Surgery I

Code:

MI420

Acronym:

PC I

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2019/2020 - 1S (of 09-09-2019 to 09-02-2020)

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	274	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 I).

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

Evaluation of the surgical patient (main manifestations in surgery)

- Laboratory tests and imaging in Surgery

- Large abdominal pictures: infection; occlusion; bleeding, perforation

- High digestive bleeding

- Abdominal wall pathology (hernias)

- Digestive neoplasms (esophageal neoplasms, esophageal-gastric junction neoplasms, gastric neoplasms, duodenal neoplasms, small intestine neoplasms, gallbladder neoplasms, bile duct neoplasms, pancreas and pancreas)

- Non-neoplastic diseases of the digestive tract (esophagitis, peptic ulcer, biliary lithiasis, acute and chronic cholecystitis, acute and chronic pancreatitis, DGRE, achalasia, esophageal motor disorders, etc.)

- Hepato-bilio-pancreatic pathology

- Jaundice

- Trauma (multi-trauma approach)

- Main surgical conditions and particularities in pediatric patients
- Infant vomiting

- Radiology (gastrointestinal tract imaging)

Mandatory literature

Brunicardi FC, Anderson DK, Billian TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE; Schwartz’s Principles of Surgery, McGraw-Hill, 2015
Towsend CM Jr., Beauchamp D, Evers BM, Mattox KL ; Sabiston Textbook of Surgery, Elsevier, 2017
Holcomb GW III, Murphy JP, Ostlie DJ ; Ashcraft´s Pediatric Surgery, Elsevier, 2014

Complementary Bibliography

Ashley SW; ACSSurgery: Principles and Pratice, 2014
Williams NS, Bulstrode CJK, O'Connell PR; Bailey & Love's- Shorty practice of Surgery, 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 I/II), trough the following pedagogic modalities:

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

1. Main clinical manifestations in surgery
2. Dysphagia. Functional pathology of esophagus and gastroesophageal junction
3. Upper gastrointestinal bleeding
4. Carcinomas of the esophagus and stomach
5. Peptic disease
6. Acute abdomen
7. Biliary lithiasis
8. Acute/chronic pancreatitis
9. Abdominal wall hernias
10. Polytraumatized approach
11. Cancer patient's approach

 

B- 3 seminars (1 hour each). Vertical integration with Imagiology (Imagiology of gastrointestinal tract), Pathology (Esophago-gastric carcinoma), and Therapeutics (Pharmacologic therapy of peptic ulcer), to (10) groups of 30 students.

 

C- 7 practical lessons (2 hours each) to each of the 60 groups. Addressing the semiology of: Abdominal wall; Esophagus; Stomach; Small bowel and ileocecal appendix; Hepatobiliary system; Pancreas.

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

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	53,00
Frequência das aulas	28,00
Total:	81,00

Eligibility for exams

- If ttendance 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 points.

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

- Students who have special status and who did not attend the practical classes will have to make a practical exam with a teacher at the end of the period, and for approval they will have to have 10 values in the practical test.
Final grade for students with special status will be
0.3 practical grade + 0.7 theoretical grade
Oral exam available only for C ≥ 19 values (without minimum assurance).

Special assessment (TE, DA, ...)

- Students who have special status and who did not attend the practical classes will have to make a practical exam with a teacher at the end of the period, and for approval they will have to have 10 values in the practical test.
Final grade for students with special status will be
0.3 practical grade + 0.7 theoretical grade
Oral exam available only for C ≥ 19 values (without minimum assurance).