Selected Speciality - Paediatric Surgery 1655-Lek6SP5-J

By assigning the student to the treatment team, the student will participate in the diagnostic and therapeutic process from beginning to end. The student is required to be theoretically prepared for classes in the field of treated disease entities and planned surgical procedures, at least in terms of the anatomy of the region/area operated on. Balance of student workload: - participation in exercises: 180 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 12 ECTS points

Student knows and understands: W1: (F.W2) selected issues in paediatric surgery, including traumatology and otolaryngology, as well as acquired defects and diseases in children requiring surgical intervention W2: (F.W1) causes, symptoms, and principles of diagnosis and treatment of the most common diseases requiring surgical intervention, with regard to the specificity of childhood diseases, particularly: 1) acute and chronic diseases of the abdominal cavity 2) thoracic diseases 3) limb and head diseases 4) bone fractures and organ injuries W3: (F.W3) principles of referring for and performing basic surgical procedures and invasive diagnostic andtreatment procedures, as well as their most common complications W4: (E.W6) most common life-threatening emergencies in children and relevant management procedures W5: (E.W3) causes, symptoms, and principles of diagnosis and treatment of the most common childhood diseases: 1) rickets, tetany, seizures, 2) heart defects, myocarditis, endocarditis, pericarditis, cardiomyopathy, arrhythmias, heart failure, arterial hypertension, syncope, 3) acute and chronic upper and lower respiratory tract diseases, congenital disorders of the respiratory system, tuberculosis, cystic fibrosis, asthma, allergic rhinitis, urticaria, anaphylactic shock, angioedema, 4) anaemia, haemorrhagic diathesis, bone marrow failure, childhood cancer, including common solid tumours in children, 5) acute and chronic abdominal pain, vomiting, diarrhoea, constipation, gastrointestinal bleeding, ulcer diseases, non-specific bowel diseases, pancreatic disorders, cholestasis and liver diseases, other acquired diseases and congenital defects of the gastrointestinal tract, 6) urinary infections, congenital disorders of the urinary system, nephrotic syndrome, nephrolithiasis, acute and chronic renal failure, acute and chronic nephritis, systemic kidney diseases, urination disorders, vesicoureteral reflux, 7) growth disorders, thyroid and parathyroid diseases, adrenal diseases, diabetes, obesity, sexual maturation and gonadal function disorders, 8) infantile cerebral palsy, encephalitis and meningitis, epilepsy, 9) most common childhood infectious diseases, 10) genetic disorders, 11) connective tissue diseases, rheumatic fever, juvenile arthritis, systemic lupus, dermatomyositis W 6: (E.W4) concepts of: battered child syndrome, sexual abuse, mental impairment, behavioural disorders: psychosis, addiction, eating and excretion disorders in children

Student is able to: U1: (F.U6) examine the breasts, lymph nodes and thyroid glands, examine abdominal cavity for acute abdomen, and perform a digital rectal examination U2: (F.U1) provide assistance during common surgical procedures, prepare the operating area and administerlocal anaesthesia to the surgical site U3: (F.U2) operate basic surgical tools U4: (F.U3) follow the principles of asepsis and antisepsis U5: (F.U4) dress a simple wound, apply and change a sterile surgical dressing U6 (F.U22) identify symptoms of increased intracranial pressure U7: (G.U5) instruct individuals receiving healthcare services in their fundamental rights and explain the legal basis for those services U8: (E.U30) provide assistance in performing the following medical procedures: a) transfusion of blood products and derivatives, b) pleural drainage, c) pericardiocentesis, d) paracentesis, e) lumbar puncture, f) fine needle biopsy, g) epidermal patch testing, h) intradermal and scarification testing, and interprets their results

Student demonstrates: K1 (K_K04) ability to consider patients’ well-being as a priority; K2 (K_K05) ability to observe medical confidentiality and other patient rights; K3 (K_K06) ability to implement the principles of professional colleagueship and cooperation in a team of specialists, including representatives of other medical professions, also in a multicultural and multinational environment;

Exercises: • demonstration with instruction • short story • talk • searching methods: exercise, exchange of ideas, - classic problem, paper, situational method

- display

- discussion
- problem-based lecture

- practical
- brainstorming
- classic problem-solving
- case study

- methods referring to authentic or fictitious situations
- content-presentation-oriented methods

The subject Pediatric Surgery as part of the "Selected Specialty" is intended for a few students interested in deepening their knowledge of surgical treatment of various diseases in patients of developmental age (from neonatal age to 18 years of age). Students deciding to choose a subject are required to have basic or even in-depth knowledge of the pathophysiology of surgical diseases, including the knowledge acquired so far during their studies. Knowledge of the basic principles of surgical treatment, asepsis and antisepsis, the genetic basis of tumor development, embryology and congenital defects, and broadly understood basic pediatric diseases, in particular in terms of the developmental age-specific reaction to the infectious process and trauma, is expected.

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 grouped into five main sections of pediatric surgery:
1. Issues related to neonatal surgery
2. Issues regarding oncological surgery in children
3. Issues related to traumatology in children
4. Issues related to general surgery in children with elements of thoracic surgery and pediatric urology
5. Issues related to basic surgical techniques

Oral test - pass (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.

Assessment criteria:
Student can obtain 25 points max, course is passed if the student receive >=60%)
<14 pts: failed
=> 15 pts: passed
15-17 pts - 3.0 - satisfactory (60-75%)
18-19 pts - 3,5 satisfactory plus (75-80%)
20-21 pts - 4,0 good (80- 88%)
22-23 pts - 4,5 good plus (88 - 95%)
24-25 points - 5,0 very good (95-100%)

Additional information (registration calendar, class conductors, localization and schedules of classes), might be available in the USOSweb system:

• Description of 1655-Lek6SP5-J in USOSweb