Veidlapa Nr. M-3 (8)
Study Course Description
General Surgery II
Course Code
RKI_020
Branch of Science
Clinical medicine; Surgery
ECTS
4.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Zenons Narbuts
Residency Speciality
Speciality
Surgeon
Supervisor of Medical Speciality
Zenons Narbuts
Contacts
-
About Study Course
Objective
To provide students with and improve their theoretical knowledge and practical skills in general surgery in accordance with the requirements of the surgery speciality regulations in order to prepare the doctor for certification in surgeon’s speciality.
Learning Outcomes
Knowledge
1.- Detailed theoretical knowledge on aetiology, pathogenesis, symptoms, diagnostics, differential diagnostics of congenital and acquired, acute and chronic surgical diseases, as well as indications for conservative and surgical treatment of surgical diseases must be mastered; - diagnostic methods, instruments used in surgery must be learnt.
Skills
1.- to deliver emergency medical assistance in acute cases to a patient with a surgical pathology; - to create a correct diagnostic scheme and treatment tactics for a patient with a surgical pathology; - to perform diagnostic and therapeutic manipulations.
Competences
1.To provide surgical assistance according to the requirements of the Latvian Cabinet of Ministers, the Ministry of Health and the Association of Surgeons. A certified specialist is competent to perform diagnostics of a surgical pathology, conservative and surgical treatment.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
The doctor must master diagnostic methods, instruments and equipment used in surgery, practical skills in performing diagnostic and therapeutic manipulations, as well as practical application of therapeutic methods (surgeries) in patients of a surgical profile according to the scope envisaged by the programme.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Multichoice computer test in a 10-point grade system.
Assessment of practical skills in a 10-point grade system of surgical manipulations.
Appendectomy Long Course - Intermediate on LapSim simulator.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Pediatrics (1) I
Description
Annotation: Neonatal Small Bowel Obstruction.
Meckel's Diverticulum.
Meckel's Diverticulum - Excision.
Appendicitis.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Soft Tissue Neoplasm (1) I
Description
Annotation: Nonmelanoma Skin Cancers.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Small Intestine (1) I
Description
Annotation: Adhesiolysis.
Small Intestinal Obstruction.
Small Intestinal Resection.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Appendicitis and Diverticulitis I
Description
Annotation: Appendicitis.
Appendectomy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Colon Cancer I
Description
Annotation: Colonic Polyps.
Polyposis Syndromes.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Benign Anorectal (1) I
Description
Annotation: Anorectal Abscess - Drainage.
Anorectal Abscess and Fistulae.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Anorectal Neoplasms I
Description
Annotation: Anal Cancer.
Anal Cancer - Excision.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Breast (1) I
Description
Annotation: Breast Mass.
Radiographic Abnormalities.
Benign Inflammatory Disease - Mastitis, Abscess, and Mondor Disease.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Adrenal I
Description
Annotation: Adrenal Mass – Incidental.
Hyperaldosteronism - Primary.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Dysmotility I
Description
Annotation: Functional Disorders of the Intestine.
Paralytic Ileus.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Large Intestine I
Description
Annotation: Colonic Volvulus and Obstruction.
Gastrointestinal Bleeding – Lower.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Thoracic (1) I
Description
Annotation: Malignant Tumors of the Lung: Primary and Metastatic.
Exploratory Thoracotomy – Open and Thorascopic.
Partial Pulmonary Resection - Open and Thoracoscopic.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Abdominal Trauma (3) I
Description
Annotation: Initial Assessment and Management of Trauma.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Gynecology and Obstetrics I
Description
Annotation: Pelvic Inflammatory Disease.
Gynecologic Neoplasms.
Hysterectomy and Salpingo-Oophorectomy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Vascular - Venous I
Description
Annotation: Evaluation of the Swollen Leg.
Varicose Veins.
Venous Stasis/Chronic Venous Insufficiency.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Thoracic (2) I
Description
Annotation: Pleural Effusion/Empyema.
Tube Thoracostomy and Thoracentesis.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Pain and Anesthesia I
Description
Annotation: Anesthesia, General.
Anesthesia, Regional and Local.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Pediatrics (2) I
Description
Annotation: Intestinal Atresia/Stenosis - Repair.
Meconium Ileus - Operation.
Malrotation.
Malrotation - Operation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Esophagus (3) I
Description
Annotation: Hiatal Hernias.
Gastroesophageal Reflux.
Barrett's Esophagus.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Soft Tissue Neoplasm (2) I
Description
Annotation: Soft Tissue Masses - Evaluation.
Skin/Soft Tissue Lesions - Excisional and Incisional Biopsy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Urology I
Description
Annotation: Acute Urinary Retention.
Cystostomy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Shock I
Description
Annotation: Hypovolemic Shock.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Cerebrovascular Disease I
Description
Annotation: Carotid Endarterectomy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Pediatrics (4) I
Description
Annotation: Abdominal Pain - Acute.
Gastrointestinal Bleeding - Lower.
Intussusception.
Intussusception - Operation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Soft Tissue Infection I
Description
Annotation: Cellulitis.
Hidradenitis.
Paronychia and Felon.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Stomach (2) I
Description
Annotation: Gastrointestinal Bleeding - Upper.
Stress Gastritis.
Gastrostomy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Endoscopy I
Description
Annotation: Esophagogastroduodenoscopy.
Lower GI Endoscopy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Breast (3) I
Description
Annotation: Breast Disease During Pregnancy and Lactation.
Breast Cancer - Paget's Disease of the Nipple.
Atypical Hyperplasia, Flat Epithelial Atypia, and Lobular Carcinoma in Situ.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Ventral and Miscellaneous Hernias I
Description
Annotation: Umbilical and Epigastric Hernias.
Ventral Hernia - Repair.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Plastics I
Description
Annotation: Pressure Ulcer.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Pancreas Cysts and Tumours I
Description
Annotation: Cystic Lesions of the Pancreas.
Pancreatic Neoplasms - Endocrine.
Pancreatic Neoplasms - Exocrine.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Neck Trauma I
Description
Annotation: Upper Airway Obstruction.
Tracheostomy.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Pain Management I
Description
Annotation: Acute Pain Management.
|
Total ECTS (Creditpoints):
4.00
Number of Residency Seminars:
33
Length (weeks):
3
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Townsend, Courtney M. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. Elsevier, 2021.
2.
Score
3.
Sade, Robert M. The Ethics of Surgery. New York: Oxford University Press USA - OSO, 2015.
4.
Program, American College of Surgeons Clinical Research, Heidi D Nelson, Kelley K Hunt, and Alliance for Clinical Trials in Oncology. Operative Standards for Cancer Surgery. Lippincott Williams & Wilkins, 2015.
5.
Program, American College of Surgeons Clinical Research, and Matthew Katz. Operative Standards for Cancer Surgery. Philadelphia: Wolters Kluwer, 2018.
6.
Robert M. Zollinger, E.Cristopher Ellison. Zollinger`s Atlas of Surgical Operations. 11th ed. McGraw-Hill, 2022.
7.
Nathaniel J. Soper, Carol E.H. Scott-Conner. The SAGES Manual: Basic Laparoscopy and Endoscopy, Vol.1. 3rd ed., Springer, 2012.
8.
Asensio, Juan A, and Donald D Trunkey. Current Therapy in Trauma and Critical Care. Current Therapy. Philadelphia: Elsevier, 2015.
9.
Adzick, N. Scott, Robert Shamberger, Anthony Caldamone, Jean-Martin Laberge, Arnold G Coran, and Thomas M Krummel. Pediatric Surgery. Elsevier, 2014.
10.
Raymond Fonseca. Oral and Maxillofacial Surgery, 3-Volume Set. 3rd ed., Elsvier, 2016.
11.
Jānis Gardovskis. Ķirurģija. Rīgas Stradiņa universitāte, 2013.
Other Information Sources
1.
Acute Pancreatitis
2.
Breast Reconstruction - Current Techniques
3.
Rectal Cancer - A Multidisciplinary Approach to Management