Degree | Type | Year | Semester |
---|---|---|---|
2502442 Medicine | OB | 3 | 0 |
Students should have successfully attained the basic skills taught in the first and second year subjects, especially those related to Anatomy and Physiology.
As they enter the health care and clinical setting and come into contact with patients, students enrolled in this course undertake the following: to observe the rules of conduct set out on the website of the Faculty of Medicine at UAB; to be familiar with the recommendations document regarding medical students’s conduct during the clinical training cycle; and to abide by the following legislation:
-The Spanish Data Protection Act (15/1999)
- The Spanish law regulating the patient's autonomy, rights and obligations regarding information and clinical documentation (41/2002)
Students must also accept the risks inherent in the field of clinical activity, and must be familiar with the vaccination document recommended for students of the Faculty of Medicine at the UAB.
General objectives:
- Students should understand the foundations (the biological bases) of surgery and major surgery syndromes
- Students should understand and be able to perform basic surgical techniques
The objectives of this course are complemented by those of the courses in Physiopathology and Clinical Semiology.
The history of diagnostic and therapeutic surgical procedures; possible future developments currently in the research phase; and general and specific areas of surgery. Preoperative evaluation, informed consent (generic and adapted to each intervention), surgery report form and other legal medical records referring to the surgical patient.
The operating theatre: structure, layout and functioning of the theatre. Classification and management of instrumental and surgical material. Basic surgical manoeuvres and their application in elementary surgical procedures. Applications of surgical anatomy to approaches to the main surgical areas, Instrumental procedures useful in the care, evaluation and monitoring of surgical patients. Pathophysiology of wounds (including burns, freezing and other special types of wounds).
Haemorrhage and haemostasis in surgery, transfusions. Scarring. Artificial materials in surgery. Systemic response to surgery. Characteristics of the tissues in different situations of surgical injury: congenital and acquired alterations in cell growth, inflammation and traumatism. Concepts and classification of cancer surgery. Concepts, and types of transplant surgery and its organization. Surgical infections in the community: local and systemic pathophysiology. Injuries due to physical agents: concept, frequency, and classification. Care of elementary traumatic injuries: wounds and others. Polytraumatisms: pathophysiology and initial care: scenarios, support units, primary and secondary recognition.
Diagnostic and therapeutic study of the main surgical syndromes of the various compartments of the human body. General principles of anaesthesia and resuscitation. Monitoring of surgical patients in critical care units. Fluid and electrolyte balance, Nutrition and diet therapy in the surgical patient. Routes of access to the venous system. Drains and ostomies. Postoperative care. Complications of surgery and prophylaxis. Nosocomial infections in surgical patients: thromboemboli andothers.
Theory classes (25h):
1 History of surgery
2 The operating theatre
3 Surgery of traumatisms
4 Community surgical infections
5 Principles of benign and oncological tumor surgery
6 Transplantation of organs
7 Principles of preoperative surgery
8 Systemic response to surgery
9 Anaesthesia and pain control
10 Alterations of hydroelectrolytic balance and acid base
11 Nutritional support in the surgical patient
12 Wound healing
13 Haemorrhage and haemostasis in surgery
14 Surgical site infections
15 Postoperative nosocomial infections away from the surgical site
16 Main surgical syndromes. Compartmental syndromes
17 Shock
18 Acute abdomen 1
19 Acute abdomen 2. Intestinal obstruction
20 Acute abdomen 3. Peritonitis
21 Extrahepatic obstructive jaundice
22 Digestive haemorrhages
23 Politraumatisms 1. Concept, pathophysiology and initial care scenarios
24 Politraumatisms 2. Primary and secondary recognitions
25 Postoperative complications
Laboratory practicals: skills development and simulation (15h):
A Access to the superficial venous system
B Drains and catheters
C Basic life support
D Principles of suturing and treatment of minor injuries
E Clinical history of surgical patients
Hospital practices (15h). General Surgery Service.
This Guide describes the framework, contents, methodology and general norms of the course, in accordance with the current curriculum. The final organization of the course at each Hospital Teaching Units (i.e., with regard to the number and size of groups, the course dates and dates of examinations, assessment criteria and exam review procedures) will be explained on each Teaching Unit’s web page and also on the first day of class of each course by the tutors responsible for the course at the Unit. If the tutors consider appropriate, and depending on the resources available at each Teaching Unit, some of the contents of the theory classes may be taught and evaluated in the simulation classes using the corresponding methodology.
For the present academic year, the following teachers have been appointed by the departments to take charge of the course (at the Faculty and at the Unit):
Department(s) responsible: Surgery
Head of Faculty: Salvador Navarro
Person in charge at the Units:
Sant Pau: Antonio Moral
Vall d'Hebron: Nivardo Rodriguez, Manel Armengol
Germans Trias i Pujol: José Troya Diaz
Parc Taulí: Salvador Navarro
Methodology
The 25 theory classes wil be prepared by the teachers responsible, depending on the resources available at each Teaching Unit. Some of the contents of the theory classes and seminars may be taught and evaluated in the simulation classrooms, using the corresponding methodology.
There will be five laboratory practicals for the development of clinical skills and simulation, each one lasting three hours, with groups of five students. These practicals can be done during the first and second semester.
There will also be 15 hours of clinical care practicals at the General Surgery Service.
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 | |||
LABORATORY PRACTICALS (PLAB) | 15 | 0.6 | |
THEORY (TE) | 25 | 1 | |
CLINICAL CARE PRACTICALS (PCAh) | 15 | 0.6 | |
Type: Autonomous | |||
PREPARATION OF WRITTEN STUDIES / PERSONAL STUDY / READING ARTICLES / REPORTS OF INTEREST | 65 | 2.6 |
The competences acquired by students in this subject will be evaluated by means of:
Oral assessments: continuous assessment with direct contact with students (10%).
Practical assessments: Objective and structured clinical evaluation (20%).
Practical evaluation (10%).
Written assessments using objective tests: multiple choice tests (30%) and restricted tests (30%).
A minimum of two exams will be scheduled.
Students who do not perform the theoretical and practical assessment tests will not be considered for the examination and will lose their course registration fee.
Students who fail the course may sit a reassessment test scheduled according to the calendar.
Title | Weighting | Hours | ECTS | Learning Outcomes |
---|---|---|---|---|
Practical assessments: Objective and structured clinical evaluation | 20% | 1 | 0.04 | 1, 2, 3, 45, 46, 9, 8, 31, 14, 12, 13, 11, 15, 16, 48, 17, 10, 47, 20, 28, 23, 22, 24, 26, 27, 21, 25, 18, 19, 30, 29, 34, 32, 35, 36, 37, 38, 39, 43, 42, 40, 41, 4, 44, 33, 5, 7, 6 |
Written assessments using objective tests: multiple choice | 30% | 1 | 0.04 | 1, 31, 14, 13, 16, 48, 23, 24, 26, 27, 25, 42, 41, 5, 7, 6 |
Oral assessments:continuous assessment with direct contact with students | 10% | 1 | 0.04 | 46, 8, 31, 14, 12, 13, 11, 17, 47, 20, 28, 23, 22, 24, 26, 27, 21, 25, 18, 36, 37, 38, 40, 4, 44, 5, 7, 6 |
Practical evaluation | 10% | 1 | 0.04 | 46, 8, 31, 14, 12, 13, 11, 17, 47, 20, 28, 23, 22, 24, 26, 27, 21, 25, 18, 36, 37, 38, 40, 4, 44, 5, 7, 6 |
Written assesments using objective tests: restricted choice tests | 30% | 1 | 0.04 | 1, 31, 14, 13, 16, 48, 23, 24, 26, 27, 25, 42, 41, 5, 7, 6 |
Cirugía / [coord.] J.L. Balibrea Cantero ; [autores F. Acín García ...et al.] Madrid : Marbán, cop. 2007
Lo Esencial en ECOE en medicina y cirugía / Aneel Bhangu Bhangu, Aneel A. Barcelona : Elsevier, cop. 2010
Sabiston tratado de cirugía : fundamentos biológicos de la práctica quirúrgica moderna / Courtney M. Townsend, Barcelona : Elsevier España , [2018]
Mandell, Douglas y Bennett compendio de enfermedades infecciosas / [editat per]: John E. Bennett, MD, MACP, Raphael Dolin, MD, Martin J. Blaser, MD Barcelona : Elsevier, [2017]
Schwartz's principles of surgery / editor-in-chief: F. Charles Brunicardi ; associate editors: Dana K. Andersen [i 6 més] New York : McGraw-Hill, [2019]
Recursos d'Internet https://www.aecirujanos.es/Guias-AEC_es_2_1.html
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