Introduction to Surgery
1655-Lek3PCHIG-J
Course goals:
1) to promote and develop teamwork skills, to acquaint the student with patient
documentation, to teach the student to efficiently peruse databases and other
sources of modern surgical knowledge
2) to acquaint the student with the rules of aseptic and antiseptic technique; to
theoretically and practically familiarize the student with the work in the surgical suite
3) to convey knowledge on the basic medico-legal aspects of surgery; to acquaint the
student with the history of surgery
4) to familiarize the student with the basics of surgical examination and to teach them
to practically implement this skill
5) the student should gain an appreciation of the similarities and differences between
surgery and other medical specialties.
6) to familiarize the students with the basic surgical instruments and skills
7) to acquaint the student with the basic problems of clinical surgery, including participation in at least one afternoon on – call at ER
By the completion of this course, the student should have gained sufficient theoretical
knowledge in the following areas:
1) history of surgery
2) medico – legal aspects of surgery
3) organization of a surgical suite
4) types of wounds and the mechanisms of wound healing
5) perioperative management
6) fluid and electrolyte balance in surgical patients
7) anesthesia and analgesia in surgery
8) surgical site infections and rules for antimicrobial therapy in a surgical ward
9) minor surgery
10) abdominal hernias
11) acute gastrointestinal hemorrhage
12) acute bowel obstruction
13) endoscopy
14) appendicitis, peritonitis and shock
15) thermal injuries
16) abdominal and thoracic trauma
By the completion of the course, the student should be able to:
1) handle themselves appropriately in the Surgical Suite and Operating Theater
2) follow the rules of aseptic and antiseptic technique
3) examine a surgical patient
4) properly prepare a patient for surgery
5) discern between various types of wounds and be able to perform basic wound closure
6) catheterize the urinary bladder
Total student workload
ectures 45
Seminars 0
Clinical activity 45
1. The workload related to the classes requiring the direct participation of academic teachers is: participation in lectures using distance learning techniques: 10 hours participation in exercises: 14 hours consultation: 0.5 hour final test: 0.5 hours The workload related to the activities requiring the direct participation of academic teachers is 25 hours, corresponding to 1 ECTS point
2. Balance of student workload: participation in lectures using distance learning techniques: 10 hours participation in exercises: 14 hours consultation: 0.5 hour preparation for exercises (including reading the indicated literature): 6.5 hours preparation for passing and passing: 6 + 0.5 = 6.5 hours The total student workload is 37.5 hours, which corresponds to 1.5 ECTS points
3. Workload related to the conducted research: reading the indicated scientific literature: 3 hours participation in lectures (including research results and scientific studies): 5 hours participation in exercises (taking into account the results of scientific studies): 8 hours preparation for a pass (including first aid studies): 3 hours The total student workload related to the research is 19 hours, which corresponds to 076 ECTS points
4. The time required to prepare for and participate in the assessment process: preparation for a pass: 6 + 0.5 = 6.5 hours (0.26 ECTS points)
5. Balance of workload in the scope of conducted classes with the use of distance learning techniques: - participation in lectures: 10 hours The total workload in the field of classes conducted with the use of distance learning techniques is 10 hours, which corresponds to 0.4 ECTS points
6. Balance of student workload of a practical nature: participation in exercises (including practical test): 14 hours The total student workload of a practical nature is 14 hours, corresponding to 0.56 ECTS points
7. Time required for compulsory internship: not applicable
Learning outcomes - knowledge
Student:
- knows the rules for the qualification and performance of basic surgical procedures and invasive diagnostic and therapeutic procedures;
- knows the principles of perioperative safety, patient preparation for surgery, general and local anesthesia and controlled sedation;
W1: describes the principles of qualification and performance of basic surgical procedures and invasive diagnostic and therapeutic procedures (F K_W03) - learning effect implemented in the field of distance learning and in stationary conditions
W2: explains the principles of perioperative safety, preparation of the patient for surgery, general and local anesthesia and controlled sedation (F K_W04) - learning effect implemented in the field of distance learning and in stationary conditions
W3: defines the postoperative treatment with analgesic therapy and postoperative monitoring; (F K_W05) - learning effect implemented in the field of distance learning and in stationary conditions
W4: describes the genetic, environmental and epidemiological conditions of the most common diseases; (E K_W01) - learning effect implemented in the field of distance education
W5: lists the clinical forms of the most common diseases of individual systems and organs, metabolic diseases, as well as disorders of the water, electrolyte and acid-base balance; (C K_W33) - learning effect implemented in the field of distance learning
Learning outcomes - skills
U1: conducts a full and targeted physical examination of an adult patient (E K_U03) - learning effect implemented in the field of distance learning and in stationary conditions
U2: can perform basic medical procedures and treatments, including:
a) body temperature measurement, heart rate measurement, non-invasive blood pressure measurement,
b) monitoring of vital signs using a cardiac monitor, pulse oximetry,
c) spirometry, oxygen treatment, assisted and substitute ventilation,
d) insertion of an oropharyngeal tube,
e) intravenous, intramuscular and subcutaneous injections, peripheral venous cannulation, peripheral venous blood collection, blood culture collection, arterial blood collection, arterialized capillary blood collection,
f) taking swabs from the nose, throat and skin, puncture of the pleural cavity,
g) urinary bladder catheterization in women and men, gastric probing, gastric lavage, enema,
h) standard resting electrocardiogram with interpretation, electrical cardioversion and cardiac defibrillation,
i) simple test strips and blood glucose measurement; (E K_U29) - learning effect realized in stationary conditions
U3: can keep patient's medical records (E K_U38) - learning effect realized in stationary conditions
U4: adheres to the principles of asepsis and antisepsis; (F K_U03) - learning effect realized in stationary conditions
U5: assumes peripheral venipuncture; (F K_U05) - learning effect carried out in stationary conditions
U6:: can examine the nipples, lymph nodes, the thyroid gland and the abdominal cavity in terms of acute abdomen, as well as perform a finger examination through the anus; (F K_U06) - learning effect carried out in stationary conditions
Learning outcomes - social competencies
K1: Shows respect for the Patient and understanding for worldview and cultural differences (K_K05) - learning effect realized in stationary conditions
K2: Observes medical confidentiality and all patient rights (including the right to information, to intimacy, to an informed decision, to a dignified death (K_K06) - learning effect implemented in the field of distance learning
Teaching methods
ectures:
informative lecture with the use of techniques and educational tools in the field of remote education thematic
seminar lectures with the use of techniques and educational tools in the field of distance learning
a didactic discussion with the use of remote education techniques and tools case studies using remote learning techniques and tools
Exercises:
exercises at the patient's bedside
exercises in the operating room as an assistant
exercises in the operating room as a "dirty instrumentalist" - getting to know the work in the operating theater
exercises in keeping medical records
Observation/demonstration teaching methods
- simulation (simulation games)
- display
Expository teaching methods
- problem-based lecture
Exploratory teaching methods
- seminar
- expert panels
- case study
Prerequisites
1. Each student must have a set of hospital clothes (white scrubs and/or skirt, lab coat, change
of shoes. Students wearing casual clothes will not be allowed to participate in clinical
activities.
2. Due to the specifics of work at a surgical ward, please limit the amount of jewelry worn, please
wear your hair tied back and take care to have clean, clipped, unpainted nails.
3. Due to sanitary considerations, your set of hospital clothes should be clean and pressed during
clinical activities. Students in contaminated / crumpled clothes will not be allowed on surgical
wards.
4. Students are required to observe workplace safety rules.
5. Students are required to maintain patient – physician confidentiality and to keep any medical
data in strict confidence. It is unacceptable to discuss clinical cases in public places (e.g.
cafeterias, hallways, elevators) for this could compromise patient – doctor confidentiality.
Course coordinators
Assessment criteria
entry exam (single choice test);
-exit exam (single choice test given after completion of all lectures);
-clinical activity score (oral, grade awarded by individual teachers).
Scoring:
result score
>90% 5,0
<85≤90% 4,5
<80≤85% 4,0
<70≤80% 3,5
<56≤70% 3,0
≤56% Failed (2,0)
Practical placement
Bibliography
. Principles Practice. D. James Garden, Andrew W. Bradbury
2. Current diagnosis and treatment. Surgery. Gerard M. Doherty.
Basic literature:
A. Mária Frankovičová, Jana Kaťuchová Surgery for medical students
2. Courtney M. Townsend, R. Daniel Beauchamp, B. Mark Evers Sabiston Textbook of Surgery
Supplementary literature :
1.Jiří Hoch; Jan Leffler Textbook of Surgery
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: