Pre-professional practice in the form of clinical rotations in surgical areas of university and associated hospitals. Training in surgical services. Active participation in supervised care activities, medical visits, observation, indication of diagnostic tests, discussion of clinical cases, differential diagnosis, therapeutic indications, and surgical techniques. Patient follow-up in outpatient consultation. Physician-patient relationship.
|ARROYO SEBASTIAN, ANTONIO||■|
|CARRION TOMAS, ANA MARIA||■|
|MIÑANO PEREZ, ALBERTO||■|
|RODRIGUEZ CZAPLICKI, ELIAS JOSE||■|
|CEREZAL GARRIDO, LUIS JORGE||■|
|DE LIZAUR DE UTRILLA, ALEJANDRO||■|
|GONZALVEZ PIÑERA, JERONIMO||■|
|ROMERO SIMO, MANUEL||■|
|DIEZ MIRALLES, MANUEL||■|
|LACUEVA GOMEZ, FRANCISCO JAVIER||■|
|MORENO LOPEZ, PEDRO||■|
Competencies and learning outcomes
- Understand and recognize the effects, mechanisms, and manifestations of disease on the structure and function of the human body.
- Understand and recognize causative agents and risk factors that determine health status and disease development.
- Comprehend and recognize the effects of growth, development, and aging on the individual and his/her social environment.
- Understand the basics of action, indications, and efficacy of therapeutic interventions based on available scientific evidence.
- Acquire and develop a medical history that contains all the relevant information.
- Perform a physical examination and mental health assessment.
- Be capable of formulating an initial diagnosis and establishing a rational diagnostic strategy.
- Recognize and deal with immediate life-threatening situations and those others requiring immediate attention.
- Establish the diagnosis, prognosis, and treatment, applying principles based on the best information available and under conditions of clinical safety.
- Indicate the most appropriate therapy for the most prevalent acute and chronic processes, as well as for patients in terminal stages.
- Raise and propose appropriate preventive measures for each clinical situation.
- Acquire appropriate clinical experience in hospitals, clinics, and other health care institutions, under supervision, as well as basic knowledge of patient-centered health management and the appropriate use of tests, medications, and other health system resources.
- Listen attentively, obtaining and synthesizing information relevant to the problems affecting the patient, understanding the content of this information.
- Write case histories and other medical records that are comprehensible to third parties.
- Knowledge and use of the principles of medicine based on the (best) evidence.
- Knowledge of tumor diseases, their diagnosis, and management.
- Recognize, diagnose, and guide management of the principal nephrourinary disorders.
- Recognize, diagnose, and guide management of the principal locomotor system disorders.
- Recognize, diagnose, and guide management of the principal endocrine system disorders.
- Recognize, diagnose, and guide management of the principal central and peripheral nervous systems disorders.
- Learn how to perform a complete patient-centered anamnesis oriented towards various pathologies, and interpret the findings.
- Learn to assess changes in clinical parameters for different ages.
- Assess the risk/benefit ratio of diagnostic and therapeutic procedures.
- Know how to interpret results from laboratory diagnostic tests.
- Learn how to interpret radiological images using a systematic approach.
- Assess the nutritional status and design diets that are appropriate for different circumstances.
Objectives (Learning outcomes)
- 01To consolidate and to increase the basic knowledge on the clinical aspects, the diagnostic accuracy and the treatment effectiveness of the main surgical illness. Also to know their prognosis and prevention. All of these in order to become a competent general practitioner.
- 02To develop and to improve the clinical reasoning to evaluate and treat correctly the patients suffering from these illness, using properly and efficiently the different diagnostic and therapeutic tools available.
- 03To learn the specific skills and behavior taking part in the different surgical activities that the medical staff develop at the operating theatre, at the outpatient department and at the surgical ward.
Association between objectives and units
- Brunicardi, Andersen, Billiar, Dunn, Hunter, Matthews, Pollock. "Schwartz's Principles of Surgery 10th Edition". Mc Graw Hill 2015.
- Townsend, Beauchamp, Evers, Mattox. "Sabiston Textbook of Surgery 20th Edition. The Biological Basis of Modern Surgical Practice". Elsevier 2016.
- Brooks, Adam, 1969-. "Emergency surgery [electronic resource] /". Chichester, West Sussex, UK ; Hoboken, NJ : Wiley-Blackwell, 2010.
- Cameron, Cameron. "Current Surgical Therapy 11th Edition". Saunders Elsevier 2014.
- Ellis, Harold, 1926-. Calne, Roy Yorke. / Watson, Christopher J. E. (Christopher John Edward). "Lecture notes [electronic resource] . General surgery /". Chichester, West Sussex, U.K. : Blackwell Pub., 2011.
- Imhof, Michael. Blondel, Constantijn. "Malpractice in surgery [electronic resource] : safety culture and quality management in the hospital /". Berlin : De Gruyter, 2013.
- Lacueva, Calpena, Arroyo. "Casos Clínicos de Patología Quirúrgica del Aparato Digestivo". Universidad Miguel Hernández de Elche 2015.
Methodology and grading
- The evaluation of this subject consists of the following three parts:
A. Report attached to the student (10% of the overall mark of the subject, up 1 point) hospital tutor. Punctuality is valued; the interest; dealing with patients, families and staff; diligence in daily work activities.
B. The portfolio. Assessment by the general tutor responsible for the service. (40% of the overall grade for the course, up to 4 points)
the correct preparation of the 15 records of daily-area hospital activities will be assessed; outpatient area; surgical area (mandatory); the number of accredited skills acquired vouched for the tutors (a mandatory minimum of 20 rotary); quality reports epicrisis; the quality of the written medical records; the summary of activity performed; formative self-assessment report and delivery of complete monitoring record attendance
C. Exam (50% of the overall mark of the subject, up to 5 points).
At the end of the period of clinical rotating a single final overall exam for of all rotating be summoned. This test is multiple-choice with a minimum of 250 questions in total and 30 for each rotating period