General Surgery I (MED402) Course Detail

Course Name Course Code Season Lecture Hours Application Hours Lab Hours Credit ECTS
General Surgery I MED402 8. Semester 18 18 0 6 10
Pre-requisite Course(s)
N/A
Course Language English
Course Type Compulsory Departmental Courses
Course Level Bachelor’s Degree (First Cycle)
Mode of Delivery Face To Face
Learning and Teaching Strategies Lecture, Discussion.
Course Coordinator
Course Lecturer(s)
Course Assistants
Course Objectives To gain competence on management at the primary care level of common diseases / problems that require surgical / interventional treatment in adult patients (preliminary diagnosis / diagnosis, treatment / first intervention, preventive measures, referral, follow-up). In addition, to gain the knowledge and skills necessary to recognize the critical patient and apply the basic and advanced life support steps.
Course Learning Outcomes The students who succeeded in this course;
  • Takes the patient’s anamnesis composed of the main complaint, resume, family history, and system queries using effective communication techniques.
  • Performs physical examinations for the whole systems.
  • Selects the diagnostic tests for the purpose using the knowledge of diagnostic methods / tests / tools and features, and interprets the results.
  • Evaluates the patient's anamnesis, physical examination and diagnostic test results. Sorts and decides the preliminary diagnosis / diagnosis.
  • At the level of primary heath care, plans appropriate treatment to diagnosis, writes prescription, applies the measures of follow-up and prevention, shares the care plans with the patient and his / her relatives about the treatment and follow-up plan, and when necessary refers appropriately.
  • Recognizes emergency surgical situations / diseases, applies first intervention and refer the patient appropriately.
  • Diagnoses the critical patient (whose life is at risk), and monitors his/her vital signs.
  • Diagnoses the cardiopulmonary arrest, and performs the basic and advanced life support steps.
  • Opens airway to patients who have respiratory and airway problems.
  • Provides the circulatory support (chest compressions, intravenous route opening, fluid therapy, blood transfusion).
  • Performs the basic medical interventions for surgical diseases (local anesthesia, superficial suturing and taking, abscess drainage, wound-burn care, etc.).
  • Applies the measures of prevention and early diagnosis of cancers (breast and colorectal) that are frequently seen, and informs the individuals.
  • Keeps the medical records of patients in writing and electronically as appropriate and organizes epicrisis.
  • Communicates effectively with patients, relatives, colleagues and other healthcare professionals.
  • Works effectively with colleagues and other medical staff.
  • Evaluates his/her individual and professional competencies, and improves his/her professional performance through continuous learning.
  • Evaluates his/her individual and professional competencies, and improves his/her professional performance through continuous learning.
  • Searches literature in the direction of the defined purpose, and critically evaluates, organizes and presents the information that is reached.
  • Behaves in the direction of ethical principles in patient management and adopts an evidence-based approaches.
  • Knows the current health system and legislation, and acts in accordance with the legislation.
Course Content Surgical diseases ofabdominal and endocrine organs and related systems; wound healing; IM, IV, SC, ID injection, nasogastric catheter application, urinary catheter placement, superficial suturing skills.

Weekly Subjects and Releated Preparation Studies

Week Subjects Preparation
1 Introduction to surgery Neuroendocrine response to wound healing and trauma Treatment of fluid-electrolyte Acid-base balance, Surgical infections, Benign diseases of the stomach and duodenum, gastroesophageal reflux Abdominal wall hernias Asepsis-antisepsis, sterilization, disinfection Fluid-electrolyte balance disorders and treatment Treatment of acid-base balance and disorders General and problem-based story taking; Evaluation of general condition and vital signs Consent Sampling for culture; Nazogastric catheter application Seminar -
2 Abdominal trauma Acute abdomen Peritonitis, intraabdominal infections, Multisystem organ dysfunction, Septic shock Bleeding - transfusion Acute intestinal obstruction and ileus, Surgical diseases of the small intestine Asepsis-antisepsis, sterilization, disinfection Post-surgical wound care Hand washing Epicrisis preparation; Preparing a patient file; Prescription regulation; Evaluation of direct radiographs; Interpreting the results of screening and diagnostic purposes; Making IM, IV, SC, ID injection Abdominal examination; Urinary catheter placement The first approach and treatment planning for the critical patient; Cardiopulmonary resuscitation Seminar -
3 Esophageal cancer and varicose vein bleeding Gastric cancer Primary and metastatic tumors of the liver, Cholelithiasis Acute and chronic cholecystitis Benign surgical diseases of the liver and liver hydatid cyst, Primary and methastatic tumors of the liver Benign diseases of the pancreas, Exocrine and endocrine tumors of the pancreas Portal hypertension and surgical diseases of the spleen, Retroperitoneal tumors and malignant mesenchymal tumors Suture Seminar -
4 Acute appendicitis Benign surgical diseases of the colon Digital rectal examination Enemas Seminar -
5 Surgical diseases of the adrenal gland Obesity surgery Surgical diseases of the parathyroid gland Neuroendocrine tumors Surgical diseases of thyroid Benign breast diseases and precancerous lesions Breast cancer Examination of the breast and axillary region Self breast examination learning and teaching Seminar -
6 Basic principles of transplantation, organ transplantation Skin cancers, malignant melanoma Retroperitoneal tumors and malignant mesenchymal tumors Lymphatic system diseases and lymphedema Venous thromboembolism Varicose veins and vascular malformations aneurysms Lower limb ischemia Vascular trauma Peripheral arterial and functional vascular diseases Mesenteric vascular diseases Skin and soft tissue abscess opening Wound-burn care; Exam -

Sources

Course Book 1. Sabiston Textbook of Surgery (20th Edition); Courtney M. Townsend Jr, R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox; Elsevier, Philadelphia, 2017.
2. Schwartz's Principles of Surgery (10th edition); F. Charles Brunicardi,‎ Dana K. Andersen,‎ Timothy R. Billiar,‎ David L. Dunn,‎ John G. Hunter,‎ Jeffrey B. Matthews, ‎Raphael E. Pollock; McGraw-Hill, New York, 2014.
3. Textbook of Critical Care (7th Edition); Jean-Louis Vincent, Edward Abraham, Patrick Kochanek, Frederick Moore, Mitchell Fink; Elsevier, Philadelphia, 2016.

Evaluation System

Requirements Number Percentage of Grade
Attendance/Participation - -
Laboratory - -
Application 5 25
Field Work - -
Special Course Internship - -
Quizzes/Studio Critics - -
Homework Assignments - -
Presentation - -
Project - -
Report - -
Seminar - -
Midterms Exams/Midterms Jury - -
Final Exam/Final Jury 1 75
Toplam 6 100
Percentage of Semester Work
Percentage of Final Work 100
Total 100

Course Category

Core Courses X
Major Area Courses
Supportive Courses
Media and Managment Skills Courses
Transferable Skill Courses

The Relation Between Course Learning Competencies and Program Qualifications

# Program Qualifications / Competencies Level of Contribution
1 2 3 4 5
1 Integrates and utilizes the information, skills, and approaches obtained from basic, clinical, and medical sciences, behavioral sciences, and social sciences when offering healthcare services. X
2 Offers healthcare services to patients with a biopsychosocial approach where the sociodemographic and sociocultural backgrounds of these individuals are taken into consideration, focusing on the universal human values, ethical principles, and professional duties; without exercising discrimination on the basis of language, religion, race, or sex. X
3 Aims to protect, improve, and develop individual and public health when offering healthcare services. X
4 Performs the necessary studies in sustaining and improving health, taking into the individual, public, social, and environmental factors to affect it. X
5 Trains healthy individuals/ patients, their relatives, and other healthcare workers in healthcare upon determining the features, requirements, and expectations of their target audience. X
6 Exercises a safe, rational, and effective approach in the procedures of prevention, diagnosis, treatment, follow-up, and rehabilitation; while offering healthcare services. X
7 Implements interventional and/or non-interventional practices in a way that is safe and effective for patients during the procedures of diagnosis, treatment, follow-up, and rehabilitation. X
8 Offers healthcare services taking into account the health and safety of patients and employees. X
9 Takes the regional and global changes in physical and socioeconomic settings to affect health, as well as the changes in the individual features and behaviors of patients referring to them into account, while offering healthcare. X
10 Takes the good medical practices into account while performing their duties. X
11 Undertakes the tasks and duties within the framework of their professional ethical rules, as well as their legal rights and duties. X
12 Stands for the improvements in the manner in which healthcare services are offered, taking into account the concepts of social reliability and social duty, in an effort to protect and improve individual and public health. X
13 Evaluates the effects of health policies and healthcare practices on public health indicators, and, where required, amends their evaluation on the grounds of scientific and social needs; in an effort to help improve the quality of healthcare services. X
14 Leads their healthcare team while offering healthcare services, in a participative, and collaborative manner. X
15 Establishes positive relationships within their healthcare team; and where needed, easily adapts to various positions among their team. X
16 Exercises effective communication with patients, the relatives of patients, healthcare professionals, and groups from other professions, as well as institutions and organizations. X
17 Plans and conducts scientific studies on the society to which they serve, and use the results of these, or those from other studies, to benefit the society. X
18 Accesses the current literature on their profession, and evaluates them with a critical approach.
19 Chooses the correct sources of learning to improve the healthcare services that they offer, and regulates their own learning process.
20 Demonstrates the skills of obtaining and evaluating new information, integrating newer pieces of information with their current ones, as well as adapting to changing conditions throughout their professional life.

ECTS/Workload Table

Activities Number Duration (Hours) Total Workload
Course Hours (Including Exam Week: 16 x Total Hours) 6 18 108
Laboratory
Application 6 18 108
Special Course Internship
Field Work
Study Hours Out of Class 5 2 10
Presentation/Seminar Prepration
Project
Report
Homework Assignments
Quizzes/Studio Critics
Prepration of Midterm Exams/Midterm Jury
Prepration of Final Exams/Final Jury 4 6 24
Total Workload 250