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2023/2024

Clinical Placement in General Surgery

Code: 106709 ECTS Credits: 5
Degree Type Year Semester
2502442 Medicine OB 6 0

Contact

Name:
Manuel Armengol Carrasco
Email:
manuel.armengol@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

Javier Serra Aracil
Juan Francisco Julian Ibañez
Jose Antonio González López

Prerequisites

t is advisable to have basic knowledge of general pathophysiology, the digestive system and blood diseases.
										
											It is also essential to have knowledge of human anatomy, genetics, molecular biology and pharmacology.
										
											Sufficient knowledge of the psychological bases of health and disease states is desirable, as well as an adequate level of knowledge in interpersonal communication and professional behavior.
										
											The student will acquire the commitment to preserve the confidentiality and professional secrecy of the data that he may have access to because of the learning in the assistance services. Also in maintaining an attitude of professional ethics in all their actions

Objectives and Contextualisation

he subject corresponds to the last year of the Degree in Medicine (6th year), once the student already knows the scientific foundations of medicine and the different medical and surgical pathologies.
										
											The general objective is for the student to consolidate the previous knowledge and achieve the relevant clinical, communication and scientific information search and handling skills to be able to:
										
											• Recognize the basic health problems and make reasoned proposals for their solution, using the appropriate clinical and biomedical information sources, scientifically interpreting the results obtained
										
											• Communicate with other health professionals, with patients and their relatives, clearly and effectively
										
											• Update knowledge independently.
										
											•
										
											For this you will need to know:
										
											• Prepare a clinical history in a structured way
										
											• Do a complete physical examination
										
											• Elaborate a reasoned differential diagnosis
										
											• Formulate a diagnostic hypothesis
										
											• Justify the laboratory, imaging or other diagnostic tests that must be ordered Correctly interpret the results obtained with them
										
											• Propose an appropriate treatment Inform the patient and relatives
										
											• Write an explanatory report Use ICT to access clinical and biomedical databases, obtain relevant information and communicate

Competences

  • Be able to work in an international context.
  • 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 knowledge of the national and international health organisations and the factors and circumstances affecting other healthcare systems.
  • 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.
  • 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.
  • Listen carefully, obtain and synthesise relevant information on patients' problems, and understand this information.
  • Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  • Maintain and use patient records for further study, ensuring the confidentiality of the data.
  • Use information and communication technologies in professional practice.

Learning Outcomes

  1. Access the healthcare protocols for the different components of the pathology.
  2. Analyse patient records systematically.
  3. Analyse the limitations to the interpretation of behaviour from non-verbal comunication.
  4. Apply the basic elements of bioethics (patients' rights, doctors' obligations).
  5. Apply the theoretical knowledge of the pathology acquired during the bachelor's degree to clinical practice.
  6. Be able to work in an international context.
  7. Collaborate on simple clinical and surgical manoeuvres after supervised practice on simulators.
  8. Communicate appropriately with patients and their family-members.
  9. Communicate clearly, orally and in writing, with other professionals and the media.
  10. Consult patient records appropriately and keep them in order.
  11. Correctly describe the criteria for hospitalisation.
  12. Describe the communication process and its effect on the professional caregiver–patient relationship.
  13. Detect emotions through non-verbal communication in a context of patient-health professional relationship.
  14. Detect how verbal and non-verbal behaviour can be linked in a context of patient-health professional relationship.
  15. Draft medical instructions, reports on consultations and treatment, official reports and certificates.
  16. Explain the elements to be considered when assessing patients' role in decision-making on their health and on the medical attention they receive at their primary healthcare centres.
  17. Identify basic emotions in primary healthcare patients through the interaction between the different non-verbal components.
  18. Identify the basic elements of the face-to-face doctor–patient interview in a context of high accessibility and longitudinal care.
  19. Identify the basic rules of pharmacotherapy in adults and children.
  20. Identify the different components of non-verbal communication in a context of patient-health professional relationship.
  21. Identify the presentation forms of the different pathological processes.
  22. Identify the role of primary care in the healthcare system.
  23. Identify the structure, organisation and resources of primary healthcare and the different components of primary healthcare teams.
  24. Involve patients in decisions on the health-illness process.
  25. Know the basic elements of the communication of clinical research results.
  26. Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  27. Observe the therapeutic approach, the clinical course and its prevention in cases where this is possible.
  28. Participate in discussions to solve the clinical problems being faced.
  29. Perform an anamnesis and a complete physical examination by systems on adults and children.
  30. Prepare a complete patient record systematically.
  31. Take an active part in care tasks: preparing patient records, requesting complementary studies (laboratory, imaging techniques) when needed and helping to focus the patient record.
  32. Use information and communication technologies in professional practice.
  33. Use the genogram as a tool in family care.

Content

Rotation by General Surgery service:
										
											As part of the rotation, and in variable distributions depending on the possibilities and needs of the rotation, the student should participate in:
										
											Surgical teams, take clinical histories, admission notes, establish a patient's problems and come up with a differential diagnosis, a therapeutic strategy.
										
											Assistance in the operating theatre, hospital ward, outpatient clinic, emergency room, clinical sessions.
										
											The solution of clinical, diagnostic and therapeutic problems
										
											The search for clinical and biomedical information (transversal block)
										
											Develop communication skills (transversal block)

Methodology

Coordinator 
Manuel Armengol Carrasco, manuel.armengol@uab.cat
										
											
										
											UD Hospital Managers:
										
											
										
											UD Hospital de Sant Pau
										
											Jose Antonio Gonzalez Lopez, joseantonio.gonzalez@uab.cat
										
											
										
											UD Hospital Vall d'Hebron
										
											Manuel Armengol Carrasco, manuel.armengol@uab.cat
										
											
										
											UD Hospital Germans Trias and Pujol
										
											Joan Francesc Julian Ibáñez juanfrancisco.julian@uab.cat
										
											
										
											UD CS Taulí Park
										
											Xavier Serra Aracil, javier.serra@uab.cat
										
											
										
											
										
											• Contents 5 credits (125h)
										
											
										
											Directed activities; attendance 54.4% (68h)
										
											Rotations for the General Surgery service (PCAH) 68 h
										
											The students will join a surgical team of the General Surgery service and will rotate for 3 weeks. These rotations will preferably be done in the morning hours.
										
											The specific calendars and timetables for each rotation will be established in each teaching unit and will be announced on the corresponding website
										
											The rotation includes activities related to the operating room and surgical procedures in open surgery, laparoscopic, robotic, major and minor ambulatory surgery, on the hospital floor, emergencies and outpatient consultations as well as in areas of functional tests that are done in surgery: manometry, endorectal ultrasounds.
										
											
										
											Independent activities (50h)
										
											Comprehensive reading of texts and articles
										
											Study and realization of schemes
										
											Summary and conceptual assimilation of contents
										
											Preparation of presentations and deliveries
										
											Preparation ACOEs theoretical and practical content
										
											Preparation of clinical cases
										
											Reading care protocols
										
											Bibliographic consultation recommended multimedia
										
											
										
											Assessment (7h)
										
											Continuous assessment rotation (4h30)
										
											Oral presentation of a clinical case (30 min)
										
											ACOES Proportional Part (2h)
										
											
										
											Exceptionally and according to the criteria of the responsible teaching staff, the available resources and the current health situation in the different Teaching Units, part of the content corresponding to the theoretical lessons,practicals and seminars may be taught face-to-face or virtually.
										
											Note: 15 minutes of a class will be set aside, within the schedule established by the center/degree, for students to fill in surveys to evaluate the performance of the teaching staff and to evaluate the subject/module

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      
CLINICAL CARE 68 2.72 1, 2, 3, 5, 4, 7, 8, 9, 10, 25, 11, 12, 13, 14, 20, 17, 16, 29, 22, 18, 23, 21, 19, 26, 27, 31, 28, 15, 30, 24, 6, 33, 32
PERSONAL STUDY 30 1.2 1, 2, 3, 5, 4, 7, 8, 9, 10, 25, 11, 12, 13, 14, 20, 17, 16, 29, 22, 18, 23, 21, 19, 26, 27, 31, 28, 15, 30, 24, 6, 33
READING PAPERS 10 0.4 1, 2, 3, 5, 4, 7, 8, 9, 10, 25, 11, 12, 13, 14, 20, 17, 16, 29, 22, 18, 23, 21, 19, 26, 27, 31, 28, 15, 30, 24, 6, 33, 32
Type: Autonomous      
DRAW UP WORKS 10 0.4 1, 2, 3, 5, 4, 7, 8, 10, 25, 11, 12, 13, 14, 20, 17, 16, 29, 22, 18, 23, 21, 19, 26, 27, 31, 28, 15, 30, 24, 33

Assessment

Rotation 60%:
										
											Continuous assessment of rotation 36% *
										
											Clinical case presentation 24% **
										
											ACOEs 40%:
										
											Practical part 20%
										
											Theoretical Part 20%
										
											
										
											* Rotation: During the surgical hospital rotation, clinical histories, admission notes, list of problems, differential diagnoses and other activities that the area manager deems appropriate will be evaluated, such as attendance at clinical sessions/ hospital conferences
										
											Rating Notes *
										
											Attendance and punctuality 1 2 3 4 5
										
											Attitude 1 2 3 4
										
											Participation and integration 1 2 3
										
											Initiative 1 2
										
											Communication 1 2 2
										
											
										
											* the student will be considered Apt if he achieves a total score equal to or greater than 11/16
										
											DEFINITIONS OF THE DIFFERENT DIMENSIONS
										
											Attendance and punctuality: it will be assessed that the students have attended regularly on all the days of the rotation and that they have given notice in case of absence.
										
											Attitude: it will be valued that the student is willing to learn, that he knows and reviews the clinical cases, that he asks questions and shows a positive attitude towards learning.
										
											Participation and integration: The responsibility of the students in the tasks that the tutor asks of them, the ability to work in a team and the opinions they contribute in a session or in other assistance activities will be assessed.
										
											Initiative: It will be assessed if the student is curious to learn, read the protocols of the service, the diagnostic and treatment guides.
										
											Communication: It will be assessed if the student is able to synthesize and communicate a clinical case to team mates in a clinical session of the service
										
											
										
											**Presentation of Surgical Clinical Cases: Clinical case presentation followed during the rotation will be evaluated, both the written report/summary and the oral presentation
										
											Students who do not take the assessment tests detailed above, including the ACOES, will be considered as Not Assessed, exhausting their rights to enroll in the subject. Specialsituations will be assessed individually by a committee that includes the people responsible for the different areas involved in this subject
This subject does not provide for the single assessment system

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Practical assessment: structured objective clinical assessment (ACOEs) 40% of the final mark 2 0.08 1, 2, 3, 5, 4, 7, 8, 9, 10, 25, 11, 12, 13, 14, 20, 17, 16, 29, 22, 18, 23, 21, 19, 26, 27, 31, 28, 15, 30, 24, 6, 33, 32
Practical evaluation 60% of final mark 5 0.2 1, 2, 3, 5, 4, 7, 8, 9, 10, 25, 11, 12, 13, 14, 20, 17, 16, 29, 22, 18, 23, 21, 19, 26, 27, 31, 28, 15, 30, 24, 6, 33, 32

Bibliography

GENERAL: Recommended for all subjects studied throughout the course and especially those of the Basics of Clinical Surgery and MiC III, V and VI

Software

No specific software required