Vascular surgery - Clinical Practice

Code:

OPT93

Acronym:

CV

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2022/2023 - 1S

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	10	Plano Oficial 2021	3	-	2	19	54

Teaching language

Portuguese

Objectives

Acquisition of competences to accomplish the tasks related to semiology, pathology and essential nosologic clinical entities (frequent and/or relevant) to the speciality of Angiology and Vascular Surgery.

Learning outcomes and competences

Described in the syllabus are included the main clinical entities that is intended to teach the students through a theoretical and practical classes.

The learning outcomes of the curricular unit are reinforcement knowlwdge and skills for the diagnosis and treatment of the most frequent and/or important diseases in the field of Angiology and Vascular Surgery.

Working method

Presencial

Program

• Peripheral occlusive atherosclerotic disease - Clinical Approach, Signs and Symptoms
• Physical examination: palpation of arterial pulses, Hemodynamics - evaluation of pressures and Doppler indices - Understanding acute and chronic critical limb ischemia - Therapeutics.
• Expansive Atherosclerotic disease - Abdominal Aortic Aneurysm - Clinic: Symptoms and signs - objective examination - abdominal palpation, Doppler echocardiography, CT, MRI, and Digital Angiography Seldinger; conventional therapy and endovascular (EVAR).
• Extracranial cerebrovascular disease - Clinical Approach, symptoms and signs - Understanding TIA, laughing and stroke - Definition of carotid stenosis with prophylactic indication for surgery - Endarteriectomy carotid angioplasty and stent placement.
• Value of Doppler echocardiography in noninvasive diagnosis, CT and MRI.
• Chronic venous disease of lower limbs - symptoms and signs.
• Venous Doppler ultrasound and its importance in the diagnosis of venous insufficiency of the lower limbs phlebography.
• Medical therapy and surgical and endovascular venous classical-endolaser and radio.
• Understanding the superficial and deep thrombophlebitis of the limbs. Diagnosis and medical and surgical therapy.

Mandatory literature

HALLETT John W. Jr. ; COMPREHENSIVE VASCULAR AND ENDOVASCULAR SURGERY, Mosby Elsevier, 2009. ISBN: 978-0-323-05726-4
HALLET JR John W.; HANDBOOOK OF PATIENT CARE IN VASCULAR DISEASES, Lippincott Williams & Wilkins, 2001. ISBN: 0-7817-2614-X

Complementary Bibliography

CRONENWETT Jack L.; VASCULAR SURGERY, Saunders Elsevier, 2010. ISBN: 978-1-4160-5223-4

Teaching methods and learning activities

Clinical training, practical sessions and seminars. The clinical training takes place at Angiology and Vascular Surgery Department at the Hospital de São João, Hospital CUF Porto and Vila Nova de Gaia Hospital, which implies a full integration in the assistance staff and it’s developed in the different areas of the Service: Wards (daily visits at 8h00), Ambulatory, Operating Theatre, Internship and Emergency (once a week). It concerns supervised clinical practice: ratio tutor/students of 1/1 or 1/2. It also includes the participation in the department sessions and collaboration in research activities (lines of research that exist in the Service). The clinical training takes place until 14h00.
The practical Sessions of the Operating Theatre, Seminars and Emergency Room will take place in the morning with the exception of the Emergency room, which will take place until 20h00.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	20,00
Trabalho de campo	40,00
Trabalho escrito	40,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Frequência das aulas	19,00
Trabalho de campo	14,00
Estudo autónomo	21,00
Total:	54,00

Eligibility for exams

Continuous Assessment calculated by: Attendance (75% minimum), performance in learning, demonstration of knowledge and attitudes, clinical and human contact performance. The classification to the approval is from a scale of 0 to 20.

Calculation formula of final grade

20% - Presence

40% - Continuous evaluation

40% - Written test

Special assessment (TE, DA, ...)

As per the general rules.