Surgical Propedeutics

Code:

MI339

Acronym:

PC

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2023/2024 - 2S

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	244	Plano Oficial 2021	3	-	6	57	162

Teaching language

Portuguese

Objectives

During their period of attendance in the Surgical Propaedeutics Unit, the students should acquire:

Theoretical knowledge enabling them to collect clinical data in exploring surgical and pediatric diseases and select the proper differential diagnoses and diagnostic tests that would allow them to attain a definite diagnosis.

Knowledge and attitudes enabling them to establish a proper contact with both the patient and the other healthcare professionals involved in their accompanying and treatment.

Knowledge and skills enabling them to understand the complexity of the diagnostic interpretation of patients’ signs and symptoms, integrating them with prior knowledge in epidemiology, etiopathogenesis, genetics, pathology and pathophysiology. Similarly, they should understand the reasoning behind differential diagnoses and imaging/lab tests that might allow them to reach a final diagnosis.

Learning outcomes and competences

On a cognitive level, students will acquire knowledge in the fields covered by the syllabus.
Students will also develop their affective and psychomotor skills through contact with the clinical reality of surgery. In this setting, it is expected that students will learn by observing and practising both anamnesis and physical examination in a department that deals with these pathologies.
At the end of the semestre, it is expected that students are familiar with the routine of hospital work and develop their doctor-patient relationship skills in various settings of surgical practice, following patients from the time they are admitted from the emergency room or appointment, through their stay in the ward, and until the time of discharge.
In the same way, it is expected that students understand the need of a post-stay follow-up for all patients until full clinical clearance.
It is also expected that students develop a culture of respect for patients and their decisions, learn to relate to other professionals and cooperate with them in dealing with the most frequent surgical and pediatric pathologies.

Working method

B-learning

Program

Head and neck semiology
Thorax semiology
Abdominal semiology
Limb semiology
Pediatric semiology

Surgical infection
Intestinal occlusion
Gastroentestinal bleeding
Acute abdomen
Cervical swelling
Abdominal swelling
Breast lumps

Mandatory literature

F. Charles Brunicardi, Dana K. Andersen, Timothy R. Billiar, David L. Dunn, John G. Hunter, Lillian Kao, Jeffrey B. Matthews, Raphael E. Pollock; Schwartz Principles of Surgery 11th Edition, The McGraw-Hill Companies, Inc., 2019

Complementary Bibliography

GM Doherty; Current Surgical Diagnosis and Treatment , The McGraw-Hill Companies, Lange, 2020
Mulholland, Michael W.; Lillemoe, Keith D.; Doherty, Gerard M.; Upchurch, Jr., Gilbert R.; Alam, Hasan B.; Pawlik, Timothy M; • Surgery Scientific Principles & Practice – Greenfield´s, 6th Edition, Lippincott Williams &Wilkins, 2016
Michael Zinner‬, ‪Jr Ashley, Stanley, O. Joe Hines; Maingot's Abdominal Operations, 13th Edition, 2018

Teaching methods and learning activities

This unit’s teaching methods will comprise:

Lectures – one or two per week for the duration of the semester, lasting sixty minutes each.

Seminars – one per week for the duration of the semester until six, lasting sixty minutes each.

Practice sessions – One per week for de duration of the semester, lasting 90 min.

Others – attendance of the emergency, infirmary and operating rooms, to be arranged throughout the semester, with each student attending at least one.

Practical sessions in the FMUP Biomedical Simulation Centre, divided into two groups – basic training and advanced training in a clinical case context.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	46,00
Teste	50,00
Trabalho escrito	4,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Frequência das aulas	34,00
Realização de Estágio	23,00
Estudo autónomo	97,00
Trabalho escrito	8,00
Total:	162,00

Eligibility for exams

Attendance is considered valid if the student is present in a minimum of 75% of lessons (excluding lectures) and obtains a minimum score of 10 out of 20 in the continuous evaluation.

Student evaluation includes two parameters:

Continuous evaluation, which is the responsibility of the tutor who accompanies the student in daily practice. This comprises a set of parameters, including punctuality, displayed interest in the teaching process, attitude towards patients and other staff, and theoretical and practical knowledge.

Theoretical evaluation, by means of a 40-question multiple choice test with a duration of 60 minutes.

 

Calculation formula of final grade

The final grade results from the following weighted average:

50% continuous practical assessment + 50% written exam, in a 0 to 20 scale.

The continuous practical assessment includes the following:

• 40% practical assessment in surgery, which includes a written presentation worth 4%
• 5% practical assessment in pediatrics;
• 5% practical assessmnt in clinical pathology

A passing grade requires a final score above 9.5 with an 8.5 or higher in the written exam.

Students with a final score of 18.5 or higher may undertake an additional oral examination to maintain or improve it. Should they not wish to do so, their final grade will be 18. For those that do, the oral examination score will determine the final grade.

 

Special assessment (TE, DA, ...)

Students under special attendance regimes who do not attend practical sessions must undertake and pass (minimum score of 9.5 out of 20) a practical exam with a teacher.

The final score for these students will be a weighted average of the practical (40%) and written (60%) exams. Should it be 18.5 or higher, the aforementioned oral examination is required to maintain or improve it, and the same conditions apply.

Classification improvement

Students who wish to improve their final grade may undertake a new written exam, similar in form to the one required for approval, a single time, in the two exam seasons that follow the one in which the student initially obtained a passing grade.
The continuous assessment grade may not be improved.