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Surgery (clinical practice)

Code: MI629     Acronym: CIR

Classification Keyword
OFICIAL Medicine

Instance: 2022/2023 - SP Ícone do Moodle

Active? Yes
Responsible unit: Surgery and Physiology Department
Course/CS Responsible: Master Degree in Medicine

Cycles of Study/Courses

Acronym No. of Students Study Plan Curricular Years Credits UCN Credits ECTS Contact hours Total Time
MIMED 262 Plano Oficial 2021 6 - 9 133 243

Teaching Staff - Responsibilities

Teacher Responsibility
José Manuel Estevão da Costa

Teaching - Hours

Seminar: 0,71
Traineeship: 4,04
Type Teacher Classes Hour
Seminar Totals 8 5,712
Armando Amilcar Pires Mansilha Rodrigues de Almeida 1,00
José Manuel Estevão da Costa 1,00
António Manuel Domingues da Costa Ferreira 1,00
Ana Catarina Ramos Fragoso 1,00
António Cândido Figueiredo Pereira Ferrão 0,20
João Paulo Meireles de Araújo Teixeira 0,30
Joaquim Adelino Correia Ferreira Leite Moreira 1,00
José Luis Rosas Fougo 0,20
Traineeship Totals 13 52,468
Patricia Marlene Carvalho Dos Santos 0,70
Artur Manuel Flores Fernandes 0,70
Carmen Marisa Marques Gonçalves 1,50
Amélia Suzana dos Santos Brandão Tavares Viveiros 1,40
Pedro Filipe Sousa Fernandes 0,40
Joana Alexandra da Silva Alves 0,80
José Carlos Máximo Duarte 0,50
João Luís Barros da Silva 0,70
André Pedro Leite Martins Lourenço 0,50
José Manuel Lima Pinheiro Torres 0,40
Fernando José Martins Próspero Luís 0,40
António Cândido Figueiredo Pereira Ferrão 1,80
Rafael Clara Martins 1,143
José Luis Rosas Fougo 1,80
João Paulo Meireles de Araújo Teixeira 0,70
José Manuel Estevão da Costa 4,786
Jorge Bernardo Oliveira Casanova 0,60
Joana Irene de Barros Mourão 0,20
Jose Pedro Oliveira Pinto 1,143
Luis Alberto Guimarães Pereira 0,20
Andreia Sofia Martins Pires Coelho 0,70
Ana Catarina Ramos Fragoso 0,70
Bruno André Ribeiro Silva 0,70
Marina Filipa Coelho Morais 2,00
Magna Celeste Fortunato Silva 1,00
Ricardo José Ferreira Pereira Lemos 0,70
Rita Alexandra Afonso da Costa 0,70
António Manuel Ferreira de Gouveia 1,00
Armando Amilcar Pires Mansilha Rodrigues de Almeida 1,00
Sara Isabel da Costa Fernandes 1,60
Raquel Maria Neves de Oliveira 0,40
Jorge Serafim Moreira Freitas 1,50
António Taveira Gomes 3,00
Francisco Mil-Homens Luz Lopes 0,50
Antónia Maria Afonso Póvoa 1,40
Diogo Manuel Domingues Monteiro 0,70
Hélder David Ribeiro Pereira 1,00
Gil Filipe Ramada Faria 2,60
António Manuel Domingues da Costa Ferreira 1,50
Cláudia Cesarina Rodrigues Santos 0,70
Fernando Jose Pereira Alves Abelha 0,20
Ricardo Jose Moreira Horta Oliveira 1,50
Filipe Alexandre de Sá Santos 0,70
Joaquim Adelino Correia Ferreira Leite Moreira 1,50

Teaching language



Aquisition of competences (knowledegment +, attitudes ++. skills +++) that enable basic clinical performance in Surgery.

Learning outcomes and competences

To accomplish the tasks related to semiology, pathology, practice and generic therapeutic principles of essential entities (frequent and/or relevant) in Surgery.

The competencies to be developed/consolidated (until 28 itens) have different degrees of acquisition/completion (1 to 5):

Behavior and attitudes

- Doctor-patient relationship

- Communication with patient, family and peers

- Teamwork

- Interest and motivation in clinical learning

- Personal integrity, confidentiality and humanism


- Clinical history

- Indications and interpretation of diagnostic exams

- Discussion of differential diagnoses, preoperative preparation, therapy and prognosis

- Elaboration of clinical reports and discharge notes

- Timely identification of cases for referral

- Obtaining informed consent

- Physical exam

- Request of diagnostic exams

- To do prescriptions / updates of therapies, diet and medical orders

- Asseptic technique

- Operative room behavior

- To do dressings

- Care of ostoms and mastectomized

- Venous punctures / catheterization

- Harvesting arterial blood

- Administration of injectables

- Naso-gastric intubation

- Urethral catheterization

- Local anesthesia

- Execution of minor surgical procedures

- Burns approach

- Control of external hemorrhage

- Politrauma approach

Working method




The following themes (substantially apprenticeship-based) are addressed:

General Surgery:

Acute abdomen; Peritonites; The patient with dysphagia; Jaundice; Biliary lithiasis; Gastroesophageal reflux and hiatal hernia; Peptic ulcer (complications); Neoplasms: esophagus, gastric, colon, rectum, liver, biliary tract, pancreas, breast, thyroid, head and neck; Thyroid nodule; The patient with digestive bleeding (high and low); Inflammatory bowel disease; Colon diverticular disease; Benign anorectal pathology; Polyps and polyposis; The patient with diarrhea or constipation; Abdominal wall hernias; The patient with involuntary weight loss; Morbid obesity; Trauma.

Pediatric Surgery: vomiting in infancy, acute abdominal pain, UTI and urinary malformations; cervical, inguinal and umbilical swellings. Plastic Surgery: treatment and reconstruction of traumatic, congenital and oncological pathologies; treatment of burns; wounds. Vascular Surgery: peripheral arterial disease (acute and chronic ischemia); extracranial cerebrovascular disease; chronic venous disease of the lower limbs; venous thromboembolism; aneurysmal disease of the aorta. Cardio-Thoracic Surgery: coronary syndromes; valvular heart disease; vascular diseases of the aortas; pleural and mediastinal disorders. Anesthesiology: perioperative assessment of the surgical patient; intra and postoperative monitoring; pain management; technical gestures. Stomatology: Oral pathology and oncology. Craniofacial growth and development; Stomatology emergencies.

Mandatory literature

Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Kao LS, Hunter JG, Matthews JB, Pollock RE,; Schwartz’s Principles of Surgery. , 11th Ed, McGraw-Hill, 2019

Complementary Bibliography

Towsend CMR Jr, Beauchamp D, Evers BM, Mattox KL,; Sabiston Textbook of Surgery., 21th Ed, Elsevier, 2021
Holcomb GW III, Murphy JP, St Peter S,; Ashcraft’s Pediatric Surgery., 7th Ed, Elsevier., 2019
American Society of Plastic Surgeons; Plastic Surgery- Essentials for students., http://www.kumc.edu/Documents/plasticsurgery/PS%20Essentials%202018%20FULL.pdf
Chikwe J, Beddow E, Glenville D; Cardiothoracic Surgery (Oxford specialist handbooks in Surgery)., 2nd Ed, Oxford University Press, 2013
Cronenwett JL ; Rutherford’s Vascular Surgery, 9th Ed, Elsevier, 2018
Butherworth JF, MacKey DC, Wasnick JP; Morgan and Mikhail's Clinical Anesthesiology, 5th Ed, MGraw-Hill, 2013
Neville B, Damm DD, Allen C, Chi A; Oral and Maxillofacial Pathology, 4th edition; Elsevier, 2016

Teaching methods and learning activities

Pedagogical modalities: Seminars- 20 hours; Internship- 113 hours. The clinical training (predominant, takes place in the host institution, with full integration in the healthcare team of the different department/divisions: awards, office visits, operative room, day surgery, "internal residence" and emergency. It is supervised clinical practice with a ratio tutor:student(s) of 1:1 or 1:2. It also includes participation in department meetings and integration into research activities.

Organization: Modular (5 weeks - 9 ECTS, 234 hours of student work) that corresponds to 133 hours of contact, divided into 20 hours of seminars and 113 hours of internship. Four weeks to be dedicated to the specialty of General Surgery and one for the following surgical specialties: Pediatric Surgery, Plastic Surgery, Vascular Surgery, Cardio-Thoracic Surgery, Anesthesiology, Stomatology.

 Log book. To record data on pedagogical modalities, clinical histories, clinical notes and acquired skills.

Teaching’s responsibles: General Surgery: C.H.S.João- J. Araújo Teixeira; ULSM/H.P.Hispano- A. Taveira Gomes; IPOPorto- J. Abreu Sousa; CHVGaia/E- Sílvio Vale; CHTS/Vale do Sousa- Barros da Silva; HSMM/Barcelos- Ana Martins; CHPVarzim/VConde- Raquel Salustio; CHMA/Famalicão- Francisco Sampaio CHTMAD/Vila Real- F. Próspero Luís; H.CUF/Porto- Filipe Santos; H.Luz/Arrábida- Mário Nora; H.Lusíadas/Porto- Artur Fernandes; HPBoaNova/Matosinhos- Bento bonifácio. Pediatric Surgery: J. Estevão Costa; Cardio-Thoracic Surgery: A. Leite Moreira; Vascular Surgery: Armando Mansilha; Plastic Surgery: A. Costa Ferreira; Anesthesiology: Fernando Abelha; Stomatology: J. Correia Pinto.
Collaboration from remaining teaching staff of afilliated Hospitals.


Health sciences > Medical sciences > Medicine > Surgery

Evaluation Type

Distributed evaluation without final exam

Assessment Components

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

Amount of time allocated to each course unit

Designation Time (hours)
Estudo autónomo 110,00
Frequência das aulas 20,00
Realização de Estágio 113,00
Total: 243,00

Eligibility for exams

Frequency depends on a positive qualitative assessment, awarded if cumulatively meets the following conditions: attendance ≥90% of predicted for seminars and internship; to make at least 4 clinical histories (one each wek of General Surgery) and 20 clinical notes (five on each week of General Surgery); for competences, (0 to 100 points) obtaining at least 70 points in General Surgery.

Calculation formula of final grade

In the quantitative evaluation it is valued (0 to 20 points): knowledge and attitudes (0 to 6 points), clinical performance (0 to 8 points) and commitment to learning (0 to 6 points), according to the formula = 4xA + B /5 (A-General Surgery, B- evaluation of the specialties).
If the assessment is ≥ 18.5 points and if the student wishes to do so, he/she must register at the DCF Secretariat in order to hold the classification (with no minimum assurance).

Special assessment (TE, DA, ...)

Not available.

Classification improvement

Not available
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