Surgery (clinical practice)

Code:

MI629

Acronym:

CIR

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2022/2023 - SP

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 language

Portuguese

Objectives

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

Skills

- 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

Presencial

Program

Syllabus

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.

keywords

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