Surgery

The aim of Surgery course is to introduce students to basic principles and fundamental concepts of surgical science and practice.

1. Study of general surgical principles and examinations.
2. Etiology, clinical manifestation, differential diagnosis and diagnostic procedure in general surgery.
3. Principals of operative techniques.
4. Basic courses in abdominal, cardiovascular, thoracic, orthopedic, neurosurgery, pediatric surgery and urology.

The goal of the course is to train future medical doctors to recognize symptoms of surgical disease and to use adequate diagnostic procedures in order to initiate therapeutic procedure. Special emphasis is placed on identifying urgent surgical conditions. During the course students should accept practical procedure that can be used in every day medical practice.

Curriculum

Attending surgery lectures and practical is obligatory and it comprises 402 school lessons. From this number, 20 lessons are organized in the Simulation centre in groups of about 20 students according to the separate schedule. Practical are organised in groups of no more than 10 students.

Theoretical lectures & topics:

IX Semester

Shock, collapse, CPCR

Anesthesia

Fluid and electrolyte imbalance, blood transfusion

Diagnostic procedures in surgery

Trauma,wound                       

Bleeding and hemostasis

Esophagus

Stomach and duodenum

Small bowel, appendix

Billiary surgery

Liver

Pancreas

Colon

Rectum, anus

Abdominal wall hernias

Acute abdomen

Intestinal obstruction

Tumors of lung, pleura & mediastinum

Chest trauma

Acute ischemia of the extremities

Aneurysmal disease

Coronary disease

Acquired heart anomalies

Chronic ischemia of the extremities

Vein diseases

Congenital heart anomalies

Heart tumors, PM implantation

Burns

X Semester

Skin tumors

Ortopedic surgery – introduction

Injuries / upper extremities

Injuries / spinal cord

Injuries / pelvis and hip

Injuries / lower extremities

Skeletal infections

Tumors of locomotor system

Spinal column / developmental disorders

Hip deseases / disorders

Locomotor system / developmental disorders

Pediatric surgery – introduction

Neonatal surgery

Pediatric abdominal surgery

Pediatric urology

Pediatric plastic / reconstructive surgery

Pediatric thoracic surgery

Pediatric ortopedics

Pediatric cardiac surgery

Craniocerebral injuries, IC hypertension

Cerebrovascular diseases

CNS tumors

Spinal cord – degenerative diseases

CNS – congenital disorders

Injuries & peripheral nerve diseases

Breast surgery

Melanoma

Injuries & infections of urinary tract

Urinary calculosis

Diseases of the prostate

Kidney and bladder tumors

Thyroid and parathyroid surgery

Adrenal and endocrine pancreatic surgery

Surgical site infections – epidemiology

Epidemiology of injuries

Suggested Surgery textbook:

Bailey and Love’s short practice of Surgery, 28th edition, autori P.R. O’Connel, A.W. McCaskie, i R.D. Sayers, CRC Press 2023, Taylor and Francis Group, Boca Raton FL

Test and final grade

The test consists of 100 questions.

There are 60 less difficult questions with single correct answer, and for each correct answer the student gets 0.5 points, 30 points in total.

There are 40 difficult questions with two or more correct answers, and for each completely correct answer the student gets 1 point, 40 points in total. Note that for partially correct answer no points are obtained.

Therefore, the maximum number of points for the test is 70. Time limit for test completion is 100 minutes.

Final grade in Surgery is calculated as a sum of pre- final test activities, with 30 points in total (maximum 10 for both colloquia, 20 in total, and 10 for class attendance), and final test result, with 70 points in total, as shown in the formula:

Final points (max 100) = colloquiums 1&2 (20 points max) + activities (all have 10 points) + test (70 points max)

Colloqium takes place  in December and  April in the amphitheatre of the Second Surgical Clinic .