Logo UAB
2023/2024

Simulation Applied to Medical and Surgical Knowledge

Code: 106705 ECTS Credits: 5
Degree Type Year Semester
2502442 Medicine OB 6 2

Contact

Name:
Maria Luisa Pedro-Botet Montoya
Email:
marialuisa.pedrobotet@uab.cat

Teaching groups languages

You can check it through this link. To consult the language you will need to enter the CODE of the subject. Please note that this information is provisional until 30 November 2023.

Teachers

Antonio Gil Moreno
Antonio Jorge Betbese Roig
Maria Isabel Gonzalez Saavedra
Antonio Moreno Galdó
Susanna Boronat Llop
Myriam de Nadal Clanchet
Maria Grimau Gallego
Joan Miquel Noguera
Judith Sanchez Manubens
Emma García Pino
Narcis Cardoner Alvarez
Jose Antonio Ramos Quiroga
Anna Estafanell Celma
Maria Begoña Mari Alfonso
Jose Antonio Montiel Dacosta
Jordi Bañeras Rius
Montserrat Solans Marsa
Ramon Vilallonga Puy
Raquel Corripio Collado
Fernando Rafael Armestar Rodriguez
Sandra Montmany Vioque

Prerequisites

It is necessary for the student to have basic clinical knowledge of medical and surgical pathology and general hospital management

Objectives and Contextualisation

The subject corresponds to the last year of the Degree in Medicine (6th year), once the student knows the scientific foundations of medicine and the different medical and surgical pathologies.
										
											
										
											Consolidate attitudes, aptitudes and abilities of the student to train him in the resolution of prevalent health problems, putting him in front of plausible situations by means of basic and advanced simulation techniques.

Competences

  • Accept one's role in actions to prevent or protect against diseases, injuries or accidents and to maintain and promote health, on both personal and community-wide levels.
  • Act with ethical responsibility and respect for fundamental rights, diversity and democratic values.
  • Apply the principle of social justice to professional practice and demonstrate understanding of the ethical implications of health in a changing world context.
  • Care for patients, families and the community in an effective and efficient manner, in accordance with professional ethics, with special emphasis on health promotion and disease prevention, as part of multidisciplinary teams.
  • Communicate clearly and effectively, orally and in writing, with patients, family-members and accompanying persons, to facilitate decision-making, informed consent and compliance with instructions.
  • Communicate clearly, orally and in writing, with other professionals and the media.
  • Critically assess and use clinical and biomedical information sources to obtain, organise, interpret and present information on science and health.
  • Demonstrate an understanding of the fundamentals of action, indications, efficacy and benefit-risk ratio of therapeutic interventions based on the available scientific evidence.
  • Demonstrate basic knowledge of the Spanish health system, legislation on health and economic issues.
  • Demonstrate sufficient supervised clinical experience in hospitals or other healthcare centres, and familiarity with patient-centred care management and the correct use of tests, medicines and other resources of the healthcare system.
  • Demonstrate understanding of the importance of ethical principles in dealings with patients, society and the profession, in particular with regard to professional confidentiality.
  • Demonstrate understanding of the manifestations of the illness in the structure and function of the human body.
  • Design and manage programmes and projects in the field of health.
  • Empathise and establish efficient interpersonal communication with patients, family-members, accompanying persons, doctors and other healthcare professionals.
  • 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.
  • Give the patient and/or accompanying persons the relevant information about the disease process, its bases and consequences, including bad news, in an appropriate way.
  • Identify and measure the affective and emotional components of human behaviour and their disorders.
  • Indicate the basic diagnosis techniques and procedures and analyse and interpret the results so as to better pinpoint the nature of the problems.
  • Indicate the most suitable treatment for the most prevalent acute and chronic processes, and for the terminally ill.
  • Listen carefully, obtain and synthesise relevant information on patients' problems, and understand this information.
  • Make changes to methods and processes in the area of knowledge in order to provide innovative responses to society's needs and demands.
  • 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.
  • Perform the basic practical procedures of examination and treatment.
  • Put forward suitable preventive measures for each clinical situation.
  • Reason and make decisions in conflict situations of an ethical, religious, cultural, legal or professional nature, including those that stem from economic constraints, the marketing of health cures or scientific advances.
  • Recognise and take action in life-threatening situations and others that require an immediate response.
  • Recognise ethical, legal and technical factors in patients' documentation, plagiarism, confidentiality and propriety.
  • Recognise the basic elements of the medical profession as the result of an evolving, scientific, social and cultural process, including ethical principles, legal responsibilities and patient-oriented professional practice.
  • Recognise the role of complexity, uncertainty and probability in decision-making in medical practice.
  • Recognize the determinants of population health, both genetic and dependent on gender, lifestyle, and demographic, environmental, social, economic, psychological and cultural factors.
  • Students can apply the knowledge to their own work or vocation in a professional manner and have the powers generally demonstrated by preparing and defending arguments and solving problems within their area of study.
  • Students must be capable of collecting and interpreting relevant data (usually within their area of study) in order to make statements that reflect social, scientific or ethical relevant issues.
  • Students must be capable of communicating information, ideas, problems and solutions to both specialised and non-specialised audiences.
  • Students must have and understand knowledge of an area of study built on the basis of general secondary education, and while it relies on some advanced textbooks it also includes some aspects coming from the forefront of its field of study.
  • Use information and communication technologies in professional practice.
  • Write patient records and other medical documents that can be understood by third parties.

Learning Outcomes

  1. Analyse a situation and identify its points for improvement.
  2. Apply the principles of equity in all areas of application of public health.
  3. Assess the relationship between efficacy and risk in the main therapeutic interventions.
  4. Communicate appropriately with patients and their family-members.
  5. Communicate clearly, orally and in writing, with other professionals and the media.
  6. Correctly write reports on the results of genetic tests.
  7. Critically analyse the principles, values and procedures that govern the exercise of the profession.
  8. Critique scientific papers on bioinformatics.
  9. Describe how health is not merely the absence of disease but also all physical, psychological and social conditions that allow maximum plenitude and autonomy of the person.
  10. Describe the communication process and its effect on the professional caregiver–patient relationship.
  11. Describe the concept of risk-benefit in medical therapy.
  12. Describe the main communicative skills for a clinical interview.
  13. Describe the main genetic, sexual, age, lifestyle, environmental, social, economic, psychological and cultural factors that may modify the therapeutic and toxic response of a drug.
  14. Describe the organ and system involvement and forms of presentation of diseases of the respiratory, circulatory and digestive systems, blood and hematopoietic organs, nervous system, musculoskeletal system, genitourinary system, metabolism and endocrine system.
  15. Describe the person as a multidimensional being in which the interplay of biological, psychological, social, environmental and ethical factors determines and alters the states of health and disease and their manifestations.
  16. Evaluate the appropriate scientific methodology for a biomedical paper.
  17. Explain ethical, legal and technical features and those of confidentiality related to patient documentation.
  18. Explain the economic and social implications of medical intervention, using criteria of effectiveness and efficiency.
  19. Explain the explicit or implicit deontological code in your area of knowledge.
  20. Give patients the maximum possible information about their health, diagnostic steps, complementary examinations and treatments in an appropriate way.
  21. Identify situations that require improvement or change.
  22. Identify the main activities of health promotion and disease prevention.
  23. Indicate the basic complementary examinations for interpreting the manifestations of the illness in the different organs and systems of the human body.
  24. Interact with other specialists in treating patients with a complex or multiorganic pathology.
  25. Know the main forms of preventive immunotherapy, especially vaccines, and the mechanism by which they confer protection.
  26. Make a record that includes the personal, physiological and pathological antecedents of the illness, as well as the main symptoms of diseases of the respiratory, circulatory and digestive systems, blood and hematopoietic organs, nervous system, musculoskeletal system, genitourinary system, metabolism and endocrine system.
  27. Order signs and symptoms to perform a differential syndromic diagnosis.
  28. Perform a suitable physical examination for the main infectious diseases, diseases of the blood, of the elderly, and of the hematopoietic system, the cardiovascular system, the digestive system, the respiratory system, the endocrine system, the nervous system, the renal and genitourinary system, the retroperitoneal system and the musculoskeletal system.
  29. Perform basic and advanced life support manoeuvres.
  30. Perform basic techniques for the examination and functional assessment of physiological systems.
  31. Propose new experience-based methods or alternative solutions.
  32. Propose new ways to measure success or failure when implementing ground-breaking proposals or ideas.
  33. Propose projects and actions in accordance with the principles of ethical responsibility and respect for fundamental rights, diversity and democratic values.
  34. Provide the bases for preparing clinical guides and constructing diagnostic and therapeutic algorithms.
  35. Recognise the clinical manifestation of affective disorders and anxiety disorders.
  36. Report all professional activities with scrupulous accuracy in individual patient records, both to serve as a reminder of the actions taken and to facilitate follow-up work by colleagues.
  37. Respect patients' religious, ideological and cultural convictions, unless these conflict with the Universal Declaration of Human Rights, and prevent one's own convictions from impinging on patients' decision-making capacity.
  38. Students can apply the knowledge to their own work or vocation in a professional manner and have the powers generally demonstrated by preparing and defending arguments and solving problems within their area of study.
  39. Students must be capable of collecting and interpreting relevant data (usually within their area of study) in order to make statements that reflect social, scientific or ethical relevant issues.
  40. Students must be capable of communicating information, ideas, problems and solutions to both specialised and non-specialised audiences.
  41. Students must have and understand knowledge of an area of study built on the basis of general secondary education, and while it relies on some advanced textbooks it also includes some aspects coming from the forefront of its field of study.
  42. Use information and communication technologies in professional practice.
  43. Weigh up the impact of any long- or short-term difficulty, harm or discrimination that could be caused to certain persons or groups by the actions or projects.
  44. Weigh up the risks and opportunities of one's own ideas for improvement and proposals made by others.
  45. Write a review paper on a current topic in the field of medicine.

Content

 


Methodology

The subject will be taught in the following teaching typologies:
										
											
										
											1.- THEORETICAL CLASSES (6 hours of TE)
										
											
										
											a) Global Presentation of the Subject (5 hours of TE): at the beginning of the course, those responsible for the subject will give a 1-hour presentation on "What are ACOES". Likewise, there will be a global presentation of the Objectives, Competences, content and evaluation of the subject by the person in charge of each area at a rate of 40 minutes for each of the areas (Medicine/MFyC/general Cg and COT/Psychiatry/Gynecology). Obstetrics/Pediatrics).
										
											
										
											b) Presentation of the Catalan Health System (1 hour of TE): by the Manager/director of the hospital center who will explain to the students the structure and operation of the Catalan Health System and in broad strokes the guidelines of the current strategic plan.
										
											
										
											2.- CLINICAL SKILLS PRACTICES (20 h of PHCA)
										
											
										
											These practices will be developed fundamentally in the skills classroom in groups of 5 to 12 students that will be divided into 15 students. The students will attend 5 skills sessions from different areas at a rate of 4 hours of Medicine, 4 hours of MFand C, 4 hours of General Surgery and Orthopedic surgery, 4 hours of Psychiatry, 2 hours of Gynecology/Obstetrics and 2 hours of Pediatrics.
										
											
										
											3.- ADVANCED SIMULATION PRACTICES IN HUMANS (24 h of PSCA)
										
											
										
											These practices will be developed in the simulation and debriefing classroom in groups of 12 to 14 students that will split into 16 students. Transversal and specific competences will be consolidated thanks to the resolution of 6 scenarios (Med Hospi/MFyC/Cg and COT/Pediatrics/Gine and Obste/Psyche). The scenarios will be created between professors from the 4 UDs of the UAB. The student will attend 6 simulation sessions, specifically 5 hours for Medicine, 5 hours for MF and C, 5 hours for General Surgery and COT, 5 hours for Psychiatry, 2 hours for Gynecology/Obstetrics and 2 hours for Pediatrics. Basedon these practices, students will be given instruments to solve different problems.
										
											
										
											4.- SEMINARS (3h of SEM)
										
											
										
											The seminars will be given in groups of 20 students who will split into 25 students who will receive and review how to make the pharmaceutical prescription in medicine. These seminars will be given by pharmacologists and the content will include basic rules of pharmacotherapy in hospital and Primary prescription in adults and children.
										
											
										
											Exceptionally and according to the criteria of the responsible teaching staff, the available resources and the health situation at each moment, part of the contents corresponding to the theoretical and practical lessons and seminars may be taught 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.


Activities

Title Hours ECTS Learning Outcomes
Type: Directed      
DIRECTED ACTIVITIES 53 2.12 2, 16, 4, 8, 11, 10, 13, 14, 15, 12, 9, 28, 17, 18, 22, 23, 20, 24, 29, 26, 45, 37, 3
Type: Autonomous      
AUTONOMOUS ACTIVITIES 66.65 2.67 7, 1, 19, 21, 44, 31, 32, 33, 41, 40, 38, 39, 43

Assessment

Evaluation activities

 

 

Final Note Weight

 

Attendance in class:

• subject presentation

• What are ACOEs?

• Catalan Health System

5%

2%

1%

2%

Assistance and active participation in the Specialized Seminar on Pharmacotherapy

5%

Attendance to simulation sessions and technical skills:

• Evaluation of practical type of simulation

• Practical evaluation of technical skills

50%

 

 

25%

 

25%

Evaluation of the learning achieved and the participation in the simulation sessions

40%

The evaluation system will be based on attendance at theoretical classes (5%) (Presentation of the subject (2%), What are the ACOEs (1%) and the Catalan Health System (2%)), in the assistance and active participation in simulation practices (25%) and learning of technical skills (25%) and in the evaluation of students during simulation sessions and learning of technicalskills (40%).
										
											
										
											Regarding the attendance and active participation in the simulation practices and the learning of technical skills, the evaluation will be done according to a scale that will take into account the % of sessions that the student has attended. In this sense, 100% of the grade will be awarded if you attend 100% of the sessions, 90% of the grade if you attend 90%, 80% of the grade if you attend 80%, and so on. until giving it a 0 if the student attends less than 60% of the simulation and skills sessions.
										
											
										
											Since the subject is fundamentally practical, students will be "NOT EVALUABLE" if they have not attended at least 60% of the simulation sessions and skills workshops.
										
											
										
											Any proof of recovery is excluded.
										
											
										
											 This subject does not provide the single assessment system

Evaluation activities

 

TITLE

WEIGHT

ECTS

LEARNING RESULTS

1.- Attendance and active participation in class:

• Presentation assigned

. What are the ACOEs?

•Sistema Sanitario de Salud Catalan

5%

 

2%

1

2%

0.13

All the learning outcomes expressed in basic, general, specific and transversal skills

2.-Assistance and active participation in the Pharmacotherapy Specialization Seminar

5%

3.- Assistance to the skills and simulation sessions:

• Evaluation of a practical type of simulation

• Evaluation of a practical type of technical skills

50%

25%

25%

4.- Evaluation of the learning achieved and the participation in the simulation sessions

40%

0.22

TOTAL

100%

0.35




Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Assistance and active participation in the Pharmacotherapy Specialization Seminar 5% 1.3 0.05 7, 1, 2, 16, 4, 5, 25, 8, 11, 10, 13, 14, 15, 12, 9, 28, 19, 17, 18, 22, 21, 23, 20, 24, 27, 44, 34, 31, 32, 33, 41, 40, 38, 39, 29, 30, 26, 35, 6, 45, 36, 37, 42, 3, 43
Assistance to the skills and simulation sessions: Evaluation of a practical type of simulation, Evaluation of a practical type of technical skills 50% 1.3 0.05 7, 1, 2, 16, 4, 5, 25, 8, 11, 10, 13, 14, 15, 12, 9, 28, 19, 17, 18, 22, 21, 23, 20, 24, 27, 44, 34, 31, 32, 33, 41, 40, 38, 39, 29, 30, 26, 35, 6, 45, 36, 37, 42, 3, 43
Attendance and active participation in class: Presentation assigned What are the ACOEs? •Sistema Sanitario de Salud Catalan 5% 1.3 0.05 7, 1, 2, 16, 4, 5, 25, 8, 11, 10, 13, 14, 15, 12, 9, 28, 19, 17, 18, 22, 21, 23, 20, 24, 27, 44, 34, 31, 32, 33, 41, 40, 38, 39, 29, 30, 26, 35, 6, 45, 36, 37, 42, 3, 43
Evaluation of the learning achieved and the participation in the simulation sessions 40% 1.45 0.06 7, 1, 2, 16, 4, 5, 25, 8, 11, 10, 13, 14, 15, 12, 9, 28, 19, 17, 18, 22, 21, 23, 20, 24, 27, 44, 34, 31, 32, 33, 41, 40, 38, 39, 29, 30, 26, 35, 6, 45, 36, 37, 42, 3, 43

Bibliography

the bibliography will be provided by each department involved in the course program in each teaching unit

Software

Non aplicable