Surgery I and Surgical Specialities

Code:

M4_BC02

Acronym:

C1EC

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2024/2025 - 1S (of 16-09-2024 to 10-01-2025)

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	94	Official Study Plan	4	-	12	130	324

Teaching language

Portuguese

Objectives

To contribute to the training of competent physicians who provide high quality care by incorporating scientific advances into their clinical practice and to contribute to such advances and to acquire the ability to continue learning during their professional careers

Learning outcomes and competences

1 - Knowledge (to know)

To understand surgical language and terminology

To know the major surgical syndromes and their pathophysiology

To recognize clinical situations with elective and urgent surgical indication

To select and request the complementary tests necessary to clarify each clinical case

To know the most common surgical techniques, their indications and the most frequent postoperative syndromes

To know the general rules of catamnesis

2- Skills (to know to do)

To correctly gather a medical history and conduct a methodical and thorough objective examination

To elaborate and be able to comment on clinical data record

To elaborate a report in which the data obtained from the medical history and physical examination which are valued and hierarchized, stating the hypothesis of the most probable diagnosis and differential diagnoses discussed, wherein the therapy is proposed

To evaluate the surgical risk

To perform initial therapeutic gestures in emergency situations (eg cardiac arrest, asphyxia, shock, bleeding)

To know the basic surgical material and be able to assure the treatment of superficial wounds, burns, bandaging and immobilizing

To know the accesses to the superficial and deep venous system and the techniques of parenteral administration of drugs and nutrients, algaliation and naso-gastric intubation

To know how to monitor an immobilized patient ensuring the prevention of bedsores, venous thrombosis and bronchial stasis

To know the rules of an Operating Room and to have the basic knowledge necessary to integrate a surgical team

To know the general rules of post-operative follow-up

 

3-Attitudes (to know how to be)

To know how to respect patients and their families, colleagues and other health professionals

To respect patients’ confidentiality and self-determination rights, knowing how to obtain an informed consent

To be honest, responsible and interested in professional development, especially through self-learning

To recognize the need for continued medical education

To be aware of the ethical, human and social aspects emanating from the medical activit

Working method

Presencial

Program

Theorical classes

1. Presentation and objectives
2. Clinical history and physical examination of the surgical patient
3. General Care and Operating Room
4. Pre- and postoperative evaluation
5. Nutrition in surgery
6. Infection in surgery
7. Shock
8. Initial approach of the traumatized
9. Thoracic and abdominal trauma
10. Acute abdomen I
11. Acute abdomen II
12. Intestinal occlusion
13. Digestive hemorrhage I
14. Digestive hemorrhage II
15. Jaundice
16. Lithiasic pathology of the bile ducts
17. Non-lithiasic pathology of the bile ducts
18. Gastro-intestinal vascular pathology
19. Peritoneum and retroperitoneum pathology
20. Spleen surgical pathology
21. Necrotizing infections of soft parts
22. Organ transplantation
23. Surgical oncology
24. Neck tumors
25. Mamary pathology semiology and benign breast disorders
26. Surgical pathology of the thoracic wall, pleura, lungs and mediastinum
27. Multiple endocrine neoplasms
28. Pediatric S. - Neonatal surgery
29. Pediatric S. - Common Surgical Pathology
30. Pediatric S. - Urgent surgical pathology
31. Pediatric S. - Respiratory distress due to pediatric surgical pathology
32. Maxillofacial S. - Stomatological and maxillofacial semiology
33. Maxillofacial S. - Oral Pathology
34. Maxillofacial S. - Oral manifestations of systemic diseases
35. Maxillofacial S. - Traumatology and Maxillofacial Surgery

 

Seminars

1. Response to surgical aggression
2. Wound healing
3. Surgical threads and sutures
4. Skin tumors
5. Thyroid nodule
6. Benign pathology of the salivary glands
7. Infectious and inflammatory diseases of the oral cavity
8. Dental Pathology
9. Minimally invasive surgery
10. Benign esophageal pathology
11. Gastroesophageal reflux and hiatal hernia
12. Pathology of the abdominal wall
13. Liver’s neoplasms
14. ATM disfunctions
15. Acute pancreatitis
16. Chronic pancreatitis
17. Peptic ulcer
18. Post-gastrectomy syndromes
19. Surgery for morbid obesity
20. Surgical pathology of the small intestine
21. Inflammatory bowel disease
22. Benign pathology of the colon and rectum
23. Hereditary colon syndromes
24. Peri-anal pathology
25. Sexual development diseases
26. Hirschsprung's disease - congenital intestinal agangliosi

Mandatory literature

M. Townsend, R. Beauchamp, B. Evers, L. Mattox; Sabiston Textbook of Surgery, 20th edition
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
H. Lugo-Vicente; Pediatric Surgery Handbook
Brad W. Neville, Douglas D. Damm, Carl M. Allen, Ângela C. Chi. ; Oral and Maxilofacial Pathology , 2016
Michael Miloro, G.E. Gagliardini, Peter Larsen, Peter Weite; Peterson’s Principles of Oral and Maxilofacial Surgery, 2012
John Black, Kevin Burnand, William Thomas, Sir Norman Browse (Ed); 2021; Browse’ s Introduction to the Symptoms & Signs of Surgical Disease
F. Charles Brunicardi ; McGraw Hill 11th edition; Schwartz’s Principles of Surgery
Clive Quick, Simon Harper; 6th edition; Essential Surgery: Problems, Diagnosis and Management

Teaching methods and learning activities

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

36 hours of theorical classes: 22 classes in the first 2 weeks (theorical “primer”) + 1 classe/week during the following 13 weeks

26 hours of seminars - 2h/week during 13 weeks

52 hours of practical classes - 4h/week during 13 weeks

16h of other activities

 

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	10,00
Teste	90,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	194,00
Frequência das aulas	130,00
Total:	324,00

Eligibility for exams

According to the current legislation

Calculation formula of final grade

Practical exam - eliminatory

Continuous evaluation - 25%

Final theorical exam - 75%

Minimal classification 9,5 in continuous avaliation and theorichal exam

Special assessment (TE, DA, ...)

Oral exam

Classification improvement

Oral exam