Surgery (clinical practice)

Code:

MI621

Acronym:

CIR

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2020/2021 - SP (of 14-09-2020 to 31-07-2021)

Active?	Yes
Responsible unit:	Surgery and Physiology Department
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	268	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	12	113	324

Teaching language

Portuguese

Objectives

Aquisition of competences that enable basic clinical performance in Surgery.

Learning outcomes and competences

To accomplish the tasks related to semiology, pathology, practice and generic therapeutic principles of essential entities (frequent and/or relevant) in Surgery.

The competencies to be developed/consolidated (28 itens) have different degrees of acquisition/completion (1 to 5):

Behavior and attitudes

- Doctor-patient relationship

- Communication with patient, family and peers

- Teamwork

- Interest and motivation in clinical learning

- Personal integrity, confidentiality and humanism

Skills

- Clinical history

- Indications and interpretation of diagnostic exams

- Discussion of differential diagnoses, preoperative preparation, therapy and prognosis

- Elaboration of clinical reports and discharge notes

- Timely identification of cases for referral

- Obtaining informed consent

- Physical exam

- Request of diagnostic exams

- To do prescriptions / updates of therapies, diet and medical orders

- Asseptic technique

- Operative room behavior

- To do dressings

- Care of ostoms and mastectomized

- Venous punctures / catheterization

- Harvesting arterial blood

- Administration of injectables

- Naso-gastric intubation

- Urethral catheterization

- Local anesthesia

- Execution of minor surgical procedures

- Burns approach

- Control of external hemorrhage

- Politrauma approach

Working method

Presencial

Program

The following themes are addressed:

General Surgery: digestive, breast and endocrine oncology; gastroduodenal ulcer disease; upper and lower digestive hemorrhage; intestinal inflammatory disease; jaundice; pancreatitis; acute abdomen; biliary litiasis; functional disorders of alimentary tract; abdominal wall hernias.
Pediatric Surgery: neonatal apparent malformations, intestinal obstruction in the newborn, vomiting in infancy, acute abdominal pain, urologic malformations, acute scrotum, external genitalia malformations, abdominal and thoracic trauma, solid tumors, cervical, inguinal and umbilical swellings.
Plastic Surgery: treatment and reconstruction of traumatic, congenital and oncologic lesions in cranio-maxillo-facial, hand and cutaneous surgery; reconstruction of upper and lower limbs and breast; treatment of burns; esthetic surgery.
Vascular Surgery: peripheral arterial disease: clinical approach; symptoms and signs, physical examination; arterial pulses; hemodinamics; pression and doppler indexes; extracranial cerebrovascular disease; chronic venous disease of lower limbs; aneurismatic disease of the aorta; endovascular surgery.
Cardio-Thoracic Surgery: surgical valvular disease; coronary surgical disease; pacient after a cardiac surgery; pulmonary solitaire nodule; pulmonary neoplasia.
Anesthesiology: perioperative course evaluation of surgical patient; principles of preoperative evaluation; intra and postoperative monitorization techniques; pain management; technical skills including airway management and intravenous lines; inter-professional communication; recognition of main perioperative complications.
Stomatology: oral diseases/ oncology; occlusion/ orthodontics; stomatologic surgery/ periodonthology. emergencies in stomatology.

Mandatory literature

Brunicardi FC, Anderson DK, Billian TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE; Schwartz’s Principles of Surgery, McGraw-Hill, 2015

Complementary Bibliography

Holcomb GW III, Murphy JP, Ostlie DJ; Ashcraft’s Pediatric Surgery, Elsevier, 2014
Daycioglu D, Oeltjen JC, Thaller SR, Kenneth F; Plastic Reconstructive and Aesthetic Surgery: The Essentials, World Scientific Publishing Co, 2012
Chikwe J, Beddow E, Glenville D; Cardiothoracic Surgery (Oxford specialist handbooks in Surgery), Oxford University Press , 2013
Cronenwett JL; Rutherford’s Vascular Surgery, Elsevier, 2014
Towsend CMR Jr, Beauchamp D, Evers BM, Mattox KL; Sabiston Textbook of Surgery, Elsevier, 2017
Mitchell D, Mitchell L ; Oxford Handbook of Clinical Dentistry, Oxford Medical Handbooks, 2014
Butherworth JF, MacKey DC, Wasnick JP; Morgan and Mikhail's Clinical Anesthesiology, McGraw-Hill, 2013

Teaching methods and learning activities

Pedagogical modalities: clinical training (predominant), practical sessions, group work and seminars. The clinical training takes place in the host institution, with full integration in the healthcare team of the different department divisions: awards, office visits, operative room, day surgery, "internal residence" and emergency. It is supervised clinical practice: ratio tutor/student (s) of 1/1 or 1/2. It also includes participation in department meetings and integration into research activities. The clinical training takes place from 8:30 a.m. to 1:00 p.m., complemented by practical sessions, group work, seminars and emergency.

Organization: Modular (6 weeks - 12 ECTS), corresponding to 324 hours of student work divided into 11 hours of seminars, 91 hours of internship and 11 hours of tutorial orientation, distributed for 3 weeks in the specialty of General Surgery and 1 week in each of three specialties among the following: Pediatric Surgery, Plastic Surgery, Vascular Surgery, Cardio-Thoracic Surgery, Anesthesiology, Stomatology.

Log book. To record data on pedagogical modalities, clinical histories, clinical notes and acquired skills.

Teaching’s responsibles: General Surgery: C.H.S.João- J. Araújo Teixeira; ULSM/H.P.Hispano- A. Taveira Gomes; IPOPorto- J. Abreu Sousa; CHVGaia/E- Sílvio Vale; CHTS/Vale do Sousa- Manuel Oliveira; HSMM/Barcelos- A. Pratas Balhau; CHPVarzim/VConde- Florbela Oliveira; CHMA/Famalicão- Ricardo Lemos; CHTMAD/Vila Real- F. Próspero Luís; CHTViseu- R. Horta Oliveira; HDES/Ponta Delgada- António Melo; SSRAMadeira- Fernando Jasmins; H.CUF/Porto- Filipe Santos; H.Luz/Arrábida- Mário Nora; H.Lusíadas/Porto- Artur Fernandes; HPBoaNova/Matosinhos- Carlos Coutinho. Pediatric Surgery: J. Estevão Costa; Cardio-Thoracic Surgery: A. Leite Moreira; Vascular Surgery: Armando Mansilha; Plastic Surgery: A. Costa Ferreira; Anesthesiology: Fernando Abelha; Stomatology: J. Correia Pinto.
Collaboration from remaining teaching staff of Department of Surgery and physicians (volunteer) from the related departments of afilliated Hospitals.

keywords

Health sciences > Medical sciences > Medicine > Surgery

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	100,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	211,00
Frequência das aulas	22,00
Realização de Estágio	91,00
Total:	324,00

Eligibility for exams

Frequency depends on a positive qualitative assessment, awarded if cumulatively meets the following conditions: attendance ≥90% of predicted for clinical training and department meetings; to make at least 4 clinical histories (at least 2 in General Surgery) and 20 clinical notes; for competences, (0 to 100 points) obtaining at least 70 points in General Surgery and 20 points in each of the other three specialties attended.

Calculation formula of final grade

In the quantitative evaluation it is valued (0 to 20 points): knowledge and attitudes (0 to 6 points), clinical performance (0 to 8 points) and commitment to learning (0 to 6 points), according to the formula = 6xA + B + C + D / 9 (A-General Surgery, B, C, D- evaluation of the respective specialties attended).
The final classification is the one obtained in the quantitative evaluation; approval if ≥ 10 points; if the assessment is ≥ 18.5 points and if the student wishes to do so, he/she must register at the DCF Secretariat in order to hold the classification (with no minimum assurance); otherwise, the final evaluation will be 18 points.

Classification improvement

Not available