CCS 401 | Course Introduction and Application Information - Medicine

Course Name

General Surgery and Anesthesiology

Code	Semester	Theory (hour/week)	Application/Lab (hour/week)	Local Credits	ECTS
CCS 401	Fall/Spring	14	16	13	13

Prerequisites	None
Course Language	English
Course Type	Required
Course Level	First Cycle
Mode of Delivery	-
Teaching Methods and Techniques of the Course	Discussion Case Study Q&A Critical feedback Simulation Field trip / Observation Lecture / Presentation
National Occupation Classification	-
Course Coordinator	Prof. Dr. Baha Zengel
Course Lecturer(s)	Doç. Dr. Can KARACA Doç. Dr. Fatma Ferda KARTUFAN Doç. Dr. Hüseyin Cahit YILMAZ Doç. Dr. Tayfun YOLDAŞ Dr. Öğr. Üyesi Elif BARIŞ Dr. Öğr. Üyesi Safa VATANSEVER Dr. Öğr. Üyesi Veysel UMMAN Öğr. Gör. Dr. Zafer Önen Prof. Dr. Murat Kılıç Prof. Dr. Mürvet HAYRAN Prof. Dr. Özgür FIRAT
Assistant(s)	-

Course Objectives	The aim of this clinical clerkship is to acquire competencies for diagnosis, treatment and management of common surgical diseases and emergencies in adults and prevention from these diseases / conditions. Within the scope of this clerkship, the students are expected to learn the necessary information for critical patient management and basic and advanced life support in intensive care by using clinical reasoning approach.
Learning Outcomes	The students who succeeded in this course; At the end of this course, students are expected to; 1. Explain the basic principles and approaches in the epidemiology, clinics, diagnosis, and management of diseases that are frequently encountered in primary care. 1. Diagnosis, and management of benign anorectal diseases 2. Diagnosis, and management of benign breast disorders and breast cancer screening 3. Diagnosis, and management of benign thyroid diseases and approach to nodular thyroid disease 4. Apply basic principles of safe blood transfusion 5. Knows the basic principles of wound healing and management of uncomplicated wounds Access to reliable sources of information about clinical situations / problems, use evidence-based medical tools to evaluate the information accessed, and correlate the obtained information with the patient's condition. Perform appropriate and guided history taking and physical examination from patients in accordance with appropriate communication principles. Establish ranked differential diagnosis for patients presented with the symptoms assigned for this clerkship Evaluate the effectiveness, cost-effectiveness, potential early and late side effects of the diagnostic methods, and their suitability for differential diagnosis with an evidence-based manner Differentiate emergent and non-urgent situations. 1. Differential diagnosis, and management of various etiologies causing acute abdomen 2. Diagnosis, and management of intoxications 3. Diagnosis, and management of anaphylaxis 4. Diagnosis, and management of acute respiratory failure 5. Diagnosis, and management of acid and base disorders 6. Diagnosis, and management of liquid and electrolyte imbalances 7. Diagnosis, and management of sepsis and shock 8. Apply basic life support and know the principles of advanced life support Demonstrate knowledge and skills to apply and interpret determined minor medical interventions and applications. Determine pharmacological and non-pharmacological treatment options for the patients in clinical and emergency situations with an evidence-based medical approach Do risk assessment and take precautions. Make management plans for the patients according to bioethical principles and legal responsibilities of physicians Identify the need for consultation and indications for referrals when necessary, by distinguishing the diseases that require special expertise. 1. Knows the management of abdominal wall and diaphragmatic hernias 2. Knows the approach to the liver masses and management of hydatid liver disease 3. Knows the management of gastrointestinal system cancers 4. Knows the management of breast cancer 5. Knows the management of surgical diseases of gall bladder and biliary tree 6. Knows the management of surgical diseases of pancreas 7. Knows the management of end stage organ failure and solid organ transplantation 8. Knows the management of surgical diseases of adrenal gland 9. Knows the surgical management of weight control 10. Knows the surgical management indications for gastrointestinal bleeding 11. Knows the difference between open and laparoscopic surgical techniques 12. Knows the management of acute and chronic pain 13. Knows the basic principles of anesthesia and anesthetic agents Explain health events at individual, social and ecosystem levels via social determinants of health perspective and shows exemplary behaviors appropriate to this point of view in her/his personal life Define the target population, method and implementation strategies of control, screening and immunization programs for health protection and disease prevention. Define the risk factors and social determinants of common diseases in the context of the patient and create evidence-based prevention / solution recommendations for them. 1. Knows the risk factors for gallstone disease 2. Knows the risk factors for breast cancer 3. Knows the risk factors for gastrointestinal system cancers 4. Knows the risk factors for end stage liver disease 5. Knows the risk factors for chronic pancreatitis 6. Knows the risk factors for diverticular bowel disease 7. Knows the risk factors for thyroid cancer Contribute to the work of the team as an effective member s/he take part in. Establish an open, constructive, and respectful communication with the people s/he work with Establish an open, constructive, and respectful communication with patients and patients' relatives by using appropriate language Create accurate and reasonable patient records that has secured, verbally present the patient, and hand over patients safely and effectively Use reflective approaches to identify and improve his/her professional performance
Course Description	In this clerkship competencies for diagnosis, treatment and management of common surgical diseases and emergencies in adults and prevention from these diseases / conditions are taught. \n Within the scope of this internship, the necessary information for the management of critical patient as well as basic and advanced life support in intensive care by using clinical reasoning approach are taught.\n This internship covers the core diseases/clinical problems targeted to be learned at the desired learning level of the national core curriculum.
Related Sustainable Development Goals

Course Category	Core Courses
	Major Area Courses	X
	Supportive Courses
	Media and Management Skills Courses
	Transferable Skill Courses

Week	Subjects	Related Preparation
1	1. Wound management 2. Acute abdomen 3. Peritonitis 4. Acute appendicitis 5. Diverticular disease 6. Intestinal obstruction and invagination 7. Surgical scrubbing and aseptic technique 8. Basic suture techniques 9. Bedside patient care Clinic / Ambulatory / Operating room	Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213. ISBN-10: 1260122212 o Chapter 3: Preoperative Preparation o Chapter 6: Wound Healing o Chapter 23: The Acute Abdomen o Chapter 30: Appendix o Chapter 31: Small Intestine o Chapter 32: Large Intestine
2	1. Abdominal traumas 2. Systemic responses to trauma 3. Cholecystitis and cholelithiasis 4. Acute pancreatitis 5. Mesenteric ischemia 6. Suture removal 7. Hypovolemic shock 8. Gastrointestinal bleeding 9. Gastrointestinal system anatomy 10. Foley catheter insertion 11. Bedside patient care Clinic / Ambulatory / Operating room	. Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213. ISBN-10: 1260122212 o Chapter 14: Management of the Injured Patient o Chapter 27: Biliary Tract o Chapter 28: Pancreas o Chapter 31: Small Intestine o Chapter 12: Shock in Surgical Patients
3	1. Abdominal wall and groin hernias 2. Diaphragma hernias 3. Upper gastrointestinal cancers 4. Bariatric surgery 5. Perianal diseases 6. Colorectal cancers 7. Bedside patient care Clinic / Ambulatory / Operating room	1. Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213. ISBN-10: 1260122212 o Chapter 34: Abdominal Wall Hernias o Chapter 22: Esophagus & Diaphragm o Chapter 25: Stomach & Duodenum o Chapter 46: Surgical Weight Management o Chapter 33: Anorectum o Chapter 32: Large Intestine
4	1. Benign and malign diseases of the breast 2. Thyroid tumors 3. Adrenal gland surgery 4. Bedside patient care Clinic / Ambulatory / Operating room	1. Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213. ISBN-10: 1260122212 o Chapter 18: Breast Disorders o Chapter 17: Thyroid & Parathyroid o Chapter 35: Adrenals
5	1. Hepatopancreatobiliary anatomy 2. Hydatid cyst disease 3. Approach to liver masses 4. Surgical diseases of gall bladder and biliary tree 5. Bedside patient care Clinic / Ambulatory / Operating room	1. Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213. ISBN-10: 1260122212 o Chapter 26: Liver & Portal Venous System o Chapter 27: Biliary Tract
6	1. Solid organ transplantation 2. Surgical diseases of the pancreas 3. Advances in laparoscopic surgery 4. Bedside patient care Clinic / Ambulatory / Operating room	1. Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213. ISBN-10: 1260122212 o Chapter 48: Abdominal Organ Transplantation o Chapter 28: The Pancreas
7	1. Preoperative Evaluation 2. Basic principles of Anesthesia 3. General Anesthetics 4. Local Anesthetics 5. Evaluation of a Patient with Pain 6. Mechanisms of Acute and Chronic Pain 7. Acute Respiratory Failure and Hypoxia 8. Acid-Base Balance 9. Cardiopulmonary Resuscitation: Basic Life Support 10. Cardiopulmonary Resuscitation: Advanced Life Support 11. Impairment of Fluid and Electrolyte Balance	1. Morgan & Mikhail’s Clinical Anesthesiology, 6e, John F Butterworth, David J Mackey, John D. Wasnick. ISBN 978-1-259-83442-4,MHID 1-259-83442-5, ISSN 1058-4277 2. Miller’s Anaesthesia, 9e, Michael Gropper Lars Eriksson Lee Fleisher Jeanine Wiener-Kronish Neal Cohen Kate Leslie eBook ISBN: 9780323612647 Hardcover ISBN: 9780323596046 Hardcover ISBN: 9780323612630
8	1. Sepsis 2. Physiopathology, Early Diagnosis and Management of Shock 3. Anaphylaxis 4. Safe Blood Transfusion 5. Intoxications 6. Brain Death and Transplantation 7. Case Discussion: Approach to a patient with sepsis 8. Case Discussion: Approach to a patient with respiratory failure	1. Morgan & Mikhail’s Clinical Anesthesiology, 6e, John F Butterworth, David J Mackey, John D. Wasnick. ISBN 978-1-259-83442-4,MHID 1-259-83442-5, ISSN 1058-4277 2. Miller’s Anaesthesia, 9e, Michael Gropper Lars Eriksson Lee Fleisher Jeanine Wiener-Kronish Neal Cohen Kate Leslie eBook ISBN: 9780323612647 Hardcover ISBN: 9780323596046 Hardcover ISBN: 9780323612630
9	General wrap up Discussion Bedside patient care Final exam

Course Notes/Textbooks

Current Diagnosis & Treatment: Surgery, 15e Gerard M. Doherty, ISBN-13: 978-1260122213.ISBN-10: 1260122212
Schwartz's Principles of Surgery, 11e F. Charles Brunicardi, Dana K. Andersen, Timothy R. Billiar,David L. Dunn, Lillian S. Kao, John G. Hunter, Jeffrey B. Matthews, Raphael E. Pollock ISBN-10 :1259835359 · ISBN-13 : 9781259835353
Morgan & Mikhail's Clinical Anesthesiology, 6e, John F Butterworth, David J Mackey, John D. Wasnick. ISBN 978-1-259-83442-4,MHID 1-259-83442-5, ISSN 1058-4277
Miller's Anaesthesia, 9e, Michael Gropper Lars Eriksson Lee Fleisher Jeanine Wiener-Kronish Neal Cohen Kate Leslie eBook ISBN: 9780323612647 Hardcover ISBN: 9780323596046 Hardcover ISBN: 9780323612630

Suggested Readings/Materials

Lecturio lectures
Uptodate database
Access medicine database

Semester Activities	Number	Weigthing
Participation
Laboratory / Application	1	15
Field Work
Quizzes / Studio Critiques
Portfolio	1	30
Homework / Assignments
Presentation / Jury
Project
Seminar / Workshop
Oral Exams	1	15
Midterm
Final Exam	1	40
Total

Weighting of Semester Activities on the Final Grade	1	30
Weighting of End-of-Semester Activities on the Final Grade	3	70
Total

Semester Activities	Number	Duration (Hours)	Workload
Theoretical Course Hours (Including exam week: 9 x total hours)	9	14	126
Laboratory / Application Hours (Including exam week: '.9.' x total hours)	9	16	144
Study Hours Out of Class	9	5	45
Field Work			0
Quizzes / Studio Critiques			0
Portfolio	1	30	30
Homework / Assignments			0
Presentation / Jury			0
Project			0
Seminar / Workshop			0
Oral Exam	1	20	20
Midterms			0
Final Exam	1	25	25
		Total	390

#	Program Competencies/Outcomes	* Contribution Level
#	Program Competencies/Outcomes	1	2	3	4	5
1	Knowledge of medical practices: Utilizes knowledge from basic and clinical medical sciences, epidemiology, biostatistics, biomedical informatics, and social and behavioral sciences to prevent, diagnose, treat, and manage medical problems.	-	-	-	-	X
2	Competence in professional skills: Competence in Professional Skills: Possesses the basic medical skills and attitude necessary for practicing the profession, understands personal limits, evaluates own performance, identifies areas needing improvement, and implements these improvements within a plan.	-	-	-	X	-
3	Patient Management: Provides patient-centered, holistic, safe, reliable, fair, and evidence-based healthcare services, prioritizing the protection and promotion of health, especially for the primary health issues in the community. Seeks support from other healthcare professionals and institutions when necessary, following the referral chain.	-	-	-	X	-
4	Patient and Employee Safety: Delivers healthcare services with consideration for the health and safety of both patients and healthcare workers throughout diagnosis, treatment, and rehabilitation processes.	-	-	-	X	-
5	Planetary Health and Healthy Lifestyles: Considers the impact of the planet's resources on individual and community health in professional practices. Takes it as a duty to inform the public, promote healthy lifestyles, and eliminate factors that negatively affect health.	-	-	-	-	X
6	Information Management and Research: Explains the role and importance of scientific research and evidence in delivering high-quality and safe healthcare services. Analyzes health issues in the community using scientific methods. Utilizes information generated through research and accessed from accurate, reliable sources, by appropriately using information technologies, in evidence-based patient management processes.	-	-	-	X	-
7	Adherence to Ethical Principles: Fulfills duties and responsibilities within the framework of ethical principles, rights, and legal obligations required by the profession, considering good medical practices and deontology principles. Recognizes ethical dilemmas and can analyze and make decisions accordingly.	-	-	-	X	-
8	Professional Virtues: Avoids behaviors that could undermine public trust in the medical profession. Approaches patients with compassion, care, and empathy without discrimination, prioritizing their well-being over personal interests. Ensures the confidentiality and privacy of patient information.	-	-	-	X	-
9	Health Policies and Advocacy: Assesses the impact of health policies on the health indicators of individuals and communities. Advocates for the development of healthcare services in line with social reliability and responsibilities.	-	-	-	-	-
10	Protecting and Promoting Health as a Social Responsibility: Accepts the protection and promotion of community health as a social responsibility, identifies priority health issues in the community served, develops solutions, and provides health education and counseling services.	-	-	-	-	-
11	Protecting and Promoting Health in Extraordinary Situations: Prioritizes the protection and promotion of individual and community health during extraordinary situations. Performs clinical and public health practices in a comprehensive and competent manner.	-	-	-	-	-
12	Healthy Physician - Healthy Community: Pays attention to personal health, hygiene, safety, and appearance. Explains and implements measures for maintaining health, strategies for coping with stress, and preventing burnout to maintain a healthy life. Sets an example for colleagues and the community through personal practices.	-	-	X	-	-
13	Change Management and Leadership: Systematically identifies issues and processes requiring change to provide high-quality, safe, and cost-effective healthcare services, along with the necessary resources. Acquires the skills to lead these changes effectively.	-	-	-	-	-
14	Teamwork: Establishes positive communication with healthcare professionals and other occupational groups. Demonstrates effective feedback practices, adopts a supportive approach, understands and fulfills personal rights, duties, and responsibilities in a timely and appropriate manner, and takes on different team roles as needed.	-	-	-	X	-
15	Communication Skills: Effectively uses written, verbal, and non-verbal communication.	-	-	-	-	X
16	Communication for Qualified and Safe Healthcare: Engages with patients, their families, healthcare professionals, other occupational groups, institutions, and organizations to minimize patient safety risks, enhance the quality of healthcare, in clear, understandable, and professionally appropriate communication while involving patients in decision-making processes, and considering potential differences and needs while providing necessary information.	-	-	-	X	-
17	Lifelong Learning: Uses self-assessment approaches to evaluate professional performance, identifies areas needing improvement, determines learning needs, and organizes personal learning processes to enhance professional knowledge and skills.	-	-	-	X	-