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Dermatology and Plastic Surgery

Code: MI530     Acronym: DCP

Keywords
Classification Keyword
OFICIAL Medicine

Instance: 2020/2021 - 2S (of 08-02-2021 to 31-07-2021) Ícone do Moodle

Active? Yes
Responsible unit: Department of Medicine
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 137 Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular) 5 - 3 28 81

Teaching language

Portuguese

Objectives

Knowledge of the clinical pictures, physiopathological mechanisms and principles of therapy for common and/or serious diseases in the field of Dermatology and Venereology and Plastic Surgery. Ability to rank the principles of medical and surgical decision, timely surgical intervention and referral.

Ability to integrate a team of dermatologists and plastic surgeons in the outpatient consultation, inpatient ward or surgical theater. Valorization of self guided and continuous learning, team work and multidisciplinary approach.

Contact and training with different methods of observation, study and therapeutical approach, medical and surgical, of conditions in the field of Dermatology and Venereology and Plastic Surgery.

Learning outcomes and competences

Learning results and competences:

The programmatic contents aim at knowledge acquisition, aptitudes and attitudes which enable the students to identify and refer nosological entities common or relevant in Dermatology and Venererology and Plastic Reconstructive and Aesthetic Surgery.

Working method

Presencial

Program

I. AIM OF DERMATOLOGY:

Dermatological semiology. The morphological examination of the skin lesions considering their type, shape, arrangement and integument distribution. Recognition and classification of the elementary lesions and semiologic cutaneous signs


 



Bacterial, fungal and viral infections with cutaneous involvement, including sexual transmitted infections.


Tumors and neoplasms of the skin. Benign, precancerous and malignant lesions. 


Cutaneous manifestations of systemic diseases. Paraneoplastic skin syndromes. Cutaneous metastases


Inflammatory and reactive dermatosis, such as eczema, including atopic and seborrheic, urticaria and psoriasis.

Acne variants and acneiform eruptions

Parasitic skin infections.
Human scabies and pediculosis



Notions of dermatologic therapeutics, medical and surgical, including topical formulations, systemic medications most useful in the treatment of cutaneous conditions, phototherapy, cryotherapy, electrosurgery, photodynamic therapy and laser modalities, among others.


Main diagnostic and ancillary techniques in Dermatology, namely dermoscopy, Tzanck smear, Wood’s lamp, diascopy, patch and photopatch testing and types of skin biopsy (punch, shave and excision).



II. AIM OF PLASTIC SURGERY:

1 - Wounds: healing process, sutures, factors that influence the healing process, wound closure, approach to clean wounds, approach to contaminated wounds, wound dressings, negative pressure wound therapy

2 - Grafts and flaps: skin grafts, other grafts (nerve, fat, tendon, cartilage, bone, muscle, compound grafts); classification, choice criteria for grats and flaps, tissue viability

3 - Head and neck: congenital diseases, trauma, infections, neoplasia, miscellaneous (disorders of the mandible, disorders of the maxilla, temporomandibular joint disorder)

4 – Brest, trunk and external genitalia: breast anatomy and reconstruction (prosthetic, autologous, breast reduction, thoracic reconstruction, abdominal reconstruction, pressure sores; external genitalia: congenital lesions reconstruction, trauma, infection, suppurative hidrosadenitis

5 - Upper limb: evaluation of the injured hand   - cutaneous, tendinous, vascular and nervous lesions; specific lesions: infection, congenital defects, hand tumors, miscellaneous (Dupuytren´s contracture, nerve compressions)

6 - Lower limb: ulcers, trauma, lymphedema

7 - Burns: termal chemical, electric, frost (evaluation and treatment).

8 – Body contour: liposuction, excisional surgery

9 - Aesthetic surgery: facial rejuvenation, rhinoplasty, blepharoplasty, otoplasty, breast augmentation, mastopexy, tissue augmentation (fillers), cutaenous rejuvenation.

Mandatory literature

Lowell Goldsmith), Stephen Katz, Barbara Gilchrest, Amy Paller, David Leffell, Klaus Wolff;; Fitzpatrick's Dermatology in General Medicine, McGraw-Hill, 2012. ISBN: 978-0071669047
PLASTIS SURGERY EDUCATION FOUNDATION; Plastic and Reconstructive Surgery – Essentials for students, 2012 (Available at: http://www.psenetwork.org/Library/ForStudents)
Bolognia JL, Jorizzo JL, Schaffer JV; Dermatology- 3rd Edition, Saunders,, 2012

Complementary Bibliography

Jeffrey E. Janis; Essentials of Plastic Surgery, CRC PRESS, 2014. ISBN: 978-1576263853
JEFFREY WEINZWEIG; PLASTIC SURGERY SECRETS, ELSEVIER, 2010. ISBN: 978-0323034708
duVivier A; Atlas of Clinical Dermatology – 4th Edition, Sauders, 2012
Jean L. Bolognia, MD, Julie V. Schaffer, MD, Karynne O. Duncan, MD, Christine J. Ko, MD; Dermatology Essentials E- Book, Sauders, 2014. ISBN: 1455708410
Centers for Disease Control and Prevention; Centers for Disease Control and Prevention; Sexually Transmitted Diseases Treatment Guidelines, 2012
Wolff K, Johnson RA; Wolff K, Johnson RA; Fitzpatrick´s Color Atlas and Synopsis of Clinical Dermatology, McGraw Hill Professional, 2009

Teaching methods and learning activities

Lectures, integrative seminars (including with Imagiology, Pathology and Therapeutcis), pratical lessions and working groups.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation Weight (%)
Exame 7,50
Prova oral 2,50
Teste 90,00
Total: 100,00

Amount of time allocated to each course unit

Designation Time (hours)
Estudo autónomo 53,00
Frequência das aulas 18,00
Realização de Estágio 10,00
Total: 81,00

Eligibility for exams

1. Practical examination in the module of Dermatology

a) It is a mandatory component of the examination of the regular period, preceding the theoretical test and taking place during the 14th week of the semester. Students who present themselves for improvement of classification will have access to this examination. For that purpose they should contact the curricular unit with a minimum advance of one week, that is, until the 13th week of the semester. 

In exceptional and duly justified situations, this practical examination may be replaced by the discussion of descriptive clinical cases, but maintained as a component of the examination from the regular period and with the same value.

 

b) As it is the case of a practical examination, it implies a minimum frequency of the practical classes in the module of Dermatology. Students who do not meet the minimum attendance frequency due to duly justified absences must compensate the missing classes in a period to be determined, according to the convenience of the student and the regular functioning of the curricular unit.

c) This practical examination has a value of 3 points ​​in the module of Dermatology (final weight of 1.5 points). It consists answering questions posed by the projection of images related to dermatological topics.

d) In special evaluation periods (that is, all those that do not correspond to the regular one), including for students seeking the improvement of their marks, this practical examination will be replaced by an essay question in the module of Dermatology of the theoretical exam.

2. Theoretical test of the Curricular Unit (both modules)

It will consist of 40 multiple-choice questions (20 of Dermatology, with a quote of 8.5 points and 20 of Plastic Surgery, with 10 points). As mentioned above the theoretical test of the module of Dermatology will include an essay question in the case of special periods of assessment. This test will include questions from the scope of the integrative seminars.

3. Access to practical and theoretical exams requires a minimum frequency of 75% of all active learning sessions for each of the two modules (Dermatology and Plastic Surgery), according to regulations in force.

4. Scores equal to or > 19.5 values in the theoretical test, at any assessment period, will imply an additional oral exam to confirm the classification. The final mark will be the arithmetic mean of the classifications attributed by the jury members and the classification obtained by the student in the theoretical test, that is, it will never be less than 10 points ​​and could reach the 20. If the student chooses not to be submitted to this oral exam, he will have the final mark of 19 points.

Calculation formula of final grade

Practical exam 1.5 + Theoretical test (20x0.425 + 20x05)

Please see above the exceptions

Special assessment (TE, DA, ...)

See above point 1.b) about "obtenção de frequência" in relation to practical assessment

Classification improvement

Please see above the assessment
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