Surgery
1600-Lek6CHIRD-J
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: "Surgery" 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 surgically ill 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
Balance of student workload:
- participation in exercises: 120 hours
- consultations: 4 hours
- preparation for exercises (including reading the indicated literature): 50 hours
- preparation for the exam and passing the exam: 64 + 2 = 66 hours
The total student workload is 300 hours, which corresponds to
8 ECTS points
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 therapeutic procedures in relation to the most common diseases requiring surgical intervention, taking into account the specificity of childhood, in particular:
a) acute and chronic abdominal diseases,
b) chest diseases,
c) diseases of the limbs and head,
d) bone fractures and organ injuries
W3: (F K_W03) knows the principles 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 conditions
W5: (E K_W03) knows and understands the causes, symptoms, principles of diagnosis and therapeutic procedures of the most common children's diseases: a) rickets, tetany, convulsions,
b) heart defects, inflammation of the heart muscle, endocardium and pericardium, cardiomyopathy, cardiac arrhythmias, heart failure, hypertension, syncope,
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 cancers, including solid tumors typical of childhood,
e) acute and chronic abdominal pain, vomiting, diarrhea, constipation, bleeding from the gastrointestinal tract, peptic ulcer disease, inflammatory bowel diseases, pancreatic diseases, cholestasis 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 renal failure, acute and chronic nephritis, systemic kidney diseases, urination disorders, vesicoureteral reflux disease,
g) growth disorders, thyroid and parathyroid diseases, adrenal gland diseases, diabetes, obesity, puberty disorders and gonadal functions,
h) cerebral palsy, encephalitis and meningitis, epilepsy,
i) the most common infectious diseases of childhood,
j) genetic syndromes,
k) connective tissue diseases, rheumatic fever, juvenile arthritis, systemic lupus, dermatomyositis;
W 6: (E K_W04) knows the issues of: abused children and sexual abuse, mental retardation, behavioral disorders: psychoses, addictions, eating and excretion disorders in children
Learning outcomes - skills
U1: (F K_U06) is able to examine the nipples, lymph nodes, thyroid gland and abdominal cavity in terms of acute abdomen, as well as perform a digital examination through the anus;
U2: (F K_U01) assists with a typical surgical procedure, is able to prepare the surgical field and local anesthesia of the operated area;
U3: (F K_U02) uses basic surgical tools;
U4: (F K_U03) follows the principles of asepsis and antisepsis;
U5: (F K_U04) can dress a simple wound, apply and change a sterile surgical dressing
U6 (F K_U22) recognizes the symptoms of increasing intracranial pressure;
U7: (G K_U05) when examining a child, is able to recognize behaviors and symptoms indicating the possibility of violence against the child
U8: (E K_U30) assists in carrying out the following procedures and medical procedures:
a) transfusion of blood products and blood products,
b) drainage of the pleural cavity,
c) puncture of the pericardial sac,
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 it first (K_K04)
K2 Shows respect for the patient and understanding for ideological and cultural differences (K_K05)
K3 Respects medical confidentiality and all patient rights (including the right to information, to intimacy, to an informed decision, to a dignified death (K_K06)
Teaching methods
Lectures:
• informative lecture
• conversational lecture
• didactic discussion
• case analysis
Exercises:
• demonstration with instruction
• subject exercises
• simulation methods (case study)
Observation/demonstration teaching methods
- display
Expository teaching methods
- discussion
- problem-based lecture
- description
- informative (conventional) lecture
Exploratory teaching methods
- case study
- classic problem-solving
- practical
- brainstorming
Online teaching methods
- methods referring to authentic or fictitious situations
- exchange and discussion methods
- evaluative methods
- content-presentation-oriented methods
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
Oral test (0 – 25 points; > 60%): W1 – W3, U5, U6, U7
<14 failed
=> 15 PASSED
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.
ikona Zweryfikowane przez społeczność
Practical placement
Bibliography
Notes
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: