Medical Doctor Education Program

Sylabus

Course title Surgery I

Faculty Faculty of Medicine
Level of education One-cycle educational program, VII semester
Course lecturers Professor – Archil Aladashvili E-mail: archil.aladashvili@eu.edu.ge
Invited lecturer - Irakli Phiphia E-mail : pipia.irakli@eu.edu.ge
Course status Compulsory
The aim of the course The course aims to teach students: common surgical diseases and their
etiology and pathogenesis and their clinical manifestations and
complications. Clinical research methods and surgical treatment strategies
and techniques.
ECTS 5 ECTS credits (1 credit = 25 hours) - 125 hours.
Among them:

49 hours Student’s contact hours, including:

15 hours Lecture
30 hours Group work – practical training
2 hours Mid-term
2 hours Final exam

76 hour Student’s independent work

s

Semester consists of 20 weeks, including:

15 - Training weeks, 5 – Session weeks.
Training weeks are used for lectures / group works and related activities
and practical trainings.
Sessions weeks are devoted to the mid-term / final exams.

Mid-term exam will be held on the 8th week of the academic semester.
The final exam will be held on the 17th - 18th week of the semester.
Additional exam is conducted on the 19th - 20th week of the semester and
must be held within 10 day period after the final exam date.
Prerequisites Topographical anatomy and operative surgery
Learning outcomes 1. Knowledge and understanding:
The student knows / understands:
• etiology, pathogenesis, diagnosis methods of deep and systemic levels of
common surgical diseases, which will allow the student to realize the
pathological process and carry out diagnostics;
• surgical treatment methods on deep and systemic levels, that can help the
student in determining relevant surgical treatment tactics and methods in
accordance with the diagnose.

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 •

2. The ability to apply knowledge in practice:

The student is able to:

• diagnose and create a treatment plan based on a critical analysis of the

history and examination results;
• Treatment of injuries and bandaging

3. Ability to make inference:

The student is able to:
• Diagnosis and treatment scheme based on the analysis and
examination.
4. Communication skills:
The student is able to:
• Effective verbal and non-verbal communication with the patient, keeping
a writing record of the patient history.

5. Values
The student is able to:
• Protecting the patient confidentiality and the patient’s interests in
accordance with the professional ethics.
The content of learning See Appendix 1
course

The format of the learning The training process uses following methodology:
course Lecture: - provision of the training materials to the students in a
systematic and orderly manner; discussion and explanation of any topic or
subject at issue. The training course will be held in an interactive lecture
format using presentations. Classes are held using demonstration
materials (atlases, posters, medicine, exhibits, etc.) and the use of modern
computer technology.
Practical trainings – students’ individual work on practical types of
problems or on themes based on seminars, in accordance with the course
program;
Students' independent work: time spent for successful completion of the
course curriculum, which includes learning the basic and supplementary
literature, studying, understanding the daily tasks and homework, and
preparation for midterm and final exams.
Teaching and learning Practical trainings will be evaluated using the following methods:
methods • Lecture – explaining new topic and clarifying obscure materials
• Interactive Lecture (based on past materials, when explaining new
topic involvement of students in a lecture, recalling old materials, and
finding solutions to the posed issues)
• Discussion – (to develop students' activity and reasoning skills, to
develop their own ideas for discussion and help clear up the issue in
depth)
• Visual aids - slide show, atlases, posters, charts, demo products, power
point presentations.
• Verbal Method - verbal presentation of the material – talking about the

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 material on a particular issue, answering the questions;
• Demonstration of practical skills - examination of the patient, data
registration, scheduling testing methods, interpretation of test results,
conducting differential diagnosis, determining the type diagnosis and
determine the appropriate treatment plan.
• Analysis – based on the specific case prescribing the relevant medicine
and determining pharmacokinetics and pharmacodynamics.
The student's independent work includes learning the provided materials;
understanding and analyzing; if necessary, researching additional
materials using computer technology.
Evaluation criteria: Components of evaluating student knowledge:

Assessment components:
Assessment sum 100%/max. 100 points
Among them:
Mid-term evaluations Max 60 points
Among them:
Oral presentation of theoretical material maximum 30 points
Presentation maximum 10 points
Midterm maximum 20 points
Final Exam maximum 40 points

1. Oral presentation of the material

The student will be evaluated 3 times and can get max. 30 points per
semester;

2. Presentation – 10 points, once during the semester.

Presentation prepared by the student will be evaluated with the
following ranking:
9-10 points: The answer is complete; The issue is conveyed accurately and
comprehensively; Student knows the subject very well, has mastered the
basics of literature.
• 6-8 points: The answer is complete, but limited; Correct terminology;
The issue is presented in a comprehensive manner; There is a fundamental
error; Student knows the subject very well; Have mastered the basic
literature. • • 5-6 points: The answer is incomplete; The issue is
satisfactory;The terminology is insufficient; The student owns the
program material, but there are few errors.
• 3-5 points: The answer is incomplete; The terminology is incorrect;
material is set out in part; The student has sufficiently mastered the
literature; Marked a fundamental error.
• 1-2 points: The answer is insufficient, the terminology is not used or is
not appropriate; The answer is essentially correct. The only relevant issue
is set out in the separate fragments.
• 0 points: the answer to the question is not relevant or is not given.

3. Mid-term exam:
Mid-term exam includes 20 MSQs, each for 1 point.

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 4. Final exam:
The final exam will be in written form. Final exam consists of 40 closed
questions , each for 1 point;
Evaluation system Student's knowledge will be assessed with a 100-point system. The
maximum score is 100 points. Prerequisite for receiving credit is obtaining
at least 51 points from 100.

The evaluation system

Points Evaluation
91%-100% A Excellent
81%-90% B Very good
71%-80% C Good
61%-70% D Satisfactory
51%-60% E Poor/ sufficient
41-50% Fx Did not pass (In order to pass, the student needs to do
independently and is given the opportunity to retake
more time)
0-40% F Failed( The work that the student has done is not eno
should retakethe course)
Administrative Notes  On the first lecture of the course, the lecturer is obliged to inform the
students on the work requirements of the program and the strategies
for the proceeding work.
 The student must:
 Carefully study the course syllabus.
 Comply with the requirements set forth in the syllabus (to comply
with homework, prepare for seminars and practical work, testing,
presentation, etc.).
Required Books 1. Shvartz, Shires, Spencer - PRINCIPLES OF SURGERY 9th
edition, 2010
2. Bailey and Love’s – Short practice of Surgery - 2018 27th ed. by
Norman S Williams, Christopher J.K. Bulstrode, and P Ronan
O'Connell
3. NMS Surgery-2016
Language of instruction English

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 Appendix 1
The content of learning course
N Subject (lectures, group work and practical work sessions)
(Lecture - 1 hour, practical training - 2 hours)

.The Thyroid gland

Learning objectives

•• To understand the development and anatomy of the

I thyroid gland
•• To know the physiology and investigation of thyroid
function
•• To be able to select appropriate investigations for
thyroid swellings
•• To know when to operate on a thyroid swelling
•• To describe thyroidectomy
•• To know the risks and complications of thyroid surgery
(Lecture - 1 hour, practical training - 2 hours)
Week 2
The parathyroid glands
Learning objectives
To understand:
•• The anatomy of the parathyroid glands
•• The physiology of calcium regulation
•• The underlying causes of hypercalcaemia and
II appropriate emergency management
•• The aetiology, presentation, investigation and
management of primary hyperparathyroidism and
associated special cases
•• The aetiology, presentation, investigation
and management of secondary and tertiary
hyperparathyroidism
•• The aetiology and management of parathyroid
carcinoma

(Lecture - 1 hour, practical training - 2 hours)

Week 3
The adrenal glands and other abdominal endocrine disorders
Learning objectives
To understand:
III •• The anatomy and function of the adrenal and other
abdominal endocrine glands
•• The diagnosis and management of these endocrine
disorders
•• The role of surgery in the management of these
endocrine disorders

IV (Lecture - 1 hour, practical training - 2 hours)

Week 4 – lecture - 1 hour
The Breast
Learning objectives
To understand:
•• Appropriate investigation of breast disease
•• Breast anomalies and the complexity of benign breast
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 disease
•• The modern management of breast cancer
(Lecture - 1 hour, practical training - 2 hours)
Week 5
Cardiac surgery
V Learning objectives
To understand:
•• The important role of surgery in cardiac disease
•• The role of investigation in planning surgery
•• The management of coronary heart disease
(Lecture - 1 hour, practical training - 2 hours)
Week 6
Cardiac surgery
VI Learning objectives
•• The role of surgery in valvular heart disease
•• The special role of surgery in congenital heart disease
•• The management of aortic vascular and pericardial
disease
(Lecture - 1 hour, practical training - 2 hours)
Week 7
The Thorax
VII Learning objectives
To understand:
•• The anatomy and physiology of the thorax
•• Investigation of chest pathology
2 hour midterm
Session
Mid-term exam
week
(preparation material – covered materials from week I including week VII)
(Lecture - 1 hour, practical training - 2 hours)
Week 8
The Thorax
VIII Learning objectives
•• The role of surgery in pleural disease
•• The assessment of patients requiring lung surgery
•• Surgical oncology as applied to chest surgery

(Lecture - 1 hour, practical training - 2 hours)

Week 9
Arterial disorders
Learning objectives
To understand:
IX •• The nature and associated features of occlusive
peripheral arterial disease
•• The investigation and treatment options for occlusive
peripheral arterial disease
•• The principles of management of the severely ischaemic
limb

X (Lecture - 1 hour, practical training - 2 hours)

Week 10

Lymphatic disorders
Learning objectives
To understand:
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 •• The main functions of the lymphatic system
•• The development of the lymphatic system
•• The various causes of limb swelling
•• The aetiology, clinical features, investigations and
treatment of lymphoedema

(Lecture - 1 hour, practical training - 2 hours)

Week 11
Venous disorders
Learning objectives
To understand:
XI •• Venous anatomy and the physiology of venous
return
•• The pathophysiology of venous hypertension
•• The clinical significance and management of superficial
venous reflux
•• The management of venous ulceration
•• Venous thromboembolism
(Lecture - 1 hour, practical training - 2 hours)
Week 12
History and examination of the abdomen
Learning objectives
To understand:
•• The pathway for clinical diagnosis of a patient
presenting with an abdominal complaint
XII •• The importance of recognising the organ or system
responsible for the clinical features
•• The pathophysiological basis of common abdominal
symptoms and signs
To identify:
•• Leading questions based on the organ or system
affected and reach the most likely differential diagnosis
•• The relevant physical signs and come to an appropriate
clinical diagnosis
(Lecture - 1 hour, practical training - 2 hours)
Week 13
Abdominal wall, hernia and umbilicus
Learning objectives
XIII To know and understand:
•• Basic anatomy of the abdominal wall and its weaknesses
•• Causes of abdominal hernia
•• Types of hernia and classifications
•• Clinical history and examination findings in hernia

(Lecture - 1 hour, practical training - 2 hours)

Week 14
Abdominal wall, hernia and umbilicus
Learning objectives
XIV
•• Complications of abdominal hernia
•• Non-surgical and surgical management of hernia –
including mesh
•• Complications of hernia surgery
•• Other abdominal wall conditions
XV (Lecture - 1 hour, practical training - 2 hours)
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Week 15
The oesophagus
Learning objectives
To understand:
•• The anatomy and physiology of the oesophagus and
their relationship to disease
•• The clinical features, investigations and treatment of
benign and malignant disease with particular reference
to the common adult disorders