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Surgical Clinical Practical I

Code: 103604 ECTS Credits: 3
Degree Type Year Semester
2502442 Medicine OT 4 0
2502442 Medicine OT 5 0
2502442 Medicine OT 6 0
The proposed teaching and assessment methodology that appear in the guide may be subject to changes as a result of the restrictions to face-to-face class attendance imposed by the health authorities.


Manuel Armengol Carrasco

Use of Languages

Principal working language:
catalan (cat)
Some groups entirely in English:
Some groups entirely in Catalan:
Some groups entirely in Spanish:


Salvador Navarro Soto
David Pares Martínez
Jaume Masia Ayala


In order to take this subject, it is recommend that students have previously achieved the competences developed during the previous courses

Students taking this subject must accredit sufficient knowledge about the psychological basis of health status and disease, as well as an adequate level of knowledge in interpersonal communication.

Objectives and Contextualisation

The fundamental purpose of this subject is to introduce students to the professional surgical practice in a real context

It is an optional subject that can be taken from the fourth year


  • Demonstrate an understanding of the fundamentals of action, indications, efficacy and benefit-risk ratio of therapeutic interventions based on the available scientific evidence.
  • Demonstrate understanding of the causal agents and the risk factors that determine states of health and the progression of illnesses.
  • Demonstrate understanding of the manifestations of the illness in the structure and function of the human body.
  • Engage in professional practice with respect for patients' autonomy, beliefs and culture, and for other healthcare professionals, showing an aptitude for teamwork.
  • Establish a diagnostic approach and a well thought-out strategy for action, taking account of the results of the anamnesis and the physical examination, and the results of the appropriate complementary tests carried out subsequently.
  • Establish the diagnosis, prognosis and treatment, basing decisions on the best possible evidence and a multidisciplinary approach focusing on the patient's needs and involving all members of the healthcare team, as well as the family and social environment.
  • Indicate the most suitable treatment for the most prevalent acute and chronic processes, and for the terminally ill.
  • Obtain and prepare a patient record that contains all important information and is structured and patient-centred, taking into account all age and gender groups and cultural, social and ethnic factors.
  • Perform a general and a system-by-system physical examination appropriate to the patient's age and sex, in complete and systematic way, and a mental evaluation.
  • Recognize one's role in multi-professional teams, assuming leadership where appropriate, both for healthcare provision and for promoting health.

Learning Outcomes

  1. Adapt the therapy procedure and the surgical technique, if appropriate, in accordance with the available data.
  2. Approach the physical examination not only from the diagnostic perspective, but also the therapeutic perspective, with special emphasis on surgical procedures.
  3. Calculate the surgical risk indices, both general and by apparatus, and adjust the indications accordingly.
  4. Distinguish the bases of the different surgical specialisations to integrate and lead the treatment in acute and chronic patients with multiple conditions.
  5. Distinguish the implications of different interventions regarding functional and morphological changes.
  6. Estimate the risks and benefits of the various therapy options.
  7. Further investigate the risk factors of morbidity and mortality in operations.
  8. Identify the ethical bases for decision-making in the field of surgery.
  9. Integrate all pre-operative information for decision-making.
  10. Make a critical analysis of the objectives to be achieved with surgery, contrasting this with the adverse effects that may be involved.
  11. Obtain the most important data, both on the illness being treated and on factors influencing morbidity and mortality.
  12. Participate in the whole process of patient-care, from diagnosis to aftercare.
  13. Transmit the information on the surgical procedure to be performed and draw up a document of informed consent.


Surgical area

Student will be developing activities in services of the surgical area and observe:

- General aspects of the clinical relationship and the concepts of health and disease

- Care methodology of the perioperative process

- Etiology, physiopathology, semiology and clinical propaedeutics, syndromes and manifestations of diseases

- Diagnostic and therapeutic procedures of the most frequent diseases

- Functional exploration

- Surgical operation. Postoperative management and surgical follow up.  Control of the consequences of surgery

- Surgical syndromes


Clinical experience can be completed with the assistance to the different sessions: clinical care, sessions of closing of histories, of registry of cases, of mortality, clinical-pathological, bibliographic, specific training sessions or others that the service has scheduled.





Clinical care practices



Care practicum without guidelines






In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.

Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.


Title Hours ECTS Learning Outcomes
Type: Directed      
Clinical care practices 15 0.6 1, 3, 4, 10, 2, 6, 9, 11, 12
Type: Supervised      
Care practicum witout guidelines 15 0.6 1, 3, 4, 10, 2, 6, 9, 11, 12
Type: Autonomous      
Preparation of written works/Self-study/Reading articles/Reports of interest 44 1.76 1, 7, 3, 4, 5, 10, 2, 6, 8, 9, 11, 13


Assessment activity


Attendance and active participation in class and seminars


Narrative records



Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Attendance and active participation in class and seminars 90% 1 0.04 1, 7, 3, 4, 5, 10, 2, 6, 8, 9, 11, 12, 13
Narrative records 10% 0 0 1, 7, 3, 4, 5, 10, 2, 8, 9, 11, 12, 13


Consult the specific bibliography of the teaching guides of the different subjects of the modules of human clinical training, diagnostic and therapeutic procedures and social medicine, skills communication and initiation to the investigation.