General Surgery

Objectives

Surgery is the ensemble of medical specialties    that provide care to patients   that   need (or   might   need)   a   surgical   intervention.   A new "paradigm" today revolves around the concept of "PRECISION SURGERY”. One of the main objectives of the initially called General Surgery course is to pass to our students this multidisciplinary practice, through on a learning process based on the resolution of concrete problems. A more participating learning process, giving emphasis to what you learn, not what we teach.
Without the theorical knowledge of the different diseases, it is not possible to reach any objective.
In this first contact with "surgical diseases", we will give privilege to objectives that are connected to the gathering of clinical data (anamnesis and physical examination) and the search of a diagnosis through integrated clinical thinking that leads to a treatment strategy. A detailed review of technical aspects of the various surgical proposals will not be performed at this stage.
Interaction with patients and basic medical gestures in the ward will be stimulated, as will participation in interventions as observers or assistants. The importance of multidisciplinary evaluation will be highlighted. On the other hand, modern medicine and its teaching now require greater integration with a scientific component. The importance of a correct choice of sources of information and their proper valuation will be included here. Surgery research, and basic concepts such as survival assessment, will be introduced here.

General characterization

Code

11156

Credits

15

Responsible teacher

Professor Doutor José Fragata

Hours

Weekly - Available soon

Total - Available soon

Teaching language

Portuguese

Prerequisites

 

Bibliography

Bibliography for consultation / essential required
Current DIagnosis and Treatment, Doherty, 14th edition

Teaching method

Theoretical lectures (expository character classes, addressed to large groups, with no longer than 50m);

Practical classes: Clinical (place in supervised work situation and are integrated into the care work);
No Clinical (Pre-graduation courses with practical component in inanimate models)

Evaluation method

The evaluation of the Course of General Surgery is an assessment during the semester and a final assessment (examination). Continuous evaluation for all students (ponderation of 40%), Written Test for all students (ponderation 60%)
Oral test - Optional To upgrade note; If top rating to 16 (this evaluation may download up to 2 points)

Subject matter

Theoretical Themes - Basics of Contemporary Surgery
History of Surgery
“SO YOU WANT TO BE A SURGEON” – The craft of surgery in the 21st century
Evidence based Surgery
Outcome measurements, benchmarking and ethics in surgery
Acute Pancreatitis
Approach to the surgical patient
Infection in Surgery
Organ Transplantation
Trauma
Shock
Abdominal trauma
Not traumatic acute abdomen
Theoretical Themes - Surgical Pathology (by organs and systems)
Breast
Thyroid
Esophagus
Stomach
Vascular
Benign and Malignant Colo-rectal
Liver e portal HT
Pancreas
Biliary Tract
Abdominal Wall
Obesity
Error in Surgery
Patient communication and management
Theoretical and Practical Themes
Minor Surgery (Practical Course)
Behavior in the OR / asepsis
Invasive Tecniques in the surgical patient
Resolution of Practical Problems - Clinical Cases
Jaundice
Digestive Bleeding
Intestinal Obstrution
Peritonitis
Cervical Nodule
Pneumothorax
Abdominal Pain
Practical Classes: Attending and participation in the assisting activities with the respective Assistants (Clinical appointment, Ward, Operating Room e Emergency).

Programs

Programs where the course is taught: