Paediatric Surgery
1600-Lek5CHRD-NJ
The topics of the classes include not only the most common surgical diseases of developmental age, but also phenomena related to the threats posed by the development of civilization, e.g. congenital defects, lifestyle and inflammatory diseases, multi-organ injuries, including modern methods of their treatment, determined by advances in molecular genetics, oncology and transplantology. Teaching the subject: "Pediatric surgery", the specialty chosen for students of the Medical Faculty, includes exercises with an assistant in the Department of General and Oncological Surgery for Children and Adolescents.
Exercises with an assistant are devoted to a practical approach ("at the patient's bed") to surgical problems of developmental patients. During the training block, students fully participate in the diagnostic and treatment process, including collecting medical history, clinical examination, ordering necessary additional tests, conducting diagnostic differentiation, qualifying for surgical treatment, surgical procedures, postoperative care, and assessment of treatment results. Ethical issues regarding the approach to a sick child and difficult conversations with parents (including newborns with congenital defects and children with cancer) are also discussed. The exercises in the Surgical Clinic are intended to present issues related to outpatient surgical care for children and postoperative care.
Total student workload
1. The workload related to classes requiring the direct participation of academic teachers is: - participation in seminars: 10 hours
- participation in exercises: 30 hours
- consultations: 0.5 hours
- completion of the test: 1.5 hours
The workload related to classes requiring the direct participation of academic teachers amounts to 32.5 hours, which corresponds to 1.5 ECTS points
2. Student's workload balance:
- participation in seminars: 10 hours
- participation in exercises: 30 hours
- consultations: 0.5 hours
- preparation for the exercises (including reading the indicated literature): 2.5 hours
- preparation for passing and passing: 2.5 hours
The total student workload is 42 hours, which corresponds to 2.1 ECTS credits
3. Workload related to the conducted research:
- reading the indicated scientific literature: 0.5 hours
- participation in lectures (taking into account the results of research and scientific studies): 0
- participation in exercises (taking into account the results of scientific studies): 5 hours
- preparation for passing (including scientific papers): 2.5 hours
- consultations including scientific studies: 0.5 hour
The total student workload related to the conducted research is 8 hours, which corresponds to 0.5 ECTS points
4. Time required to prepare and participate in the assessment process: - preparation for passing: 2.5 + 2 = 4.5 hours (0.34 ECTS points)
5. Balance of the student's workload of a practical nature: - participation in exercises: 20 hours
The total amount of student work of a practical nature is 25 hours, which corresponds to 1 ECTS point
6. Time required for compulsory practice: not applicable
Learning outcomes - knowledge
W1: (F K_W02) knows selected issues in pediatric surgery, including traumatology and otorhinolaryngology, defects and acquired diseases that are indications for surgical treatment in children;
W2: (F K_W01) knows and understands the causes, symptoms, principles of diagnosis and treatment in relation to the most common diseases requiring surgical intervention, taking into account the differences of childhood, in particular: a) acute and chronic diseases of the abdominal cavity, b) diseases of the chest, c) diseases of the limbs and head, d) bone fractures and organ injuries
W3: (F K_W03) knows the rules of qualification and performance of basic surgical procedures and invasive diagnostic and therapeutic procedures;
W4: (E K_W06) knows the most common life-threatening conditions in children and the rules of conduct in these situations
W5: (E K_W03) knows and understands the causes, symptoms, principles of diagnosis and treatment of the most common diseases of children
a) rickets, tetany, convulsions,
b) heart defects, myocarditis, endocarditis and pericarditis, cardiomyopathy, arrhythmias, heart failure, hypertension, fainting,
c) acute and chronic diseases of the upper and lower respiratory tract, congenital defects of the respiratory system, tuberculosis, cystic fibrosis, asthma, allergic rhinitis, urticaria, anaphylactic shock, angioedema,
d) anemia, bleeding disorders, bone marrow failure, childhood cancer, including solid tumors typical of childhood,
e) acute and chronic abdominal pain, vomiting, diarrhoea, constipation, bleeding from the gastrointestinal tract, peptic ulcer disease, inflammatory bowel diseases, pancreatic diseases, cholestases and liver diseases, other acquired diseases and congenital defects of the gastrointestinal tract,
f) urinary tract infections, congenital defects of the urinary tract, nephrotic syndrome, nephrolithiasis, acute and chronic kidney failure, acute and chronic nephritis, kidney system diseases, urination disorders, vesicoureteral reflux disease,
g) growth disorders, diseases of the thyroid and parathyroid glands, diseases of the adrenal glands, diabetes, obesity, disorders of puberty and gonadal function,
h) cerebral palsy, encephalitis and meningitis, epilepsy,
i) the most common childhood infectious diseases,
j) genetic syndromes,
k) connective tissue diseases, rheumatic fever, juvenile arthritis, systemic lupus, dermatomyositis;
W 6: (E K_W04) knows the issues of: abused child and sexual abuse, mental retardation, behavioral disorders: psychoses, addictions, eating disorders and excretion in children
Learning outcomes - skills
U1: (F K_U06) can examine the nipples, lymph nodes, thyroid gland and abdominal cavity in terms of acute abdomen, and perform a finger examination through the anus;
U2: (F K_U01) assists with a typical surgical procedure, is able to prepare the operating field and locally anesthetize the operated area;
U3: (F K_U02) uses basic surgical tools;
U4: (F K_U03) applies to the rules of asepsis and antisepsis;
U5: (F K_U04) can dress a simple wound, put on and change a sterile surgical dressing
U6 (F K_U22) recognizes the symptoms of increasing intracranial pressure;
U7: (G K_U05) during the examination of the child is able to recognize behaviors and symptoms indicating the possibility of violence against the child
U8: (E K_U30) assists in the following procedures and medical treatments:
a) transfusion of blood and blood products,
b) drainage of the pleural cavity,
c) pericardial puncture,
d) puncture of the peritoneal cavity,
e) lumbar puncture,
f) fine needle biopsy,
g) skin tests,
h) intradermal and scarification tests, and interprets their results;
Learning outcomes - social competencies
K1 Is guided by the good of the patient, putting them in the first place (K_K04)
K2 Shows respect towards the Patient and understanding for worldview and cultural differences (K_K05)
K3 Respects medical confidentiality and all patient rights (including the right to information, to intimacy, to a conscious decision, to a dignified death (K_K06)
Teaching methods
Seminars: • informative lecture • seminar lecture • didactic discussion • case studies
Classes: • demonstration with instruction • subject exercises • simulation methods (case study)
Observation/demonstration teaching methods
- display
Expository teaching methods
- informative (conventional) lecture
- problem-based lecture
Exploratory teaching methods
- seminar
- brainstorming
- classic problem-solving
Online teaching methods
- content-presentation-oriented methods
- methods referring to authentic or fictitious situations
Type of course
compulsory course
Prerequisites
Student starting education: Before starting classes in pediatric surgery, the student should have knowledge about surgical diseases occurring in adults, but also about the proper development of the child, basic pediatric diseases, but also. It is necessary to have the ability to assess the general condition of the child, collect the medical history, and perform a physical examination of the patient, taking into account the specificity of the child's age. Learning pediatric surgery will be facilitated by the knowledge obtained in classes in basic sciences, i.e. embryology, clinical genetics, histopathology, immunology, as well as in clinical classes in the departments of: paediatrics, obstetrics and gynecology, oncology, and general surgery. The greatest number of surgical differences concerns the neonatal age.
Course coordinators
Assessment criteria
During the block of classes, the student will remain under the direct substantive supervision of an assistant employed in the Clinical Department of Pediatric Surgery (preferred with the title of specialist in pediatric surgery).
The implementation of the program is supervised by the unit manager.
The questions are covering topics of seminars.
Written test - pass (0 – 23 points; > 60%): W1 – W3, U5, U6, U7
Prolonged observation (0 – 10 points; > 50%): K1 – K3
The student will receive credit for the course by obtaining a positive result in the oral test and a positive assessment in the field of social competences.
Assessment criteria:
Student can obtain 23 points max, course is passed if the student receive >=60%)
- 3.0 - satisfactory (60-75%)
- 3,5 satisfactory plus (75-80%)
- 4,0 good (80- 88%)
- 4,5 good plus (88 - 95%)
- 5,0 very good (95-100%)
Practical placement
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: