Surgery

Code:

MI402

Acronym:

CIR

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	Yes
Responsible unit:	Surgery 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	302	Mestrado Integrado em Medicina 2007	4	-	15	162	405
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	15	162	405

Teaching language

Portuguese

Objectives

Purpose

Acquisition of knowledge, skills and attitudes that enable essential clinical performance in relevant surgical entities.

Learning outcomes and competences

Competences

- Ability to obtain and interpret the semiology of diseases with surgical implications, favoring the anamnesis and the physical examination with judicious use of investigations.

- To understand the physiopathology and therapeutic principles of frequent and/or severe surgical diseases.

- Integration of the principles of managing and decision-making on surgery.

- Proficiency in simple surgical procedures.

- How to be part of a surgical team in the operating theatre.

- To recognize conditions requiring appropriate referral.

- To use the scientific reasoning in problem-solving and the critical thinking in interpretation of information.

- Understanding the role of self-directed learning and continuing medical education, team working and multidisciplinary approach.

Working method

Presencial

Program

- The evaluation of the surgical patient.

- Laboratory tests and imaging techniques in surgery.

- Surgical risk and preoperative preparation.

- Fluid, electrolytes, nutrition and metabolism. Wound healing and responses to injury.

- Major abdominal conditions: infection; occlusion; bleeding.

- Acute abdomen and abdominal pain.

- Digestive neoplasms.

- Non-neoplastic diseases of the digestive tract.

- Cholestasis. Hepatobiliary and pancreatic pathology.

- Pathology of abdominal wall.

- Breast diseases.

- Thyroid nodule and goitre.

- Trauma.

- Venous disease of the lower limb.

- Arterial diseases: peripheral and aneurismatic.

- Major surgical disease and peculiarities in the pediatric patient.

Mandatory literature

Brunicardi FC, Anderson DK, Billian TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE ; Schwartz’s Principles of Surgery, McGraw-Hill Companies, 2010
Towsend CM Jr., Beauchamp D, Evers BM, Mattox KL ; Sabiston textbook of Surgery, Elsevier Saunders, 2012
Williams NS, Bulstrode CJK, O’Connell PR ; Bailey & Love’s- Short practice of Surgery, Edward Arnold Pubs, 2008
Rasmussen TE, Clouse WD, Tonnessen BH ; Handbook of patient care in vascular diseases, Lippincott Williams & Wilkins, 2008
Sinha CK, Davenport MD ; Handbook of Pediatric Surgery, Springer, 2010

Complementary Bibliography

ACSSurgery- Principles and practice, 2012
Lumley JPS ; Hamilton Bailey’s: physical signs, 1997
Cronenwett JL, Johnston W ; Rutherford's Vascular Surgery, Saunders Elsevier, 2010
Coran AG, Adzick NS, Krummel TM, Laberge JM, Caldamore A, Shamberger A; Pediatric Surgery, Elsevier Saunders, 2012

Teaching methods and learning activities

Modular teaching (4 classes of 8 weeks per year).

According to the official plan of studies that comprises 162 hours of attendance (contact) (405 student’s working hours), there are the following teaching methodologies: theoretical (32h); theoretical-practical (32h); seminars (8h); internship (41h); and tutorial guidance (49h).

Pedagogic modalities (to the entire class or to one of the 12 groups of 5-7 students):

A- 20 lectures to the entire class. Themes: Main clinical manifestations in surgery; Pre-and post-operative care. Surgical injury; Operative theatre and surgical instruments; Functional pathology of esophagus and gastrioesophageal junction; Upper gastrointestinal bleeding; Carcinomas of the esophagus and stomach; Peptic disease; Biliary lithiasis; Acute abdomen; Acute/chronic pancreatitis; Breast disease; Thyroid pathology; Colorectal carcinoma; Trauma; Approach to the surgical child. Congenital malformations; Acute abdominal pain and lower gastrointestinal bleeding in child; Arterial occlusive disease; Aneurismatic disease; Chronic venous disease; Venous thrombosis.

B- 20 practical lessons to each of the12 groups. Addressing the semiology of (at least once each): Neck/Thyroid; Breast; Abdominal wall hernias; Esophagus and stomach; Colon; Rectum and anus; Hepatobiliary system; Pancreas; Venous and Arterial (3 lessons in Vascular Surgery); Child (1 lesson in Pediatric Surgery).

C- 12 group works to the entire class. Themes: Dysphagia; Nutrition of the surgical patient; Lower gastrointestinal bleeding; Abdominal wall hernias; Benign breast diseases; Inflammatory bowel disease; Wound infection; Diverticular disease of the colon; Cholestasis; Abdominal trauma; Vomiting in infants: HPS, GER; Congenital cervical pathology.

D- 16 case-based sessions to one class.

E- Internship. Involvement in healthcare at ambulatory office, operating theatre and emergency room.

F- Tutorial guidance. Supervised clinical practice at wards with elaboration of clinical histories.

keywords

Health sciences > Medical sciences > Medicine > Surgery

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	20,00
Participação presencial	21,00
Teste	50,00
Trabalho escrito	9,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	243,00
Frequência das aulas	93,00
Realização de Estágio	69,00
Total:	405,00

Eligibility for exams

If cumulatively

1- Attendance: at least 75% of the activities mentioned in pedagogic modalities (except lectures), which appear in the student's logbook; and,

2- Distribution assessment: at least 10/20 points (parameters: formative evaluation-70%; group work-15%, and case-base presentation-15%).

Calculation formula of final grade

C (classification) = 0.3xDA + 0.2xPE + 0.5xT, where: DA: distribution assessment (score: 0-20) PE: practical exam (score: 0-20) T: theoretical exam consisting of 50 multiple-choice questions (score: 0-20; each, 0.4)

Approval if T with ≥22 correct answers plus C and PE ≥ 10 points.

Final classification= C for scores between 0 and 18; final classification > 18 requires oral exam only available for C≥ 19 points.

Observations

Evaluation of Teaching/Learning: Anonymous students’ questionnaire at the end of frequency.