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Surgery II

Code: MI426     Acronym: PC II

Keywords
Classification Keyword
OFICIAL Medicine

Instance: 2020/2021 - 2S Ícone do Moodle

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 279 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


- Evaluation of the surgical patient (part II)

- Laboratory tests and imaging in Surgery (part II)

- Surgical risk and preoperative preparation

- Low digestive bleeding. Benign Year-Rectal Diseases

- Large abdominal pictures: infection; occlusion; bleeding (part II)

- Abdominal pain and acute belly (Concept, definition, causes of acute abdomen and other causes of abdominal pain, types of abdominal pain, frequent causes of acute belly, etiology, assessment, clinical history, characteristics of abdominal pain, symptoms and signs associated with pain, evaluation)

- Digestive neoplasms (neoplasms of the small intestine, colon, rectum and
  anus)

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

- Inflammatory Bowel Disease

- Nutrition in Surgery

- Mammary pathology (semiology - benign and malignant pathology)
- Main surgical conditions and particularities in pediatric patients (approach of children with surgical disease - part II)

- Congenital malformative diseases in children

- Cancer patient approach

- 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

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

1 - Low digestive hemorrhage and benign anorectal diseases
2 - Inflammatory bowel disease
3 - Acute Abdomen
4 - Approach of the child with surgical disease. Malformative Pathology
5 - Colorectal carcinoma and diverticular colon disease
6 - Intestinal Occlusion
7 - Acute abdominal pain and lower gastrointestinal bleeding in children
8 - Breast Pathology
9 - Approaching the cancer patient
10 - Nutrition in surgery
11 - Congenital malformative disease in children
12 - Radiology and Imaging of the gastrointestinal tract

 

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

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 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.

- 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).

Internship work/project

 

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).

Classification improvement

- 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).
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