Gastrointestinal Pathology

Code:

OPT5_12

Acronym:

PG

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 1S (of 27-09-2021 to 07-01-2022)

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	2	Official Study Plan	5	-	3	22	81

Teaching language

Portuguese

Objectives

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

1. Understand the scientific basis of Gastroenterology;
2. Identify the fundamental principles of biology, genetics and clinic of digestive diseases;
3. Perform collection, recording and reporting of clinical information (history of the disease, objective examination and complementary exams, which will be used to evaluate a list of problems, and objectively examine the patient);
4. Establish a strategy of diagnosis, with the most appropriate research methodology;
5. Solve clinical problems with the most appropriate therapeutic approaches;
6. Differentiate digestive diseases that can be observed in ambulatory.
7. Distinguish which screening programs, particularly for genetically based diseases, and understand the importance of disease prevention and health promotion

Learning outcomes and competences

Achievement of the Objectives defined for the Curricular Unit

Working method

Presencial

Program

1. The 3 most relevant models of disease in the area of the Gastrointestinal Pathology:

INFLAMMATION: Gastric Cancerization and Inflammatory Bowel Disease

INFECTION: Infection by Helicobacter pylori

Pathogenesis of infection; Epidemiology; Infection in Portugal; Genetic variations; Practical approach (Diagnosis, Treatment schemes and Confirmation of eradication); Global perspective in the prophylaxis and treatment of Gastrointestinal pathologies

ONCOLOGY: esophageal, gastric and colorectal cancer and other Gastrointestinal neoplasia(pancreas, stromal and neuroendocrine)

Definitions and Epidemiology; Risk Factors; Family Aggregation and Hereditary Cancer; Premalignant Conditions and Lesions; Diagnosis; Indications and endoscopy potentialities; Screening and Surveillance; Staging, Treatment and Prognosis

B.RESEARCH IN GASTROINTESTINAL PATHOLOGY

Research in Medicine; Evidence in Medicine; How to assess the quality of studies / published articles; The model of Gastrointestinal Biopathology; Visit to I3s

Mandatory literature

Sociedade Portuguesa de Gastrenterologia; Gastrenterologia Fundamental – Edições LIDEL, 2014

Comments from the literature

- Gastrenterologia Fundamental – Edições LIDEL, 2014

- Gastrointestinal and liver Disease – Sleisenger & Fordtran´s, 2013

- MAPS Guidelines, Endoscopy, 2012

- ESGE guideline, Endoscopy, 2014

Teaching methods and learning activities

The strategy to be followed will be an integrated and systematic teaching, based on solving clinical problems. In this perspective, the starting point is a common situation in clinical practice with the further development and generalization to a pathological entity that is intended to demonstrate.

Teaching will take place in several areas of clinical activity:

1. Inpatient Activity
2. External consultation of Gastrointestinal Oncologic Risk
3. Center for Digestive Endoscopy
4. Emergency Department
5. Theoretical Seminars, allowing the integration of diverse knowledge and discussion among the participants.
6. Teaching visit with seminar at a Research Institution/Group (I3S; Inflamation, Cancer and Glycomedicine)

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 (%)
Exame	50,00
Participação presencial	50,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	59,00
Frequência das aulas	22,00
Total:	81,00

Eligibility for exams

In accordance with the legislation in force.

Calculation formula of final grade

1- Register of attendance and continuous assessment: 50%

2 Multiple-choice test (40 questions with 4 choices): 50%

IMPROVEMENT OF CLASSIFICATION

Oral examination with assessment of the syllabus.

Special assessment (TE, DA, ...)

Oral examination with assessment of the syllabus.

Classification improvement

Oral examination with assessment of the syllabus.