Surgery (clinical practice)

Code:

MI602

Acronym:

MI602

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	267	Mestrado Integrado em Medicina 2007	6	-	11	118	297
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	11	118	297

Teaching language

Portuguese

Objectives

Learning outcomes of the curricular unit

Acquisition of knowledgeskillsand competency to accomplish the tasks related to the propedeutics, pathology and nosological clinical essential entities (frequent and/or relevant) from specialties such as General Surgery, Plastic, Reconstructive, Esthetic and Maxilo-facial Surgery, Angiology and Vascular Surgery, Thoracic Surgery and Pediatric Surgery.

 

Learning outcomes and competences

This course Surgery (Practice-Clinical) students will develop knowledge, knowledge, knowledge skills and competencies for the clinical practice necessary for the clinical practice GPs, being the learning objectives adapted to the various syllabuses surgery, particularly that of surgical specialties participate in this course: General Surgery, Plastic Surgery, Reconstructive, and Aesthetic Surgery Maxillo-Facial Surgery, Vascular Surgery Pediatric ,and Cardiothoracic Surgery. Particular emphasis will be given to the integration of knowledge, skills and competencies clinical practice and referral relevant clinical casesto each of the surgical specialties coherently.

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. Plastic, Reconstructive, Esthetic and Maxilo-facial 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. Angiology and Vascular Surgery: 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; endovascular surgery. Thoracic Surgery: primary determinants of success, biological specificity of cardiac surgery, postoperative period, system analysis (cardiovascular, renal, pulmonary, metabolic, hematologic and neurologic). 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. Experimental Surgery: to perform surgical procedures in simulated models. animal research.

Mandatory literature

Brunicardi, F. Charles; Schwartz, Seymour I; Schwartz’s Principles of Surgery / editor - F. Brunicardi, New York : McGraw-Hill, 2010. ISBN: 978-0-07-154769-7
American Society of Plastic Surgeons; The American Society of Plastic Surgeons; Plastic and Reconstructive Surgery Essentials for Students, Plastic Surgery Educational Foundation http://www.plasticsurgery.org/Medical_Professionals/Publications/Plastic_and_Reconstructive_Surgery_Essentials_for_Students.html, 2007
Daycioglu, Deniz; Oeltjen, John C. Thaller, Seth R.;Fan, Kenneth l; Plastic Reconstructive and Aesthetic Surgery: The Essentials, 1ª Ed, World Scientific Publishing Co , 2012. ISBN: 978-9814307109
Sellek, F.; Nido, P; Sawanson, Sabistion and Spencer’s, Surgery of the Chest, Saunders 8th Ed, 2010. ISBN: 9781416052258
Sinha CK, Davenport MD (ed); Handbook of Pediatric Surgery, Springer, 2010. ISBN: 9781-8488-2123-3
Hallett John W. Jr.; Comprehensive Vascular and Endovascular Surgery, Mosby Elsevier, 2009. ISBN: 978-0-323-05726-4

Complementary Bibliography

Towsend CM Jr.; Beauchamp D, Evers BM, Mattox KL; Sabiston textbook of Surgery, Elsevier Saunders, 19 th ed., 2012. ISBN: 978-1-4377-1560-1
Stanley W. Ashley; ACSSurgery:Principles and Practice, Decker Publishing , 2013. ISBN: 1547-1616
Zollinger Robert, Elison Cristo pher E, Vinhais José: ; Zollinger:Atlas of Surgery, Guianabara – KooKan, 2013. ISBN: 9788527708937
Neligan, Peter, C; Plastic Surgery (6 vols) 3ª Ed, Saunders (W.B.) co ltd, 2012. ISBN: 9781437717334
Miloro, M.; Larsen, Peter; Ghali, GE.; Waite, Peter.; Oral and Maxillofacial Surgery: 3ª Ed, Publishing Co, 2012. ISBN: 9781607951117
Kirklin J. W. Brrat-Boyes B. G; Cardiac Surgery, 4 th Ed, Saunders, 2012. ISBN: 978141-6063919
Coran AG, Adzick NS, Krummel TM, Laberge JM, Caldamore A, Shamberger A ; Pediatric Surgery, 7th Ed., Elsevier Saunders, 2012. ISBN: 9780-3230-7255-7
Cronenwett Jack L; Rutherford’s Vascular Surgery, 7 th ed., Saunders Elsevier, 2010. ISBN: 978-1-4160-5223-4
Revistas das especialidades das Bibliotecas dos Serviços e Central e online através de ; (http://biblioteca.med.up.pt)

Comments from the literature

 

Teaching methods and learning activities

Pedagogic modalities: clinical training (predominant), practical sessions, group works and seminars. The clinical training takes place at receipt institution, implies full integration in the assistance staff and develops in the different areas of the services: Wards, Ambulatory (office and surgery), Operating theatre, “residency” and Emergency. It concerns supervised clinical practice: tutor/students ratio of 1/1. It also includes the participation in department sessions and collaboration in research activities. The clinical training takes place from 08.30 AM to 01 PM and is supplemented by practical sessions, group works, seminars and emergency room, amounting 40 hours per week of student work (1.5 ECTS/week). Blocks of 8 weeks, divided through specialties as follows: General Surgery - 4 weeks; Plastic, Reconstructive, Esthetic and Maxilo-facial Surgery - 1 week; Angiology and Vascular Surgery- 1 week; Thoracic Surger y- 1 week; Pediatric Surgery - 1 week. Ability to develop programs of research at the Department of Experimental Surgery. In the log book is recorded the data from: pedagogic modalities (attendance, participation, etc.), clinical histories and notes as well as acquired competences.

Host institutions: C.H.S. João, Gaia (CHVNG), Matosinhos (HPH) e Vale do Sousa (HPA),- H. P. Boa Nova, H. CUFP, H. Póvoa de Varzim, H. Famalicão,H. Viseu, H. Vila Real,Hospital Santa Maria Maior - Barcelos  e ainda H. Divino EspiritoSanto - Ponta Delgada e Centro Hospitalar do Funchal.

 

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

Calculation formula of final grade

After qualitative assessment as fit the rating is assigned (on a scale of 0 to 20). To be considered suitable will have to fulfill the following conditions: attendance ≥ 90% of predicted, achievement of at least 24 2 clinical histories and clinical notes, obtaining the attitudes and skills / competencies for at least 70 points in General Surgery and 20 points on each other surgical specialties. The quantitative assessment are valued: the knowledge and attitudes (values ​​0-6), clinical performance (0-8 values​​) and commitment to learning (0-6 values​​). Ratings higher than 17 (including Erasmus students) and ranking improvement of formative assessment require the completion of a proof: clinical examination of a patient, preparing the respective report and discussion before a jury.

To this must be requested within 8 days after the publication of the classification: amarante@med.up.pt

 Formative evaluation with classification in a scale of 0 the 20values.