Surgery (clinical practice)

Code:

MI621

Acronym:

CIR

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2017/2018 - SP (of 11-09-2017 to 28-09-2018)

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	22	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	12	113	324

Modules

Code	Name
MI621_B
MI621_A

Teaching language

Portuguese

Objectives

Learning outcomes of the curricular unit:

Acquisition of knowledge skills and 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

Demonstration of the syllabus coherence with the curricular unit’s intended learning outcomes.

This course Surgery (Practice-Clinical) students will develop 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 cases to 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: 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.

Thoracic Surgery: Surgical valvular disease; coronary surgical disease; pacient after a cardiac surgery; pulmonary solitaire nodule; pulmonary neoplasia.

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. Schwartz, C. Seymour I;Schwartz’s; Principles of Surgery, McGraw-Hill, , 2016. ISBN: ISBN: 13: 978-0071796750
Daycioglu, Deniz; Oeltjen, John C. Thaller, Seth R., Fan, Kenneth l;; Plastic Reconstructive and Aesthetic Surgery: The, World Scientific , 2012
Lynn Jeffers, Adam Ravin, Sami Khan, Chad Tattini, Patrick Garvey, Hatem Abou-Sayed, Raman Mahabir, Alexander Spiess, Howard Wang, Robert Whitfield; Plastic and Reconstructive
(https://www.dropbox.com/s/1dmwoej0z7axf86/Essentials%20for%20Students%20Full%20BookupdatedAug2012.pdf?dl=0); Surgery-PlasticSurgery:Educational Foundation , 2012. ISBN: SBN: 978-0-9859672-0-8
Sellek, F, Nido, P; Sawanson;Sabistion and Spencer’s; Surgery of the Chest, Saunders 9th Ed , 2015. ISBN: ISBN: 97803232411267
Sinha CK, Davenport MD ; Handbook of Pediatric Surgery, Springer,, 2010. ISBN: ISBN: 9781-8488-2123-3
Hallett John W. Jr; Comprehensive Vascular and Endovascular Surgery, Mosby Elsevier,, 2009. ISBN: SBN: 4557-5304-8978-8
Miloro, M., Larsen, Peter; Ghali, GE.,Waite, Peter; Oral and Maxillofacial Surgery, 3ª th ed,, 2012. ISBN: ISBN: 9781607951117
Towsend CM Jr.; Beauchamp D, Evers BM, Mattox KL;Sabiston; Textbook of Surgery, Saunders,20 th ed, 2016. ISBN: ISBN: 9780323299879
Stanley W. Ashley;; ACSSurgery:Principles and Practice, Decker Publishing Inc., 2016. ISBN: ISBN: 0615859747
Elison Cristo pher E, Vinhais José; Zollinger:Atlas of Surgery;Zollinger Robert, 10 th ed, Guianabara – KooKan, 2016. ISBN: SBN: 13: 978- 0071797559
Neligan, Peter, ; C. Plastic Surgery , (6 vols) 4ªht Ed,, Saunders (W.B.). ISBN: ISBN: 978032335605

Complementary Bibliography

Kirklin J. W, Brrat-Boyes B. G; Cardiac Surgery, 4th Ed, Saunders, 2012. ISBN: ISBN: 978141-6063919
Cronenwett Jack L.;Rutherford’s; Vascular Surgery, 8 th ed., Saunders Elsevier, 2014. ISBN: ISBN: 978-1-4160-5223-4
Coran AG, Adzick NS, Krummel TM, Laberge JM:; Pediatric Surgery, 7th Ed, Elsevier Saunders, 2012. ISBN: ISBN: 9780-3230-7255-7
Bibliotecas dos Serviços, Central ; Revistas de cirurgia. ISBN: online através de (http://biblioteca.med.up)

Teaching methods and learning activities

eaching and learning methods

Pedagogic modalities: Clinical training (predominant), practical sessions, group works and seminars. The clinical training takes place at the host institution, implies full integration in the assistance staff and it’s developed 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 or 1/2. It also includes the participation in department sessions and collaboration in research activities. The clinical training takes place from 08.30 am to 1.00 pm and is supplemented by practical sessions, group works, seminars and emergency room, amounting 40 hours per week (1,5 ECTS) of student work.

Blocks of 9 weeks, divided through specialties as followed: General Surgery - 5 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.

In the log book is recorded the data from: Pedagogic modalities (attendance, participation, etc.), clinical histories and notes as well as acquired competences.

Assessment

 Only encompasses formative evaluation. After qualitative evaluation considered as apt, is attributed a classification (scale from 0 to 20). To be considered apt the student must accomplish the following conditions: > 90% attendance, to perform at least two histories and 24 clinical notes, and to obtain on competences, at least, 70 points in General Surgery and 20 in each of the remaining surgical specialties. Quantitative evaluation takes in consideration knowledge and attitudes (0-6), clinical performance(0-8) and learning interest (0-6). To obtain a score higher than 17 (includes the Erasmus students), as well as to improve the classification of the formative evaluation, is required an exame.

Demonstration of the teaching methodologies coherence with the curricular unit’s intended learning outcomes.
The teaching methodology aims to integrate students in daily clinical practice in different workplaces medical and nursing staff (External Ambulatory, wards, operating theater and emergency room) taking into account a coherent and inclusive of various surgical areas. 

Host institutions:CHSJoão(Porto), IPO-Porto,H.de V.N.Gaia (CHVNG), H.Pedro Hispano(Matosinhos), H. Padre Américo (CHTS-Penafiel), H. P. Boa Nova( Matosinhos), H. CUF Porto, H. Lusíadas Porto, H. Luz Arrábida (VNGaia), H.Póvoa de Varzim(CHPV/VC), H. Famalicão(CHMA), H.São Teotónio(CHTondela/ Viseu), H.S. Pedro de Vila Real(CHTMAD), H.St Maria Maioar(Barcelos), H. Infante D. Pedro(CHBV-Aveiro), H. Divino Espirito Santo(Ponta Delgada) e H. Nélio Mendonça(CHFunchal).

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 an examination . 

To this must be requested within 5 days after the publication of the classification: amarante@med.up.pt 
reference name, telephone number and email.

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