General Surgery 3/6

General Surgery Course Director: Prof. Andrzej Budzyński M.D., Ph.D. (andrzej.budzynski@uj.edu.pl)
3/6 General Surgery Coordinator /contact: Prof. Aleksander Konturek M.D., Ph.D. (okont@mp.pl), Doc. J. Kenig M.D., Ph.D. (jkenig@cm-uj.krakow.pl)
Address: 3rd Chair of General Surgery, 35-37 Pradnicka str. Tel.: 12 633 19 95

Lectures and exercises are held at the Didactic and Conference Centre of the Jagiellonian University Medicall College, 16 Łazarza str. 31-530 Kraków.

Bedside teaching are held at the 3rd Department of General Surgery Jagiellonian University Medical College, 35 Pradnicka str. 31-202 Kraków

Goals of education: To acquaint the student with various diseases which may require surgical intervention, particularly of the acute abdomen spectrum and the breast cancer and the melanoma. And to train the student to analyse the disease history, be able to do a thorough physical examination of the surgical patient (particularly with the acute abdomen) and know the basic knowledge of trauma patient treatment, types of shock, water-electrolyte balance, nutrition and wound healing. Moreover, the student should be able to perform basic surgical procedures listed in the learning objectives.

Topic of seminars and bedside teaching: Surgery with anatomy

Learning objectives: General Surgery Clinicals

Medical knowledge:

  • Define, list of symptoms, and propose diagnostic plan of “acute abdomen”;
  • List the most important items of history taking and clinical exam relevant to surgical patient;
  • Diagnose symptoms of hypovolemia, hypovolemic/septic shock, suggest diagnostic and treatment plan (including basic calculation of iv drip infusion);
  • Diagnose and suggest treatment plan of acid-base disturbances;
  • Diagnose symptoms of malnutrition. Propose enteral/parenteral nutritional plan;
  • Know basic types of the wound, stages of healing process, and surgical management of
    the wound;
  • Know aetiology and symptoms, propose diagnostic and treatment plan of most common
    “acute abdomen” diseases: acute appendicitis, acute cholecystitis, gastrointestinal obstruction, acute pancreatitis, perforation of the gastrointestinal tract, diverticulitis, acute mesenteric ischemia, cholangitis;
  • Know aetiology and symptoms, propose diagnostic and treatment plan of upper and lower gastrointestinal tract bleeding;
  • Know non-surgical causes of “acute abdomen”;
  • Know principles of the first aid in the trauma patients (primary survey according to the ATLS protocol;
  • Be familiar with the common surgical procedures (diagnostic laparoscopy/laparotomy,
    appendectomy, cholecystectomy, hernia treatment);
  • Be familiar with the common endoscopic procedures (gastroscopy, colonoscopy,
    endoscopic retrograde cholangiopancreatocgraphy);
  • nterpret the basic elements of surgical documentation (patient’s chart, fluid balance chart);
  • Basic elements on surgical oncology (c/s/p/y/TNM, R0/1/2 resection, multimodal
    treatment of cancer, symptoms and diagnostic of breast cancer and skin melanoma);

Skills:

  • Take the history and perform the clinical exam relevant to acute abdominal diseases
    (acute appendicitis, acute cholecystitis, acute pancreatitis, ileus, perforation of the
    digestive tract);
  • Take the history and perform the clinical exam relevant to abdominal hernia (inguinal, femoral, umbilical and incisional);
  • Proper sterile surgical technique in regard to gowning, gloving, scrubbing;
  • Basic of surgical wound closure, application of surgical dressings and postoperative
    wound care;
  • Knowledge and competency in using local anaesthesia;
  • Knowledge of the basic types of drains and catheters;
  • Removal of the surgical drains;
  • Informed consent for basic acute surgical procedures;

Social competence:

  • Co-operation in the medical and nursing team

Conditions of gaining credit: Presence at the seminars and practical exercises.

Assessment methods and criteria for this course: Evaluation of the skills by the assistant. Final written exam with half open questions.

Bibliography: Principles and Practice of Surgery, 7e by O. James Garden

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