UMH - DIGESTIVE SYSTEM: MEDICAL AND SURGICAL PATHOLOGY

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DIGESTIVE SYSTEM: MEDICAL AND SURGICAL PATHOLOGY

Course

Code: 1958

Degree: Bachelor's in Medicine

Faculty of Medicine

Year: Year 4 of Bachelor's in Medicine

Semester: Fall

Type: Required

Language: Spanish

ECTS credits: 7.5

Lecture: 4.5

Laboratory: 3

Hours: 187.5

Directed: 75

Shared: 6.5

Autonomous: 106

Subject matter: Digestive, Urinary and Endocrine Systems: Medical and Surgical Pathology IV

Module: Human Clinical Training

Department: Pathology and Surgery

Area: SURGERY

Course instructors are responsible for the course content descriptions in English.

Description

The most prevalent nosological entities in clinical practice affecting the digestive tract, liver, biliary tract, and pancreas, analyzing their incidence, etiology, pathophysiology, structural lesions, clinical manifestations, diagnosis, prognosis, and medical or surgical treatment.

Faculty

Name	Coordinator	Lecture	Laboratory
LACUEVA GOMEZ, FRANCISCO JAVIER	■	■	■
ARROYO SEBASTIAN, ANTONIO		■	■
JOVER MARTINEZ, RODRIGO JOAQUIN		■	■
MARTINEZ EGEA, ANTONIO		■	■
ROMERO SIMO, MANUEL		■	■
PALAZON AZORIN, JOSE MARIA		■	■
PICO SALA, MARIA DOLORES		■	■
GARCIA MARIN, ANDRES MARIA			■
COMPAÑ ROSIQUE, ANTONIO F.			■

Competencies and learning outcomes

General competencies

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.

Specific competencies

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 digestive system disorders.
Assess the risk/benefit ratio of diagnostic and therapeutic procedures.
Understand the indications of biochemical, hematological, immunological, microbiological, anatomopathological, and imaging tests.
Transplants.
Know how to use drugs appropriately.

Objectives (Learning outcomes)

01Acquire basic knowledge about the clinic, diagnostic accuracy and effectiveness of treatments of major medical and surgical pathologies of the Digestive Tract, as well as prediction and prevention of these diseases, to their exercise as a competent general practitioner.
02Acquire the clinical reasoning to correctly analyze clinical cases of these diseases and raise the most likely diagnoses with the proper and efficient use of the different technical diagnostic-therapeutic.
03Learn the skills and specific attitudes involved in the activities and tasks that practitioners of digestive and gastrointestinal surgery specialists develop in the different health care areas.

Teaching units

Association between objectives and units

Objective/Unit	U1	U2	U3	U4
01
02
03

Schedule

Week	Directed hours	Shared hours	Autonomous hours	Total hours
1	4	0	4	8
2	4	0	4	8
3	4	0	4	8
4	2	0	2	4
5	2	0	2	4
6	4	1	4	9
7	5	0	5	10
8	10	0	10	20
9	10	0	10	20
10	15	0	15	30
11	15	1	15	31
12	0	0	9	9
13	0	0	8	8
14	0	2	8	10
15	0	2.5	6	8.5

Basic bibliography

Brunicardi, Andersen, Billiar, Dunn, Hunter, Matthews, Pollock. "Schwartz's Principles of Surgery 10th Edition". Mc Graw Hill 2015.
Farreras Valentí, Pedro 1916-1968 / Rozman, Ciril / Domarus, A. von. / Cardellach López, F. 1951. "Medicina interna". Barcelona [etc.] Elsevier D.L. 2016.
Feldman, Lawrence, Friedman, Brandt. "Sleisenger and Fordtran's Gastrointestinal and Liver Disease 10th Edition. Pathophysiology, Diagnosis, Managment". Saunders-Elsevier 2015.
Townsend, Beauchamp, Evers, Mattox. "Sabiston Textbook of Surgery 20th Edition. The Biological Basis of Modern Surgical Practice". Elsevier 2016.

Complementary bibliography

Cameron, Cameron. "Current Surgical Therapy 11th Edition". Elsevier 2014.
Lacueva, Calpena, Arroyo. "Casos Clínicos de Patología Quirúrgica del Aparato Digestivo". Universidad Miguel Hernández de Elche 2015.

Methodology and grading

Methodology

Case studies: Learning through the analysis of actual or simulated cases in order to interpret and resolve them by employing various alternative solution procedures.
Cooperative learning: Develop active learning through cooperative working strategies among students and promote shared responsibility to reach group goals.
Learning agreement: Develop active learning through an agreement between the teacher and the student containing commitments for what will be learned, how monitoring will take place for that learning, the set period of time, and the evaluation criteria.
Lecture: Pass on knowledge and activate cognitive processes in students, encouraging their participation.
Problem-based learning: Develop active learning strategies through problem solving that promote thinking, experimentation, and decision making in the student.
Solving exercises and problems: Exercise, test, and apply previous knowledge through routine repetition.

Grading

The score over 10 points will be obtained from the addition of the theory test of knowledge and the evaluation of the practices

1. Theoretical knowledge.

The evaluation will be made by written exam score between 0 and 9 points. The score in this section must be at least 4 points to pass the subject. This score will be reserved only until the extraordinary call of December of the academic year, in case of practices have not been approved.

Site of assessment: Faculty of Medicine. Campus of San Juan de Alicante
Content evaluation: detailed in the teaching guide for the subject.
Type of assessment: A minimum of 50 test exam and 4-6 questions on clinical cases short-answer questions. Each of these 2 subsections 50% of maximum 9 points shall be responsible for.

2. Evaluation of the practices. Practices are obligatory and required at least one score of 0.5 points to pass the course. They must have been at least 22 of the 30 activities related in the practice's book that should be supervised, evaluated and signed by the tutor throughout the internship period, to pass the course. Those students who have successfully completed 30 activities will obtain a maximum of 0.85 points. Students wishing to apply for the score between 0.9 - 1 must undergo an oral examination before a Court of 2 teachers who will qualify from 0.5 to 1, that it will swapped to that obtained exclusively with practice's exercise book. This score will be saved only for 2 consecutive academic years in case of not having passed the theory.

Correction criteria

Every question of the test with a wrong answer will entail a penalty of 0.25 points

Faculty: DIGESTIVE SYSTEM: MEDICAL AND SURGICAL PATHOLOGY