MC/0308 - GENERAL SURGERY II - SECOND PART
Academic Year 2021/2022
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ADOLFO PISANU (Tit.)
- Teaching style
- Lingua Insegnamento
|[40/39] MEDICINE AND SURGERY||[39/00 - Ord. 2015] PERCORSO COMUNE||8||140|
BASIC KNOWLEDGE AND COMPREHENSION CAPACITY: The student is required to know the epidemiology, risk factors and principal clinical manifestations of surgical diseases. Additionally, the student is required to know the major diagnostic tools and therapeutic approaches for such diseases.
APPLICATION CAPACITIES: the student must be able to apply both diagnostic and therapeutic strategies of surgical diseases. In addition, he is required to critically analyze and evaluate alternative hypothesis and differential diagnosis. The student must therefore be able to rationally and efficiently choose among the available diagnostic tools in order to reach a final and correct diagnosis and to subsequently choose the right therapy.
AUTONOMY JUDGEMENT: The student will learn to acquire and integrate anamnestic and instrumental data in order to formulate a diagnostic judgement in the context of surgical diseases.
COMMUNICATION CAPACITY: The student will learn to present relevant data regarding a specific clinical case and to properly expose the development of diagnostic pathways and the results of therapeutic interventions.
COMPREHENSION CAPACITY: The student will learn to acquire new information and to enforce his cultural background in a critical way through the consultation and interpretation of recent scientific literature.
Knowledge of Anatomy, pathophysiology, and anatomic pathology.
The student must have undergone the Exams of Methodology and General Surgery I
The course is during two years: the fifth semester of the fifth year, the sixth semester of the year with frontal lessons and theoretical-practical didactic activity (workshops and lanes). The second half of the 6th year is entirely devoted to practical activities in the ward. Optional courses with seminars, monograph courses and essentially internships in the department (variables from 15 days to 1 year) are also provided.
The students, divided into two channels depending on the number (even and odd), are followed by the same General Surgery professor at the 5th and 6th year: therefore every teacher will take the course one year at V and one year at VI.
GENERAL SURGERY II COURSE PROGRAM
1. HERNIAS: generality, inguinal hernia, femoral and incisional hernia
2. ESOFAGUS: diverticulitis, gastro-esophageal reflux, acalasia, carcinoma
3. STOMACH: Peptic ulcer and complications, gastric carcinoma
4. DIVERTICULAR COLONIC DISEASE
5. MESENTERIC INSUFFICIENCY
6. COLORECTAL CANCER AND POLYPS
7. ANORECTAL PATHOLOGY: fissures, perianal fistulas and abscess, hemorrhoids
8. ANAL CANCER
9. ACUTE APPENDICITIS
10. INTESTINAL OCCLUSION
11. GASTROINTESTINAL BLEEDING
12. ACUTE ABDOMEN
13. ACUTE DIFFUSE PERITONITIS
14. BILE STONES
15. BILIARY CARCIMOMAS
16. BENIGN LIVER TUMORS: abscesses and pseudo-abscesses, idatidosis
17. MALIGNANT LIVER NEOPLASMS: benign, primitive and secondary malignant tumors
18. BENIGN PATHOLGY OF THE PANCREAS: pancreatitis, cysts and pseudocysts
19. PANCREAS CARCINOMA AND PANCREATIC NEOPLASMS
20. BREST CANCER AND PATHOLOGY
21. SARCOMAS OF SOFT TISSUES
22. ADDOMINAL TRAUMA, CHEST AND HEAD TRAUMA
23. PATHOLOGY OF THE THYROID AND PARATHYROID OF SURGICAL INTEREST: goiter, thyroid cancer, hyperparathyroidism
24. ADRENAL PATHOLOGY OF SURGICAL INTEREST: adrenal insufficiency, adrenal hyperfunction, tumors
25. SPLEEN PATHOLOGY
26. CLINICAL CASES AND FILL IN THE CLINICAL CHARTS
Emergency surgery program:
1. The wounds
2. Acute peritonitis
3. Bowel occlusion
4. Digestive bleeding
5. Acute pancreatitis, complications of peptic ulcer
6. Traumas of the abdomen
7. Traumas of the thorax, pneumothorax
8. Emergencies from ruptured aneurysm, thrombosis, embolism
The entire course will include both frontal lectures presented through PowerPoint presentations and clinical practice through the attendance of clinical ward, day hospital, clinic and operating theatre.
To meet specific educational needs related to the epidemiological situation, the possibility of live streaming lessons or recordings of the same available online is provided.
Furthermore, the exercises can be carried out by means of remote interaction forms with the available IT supports.
Teaching will be contemporary held both by frontal lesson and online, delineating a joint teaching that could be held both in university classrooms or through online education activities. Each student is required to choose between frontal or distance lessons at the beginning of the semester. This will be a binding choice for the entire semester. If the number of the students exceeds the maximum classroom seating capacity, determined by the state sanitary regulations to fight the Covid-19 pandemics, the access to the didactic units will be regulated though a rounding system that will be communicated in time to the interested students.
Verification of learning
The final exam will be based on a written (preliminary) and oral (final) test.
The written (preliminary) exam will be composed of multiple-choice questions.
The oral (final) exam will include 2 or 3 open questions on some different topics present on the program that could be also presented as clinical cases.
In both cases, the maximum final grade that could be achieved is 30. The exam will be considered as passed if at least a grade of 18/30 has been achieved.
The comprehension of course covered topics, as well as the ability to formulate valid diagnostic hypothesis and to verify them through an opportune and valuable diagnostic planning, will be evaluated. The knowledge of non specialistic therapies for the examinated pathologies will also be evaluated. Finally, the expression capacity, the use of appropriate scientific language and the ability to synthetize information will be assessed.
The final grade will take into account:
Manifested quality of the knowledge, capacities and competences:
a) Knowledge pertinence, accuracy and consistency
b) Capacity pertinence, accuracy and consistency
c) Competences pertinence, accuracy and consistency
a) Expressive capacity.
b) Appropriate and correct use of specific discipline-related language.
c) Logic reasoning capabilities in contents connection.
e) Ability to create links between different topics focusing on common points, and to make a general coherent speech, taking care of the structure, organization and logic connections of the speech.
f) Ability to synthetize information.
The final grade can be:
a) Sufficient (18 to 20/30)
Scarcity of acquired notions, superficial level of knowledge with numerous gaps, simple expressive capacities but sufficient to sustain a coherent speech. The capacity to link different topics lays at an elementary level. Scarce ability to synthetize and to interact with the professor during the interview.
b) Decent (21 to 23)
Reasonable quantity of acquired notions, but scarce in-depth analysis. Few knowledge gaps. Expressive capacities adequate to sustain a coherent speech and acceptable scientific language fluency. The ability to logically link different topics lays at a moderate complexity level. Adequate ability to synthetize and to interact with the professor during the interview.
c) Good (24 to 26)
Wide knowledge, moderate in-depth analysis, with little gaps; satisfying expressive capacities and significative scientific language fluency; well recognizable ability to dialog and acceptable critical sensibility. Good ability to synthetize and to interact with the professor during the interview.
d) Very good (27 to 29)
Extensive and deeply analyzed knowledge, with only negligible gaps; notable expressive capacities and high scientific language fluency; remarkable ability to dialog and inclination to synthetize and to interact with the professor during the interview.
e) Excellent (30)
Exceptionally extensive and deeply analyzed knowledge, eventually with irrelevant gaps. Very high expressive capacities and scientific language fluency, excellent ability to dialog, exceptional inclination to create links between different topics, outstanding ability to synthetize and to interact with the professor during the interview.
The laude will be awarded to the candidates that demonstrate to be remarkably above the average, whose eventual expressional, conceptual, logical and notional limits result to be mainly irrelevant.
Chirurgia Generale a cura di Francesco MINNI edito da Zanichelli
Dionigi: Chirurgia: basi teoriche e chirurgia generale, IV ed., Masson Ed.
Sabiston: Trattato di Chirurgia, Delfino Ed.
Norton et al.: Surgery: basic science and clinical evidence, Springer
Scuderi, Rubino: Chirurgia Plastica, Piccin Ed.
The exam registrations will take place through ESSE3 platform.
The exam could be sustained by all the students who attended at least 70% of the total frontal lectures hours and at least 50% of each lesson module and after a complete attendance of all hours required for the practical professionalizing activity.
Interactive teaching site:
Cagliari Hospital-University Hospital:
Ospedale S.Giovanni di Dio