment).

7. Preventive and Predicitive Medicine in ORL: Update Concepts: Tobacco Smoking and Head and Neck Oncology.

Mandatory literature

Ludman H, Bradley P (Eds). VIth Ed.,Wiley-Blackwell,Oxford; ABC of Otolaryngology, 2012
Schuller D, Schleuning A, DeWeese D (Eds), 8th Edition, Mosby; DeWeese and Saunder’s Otolaryngology-Head and Neck Surgery , 1994
Gulya J & Wilson W (Eds). Parthenon Publ. Group, New York; A Slide Atlas of Ear, Nose and Throat Disorders, 2001
Levine H, Pais-Clemente M (Eds), Thieme; Endoscopic and Microscopic Approaches to Paranasal Sinus Diseases, 2005
daCosta S, Cruz O, Oliveira J (Eds), Artmed ; Otorrinolaringologia , 2006
Flint P, Haughey B, Lund V et al (Eds). 5th Edition, Mosby_Elsevier; Cummings Otolaryngology-Head and Neck Surgery , 2010

Teaching methods and learning activities

The workload is of 30 hours/week for a block of two weeks. Lectures and seminars will take place at 8:30 and 12:30 hours. According to the schedule, afternoon activities will also be included once or twice a week. Theoretical lectures will be complemented by an intensive patient-oriented practical and theoretical-practical sessions. The practice sessions and working groups, with a maximum ratio of four students per docent, will be included in the clinical areas of the Department: outpatient clinic, emergency, in-patient wards, operating rooms and complementary exams in ORL.

 

Evaluation Type

Evaluation with final exam

Assessment Components

Designation	Weight (%)
Teste	80,00
Trabalho escrito	20,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Elaboração de relatório/dissertação/tese	6,00
Estudo autónomo	20,00
Frequência das aulas	45,00
Trabalho de campo	2,00
Total:	73,00

Eligibility for exams

The assessment consists of a Technical Competences Sheet, the presentation of the Activities Report, and a Written Test. The Technical Competences Sheet consists on a mandatory list of twelve practical clinical gestures that the student must perform under the supervision of a docent, as a pre-requisite to access the final examination. In the Activities Report the student describes his/her participation in the daily activities of the Department, with particular emphasis in the patients observed. Also, an extended clinical report of a patient observed including a short review of the literature is recommended. The Written Test is composed by twenty-eight multiple-choice questions and an essay question. A classification of four marks is attributed to the Activities Report and the Written Test corresponds to sixteen marks, with the final assessment representing the sum of these two last components. Exceptionally, under specific conditions, an Oral Exam may be substituted for the Written Test, with the same quotation, before a jury composed by two docents from the Curricular Unit. 

 

Calculation formula of final grade

-Written Test: 16 points

-Activities Report: 4 points