
Paediatric Surgery
Code: 103606Credits: 3
| Degree programme | Type | Course |
|---|---|---|
| Medicine | OP | 5 |
Contact lecturer
- Name :
- Alba Martin Lluis
- Email :
- alba.martin@uab.cat
Teaching staff
- Natalia Alvarez Garcia
Group languages
You can consult this information at the end of the document.
Prerequisites
5th year students.
The student will undertake the commitment of preserving the confidentiality and professional secrecy of the communities that will have access to the apprenticeships of the departments.
Objectives
- To present the most common pediatric surgical conditions, including their epidemiology, embryology, diagnostic criteria, and treatment.
- To introduce pediatric surgery as a specialty primarily focused on congenital malformations.
- To integrate students into pediatric surgical clinical practice across different healthcare settings, including inpatient care, surgery, emergency care, and outpatient clinics.
- To provide basic knowledge and skills in performing simple sutures.
Pediatric Surgery is officially defined in Spain by RD 2015/78 of 15 July when the training of medical specialists begins with an open competition, training program and accreditation of centers to teach postgraduate teaching.
With the appearance of the mentioned Decree all the National Commissions of the diverse medical specialties and the National Council elaborate the first regulated and unified formation plans. These training plans were slightly modified in 1984.
Pediatric Surgery is defined as: "Medical-surgical specialty of the period of human life ranging from conception to adolescence. Its scope covers all aspects of Surgery that concern Pediatrics."
Following this definition, Pediatric Surgery includes the surgical conditions of pediatric age. Pediatric Surgery is in Pediatrics as is General Surgery, Urology, Thoracic Surgery, Gynecology and Plastic Surgery in Internal Medicine.
The obligation to teach a certain subject to motivate the training of the specialists of the future of our country makes it convenient that the knowledge be transmitted by the professionals who have care responsibilities in the field to which we refer.
Learning outcomes
- Identify the ethical bases for decision-making in the field of surgery.
- Transmit the information on the surgical procedure to be performed and draw up a document of informed consent.
- Manage the information available and set levels of discussion in multidisciplinary groups.
- Back decision-making with the best scientific evidence.
- Anticipate and compare information for good decision-making.
- Participate in the whole process of patient-care, from diagnosis to aftercare.
- Justify decisions taken based on the information obtained.
- Enumerate the alarm signs that require urgent attention to the patient.
- Identify emergency situations and establish an order of priorities.
- Distinguish the implications of different interventions regarding functional and morphological changes.
- Describe the mechanisms of action of physical and chemical agents on the organism.
- Further investigate the risk factors of morbidity and mortality in operations.
- Make a critical analysis of the objectives to be achieved with surgery, contrasting this with the adverse effects that may be involved.
- Encourage the search for answers to the questions that arise during surgery.
- Critique original or review scientific papers.
- Evaluate the appropriate scientific methodology for a biomedical paper.
- Use the specific bibliographic sources that will help to develop further one's knowledge.
- Build diagnostic and therapeutic algorithms based on the best scientific evidence, taking into account the facilities available.
- Establish a working hypothesis and its objectives.
- Choose the best possible research design to respond to the hypothesis put forward.
- Define the statistical methodological bases.
- Formulate and discuss the results obtained.
- Present results orally or in writing.
- Identify funding sources and set up a budget.
- Obtain the most important data, both on the illness being treated and on factors influencing morbidity and mortality.
- Adapt the therapy procedure and the surgical technique, if appropriate, in accordance with the available data.
- Approach the physical examination not only from the diagnostic perspective, but also the therapeutic perspective, with special emphasis on surgical procedures.
- Use the scales that assess the general (physical and mental) state of the patient.
- Integrate all pre-operative information for decision-making.
- Calculate the surgical risk indices, both general and by apparatus, and adjust the indications accordingly.
- Categorise emergency situations in accordance with the available indices of seriousness.
- Perform the initial assessment automatically and acknowledge the actions that require an immediate response.
- Distinguish the bases of the different surgical specialisations to integrate and lead the treatment in acute and chronic patients with multiple conditions.
- Estimate the risks and benefits of the various therapy options.
- Provide clear, comprehensible information on the therapy options to patients and their families.
- Choose a therapy option in accordance with available information and patient preference.
- Recognise when a patient is in the terminal phase and avoid therapeutic obstination.
- Identify all prophylactic measures to reduce indices of morbidity and mortality to the minimum.
- Provide the bases for preparing clinical guides and constructing diagnostic and therapeutic algorithms.
- Apply basic surgical manoeuvres in practice with simulated models.
- Gather information and select the most important facts about the patient, both in normal visits and emergencies.
- Transmit information clearly and accurately, leaving no room for possible misunderstandings.
- Establish rapport as the first important step in all medical procedures, both in elective and emergent situations and leave a written record of the information transmitted and the wishes of the patient.
- Describe biomedical bibliographic databases and ways to filter the information provided.
- Choose content in accordance with the rules of evidence-based medicine.
- Identify the legal bases for creating, maintaining and using databases that contain medical information.
- Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
- Convey knowledge and techniques to professionals working in other fields.
- Be able to work in an international context.
- Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
- Formulate hypotheses and compile and critically assess information for problem-solving, using the scientific method.
- Demonstrate basic research skills.
- Use information and communication technologies in professional practice.
- Acknowledge the importance of research to medical progress.
Contents
CLASS 1
Course introduction.
Trauma in the pediatric population.
CLASS 2
Surgical oncology in pediatric patients.
CLASS 3
Pediatric Urology I. Obstructive uropathy: ureteropelvic junction obstruction, obstructive megaureter, posterior urethral valves. Vesicoureteral reflux. Neurogenic bladder.
CLASS 4
Pediatric Urology II. Bladder exstrophy. Epispadias. Hypospadias. Disorders of sexual differentiation.
CLASS 5
Cervicofacial pathology: cleft palate and cleft lip. Congenital cysts and fistulas of the face and neck. Thyroglossal duct cyst.
CLASS 6
Abdominal pathology and the inguinal canal. Omphalocele. Gastroschisis. Inguinal hernia. Hydrocele. Other hernias. Cryptorchidism. Acute scrotum.
CLASS 7
Thoracic pathology I: congenital malformations of the airway. Pulmonary sequestration. Congenital lobar emphysema. Chest wall anomalies.
CLASS 8
Thoracic pathology II: embryological and anatomical review. Esophageal atresia. Congenital diaphragmatic hernia.
CLASS 9
Esophagogastric pathology. Gastroesophageal reflux. Achalasia. Hypertrophic pyloric stenosis. Hepatic pathology: biliary atresia. Choledochal cyst. Cholelithiasis.
CLASSES 10 & 11
Suturing workshop.
CLASS 12
Intestinal pathology I: meconium ileus. Hirschsprung disease. Anorectal malformations.
CLASS 13
Intestinal pathology II: intestinal atresias. Malrotation. Midgut volvulus. Gastrointestinal tract duplications. Meckel's diverticulum. Appendicitis. Intussusception.
CLASSES 14 & 15
Clinical cases.
Learning activities and methodology
| Title | Hours | ECTS | Learning outcomes |
|---|---|---|---|
| ASISTENCIAL CLINICAL PRACTICES (PCAh) | 15 | 0.6 | 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54 |
| Theory lecture. Practical evaluations.Simulations. Mini-clinical evaluation exercise (mini-CEX) | 45 | 1.8 | 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 |
| Lessons | 15 | 0.6 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39 |
This Guide describes the framework, contents, methodology and general rules of the subject, in accordance with the current curriculum. The final organization of the subject in terms of the number and size of groups, distribution in the calendar and dates of exams, specific criteria for evaluation and review of exams, will be specified in each of the Hospital Teaching Units (HTU), who will explain this through their web pages and the first day of class of each subject, through the teachers responsible for the subject in the UDH. For the current academic year, the professors appointed by the Departments as responsible for the subject at Faculty and HTU level are:
Faculty manager: Alba Martín Lluís (amartinll.germanstrias@gencat.cat)
| SP HTU Manager | UDHVH | UDGTiP | UDHPT |
| NO SE OFERTA | Manuel López Paredes manuel.lopez@vhebron.net | Alba Martín Lluís amartinll.germanstrias@gencat.cat | Bernardo Nuñez García bnunez@tauli.cat |
General teaching methodology:DIRECTED TEACHING TYPES: (20% Theory and 20% Asistencial Clinical Practices)Theory (TEtypology). Scheduled sessions 15 (1 hour per session).Asistencial Clinical Practices (PCAh typology)Period of unregulated curricular internships corresponding to studies in the field of health, during which students experiment in a real context and acquire specific skills under the direct supervision of UAB teaching staff and/or external professionals involved.
Suture course (1h)TUTORIALSTutorials will not be counted as contact hours, but can be scheduled and performed individually or in groups, in the teachers 'office, in teaching spaces or using ICT, and the student must be informed of the teachers' opening hours. .SELF-EMPLOYED WORK (60% total 45 hours).Comprehensive reading of texts and articles, study and realization of schemes, summary and conceptual assimilation of the contents. Preparation of presentations and deliveries.EVALUATION
Exceptionally and according to the criteria of the responsible teachers, the resources available and the health situation of each moment in the different Teaching Units, part of the contents corresponding to the theoretical lessons, practices and seminars may be taught in person or virtually.
The use of Artificial Intelligence (AI) technologies is not permitted at any stage of this course. Any assignment containing AI-generated content will be considered a breach of academic integrity and may result in partial or total grade penalties, or more severe disciplinary measures in serious case
Assessment
Continuous assessment activities
| Title | Weight | Hours | ECTS | Learning outcomes |
|---|---|---|---|---|
| Assistance and active participation in healthcare practicum, Theory lecture. Practical evaluations.Simulations. Mini-clinical evaluation exercise | 40% | 0 | 0 | 2, 6, 10, 14, 22, 23, 26, 27, 29, 33, 40, 41, 42, 43, 47, 48, 50 |
| Case report | 20% | 0 | 0 | 29, 41, 42 |
| Attendance and active participation in class and in seminars | 40% | 0 | 0 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54 |
- Class attendance must be at least 80% in order to obtain 40% of the final grade for the elective course (4 out of 10 points).
- Students must complete 15 hours of practical work to obtain another 40% of the final grade for the elective course (4 out of 10 points).
- The remaining 20% of the grade will be obtained through the presentation of a case study (written and oral), which can be done individually or in pairs.
- There will be no exam for the elective course (an exam option will be offered to students who do not reach 50% of the total score through the other components).
The regulations governing academic progression in official undergraduate and master's degree programs at the Universitat Autònoma de Barcelona replace the grade of "not presented" with "not assessable." This implies the exhaustion of the rights associated with enrollment in the course.
Bibliography
1. Pediatric Surgery
By: Scorpio, Ronald J; Coppola, Christopher P; Kennedy, Alfred P; Morton. Springer International Publishing. ISBN: 978-3-319-04339-5, 978-3-319-04340-1. Health & Medicine (General). Springer eBooks (Medicine 2014) 2014
2. Pediatric Surgery
By: Coventry, Brendon J; Morton. Springer Verlag London Ltd. ISBN: 978-1-4471-5438-9, 978-1-4471-5439-6, 978-1-306-69237-3, 978-1-4471-5439-6. Health & Medicine (General). Springer eBooks (Medicine 2014) 2014
3. Ashcraft's Pediatric Surgery
By: Holcomb; George Whitfield Holcomb III. W B Saunders Company. ISBN: 978-1-4160-6127-4. Health & Medicine (General). ScienceDirect eBooks (CSUC) 2013
4. An Illustrated Guide to Pediatric Surgery
By: Al-Salem, Ahmed H. Springer International Publishing. ISBN: 978-3-319-06664-6, 978-3-319-06666-0, 978-3-319-06665-3. Health & Medicine (General). Springer eBooks (Medicine 2014) 2014
5. Symptoms and Signs in Pediatric Surgery
By: Kaiser, Georges L; Lesny. Springer Berlin Heidelberg. ISBN: 978-3-642-31160-4, 978-1-283-93504-3, 978-3-642-31161-1. Health & Medicine (General). Springer eBooks (Medicine 2012) 2012
6. Diagnostic and Interventional Ultrasound in Pediatrics and Pediatric Surgery
By: Scholz, Stefan; Jarboe, Marcus D; Hruska. Springer. ISBN: 978-3-319-21698-0, 978-3-319-21699-7. Health & Medicine (General). Springer eBooks (Medicine 2016) 2016
7. Fundamentals of Pediatric Surgery: Second Edition
By: Mattei, Peter; Muratore, Christopher S; Rollins, Michael D; Nichol, Peter F; Hruska. Springer. ISBN: 978-3-319-27441-6, 978-3-319-27443-0. Health & Medicine (General). Springer eBooks (Medicine 2017) 2017
8. Pediatric Thoracic Surgery
Girolamo Mattioli, Paolo Petralia, Michele Torre, Editors. Ed. Girolamo Mattioli, Paolo Petralia, and Michele Torre. Cham, Switzerland: Springer, 2021.
9. Pediatric Digestive Surgery
By: Lima, Mario; Rizza. Springer. ISBN: 978-3-319-40523-0, 978-3-319-40525-4. Health & Medicine (General). Springer eBooks (Medicine 2017) 2017
10. Jones' Clinical Paediatric Surgery
By: Hutson; Chichester. John Wiley & Sons Incorporated. ISBN: 978-1-118-77731-2, 978-1-118-77728-2, 978-1-118-77729-9, 978-1-118-77730-5. Health & Medicine (General). Wiley Online Library Books EBS 2018 2015
Software
Course groups and languages
The information provided is provisional until November 30. After this date, you will be able to consult the language of each group through this link. To access the information, you will need to enter the course CODE