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
Bailey & Love's Short Practice of Surgery, 27th Edition, 2018. Norman Williams, P Ronan
O'Connell, Andrew McCaskie. CRC Press.
Sabiston Textbook Of Surgery. The Biological Basis Of Modern Surgical Practice, 20th
Edition, 2016. de Courtney M. Townsend, Kenneth L., Md. Mattox, B. Mark, Md. Evers
e R. Daniel, Md. Beauchamp. Elsevier.
Teaching method
Theoretical classes: (classes with expositive natura, for large groups of students, not exceeding 50m, including principles of comtemporary surgery, main surgical themes and clinical syndromes)
Theoretical classes are given in synchronous e-learning, using Zoom. The students have the possibility to interact and put questions.
Additionally, theoretical classes on main surgical themes and clinical syndromes have the possibility of asynchronous e-learning, being previously recorded with sound and made available in the Moodle platform before the date of its presentation.
Pre-Graduated Courses with practical aspects in inanimate models
In the impossibility of being carried out in person, a situation to be reevaluated according to the evolution of the pandemic, these courses will be carried out in e-learning using the zoom platform. The possibility of face-to-face teaching in small groups is not yet excluded.
Practical classes: Clinics
(They take place in a supervised professional situation and are integrated in the assistance work);
Bearing in mind the difficulty of being carried out in person but also the absolute need for this curricular unit to have a practical contact between students and the clinical reality, the practical classes will include a mixed component of synchronous e-learning (2 weekly classes with the teams platform) and a face-to-face teaching component with one student per assistant. This situation could be changed according to the evolution of the pandemic and the policy of the various health institutions involved.
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
Main Clinical Syndromes in Surgery
Jaundice
Digestive Bleeding
Intestinal Obstrution
Peritonitis
Cervical Nodule
Pneumothorax
Abdominal Pain
Theoretical and Practical Themes
Minor Surgery (Practical Course)
Behavior in the OR / asepsis
Invasive Techniques in the surgical patient
Practical Classes: Attending and participation in the assisting activities with the respective Assistants (Clinical appointment, Ward, Operating Room e Emergency).