Pediatric Surgery

Code:

OPT5_04

Acronym:

CP

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 1S

Active?	No
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	0	Official Study Plan	5	-	3	32,5	81

Teaching language

Portuguese

Objectives

Upon the successful conclusion of the curricular unit, the student must be able to:

 - Understand the pathophysiology, diagnosis and principles of handling common and rare surgical entities, with particular clinical relevance in children and adolescents;

 - Promote the improvement of the provision of primary health care and referred to child and adolescent population;

 - Know the propaedeutic, pathology and clinical common and relevant situations within the Pediatric Surgery;

 - Proceed to the differential diagnosis and begin preoperative handling in emergency situations;

 - Seize the moments of surgical treatment and identify when referencing;

 - Communicate with the child / adolescent parents and attending assistant, demonstrating a responsible and humanistic attitude.

Learning outcomes and competences

The teaching of the relevant matters of Pediatric Surgery aims to provide the student with an understanding and a grasp of the pathophysiology, diagnosis and general therapeutic principles of the most common clinical situations and from those that, although rare, take particular clinical relevance.

 

Working method

Presencial

Program

1 - The student should demonstrate an understanding of the pathology and handling related to the following clinical problems:

- Apparent birth defects

- Intestinal obstruction in the newborn

- Acute respiratory distress

- Urinary tract obstruction (malformation uropathies)

- Abdominal masses

- Frequent and / or urgent surgical pathology

 

2 - Integrated Pathologies in clinical problems:

- Respiratory

Congenital diaphragmatic hernia

Congenital bronchopulmonary malformations

- Gastrointestinal

Atresia of the esophagus

Intestinal atresia

Meconeal ileum

Malrotação

Anorectal malformation

Hirschsprung / Disganglionismos Disease

- Abdominal wall

Gastroschisis / omphalocele

Bladder exstrophy

Umbilical / inguinal pathology

- Urogenital

Hydronephrosis / megaureter

Syndrome of pielo-ureteric junction

Valves of the posterior urethral

Vesicoureteral reflux

External genitals

Disorders of sex development

- Tumors

Neuroblastome

Nephroblastome

Teratoma

Mandatory literature

J. M. Hutson, M. O´Brien, A,A. Woodward, W. Beasley;Jones´s ; Clinical Paediatric surgery: Diagnosis and Management , Blackwell Publishing, 2008
Chandrasen K. Sinha, mark Davenport;; Handbook of Pediatric Surgery, Springer-Verlag, 2010

Teaching methods and learning activities

The clinical training is focused on the analysis and resolution of problems through supervised clinical practice and occurs with the integration inpatient.

The theoretical subjects are lectured in 6 workshops based on 6 clinical problems.

In the inpatient the practice sessions focus on clinical history, systematic physical examination, differential diagnosis, pre- and postoperative assessment and communication / relationship with the child and family. In the operating room they contact with aseptic techniques and observation in surgical procedures.

In the context of the COVID-19 pandemic, teaching / learning methodologies will depend on the existing epidemiological situation and we can have one of the 3 scenarios:

A. Face-to-face - classes will take place in the usual manner

B. Blended format for contact hours:

. Theoretical classes will be held with presence of some students or totally remotely via Zoom in a synchronous way.

. TP classes will be held with presence of some students or totally remotely via Zoom in a synchronous way with discussion of clinical cases.

. Practical classes: the groups will be divided into two parts, half should have contact with the real patient and the other half with the virtual patient or perform another activity indicated by the teacher, alternating the following week.

C. Distance learning - this model will only be applied if the conditions for semi-face-to-face teaching are impossible due to pandemic and will be done entirely with the use of virtual patients and digital platforms.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	50,00
Teste	50,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	48,50
Frequência das aulas	32,50
Total:	81,00

Eligibility for exams

According to actual legislation.

Calculation formula of final grade

Formative (attendance) (0 a 10 values) + Summative (multiple choise test) (0 a 10 values)

Special assessment (TE, DA, ...)

Oral exam.

 

Classification improvement

Oral exam.

Observations

Students perform a final appreciation  of the teaching process and self-evaluation by completing a adapted questionnaire