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Clinical Placement in General Surgery

Code: 106709
Credits: 5
2026/2027
Degree programme Type Course
Medicine OB 6

Contact lecturer

Name :
Natalia Bejarano González
Email :
natalia.bejarano@uab.cat

Teaching staff

Jose Antonio González López
Jose Maria Balibrea Del Castillo
Ramon Vilallonga Puy

Group languages

You can consult this information at the end of the document.

Prerequisites

t is advisable to have basic knowledge of general pathophysiology, the digestive system and blood diseases.
It is also essential to have knowledge of human anatomy, genetics, molecular biology and pharmacology.
Sufficient knowledge of the psychological bases of health and disease states is desirable, as well as an adequate level of knowledge in interpersonal communication and professional behavior.
The student will acquire the commitment to preserve the confidentiality and professional secrecy of the data that he may have access to because of the learning in the assistance services. Also in maintaining an attitude of professional ethics in all their actions

Objectives

The subject corresponds to the last year of the Degree in Medicine (6th year), once the student already knows the scientific foundations of medicine and the different medical and surgical pathologies.


The general objective is for the student to consolidate the previous knowledge and achieve the relevant clinical, communication and scientific information search and handling skills to be able to:

• Recognize the basic health problems and make reasoned proposals for their solution, using the appropriate clinical and biomedical information sources, scientifically interpreting the results obtained

• Communicate with other health professionals, with patients and their relatives, clearly and effectively

• Update knowledge independently.


For this you will need to know:

• Prepare a clinical history in a structured way

• Do a complete physical examination

• Elaborate a reasoned differential diagnosis

• Formulate a diagnostic hypothesis

• Justify the laboratory, imaging or other diagnostic tests that must be ordered Correctly interpret the results obtained with them

• Propose an appropriate treatment Inform the patient and relatives

• Write an explanatory report Use ICT to access clinical and biomedical databases, obtain relevant information and communicate

Learning outcomes

  1. Apply the basic elements of bioethics (patients' rights, doctors' obligations).
  2. Involve patients in decisions on the health-illness process.
  3. Identify the role of primary care in the healthcare system.
  4. Identify the structure, organisation and resources of primary healthcare and the different components of primary healthcare teams.
  5. Apply the theoretical knowledge of the pathology acquired during the bachelor's degree to clinical practice.
  6. Identify the presentation forms of the different pathological processes.
  7. Observe the therapeutic approach, the clinical course and its prevention in cases where this is possible.
  8. Take an active part in care tasks: preparing patient records, requesting complementary studies (laboratory, imaging techniques) when needed and helping to focus the patient record.
  9. Collaborate on simple clinical and surgical manoeuvres after supervised practice on simulators.
  10. Prepare a complete patient record systematically.
  11. Perform an anamnesis and a complete physical examination by systems on adults and children.
  12. Identify the basic rules of pharmacotherapy in adults and children.
  13. Use the genogram as a tool in family care.
  14. Identify the basic elements of the face-to-face doctor–patient interview in a context of high accessibility and longitudinal care.
  15. Describe the communication process and its effect on the professional caregiver–patient relationship.
  16. Explain the elements to be considered when assessing patients' role in decision-making on their health and on the medical attention they receive at their primary healthcare centres.
  17. Identify the different components of non-verbal communication in a context of patient-health professional relationship.
  18. Detect emotions through non-verbal communication in a context of patient-health professional relationship.
  19. Identify basic emotions in primary healthcare patients through the interaction between the different non-verbal components.
  20. Detect how verbal and non-verbal behaviour can be linked in a context of patient-health professional relationship.
  21. Analyse the limitations to the interpretation of behaviour from non-verbal comunication.
  22. Participate in discussions to solve the clinical problems being faced.
  23. Communicate appropriately with patients and their family-members.
  24. Correctly describe the criteria for hospitalisation.
  25. Draft medical instructions, reports on consultations and treatment, official reports and certificates.
  26. Know the basic elements of the communication of clinical research results.
  27. Access the healthcare protocols for the different components of the pathology.
  28. Consult patient records appropriately and keep them in order.
  29. Analyse patient records systematically.
  30. Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  31. Be able to work in an international context.
  32. Communicate clearly, orally and in writing, with other professionals and the media.
  33. Use information and communication technologies in professional practice.

Contents

Rotation by General Surgery service:


As part of the rotation, and in variable distributions depending on the possibilities and needs of the rotation, the student should participate in:

Surgical teams, take clinical histories, admission notes, establish a patient's problems and come up with a differential diagnosis, a therapeutic strategy.


Assistance in the operating theatre, hospital ward, outpatient clinic, emergency room, clinical sessions.

The solution of clinical, diagnostic and therapeutic problems

The search for clinical and biomedical information (transversal block)

Develop communication skills (transversal block)

Learning activities and methodology

Title Hours ECTS Learning outcomes
CLINICAL CARE 68 2.72
PERSONAL STUDY 30 1.2
READING PAPERS 10 0.4
DRAW UP WORKS 10 0.4

Coordinator

Natalia Bejarano González, natalia.bejarano@uab.cat


Hospital Managers:

UD Hospital de Sant Pau

José Antonio González Lopez, joseantonio.gonzalez@uab.cat


UD Hospital Vall d'Hebron

Ramon Vilallonga Puy; ramon.vilallonga@uab.cat


UD Hospital Germans Trias and Pujol

José María Balibrea del Castillo; josemaria.balibrea@uab.cat


UD CCS Parc Taulí

Natalia Bejarano González, natalia.bejarano@uab.cat


• Contents 5 credits (125h)

Directed activities; attendance 54.4% (68h)

Rotations for the General Surgery service (PCAH) 68 h

The students will join a surgical team of the General Surgery service and will rotate for 3 weeks. These rotations will preferably be done in the morning hours.

The specific calendars and timetables for each rotation will be established in each teaching unit and will be announced on the corresponding website.


The rotation includes activities related to the operating room and surgical procedures in open surgery, laparoscopic, robotic, major and minor ambulatory surgery, on the hospital floor, emergencies and outpatient consultations as well as in areas of functional tests that are done in surgery: manometry, endorectal ultrasounds.


Independent activities (50h)

Comprehensive reading of texts and articles

Study and realization of schemes

Summary and conceptual assimilation of contents

Preparation of presentations and deliveries

Preparation ACOEs theoretical and practical content

Preparation of clinical cases

Reading care protocols

Bibliographic consultation recommended multimedia


Assessment (7h)

Continuous assessment rotation (4h30)

Oral presentation of a clinical case (30 min)

ACOES Proportional Part (2h)


For this subject, the use of Artificial Intelligence (AI) technologies is allowed exclusively in support tasks, such as bibliographic or information searches, text correction or translations. The student must clearly identify which parts have been generated with this technology, specify the tools used and include a critical reflection on how these have influenced the process and the final results of the activity. The lack of transparency in the use of AI in this assessable activity, will be considered a lack of academic honesty and may lead to a partial or total penalty in the grade of the activity, or greater sanctions in serious cases.


Exceptionally and according to the criteria of the responsible teaching staff, the available resources and the current health situation in the different Teaching Units, part of the content corresponding to the theoretical lessons,practicalsand seminars may be taught face-to-face or virtually.


Note: 15 minutes of a class will be set aside, within the schedule established by the center/degree, for students to fill in surveys to evaluate the performance of the teaching staff and to evaluate the subject/module

Annotation: within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.

Assessment

Continuous assessment activities

Title Weight Hours ECTS Learning outcomes
Practical assessment: structured objective clinical assessment (ACOEs) 40% of the final mark 2 0.08 1, 2, 3, 4, 5, 6, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 26, 29, 30, 31, 32, 33
Practical evaluation 60% of final mark 5 0.2 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

This subject does not provide for the single assessment system.


Assessment:

Rotation 60%:

Continuous assessment of rotation 36% *

Clinical case presentation 24% **

ACOEs 40%:

Practical part 20%

Theoretical Part 20%


* Rotation: During the surgical hospital rotation, clinical histories, admission notes, list of problems, differential diagnoses and other activities that the area manager deems appropriate will be evaluated, such as attendance at clinical sessions/ hospital conferences


Rating Notes *

Attendance and punctuality 1-5

Attitude 1-4

Participation and integration 1-3

Initiative 1-2

Communication 1-3

* the student will be considered Apt if he achieves a total score equal to or greater than 11/17


DEFINITIONS OF THE DIFFERENT DIMENSIONS

Attendance and punctuality: it will be assessed that the students have attended regularly on all the days of the rotation and that they have given notice in case of absence.

Attitude: it will be valued that the student is willing to learn, that he knows and reviews the clinical cases, that he asks questions and shows a positive attitude towards learning.

Participation and integration: The responsibility of the students in the tasks that the tutor asks of them, the ability to work in a team and the opinions they contribute in a session or in other assistance activities will be assessed.

Initiative: It will be assessed if the student is curious to learn, read the protocols of the service, the diagnostic and treatment guides.

Communication: It will be assessed if the student is able to synthesize and communicate a clinical case to team mates in a clinical session of the service.


**Presentation of Surgical Clinical Cases: Clinical case presentation followed during the rotation will be evaluated, both the written report/summary and the oral presentation.


Students who do not take the assessment tests detailed above, including the ACOES, will be considered as Not Assessed, exhausting their rights to enroll in the subject. Specialsituations will be assessed individually by a committee that includes the people responsible for the different areas involved in this subject.



Bibliography

GENERAL: Recommended for all subjects studied throughout the course and especially those of the Basics of Clinical Surgery and MiC III, V and VI.

Software

No specific software required.

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