Hospital Surgery

Code:

M605

Acronym:

CH

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - SP (of 13-09-2021 to 20-05-2022)

Active?	Yes
Responsible unit:	Medical Teaching
Course/CS Responsible:	Integrated Masters Degree in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIM	181	Official Study Plan	6	-	9	94	243

Teaching language

Suitable for English-speaking students

Objectives

 

Acquisition by students of knowledge, skills and attitudes:

Can understand the medical procedure and to demonstrate professional and ethical behavior in their realization
Ability to communicate with patients and other professionals
Ability to apply knowledge and scientific method to solve clinical problems
Ability to harvest a history of a targeted and comprehensive way
Ability to perform a physical examination and proper mental.
Ability to select, justify and interpret ancillary diagnostic tests and imaging
Capacity to understand and perform a variety of procedures and basic clinical techniques
Ability to record, display, search, criticize and organize, control clinical information
The ability to diagnose and to explain clinical problems in terms of pathogenesis, to develop basic differential diagnoses, learning and demonstrate the ability to identify and solve clinical problems
Ability to understand and select clinical interventions in the natural history of the disease, including basic strategies preventive, curative and palliative.
Can understand and make a prediction about the future health and development of an individual's disease based on the patient's understanding of the natural history of the disease and knowledge of alternative interventions
Ability to provide appropriate and practical clinical care taking into consideration the age, sex, personal preferences, family, medical knowledge, culture, religion and economic status of the patient. Take into account ethical, moral and legal perspectives relevant, including protection of the patient and public health concerns and the capabilities and limitations of the health system.

 

 

Learning outcomes and competences

At the end of the frequency of the course the student should be able and competent to:

drafting of clinical histories with clinical and laboratory basis of diagnosis, treatment plan and definition of prognosis;
Observe the surgical patient in the ward environment with conducting clinical registration SOAP;
Taking a surgical patient in outpatient environment with performance of SOAP registration
Develop high note and / or transfer;
Actively participate in clinical conferences with presentations of clinical cases;
Observe and initial management of trauma patients;
Perform minor surgery techniques and surgical dressings;
Perform different techniques such as: algaliações, naso-gastric intubation, and ultrasound-fast, toracocentes, paracentesis;
Set the patient and surgical pathologies that should be directed to outpatient surgery;
Knowing the specifics of surgical oncology patients and their approach in multi-disciplinary teams.

Working method

Presencial

Program

 Inaugural session on the first day of the school year with all students. Etiopathogenesis, epidemiology, pathophysiology, pathological anatomy, clinical and laboratorial semiology, diagnosis, intervention and therapeutics of the main diagnostic groups of general surgery, such as: digestive, mammary and endocrine oncology; gastroduodenal ulcer disease; upper and lower gastrointestinal bleeding; inflammatory bowel diseases; jaundice; pancreatitis; acute abdomen; lithiasis of the biliary tract; functional diseases of the digestive tract; proctology; abdominal wall hernias.

Concept and definition of Ambulatory Surgery. Importance of outpatient surgery at the National Health Service. Definition of the patient and pathologies that should be operated in outpatient surgery.

Concept and definition of the surgical oncologic patient. Knowledge of different surgical and non-surgical techniques in the treatment of oncological diseases. Knowledge of the importance of the multidisciplinary approach of cancer patients. Knowledge of palliative surgical techniques in the treatment of cancer patients.

Mandatory literature

John Black, Kevin Burnand, William Thomas; Browse’s Introduction to the Symptoms & Signs of Surgical Disease , Sir Norman Browse (Ed) 5ªedição, 2014.Gerard M. Doherty;
Lange.F. Charles Brunicardi ; ; Current Diagnosis & Treatment – Surgery – 14ª Edition, McGraw Hill , 2015
F. Charles Brunicardi; Schwartz’s Principles of Surgery, McGraw Hill., 2014

Teaching methods and learning activities

Pedagogical modalities: clinical training (predominant), practical sessions, group work and practical sessions at the Medical Simulation Center.

The clinical training takes place in the host institution, with full integration in the care team in the different services sectors: Infirmary, External Consultation, Operative Block, Ambulatory Surgery, Internal Residence and Urgency. It also includes participation in service meetings and integration into research activities. The clinical training takes place from 8:30 a.m. to 12:30 p.m., complemented by practical sessions, group work, seminars and emergency service (from 8:30 a.m. to 6:30 p.m.). The timetable can be adjusted according to the values ​​to be attended, always keeping the workload of 26 hours per week. This schedule will be adjusted whenever necessary for the operation of the unit and service where the student is located.

Blocks of 6 weeks, distributed by the following specialties: General Surgery - 3 weeks; Surgery at the Póvoa do Varzim Hospital Center Vila do Conde - 1 week; Ambulatory General Surgery - 1 week; Oncologic Surgery - 1 weeks.

In the internship register, the data related to the pedagogical actions (attendance, participation, etc.), the histories and clinical notes and the acquired competences must be registered.

Host Institutions: CHP (Department of Surgery and Integrated Center for Ambulatory Surgery), CHVNG (Service of Surgery), H. Póvoa de Varzim (Surgery Service). IPO-Porto (Derivative surgery):

• Surgery: divided groups between surgery 1, surgery 2, surgery 3, CHVGaia. Valencia with a duration of 3 weeks. Student must attend 4 days, per week, ward / block / consultation, 1 day of urgency.
• Surgery Póvoa do Varzim Hospital Center - Vila do Conde: group at the General Surgery Service of the Centro Hospital Póvoa Vila do Conde for a week. The student must attend 5 days of infirmary / block / consultation / emergency service.
• Ambulatory Surgery: group at CICA-CHP. Validity lasting 1 week. The student must attend 5 days of block / consultation / minor surgery.

o During this period the students will attend for a week the Medical Simulation Center with frequency of Small Surgery Course, Politraumatized Patient Approach Course and introduction course to laparoscopy.

• Oncologic surgery: group in the General Surgery Service of the IPO. Valencia with a duration of 1 week. The student must attend 5 days of infirmary / block / consultation / multi-disciplinary consultation.

The student will have to fill out a notebook during the course unit, where he / she should record: 6 clinical histories, 12 consultation / nursing journals, record of surgical procedures he / she attends, other activities. In this book, the student should also record certain techniques and gestures that he / she performs in a tutorial manner, such as: gaitings, naso-gastric intubation, simple sutures, excision of cutaneous lesions, drainage of abscesses, surgical dressings, paracentesis, thoracentesis, among others.

Teaching, in addition to the regent, will have teachers who will receive the students in the various units, and will also be responsible for holding the seminars. In each valency, and in order to have a more personalized teaching, each group of students will be sub-divided into smaller groups, a maximum of 2-3 students, and distributed by tutors. This will be tutored teaching. The student must accompany the tutor, at the time of valencia, in his clinical activity. The tutor will be responsible for accompanying the student, distributing patients and activities, which will enable the student to perform all the medical acts and gestures present in the book.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	25,00
Participação presencial	50,00
Trabalho laboratorial	25,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	149,00
Frequência das aulas	94,00
Total:	243,00

Eligibility for exams

After qualitative evaluation as apt is assigned the classification (on a scale of 0 to 20 values). In order to be considered fit, the following conditions must be fulfilled: attendance ≥90% of predicted, at least 4 clinical histories and 16 clinical notes, achievement of attitudes and skills of at least 50% of predicted.

Calculation formula of final grade

After qualitative evaluation as apt is assigned the classification (on a scale of 0 to 20 values). In order to be considered fit, the following conditions must be fulfilled: attendance ≥90% of predicted, at least 4 clinical histories and 16 clinical notes, achievement of attitudes and skills of at least 50% of predicted.

In the quantitative evaluation are valued: knowledge and attitudes (0 to 6 values), clinical performance (0 to 8 values) and commitment to learning (0 to 6 values).

Each of the teachers is responsible for conducting the qualitative and quantitative evaluation at the end of the valency, and it must be delivered to the regent at the end of the semester.
The total weight of the evaluation will be: 50% Surgery Stage, 12.5% ​​Ambulatory Surgery Stage, 12.5% ​​Stage Hospital Póvoa / Vila do Conde Hospital and 25% Stage of Oncologic Surgery.

The evaluation formula is as follows: 25% evaluation Training Medical Simulation Center; 25% evaluation of the student's book, with discussion in the last 6ªFeira of the frequency of the Course; 50% continuous evaluation.

Formative assessment with a scale of 0 to 20 values.

Classification improvement

Oral Exam