SURGERY
A full – time clinical activity. Students actively participate in perioperative management and
operations of patients requiring surgery for cancer, endocrine disease and other selected general
surgical problems. Cases include goiter, inguinal and incisional hernia, obesity, gastrointestinal
cancer, gallbladder disease. Students also work parallel to attending staff providing surgical consult
to ER staff, under proper supervision; they also attend workshops on basic surgical skills. Attending
rounds and teaching conferences daily.
TEACHERS:

dr n. med. Jakub Szmytkowski
SYLABUS
I.
Name of unit offering the course:
a. Chair of General, Gastroenterological and Oncological Surgery
b. Clinic of Vascular Surgery and Angiology
c. Chair of General and Endocrine Surgery
II.
Head of the unit:
a. prof. dr hab. Marek Jackowski
b. prof. dr hab. Arkadiusz Jawień
c. prof. dr hab. Zbigniew Włodarczyk
III.
Faculty of Medicine, Medical Program, 5th year
IV.
Course Coordinator: dr Jakub Szmytkowski
V.
Form of classes: seminars, clinical activity (tutorials)
VI.
Form of crediting: credit with grade, 4 ECTS points
Final credit: graded credit (grade point average from the following: a) entry exam (single
choice test); b) exit exam (single choice test given after completion of all lectures); c) clinical
activity score (oral, grade awarded by individual teachers).
VII.
Number of hours: 70 hours of tutorials; 20 hours of seminars
VIII.
Aim of the course: To acquaint students with the world of general surgery.
Course goals:
1) to promote and develop teamwork skills, to acquaint the student with patient
documentation, to teach the student to efficiently peruse databases and other sources of
modern surgical knowledge
2) to review and reaffirm the skills acquired during the Introduction to Surgery Course during
Years 3 and 4
3) to familiarize the student with the principles of the diagnostics and treatment of the
most frequent diseases of the venous system and the peripheral arteries, including
planning a therapeutic strategy
4) to familiarize the student with the characteristics of the vascular surgery patient, to teach
them to provide adequate patient care in the perioperative period; to help the student
understand the dynamics of various vascular surgical ailments in order to provide them with
sufficient knowledge to be able to successfully monitor the patients’ changing condition and
to react timely and accordingly
5) to acquaint the student with the surgical techniques used in treating diseases of the
abdominal and thoracic aorta, the aortic arc branches and arteries of the lower
extremities
6) to convey the knowledge on the surgical techniques utilized in the treatment of the deep
and superficial venous system
7) to familiarize the student with intravascular techniques for the treatment of venous and
arterial disorders
8) to teach the student basic practical skills useful in daily clinical practice concerning vascular
diseases
9) to convey theoretical knowledge on the diseases of the vascular system, in accordance with
the topics of seminars
10) the course includes participation in at least one afternoon on call at the vascular surgery
ward
By the completion of this course, the student should have gained sufficient theoretical knowledge in
the following areas:
1. Diagnosis and treatment of the surgical diseases of the abdominal aorta and iliac arteries
2. Diagnosis and treatment of the surgical diseases of the arteries of the lower extremities
3. Diagnosis and treatment of the surgical diseases of the thoracic aorta
4. Diagnosis and treatment of the surgical diseases of the aortic arch branches
5. Diagnosis and treatment of the surgical diseases of the superficial and deep venous systems
6. Diagnosis and treatment of thromboembolic disease
7. The epidemiology and risk factors of atherosclerosis
8. The use of medical imaging in vascular surgery, with particular emphasis on Doppler
ultrasound imaging
By the completion of this course, the student should have gained sufficient practical knowledge in
the following areas:
1. Physical examination and evaluation of the arterial and venous systems of the lower extremity
2. Patient care in the perioperative period, including administering medications
3. Planning of diagnostics and treatment in patients with vascular surgical diseases
4. Basics of administrative work (patient case file, daily write-ups)
5. Performing the ankle – brachial index test
6. Peripheral and central vein cannulation
7. Principles of surgical suturing
Course name: Vascular surgery
Study year: 5
Faculty: medical
Duration: 20 x 45-minute units
Form: seminars
No. Seminar topic
Duration
(45-min.
units)
1
History and development of vascular surgery
2
2
Perioperative management of the vascular surgery patient
1
3
Imaging in vascular surgery
1
4
Chronic venous diseases
2
5
Thromboembolism
2
6
Abdominal aortic aneurysm
2
7
Acute lower limb ischemia
2
8
Chronic lower limb ischemia
2
9
Surgical diseases of the aortic arch branches
2
10
New trends and developments in vascular surgery
2
11
Vascular trauma
1
12
Lymphatic edema
1
TOTAL 20
Recommended reading:
basic:
1.
supplemental:
2.
3.
Surgery Training Coordinator:
Prof. dr hab. Zbigniew Włodarczyk
IX.
RULES AND REGULATIONS
1. The students are required to come to classes dressed suitably for a surgical ward (scrubs or
lab coats & skirt or trousers; change of footwear)
2. The classes take place in a regular hospital ward under normal operation. Please behave
appropriately.
3. The theoretical classes take place in the auditorium. The hands-on activities take place in
patient rooms, recovery rooms or operating suites. During breaks, students may leave the
ward or remain in the auditorium. Loitering in corridors and unauthorized access to patient
rooms / operating suites is strictly prohibited.
4. The classes last from 7: 30 to 13: 45.
5. The students are expected to get acquainted in advance with the topics of the seminars.
6. Unauthorized use of any surgical / medical equipment is strictly prohibited. The students can
and will be held accountable for any damage resulting from unauthorized use of such
equipment.
7. Students are required to observe doctor – patient confidentiality. Any confidential
information acquired during the course of study must not be divulged to anyone.
Unauthorized access to patient case files is prohibited.