Study Guide

Objectives (course unit)

Surgery
The student
- acquires, processes, evaluates, analyzes and uses a wide range of information on the most common diseases and their treatment in the field of surgery
- knows the prevalence of the most common surgical diseases e.g. their incidence and prevalence
- knows the genetic background of the most common diseases and can identify the effects of genomic information in the treatment of diseases
- can recognize the symptoms of the most common diseases
- knows the clinical, radiological and clinical-physiological examinations of the most common diseases
- is able to define the findings of the examinations performed in relation to the stage of the disease
- knows the treatments for the most common diseases, the consequences of treatment and is able to identify abnormalities in the patient’s condition
- knows the follow-up, monitoring and prognosis of the most common diseases
- understand that nursing and multidisciplinary activities require the skills described above in patient’s care on a daily basis

Anesthesiology
The student
- understands the pathway of the patients from the referral to the postoperative follow-up
- knows the criteria for assessing and selecting the anesthesia method e.g. preoperative evaluation and patient preparation
- knows the premedication for anesthesia
- knows the most common anesthetics for local, regional and general anesthesia in the intraoperative period and the follow-up in the postoperative phase
- understands the most common methods of regional anesthesia (spinal and epidural) in the intraoperative period and the follow-up in the postoperative phase
- knows the meaning and methods of postoperative pain medication
- knows how to act in acute situations like anaphylaxis
- resuscitation, anaphylaxis

Radiation protection and imaging
- the basics of different imaging examinations, safety and radiation protection
- the basics of radiation physics and radiation biology
- general principles of radiation protection in medical exposure
- radiation protection for workers
- legislation related to medical use of radiation

Content (course unit)

Surgery 1cr
- Surgery in general and general surgery
- Gastro surgery
- Cancer surgery
- Orthopedics
- Traumatology

Anesthesia 0,5cr
- criteria for assessing and selecting the anesthesia method
- premedication for anesthesia
- prophylaxis of endocarditis, infections and thrombosis
- anesthetics for local and general anesthesia, their indications, contraindications, effects and possible side-effects to be noticed during the anesthesia
- the most common methods of regional anesthesia (spinal and epidural)
- postoperative pain medication, indications, contraindications, effects and possible side-effects to be noticed after the anesthesia and postoperative care
- acute situations: anaphylaxis

Radiation protection 1 ect and imaging 0.5 ect
- the basics of different imaging examinations, safety and radiation protection
- the basics of radiation physics and radiation biology
- general principles of radiation protection in medical exposure
- radiation protection for workers
- legislation related to medical use of radiation

Prerequisites (course unit)

30 ects of first year studies completed, including Pharmacotherapy and Medical Calculations.

Assessment criteria, satisfactory (1-2) (course unit)

Surgery and Anesthesiology
- is able to identify the symptoms of the most common surgical diseases
- names the most common examinations and their findings in common surgical diseases
- identifies therapies and follow-up for the treatment of the most common surgical diseases
- names the genetic factors of the most common diseases
- knows how to act in case of accident
- defines the mechanisms of action of the anesthetics
- names the mechanisms of action of prophylactic factors in endocarditis, postoperative infections and thrombosis
- identifies the main pharmacogenetic factors in pain medication
- identifies the main causes of diseases and knows their prophylaxis
- identifies the principles of the origin, growth and spread of cancer
- defines general principles and forms of surgical treatment for cancer

Assessment criteria, good (3-4) (course unit)

Surgery and Anesthesiology
- identifies the symptoms of the most common surgical diseases and is able to name examinations of the most common surgical diseases and explain their findings
- explains the treatment and follow-up of the most common surgical treatment methods
- justifies the effects of the genetic factors of the most common diseases on the treatment of the disease
- explains the methods of treatment in case of an accident
- justifies the choice of treatment in pharmacology on the basis of the mechanisms of action of antimicrobials, anesthetics and medicines used for prophylaxis
- explains the principles of the origin, growth and spread of cancer in relation to general principles and forms of treatment for cancer

Assessment criteria, excellent (5) (course unit)

Surgery and Anesthesiology
- comprehensively understands the symptoms of the most common surgical diseases, is able to name examinations in case of the most common diseases and explain their findings, combining them with the treatment and monitoring of the most common surgical diseases and accidents in a multidisciplinary working community
- combines his or her knowledge in pharmacology based on the mechanisms of action of medicines with treatment selection criteria and in pharmacogenetics with the need for pharmacovigilance
- explains the main causes of diseases, their prophylaxis, symptoms, examinations and findings in the relation to the treatment of the diseases
- explains the principles of the origin, growth and spread of cancer in relation to general principles and forms of treatment for cancer

Assessment criteria, pass/fail (course unit)

Radiation protection and imaging
Pass
The student is able to explain
- the basics of various imaging examinations, the related safe working practices and radiation protection from the point of view of nursing
- the basics of medical exposure and occupational exposure
- the reasons for the quality, quantity and magnitude of radiation exposure
- the basics of radiation protection and is able to apply them in practice
- the legislation related to the use of radiation
Fail
The student is unable to explain
- the basics of various imaging examination, related safety issues, or radiation protection from the point of view of nursing
- the grounds for medical exposure and occupational exposure
- issues related to the quality, quantity or magnitude of radiation exposure
- the principles of radiation protection or is unable to apply them in practice
- the main content of legislation related to the use of radiation from the point of view of nursing

Exam schedules

SURGERY AND ANESTHESIOLOGY (1,5 ECTS)
- in Tenttiterraario Exam, from the 25th of October to the 24th of November 2023. The first re-take period is 1st of December to 22nd of December 2023. The second retake period will be in the beginning of year 2024.
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RADIATION SAFETY AND RADIOGRAPHY (1,5 ECTS)

Assessment methods and criteria

SURGERY AND ANESTHESIOLOGY (Grade 0-5)
The assessment method is a written exam where the student answers the question as either an essay, a brief explanation, a list or by choosing the correct / correct options in the question.
Both parts (Surgery and Anesthesiology) should be performed with approval.
The basic prerequisite for the performance is that the student does not cause harm, danger, injury or death to anyone by the action, other response or ignorance he describes, or use incorrect terminology that could lead to the above situations. Failure to answer the exam question indicates lack of knowledge and leads to rejection of the performance. The student must achieve 50% of the total score of the exam.
The score of the approved performance is 50% of the maximum score of the written exam; All questions must receive at least 50% of the maximum score for the question. See also the previous point.
Passing the exam requires 50% of the maximum points in both surgery and anesthesia. All questions must be answered with a maximum of 50% of the maximum score.
The score of the approved performance is 50% of the maximum score of the written exam; 90-100% of the maximum score. All questions must receive at least 50% of the maximum score for the question. See also the previous point.
Passing the exam requires an approved course in both parts. All questions must be answered with a maximum of 50% of the maximum score.
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RADIATION SAFETY AND RADIOGRAPHY
The evaluation of the students knowledge is done by the exams.
The course will be totally accepted after the both parts have been passed. Student has to get 70 % of total points to pass the exam.

Assessment scale

0-5

Teaching methods

Surgery and Anesthesia: Flipped Classroom Learning, Case-based learning, independent learning, contact hours / online learning
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Radiation protection and radiography: Flipped learning, contact hours, independent work.

Learning materials

SURGERY AND ANESTHESIA: MOODLE, 7Q00FP70 Natural Sciences and Medicine 2, key NSM2022

SURGERY AND ANESTHESIOLOGY
Text book
Raftery, Andrew T., Delbridge, Michael S., Wagstaff, Marcus J. D., Bridge, Katherine I., Surgery, available via TAMK Library as e-book.

Current Care Guidelines and Moodle materials
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ANESTHESIOLOGY
Textbook
Nagelhout, John J., Elisha, Sass,: Nurse Anesthesia, 2018 e-book, via TAMK Library
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Current care Guidelines and Moodle materials
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RADIATION SAFETY AND RADIOGRAPHY
- e-learning material in Moodle

Student workload

The first-year supervised orientation to clinical training and pharmacotherapy and medical calculations are to be completed before proceeding to the first clinical training.
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RADIATON SAFETY AND RADIOGRAPHY
Compulsory attendance.
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SURGERY 1,5 ECTS AND
ANESTHESIOLOGY 0,5 ECTS

Further information

SURGERY AND ANESTHESIOLOGY
Surgery: surgery in general and general surgery, gastro surgery, surgery in case of cancer, orthopedics, traumatology.
Anesthesia: pre-anesthesia assessment, basics of general anesthesia and regional anesthesia, acute scenarios
AIMS
The student
- knows the basic knowledge of surgery
- knows the most common origins of surgical illnesses and their effects on body
- knows and is able to recognize the symptoms of the illnesses and knows the examinations related to them
- knows the importance of the results of the examinations in patient care and follow-up in different stages of the illness
- knows the treatment methods of the illnesses and knows their follow-up
- knows the basics of preoperative assessment
- knows the basics of different anesthesia methods and the observation of pre-, intra- and postoperative care
- applies his/her knowledge concerning the preoperative assessment, anesthesia methods, emergency situations, origins and prevalence of illnesses, symptoms, examinations and their findings, treatment and follow-up holistically in patient care and guidance based on the level of his/her study stage.
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RADIATION SAFETY
- aims and contents as well as the standards of knowledge are supervised by Social and Health Ministry Degree of Ionizing Radiation 1044/2018, amendment 4, table 1.3.
- all the learning tasks should be made and returned before exam.

RADIOGRAPHY
- the student knows the basics of different imaging examinations, safety and radiation safety
- all the learning tasks should be made and returned before exam.

Assessment criteria - fail (0) (Not in use, Look at the Assessment criteria above)

SURGERY AND ANESTHESIOLOGY
If a method or treatment described in the answer would in a practical situation cause harm, danger, injury or patient's death the exam is rejected. If the student fails to answer a question and thus show lack of knowledge the subject the whole exam has to be re-taken. The student does not reach 50% of the total score or in both of the parts (surgery or anesthesia) of the exam