Universitat Internacional de Catalunya - BarcelonaSurgical Practicums
Main language of instruction: Catalan
Other languages of instruction: English, Spanish,
The assignature of "Surgical Clinical Practice" aims students to acquire the clinical skills they need for the detection, diagnosis and initial treatment of the most prevalent diseases of surgical specialties.
The core clinical clerkship in surgery is an immersion experience that includes the student in an array of clinical scenarios and learning opportunities designed to enhance their skills and knowledge. Students will interact with patients and their families in all aspects of surgical care; hospital wards, operating rooms, outpatient clinics, intensive care units, etc. Goals and objectives are very similar in most surgical clerkships.
Some of these goals and objectives are: help the student understand when surgery is the most effective and efficient mode of therapy; recognize when patients need referral to a surgeon; understand and develop skills in managing and recognizing surgical problems; understand the nature of surgical diseases and surgical intervention as a curative and/or palliative agent in their treatment and develop independent learning skills.
The course has four ETCS and 108 hours spread over clinical practice of surgery for 4 weeks in 4th grade. It is complemented by a second rotation practices in 6th grade: a mandatory clerkship in traumatology and orthopedics surgery and an optional second-level in general surgery.
Students can be assigned to different surgical services, and will interact very closely with surgical residents and faculty in all activities on that particular service. General surgery services are the main component of surgical rotations, but stays can be combined in other surgical specialties and subspecialities to give the student the opportunity to evaluate other options for their future careers.
In addition to the attendance at the practical centers, the student will attend four compulsory workshops of two hours and 1 optional personal tutorial of approximately half an hour. This last tutorship is very convenient, but voluntary. Both the workshops and the tutoring will be led by one of the academic tutors. This academic tutorial will be reflected in the final evaluation.
To take this course is essential to have passed:
• Structure and Function: digestive and endocrine system
• Clinical Semiology and Physiopathogenia
• Surgical Pathophysiology
General objectives
1. Help the student understand when surgery is the most effective and efficient mode of therapy.
2. To recognize when patients need referral to a surgeon.
3. To understand and develop skills in managing and recognizing surgical problems
4.To understand the nature of surgical diseases and surgical intervention as a curative and/or palliative agent in their treatment and develop independent learning skills.
1. Clinical history. Make a complete anamnesis, focusing on the characteristics of the surgical patient.
2. Physical examination. Make a complete physical examination, focusing on the characteristics of the surgical patient.
3. Physical examination. Recognize anomalies typical of surgical diseases.
4. Clinical documentation. Write and differentiate the contents of the medical records, the note of admission, the clinical course, and surgical report .
5. Communication. Communicate properly with the patient and family.
6. Communication. Get informed consent process in surgery.
7. Communication. Oral presentation on case reports and clinical research.
8. Multidisciplinary work. Learn and practice the clinical work in the setting of multidisciplinary teams or committees, and the continuum of care with primary care and the rest of the health team.
9. Process diagnosis. Set up a diagnosis and differential diagnosis, choose the appropriate complementary examinations.
10. Therapy. Establish a basic treatment plan based on the diagnosis of the most prevalent surgical diseases.
11. Basic surgical care. Mastering the technique of surgical scrub, surgical asepsis, antisepsis and skin infiltration with local anesthetics.
12. Basic surgical care. Perform simple surgical care, sutures and bandages.
13. Critical patient . To recognize, diagnose and direct the management of life-threatening situations in the surgical patient.
14. Activity in the operating room. Know the rules and behavior in the surgical area.
15. Activity in the operating room. Participate as assistant in major surgeries. Knowing the basic surgical instruments.
Bibliografia
Peter J. Morris (Editor), William C. Wood (Editor).Oxford Textbook of Surgery.
F. Brunicardi , Dana Andersen, Timothy Billiar, David Dunn John Hunter, Jeffrey Matthews, Raphael E. Pollock. Schwartz's Principles of Surgery, Ninth Edition.
Recursos d’internet