Surgery II

Code:

MI426

Acronym:

PC II

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2017/2018 - 2S

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	294	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	3	28	81

Teaching language

Portuguese

Objectives

Purpose:

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

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 (part II)

- Laboratory tests and imaging techniques in surgery (part II)

- Surgical risk and preoperative preparation

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

- Major abdominal conditions: infection; occlusion; bleeding (part II)

- Acute abdomen and abdominal pain (part II)

- Digestive neoplasms (part II)

- Non-neoplastic diseases of the digestive tract (part II)

- Cholestasis

- Breast diseases

- Major surgical disease and peculiarities in the pediatric patient (part II)

Mandatory literature

Brunicardi FC, Anderson DK, Billian TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE; Schwartz’s Principles of Surgery, McGraw-Hill, 2014
Towsend CM Jr., Beauchamp D, Evers BM, Mattox KL ; Sabiston Textbook of Surgery, Elsevier, 2012
Coran AG, Adzick NS, Krummel TM, Laberge JM, Caldamore A, Shamberger A; Pediatric Surgery, Elsevier Saunders, 2012

Complementary Bibliography

Stanley W. Ashley; ACSSurgery: Principles and Practice. , 2014
Williams NS, Bulstrode CJK, O’Connell PR; Bailey & Love’s- Short practice of Surgery, Edward Arnold Pubs, 2008

Teaching methods and learning activities

Semester teaching. 28 hours of attendance (contact) (81 student’s working h): theoretical- 11 hours; seminars- 3 hours; internship- 14 hours.

The teaching methodologies offer the opportunities for the learning of competences (knowledge, skills and attitudes) that enable the basic clinical performance in surgical entities (part II), trough the following pedagogic modalities:

A- 11 lectures (1 hour each) to the entire class. Themes:

1. Approach to the surgical child. Congenital malformations
2. Pre-and post-operative care. Surgical injury
3. Breast diseases
4. Lower gastrointestinal bleeding and benign recto-anal diseases
5. Inflammatory bowel disease
6. Cholestasis
7. Colorectal carcinoma and Diverticular disease of the colon
8. Nutrition of the surgical patient
9. Operative theatre and surgical instruments
10. Acute abdominal pain and lower gastrointestinal bleeding in child
11. Congenital cervical pathology

 

B- 3 seminars (1 hour each). Vertical integration with Imagiology (Hepato-bilio-pancreatic imagiology), Pathology (Inflammatory bowel disease) and Therapeutics (Pharmacologic therapy of inflammatory bowel disease), to (10) groups of 30 students.

 

C- 7 practical lessons (2 hours each) to each of the 60 groups. Addressing the semiology of: Neck; Breast; Colon; Rectum and anus.

keywords

Health sciences > Medical sciences > Medicine > Surgery

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	70,00
Participação presencial	30,00
Total:	100,00

Eligibility for exams

If attendance of at least 75% of the activities mentioned in teaching methodologies (except lectures), and distribution assessment of at least 10/20 points.

Calculation formula of final grade

- Final exam: theoretical exam.

- Final grade. C (classification): 0.3xDA + 0.7xT, where: DA: distribution assessment; T: theoretical exam consisting of 20 to 25 groups of questions with 100 statements for choosing between true/false (penalties for incorrect choose).

- Approval if C ≥ 10 with T ≥ 9 10 points.

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