UNIVERSITY OF ZAGREB SCHOOL OF MEDICINE. Plan of the course. Surgery - Integrated Course. Academic year 2017/2018. izv. prof. dr. sc.

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1 UNIVERSITY OF ZAGREB SCHOOL OF MEDICINE Plan of the course Surgery - Integrated Course Academic year 07/08

2 I. COURSE AIMS To provide students with an introduction to the scope of in the management of human disease, and the role of in the treatment of pathology within the various systems of the body To provide the student with a solid foundation in the general topics of General Surgery and some of the surgical specialties To provide a broad exposure in a variety of settings to teach the surgical principles To provide each student with first hand bedside, ambulatory clinic, and operating room experience with surgical patients To teach a systematic approach to the diagnostic work-up and evaluation of these patients. Emphasis is placed on the understanding of disease processes as they relate to basic science principles, as well as on the diagnosis, operative treatment, postoperative management, and rehabilitation of surgical patients. To direct and guide them to focus on the prime importance of patient care. LEARNING OUTCOMES At the end of the course students should be able to: Perform a comprehensive history and physical examination as well as a focused examination as it pertains to surgical problems, i.e. emphasis on abdominal, vascular and thoracic with breast examinations, the systematic approach to the trauma patient Integrate the basic sciences with experiences Focus on formation of differential diagnoses and work-up and begin to understand treatment Know how and when to refer a surgical patient Focus on principles of management rather than on procedural details Develop specific motor skills utilized in Demonstrate ability to scrub, gown, and glove, and maintain proper sterile techniques in the surgical setting. Demonstrate knowledge of and proper usage of commonly used surgical instruments Perform introductory surgical skills (OSCE): Primary wound management, suturing lacerations and surgical wounds Surgical dressings Removal of sutures, drains and tubes Demonstrate indications for and insertion of nasogastric tube and daily care II. COURSE STRUCTURE Course hours: Lectures: 0 : 0 : 0 Total hours: 70 Surgery - integrated course (General +pediatric + neuro) The surgical course is a six-week program with content organized in three different parts. During first two weeks students have mostly classroom activities. Third week is introduction to clinic (ward and OR) while forth week is performed in operating room. Fifth and sixth week are neuro and pediatric. Lectures (L): General 0 h + pediatric 5h = 5h s ( S ): Genreal 0 h + pediatric 5h + neuro 8h = h Practicals ( P ) : General 0 h + pediatric 5h + neuro 7h = h

3 Total: General 70h + Pediatric 5h + Neuro 5h = 00h Students office in Old Educational Center, Rebro, coordinates the required administrative back- up for the course. For more information, call Students office Rebro at 0/ 9 or send an to: dagmar.stafa@mef.hr III. PLAN OF THE COURSE AND COURSE SCHEDULE BLOCKS OF THE COURSE Number of blocks: Block number Start End BLOCKS OF THE COURSE Number of blocks: Block number Start End BLOCKS OF THE COURSE SHEME Block Monday 09:0-0:5; Lectures Fractures: diagnosis & treatment 0:5-:00; Lectures Spine injuries :00-:5; Lectures Limb elongation & joint dislocations :00-:5; Lectures General and regional anesthesia Tuesday..08. :5-:0; :0-:5; 09:0-0:5; 0:5-:00; :00-:5; :00-:5; Lectures Ostemyelitis Lectures Pelvic injuries Lectures Joint luxation. Polytrauma. Bandages, surgical instruments, suturing materials. Methods of immobilizations in traumatology & closed treatment of fractures dr. sc. Tonisav Antoljak dr. sc. Tonisav Antoljak doc. dr. sc. Ante Sekulić Tomislav Žigman, dr. dr. sc. Tonisav Antoljak dr. sc. Tonisav Antoljak

4 Wednesday Thursday Friday :5-:0; :0-:5; :5-5:00; 09:5-0:00; 0:00-0:5; 0:5-:0; :0-:5; :0-:5; :5-:00; :00-:5; 09:5-0:00; 0:00-0:5; 0:5-:0; :0-:5; :0-:5; :5-:0; :0-5:5; 09:5-0:00; 0:00-0:5; 0:5-:0; :5-:0; Lectures Hepatic & transplantation Lectures Ileus Lectures Stomach and duodenum Lectures 7. Spleen Preoperative case presentation Abdominal C olorectal cancer & Inflammatory bowel disease doc. dr. sc. Goran Augustin doc. dr. sc. Goran Augustin doc. dr. sc. Goran Augustin doc. dr. sc. Goran Augustin Lectures Biliary tract 5. Acute abdomen. Anal and anorectal region diseases Lectures. Hernias, appendicitis & laparoscopic Preoperative case presentation C ardiac Ischemic heart disease, valvular heart disease & valvular replacement: biological or prosthetic valve dr. sc. Petar Matošević doc. dr. sc. Hrvoje Silovski Ognjan Deban Lectures Heart transplantation 8.Thoracic aortic aneurysms and dissections, Surgical treatment of infective endocarditis Lectures Mediastenum diseases & chest injuries Lectures Lungs, pleurae & lung transplantation Lectures Esophagus, diaphragm & toracoscopic Preoperative case presentation C ardiac 9. Congenital heart disease in adult & children 0. Extracorporeal circulation physiology & mechanical circulatory support. Pacemaker in cardiac & surgical treatment of cardiac arrhythmias prof. dr. sc. Dinko Stančić-Rokotov dr. sc. Zoran Slobodnjak dr. sc. Zoran Slobodnjak Dražen Belina, dr. Dražen Belina, dr.

5 Monday..08. Tuesday..08. Wednesday..08. Monday :0-:5; 09:5-0:00; 0:00-0:5; 0:5-:0; :5-:0; :0-:5; :5-:00; 09:0-0:5; 0:5-:00; :00-:5; :5-:0; 09:5-0:00; 0:00-0:5; 0:5-:0; :0-:5; :5-:00;. Surgery for heart failure Preoperative case presentation Vacular Lectures Acute ischemia & vascular injuries Lectures C hronic ischemia - arterial occlusive disease. Varicose veins: venous thrombosis. Aortic aneurisams & of carotide arteries 5. Lower limb amputations Lectures Burns & skin grafting: local flaps. Melanoma 7. Hand examination & hand injuries Lectures Hand transplantation Preoperative case presentation Plastic 8. Sex reassignment 9. Breast examination & diagnostic tools 0. Breast tumors, sentinel lymphnode in breast cancer, breast reconstruction with prosthetic material and autologous tissue. Facial & breast aesthetic, lipofilling in plastic Meštrović Mladen Petrunić Mladen Petrunić Mladen Petrunić Mladen Petrunić Meštrović doc. dr. sc. Krešimir Bulić doc. dr. sc. Krešimir Bulić Orehovec, dr. Orehovec, dr.

6 Tuesday Wednesday Torakalna :0-:5; Torakalna :00-:5; One day Preoperative case presentation - Plastic One day Preoperative case presentation -Thoracic Orehovec, dr. doc. dr. sc. Hrvoje Silovski Orehovec, dr. Orehovec, dr.

7 Thursday..08. Friday..08. Torakalna 8 :00-:5; Torakalna :0-:5; 08:0-:0;, 7 8 One day Preoperative case presentation -Trauma One day Preoperative case presentation -C ardiac doc. dr. sc. Hrvoje Silovski Orehovec, dr. Orehovec, dr.

8 Tuesday..08. Wednesday Torakalna 5:0-:0; Hitna 08:0-:0;, 09:00-5:00; 7 09:00-5:00; 8 09:00-5:00; 09:00-5:00; 09:00-5:00; Torakalna 5:0-:0; Hitna 08:0-:0;, 5 09:00-5:00; 8 09:00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; 5 One day One day One day doc. dr. sc. Goran Augustin Orehovec, dr. doc. dr. sc. Goran Augustin Orehovec, dr.

9 Thursday Friday Torakalna 5:0-:0; Hitna 08:0-:0;, :00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; Torakalna 5:0-:0; Hitna 08:0-:0;, :00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; 5 09:00-5:00; One day Anto Dujmović, dr. doc. dr. sc. Goran Augustin Orehovec, dr.

10 Monday..08. Tuesday :00-5:00; 09:00-5:00; 5:0-:0; Hitna 08:0-:0;, :00-5:00; 09:00-5:00; 5 09:00-5:00; 09:00-5:00; 09:00-5:00; 7 09:00-5:00; 09:00-5:00; 5:0-:0; Hitna 08:0-:0;, 09:00-5:00; 09:00-5:00; 09:00-5:00; 5 One day One day dr. sc. Tonisav Antoljak dr. sc. Petar Matošević Orehovec, dr. dr. sc. Tonisav Antoljak dr. sc. Petar Matošević

11 Wednesday..08. Thursday :00-5:00; 09:00-5:00; 8 09:00-5:00; 09:00-5:00; 5:0-:0; Hitna 08:0-:0;, :00-5:00; 5 09:00-5:00; 7 09:00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; 5:0-:0; Hitna 08:0-:0;, 09:00-5:00; 8 8 One day One day Orehovec, dr. dr. sc. Petar Matošević Orehovec, dr. dr. sc. Tonisav Antoljak

12 Friday :00-5:00; 8 09:00-5:00; 7 09:00-5:00; 09:00-5:00; 09:00-5:00; 09:00-5:00; 08:0-:0;, 5 09:00-5:00; 7 09:00-5:00; 09:00-5:00; 09:00-5:00; 8 09:00-5:00; 09:00-5:00; 09:00-5:00; 5 One day One day dr. sc. Petar Matošević Orehovec, dr. dr. sc. Petar Matošević Orehovec, dr. IV. EXAMINATIONS Students are allowed to miss up to 0% of lectures and seminars from (0 school hours). Neuro and pediatric classes of all types cannot be missed. Practical classes cannot be missed and need to be made up entirely. In order for students to approach the written exam, after successfully finishing the course, they have to pass the Pediatric

13 (pass/fail), Neuro (pass/fail) and suturing (signature in the index). Final exam consists of MCQ written test and oral part. Final grade is average from written and oral grade. Grades: Excellent (5), very good (), good (), satisfactory (), fail (). Exam terms: written exam is going to be held on Mondays and the oral exams are going to be in that week. st exam term: March th, 07 nd exam term: May 8th, 07 rd exam term: June th, 07 th exam term: September th, 07 V./I. LIST OF LECTURERS AND TEACHING STAFF. izv. prof. Luetić.. Mladen Petrunić. Mate Škegro 5. doc. dr. sc. Goran Augustin. doc. dr. sc. Krešimir Bulić doc. dr. sc. Hrvoje Silovski 9. Meštrović 0. dr. sc. Marko Bogović. Anto Dujmović, dr.... prof. dr. sc. Dinko Stančić-Rokotov 5.. doc. dr. sc. Bojan Biočina doc. dr. sc. Goran Mrak 0. doc. dr. sc. Darko Chudy. Orehovec, dr.. doc. dr. sc. Ante Sekulić. doc. dr. sc. Miroslav Vukić. prof. dr. sc. Božidar Župančić

14 V./II EXTERNAL ASSOCIATES:. prof. dr. sc. Mate Majerović. dr. sc. Tonisav Antoljak. Stanko Ćavar. Ognjan Deban 5. Mladen Duduković. dr. sc. Petar Matošević 7. Irena Šnajdar, dr. 8. dr. sc. Zoran Slobodnjak 9. Dražen Belina, dr. 0. Suzana Sršen-Medančić. Sergej Marasanov. mr. sc. Zdravko Heinrich. prof. dr. sc. Pavle Miklić. Andrej Desnica 5. Hrvoje Jednačak, dr.. dr. sc. Kristian Kunjko 7. Ivana Sabolić Pipinić 8. Hrvoje Kisić, dr. 9. Tomislav Baotić 0. Josip Figl, dr.. Željko Djaković. Jurica Žedelj, dr.. Tin Ehrenfreund, dr.. Goran Pavlek, dr. 5. Stjepan Ivanković, dr.. Daniel Rajačić 7. dr. sc. Branko Bogdanić V./III UNTENURED LECTURERS:.. Emil Kinda, dr.. Tihomir Kekez, dr.. Željko Jelinčić, dr.

15 5. Tomislav Žigman, dr.. Vedran Cesarec, dr. 7. prof. dr. sc. Marin Stančić 8. dr. sc. Zlatko Fiolić 9. dr. sc. Nikica Daraboš VI. LITERATURE Text Book. Andrew Goldberg, Gerard Stansby ( eds.) Surgical talk : revision in. nd edition. London, Imperial College Press, 005. It is very useful for an overview, but should not be the sole source of a student s reading.. Schwartz. Principles of. is the definitive text. It contains more than we expect you to learn during your -week rotation. Use the Curriculum Outline to direct your reading. Selected chapters E- Books & Ovid:. Greenfield's Surgery: Scientific Principles and Practice Editor: Mulholland, Michael W.; Lillemoe, Keith D.; Doherty, Gerard M.; Maier, Ronald V.; Upchurch, Gilbert R. Publisher: Lippincott Williams & Wilkins Edition: th Edition ISBN: Handouts for seminars and practical work. Surgical discussions: Discussions will be specific to surgical topics. Student articipation is mandatory throughout the all weeks rotation.