Surgery (Examination)
1655-Lek4CHEG-J
Classes are devoted to the acquisition of practical skills in the field of examining a patient, performing minor procedures, and assisting in planned, more extensive procedures. Managing patients in teams prepares students for work in hospitals and, in the case of exercises in clinics, in such specialist clinics. He is taught to keep medical documentation, specialized for the surgery department. The exercises at KMR are devoted to the diagnosis of a surgical patient in terms of qualification for hospitalization and surgical treatment.
Total student workload
1. The workload related to the classes requiring the direct participation of academic teachers is: participation in exercises: 120 hours
Learning outcomes - knowledge
W1: knows the principles of qualification and performance of basic surgical procedures and invasive diagnostic and therapeutic procedures (F K_W03)
W2: knows the rules of perioperative safety, patient preparation for surgery, general and local anesthesia and controlled sedation (F K_W04)
W3: knows postoperative treatment with analgesic therapy and postoperative monitoring; (F K_W05)
W4: knows the genetic, environmental and epidemiological conditions of the most common diseases; (E K_W01)
W5: knows and understands the causes, symptoms, principles of diagnosis and therapeutic management in relation to the most common diseases requiring surgical intervention, taking into account the distinctiveness of childhood, including in particular:
a) acute and chronic diseases of the abdominal cavity,
b) chest diseases,
c) diseases of the limbs and head,
d) bone fractures and organ injuries; (F K_W01)
Learning outcomes - skills
U1: conducts a full and targeted physical examination of an adult patient (E K_U03)
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)
U3: can keep patient's medical records (E K_U38)
U4: adheres to the principles of asepsis and antisepsis; (F K_U03)
U5: imposes peripheral puncture; (F K_U05)
U6: assists in carrying out the following medical procedures and treatments:
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) epidermal tests, h) intradermal and scarification tests, and interprets their results; (E K_U30)
U7: assesses pressure ulcers and applies appropriate dressings; : (E K_U35)
U8 assists in a typical surgical procedure, is able to prepare the operating field and local anesthetize the operated area; (: F K_U01)
U9: can use basic surgical instruments; (F K_U02)
U10: can treat a simple wound, apply and change a sterile surgical dressing (F K_U04)
U11: 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)
U12: can monitor the postoperative period based on basic vital signs (F K_U12)
Learning outcomes - social competencies
K1: Shows respect for the Patient and understanding for worldview and cultural differences (K_K05)
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)
K3: Can establish and maintain a deep and respectful contact with the sick (K_K03 )
Teaching methods
Exercises:
1. exercises at the patient's bedside
2. exercises in the operating room as an assistant
3.exercises in keeping medical records
4. Periodic colloquia from the subjects of surgery
5. Duties at Emergency with the surgeons
Exploratory teaching methods
- case study
- classic problem-solving
- panel
- seminar
- practical
- presentation of a paper
- brainstorming
- laboratory
- expert panels
- situational
Prerequisites
Passing the 5th year surgery examination
Course coordinators
Assessment criteria
nterview with an assistant:
a. Practical part - selected issues in practice (rectal examination, abdominal examination, urinary bladder catheterization, gastric tube insertion and others provided in the syllabus)
b. Theoretical part: discussion of three issues out of five prepared by the assistant, issues taken from LEK
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: