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 connect 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 perform 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 introduce here.
General characterization
Code
107025
Credits
14
Responsible teacher
Hugo Silva Carvalho Pinto Marques,SUSANA ISABEL MATEUS SANTOS,ANA FILIPA PINHO RIBEIRO
Hours
Weekly - Available soon
Total - 392
Teaching language
PT
Prerequisites
Available soon
Bibliography
Available soon
Teaching method
Theoretical classes: (classes with expositive natura, for large groups of students,
not exceeding 50m, including principles of contemporary surgery, main surgical
themes and clinical syndromes)
Lectures are record with sound and uploaded to Moodle.
TBL classes (team base learning) ¿ sessions with vast themes, in groups of 60
students, per week on Wednesdays, with mandatory attendance,
Participation in TBL classes, will lead to the attribution of a maximum of 2 values,
(20% of the final evaluation), with presence in 3 classes- 2 val. , 6 lessons - 4 val.
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 team¿s platform) and a face-to-
face teaching component with one student per assistant. This situation could be
change according to the evolution of the pandemic and the policy of the various
health institutions involved.
Evaluation method
The evaluation of the General Surgery Curricular Unit is an evaluation carried out
throughout the semester and with a final evaluation (exam). Continuous
assessment for all students (30% weighting), Written test for all students (50%
weighting)
Optional Oral Test: to increase the grade and for an assessment higher than 17 (in
this assessment you can lower up to 2 values), for grades higher than 17 values,
when the grade is not defended in an oral exam, it drops to 17 values.
Subject matter
Theoretical themes:
Fundamentals of Contemporary Surgery
- History of Surgery - Prof. Hugo Pinto Marques
- "So you want to be a Surgeon" - Surgery as a profession in the 21st century -
Dr. João Santos Coelho
- Evidence Based Surgery - Prof. Hugo Pinto Marques
- Approach to the surgical patient - Dr. Jorge Penedo
- Surgical Infection - Dra. Mafalda Sobral
- Organ Transplantation - Dra. Ana Pena
- Trauma - Prof. Oliveira Martins
- Shock - Dr. Vasco Ribeiro
- Non-traumatic Acute Abdomen - Prof. Paulo Simões
- New paradigms in modern surgery - Prof. Hugo Pinto Marques
Major Themes in Surgical Pathology
- Breast - Dra. Inês Mourujão
- Thyroid - Dr. José Guilherme Cardoso
- Stomach - Dra. Luísa Quaresma
- Vascular - Dra. Ana Pena
- Benign Colorectal - Dra. Teresa Macedo
- Malignant Colorectal - Dr. Diogo Freitas Santos
- Liver and Portal Hypertension - Dra. Raquel Mega
- Benign Biliary Tract - Dr. Jorge Lamelas
- Malignant Biliary tract - Prof. Hugo Pinto Marques
- Acute and chronic pancreatitis - Prof. Oliveira Martins
- Malignant and pre-malignant pancreatic lesions - Dr. Emanuel Vigia
- Abdominal wall - Dra. Sofia Carrelha
- Obesity - Dra. Helena Contente
- Complications in surgery - Dra. Sílvia Silva
Main Clinical Syndromes in Surgery - TBL (team base learning) - sessions with
generic themes, in groups of 70 students. (per week)
- Surgical Semiology - Prof. Hugo Pinto Marques, Dr. Emanuel Vigia, Dr.
Gustavo Luerson
- Obstructive jaundice - Dr. Joao Santos Coelho, Dra. Ana Marta Nobre
- Digestive bleeding - Dr. Carlos Nascimento, Dra. Fatima Coelho, Dra.
Raquel Mega
- Intestinal Occlusion - Prof. Paulo Simões, Dra. Luisa Moniz, Dr. Vasco Ribeiro
- Benign and malignant pathology of the liver - Prof. Hugo Pinto Marques,
Dra. Sofia Carrelha, Dra. Mafalda Sobral, Dra. Silvia Silva
- Malignant colorectal pathology - Dr. Jorge Penedo, Dr. Jorge Rebanda
Practical Themes
- Behavior in the operating room / asepsis - Prof. Doctor Paulo Simoes
Classroom - Local NMS - attendance required (all students)
Friday - 15/09/23 - 1st Semester; 23/02/24 - 2nd semester
- Invasive Techniques in the surgical patient - Dra. Mafalda Sobral (class via
Zoom)
- Attitude and communication with the patient - Dra. Inês Mega (class via
Zoom)
Practical skills consolidation courses
- Minor Surgery (Theoretical and Practical Course) - Dra. Luisa Quaresma:
Theoretical Course - On-site, students who do not attend the Theoretical
Course cannot attend the Practical Course. 15/09/23 - 1st Semester; 23/02/24
- 2nd semester.
Practical Course - dates to defined.
- ABC of Trauma - Prof. Doctor Oliveira Martins - 4 shifts per semester, from
08:00 to 13:00, dates to defined. Local NMS - presence required.