Program Overview

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Course Plan for Clinical Medicine 3: Surgical Orientation

Introduction

The course plan for Clinical Medicine 3: Surgical Orientation is designed to deepen clinical competencies from previous courses and broaden them with a surgical orientation. The course focuses on symptoms and findings, clinical reasoning, diagnosis, and management of common, serious, and acute conditions within the fields of surgery, orthopedics, urology, anesthesiology, and intensive care.

Basdata

• Course Code: 2LA017
• Course Name: Clinical Medicine 3: Surgical Orientation
• Higher Education Credits: 30
• Education Form: Higher Education, 2007 Study Ordinance
• Main Field of Study: Medicine
• Level: Advanced Level
• Grading Scale: Failed (U) or Passed (G)
• Responsible Institution: Department of Clinical Science and Education, Södersjukhuset
• Decision-Making Body: Program Board for the Medical Program
• Date of Establishment:
• Revised by: Program Board for the Medical Program
• Last Revised:
• Course Plan Applies From: Spring Term 2025

Special Eligibility

To be eligible for the course, students must have a passing grade in all courses from Basics of Science 1-6, Medical Diagnostics with Basic Scientific Integration, and Clinical Medicine 1 (Terms 1-5). They must also have a passing grade in at least one Clinical Placement (VFU) moment in the course Clinical Medicine 2: Internal Medicine Deepening and Broadening (Term 6).

Goals

The goal of the course is to deepen clinical competencies from Clinical Medicine 1 and 2 and broaden them with a surgical orientation. With a starting point from symptoms and findings, students are trained to diagnose, initially assess, and manage common, serious, and acute disease conditions within the areas of surgery, orthopedics, urology, anesthesiology, and intensive care, as well as necessary radiological diagnostics for these areas.

Learning Objectives

Knowledge and Understanding

For a passing grade, the student must be able to:

• Describe and evaluate the significance of symptoms and findings in common, acute, and serious disease conditions.
• Describe how surgical conditions are diagnosed, treated, and followed up, and their prognosis.
• Discuss the pros and cons of surgery and other interventions in relation to pharmacological treatment and lifestyle changes from individual, societal, global, ethical, and sustainability perspectives.
• Explain preventive measures to prevent postoperative complications and disease.
• Identify the most common findings in radiological examinations related to surgical conditions.

Skills and Abilities

For a passing grade, the student must be able to:

• Take a person-centered anamnesis for common, serious, and acute conditions within surgical diseases and conditions, and ensure structured information transfer within and between professions.
• Perform an adequate status examination against the background of the current problem and risk factors, taking into account hygiene rules and the patient's integrity.
• Prioritize and discuss relevant differential diagnoses.
• Evaluate and prioritize medical measures within the course's subject areas.
• Develop an initial investigation plan, choose adequate investigation including radiology, and interpret results.

Attitudes and Assessment Ability

For a passing grade, the student must be able to:

• Reflect on the equal conditions perspective for patients within the course's subject areas.
• Identify value conflicts in meeting patients and relatives, and handle and reason about these in open care, during the acute phase, and in intensive care.
• Reflect on the importance of one's own values, empathy, and a professional attitude in interaction with patients, relatives, and colleagues.

Content

The course content is focused on surgical specialties. The student should deepen their ability to independent clinical work, scientific analysis of clinical issues, and medical decision-making, taking into account the patient's entire situation.

Course Moments

1. Introduction to Surgical Conditions and Treatment, 1.5 credits
   • Main content includes knowledge and skills necessary for clinical placement within the course's subsequent moments regarding acute, serious, and common conditions.
2. Surgery, 2.5 credits
   • Focuses on knowledge and skills within the field of surgery, with an emphasis on benign and malignant surgical conditions and trauma.
3. Orthopedics, 2 credits
   • Covers knowledge and skills within the field of orthopedics, focusing on injuries and diseases in the musculoskeletal system.
4. Anesthesiology and Intensive Care, 1.5 credits
   • Includes knowledge and skills within the field of anesthesiology, with an emphasis on acute medical care based on relevant basic pharmacological, physiological, and biochemical scientific knowledge.
5. Urology, 1.5 credits
   • Focuses on knowledge and skills within the field of urology, with an emphasis on benign and malignant urological conditions.
6. Radiology, 1 credit
   • Covers the possibilities and limitations of radiological methods, indications, and contraindications for contrast media in all modalities.
7. Forensic Medicine, 0.5 credits
   • Includes knowledge and understanding of the role of forensic medicine in relation to healthcare and the legal system, with a focus on identifying injury patterns in cases of suspected crime and documentation.
8. Interprofessional Learning in Clinical Placement, 3 credits
   • Focuses on interprofessional training in clinical placement, with an emphasis on reflection on one's own and other professionals' competencies for increased patient safety.
9. Clinical Placement, 14.5 credits
   • Includes clinical placement with a focus on surgery, orthopedics, anesthesiology, urology, and primary care, where students train to take anamnesis, perform an adequate status examination, and propose measures and initiate treatment for patients with common, serious, and acute conditions.
10. Professional Attitude, Responsibility, and Learning, 1 credit
    • Covers training and assessment of a professional attitude, responsibility, and learning, with a focus on reflection over one's own learning in relation to the course's learning objectives.
11. Application and Integration, 1 credit
    • Includes reflection groups where students practice structured, situation-based reflection and self-evaluation of their experiences from clinical placement.

Work Forms

Work forms during the course include:

• Clinical Placement (VFU)
• Team-Based Learning (TBL)
• Seminars
• Skill Training
• Simulation
• Lectures
• Reflection Group Meetings
• Mentor Program

Examination

Examination includes:

• Introduction to Surgical Conditions and Treatment, 1.5 credits: Mandatory participation, oral examination.
• Surgery, 2.5 credits: Mandatory participation, team-based learning, skill training, case-based teaching in care, simulations, seminar.
• Orthopedics, 2 credits: Mandatory participation, team-based learning, skill training, case-based teaching in care, simulations, seminar.
• Anesthesiology and Intensive Care, 1.5 credits: Mandatory participation, team-based learning, skill training, and case-based teaching in care.
• Urology, 1.5 credits: Mandatory participation, team-based learning, skill training, case-based teaching in care, simulations, seminar.
• Radiology, 1 credit: Mandatory participation, team-based learning, skill training, and case-based teaching in care.
• Forensic Medicine, 0.5 credits: Mandatory participation, team-based learning.
• Interprofessional Learning in Clinical Placement, 3 credits: Mandatory participation, interprofessional learning, clinical placement.
• Clinical Placement, 14.5 credits: Mandatory participation, clinical placement, with a focus on examination of professional attitude.
• Professional Attitude, Responsibility, and Learning, 1 credit: Mandatory participation, mentor program, reflection group meetings, self-assessment, and peer feedback.
• Application and Integration, 1 credit: Examination includes an Objective Structured Clinical Examination (OSCE), a written examination, and an oral examination.

Other Regulations

• Language of Instruction: The language of instruction is Swedish, but teaching in English may occur.
• Learning Portfolio: Support for the student's development in various competency areas is collected continuously during the education in the student's individual learning portfolio.
• Scheduling: Scheduling during evenings, nights, and weekends may occur during clinical placement.
• Course Evaluation: Course evaluation is conducted according to Karolinska Institutet's guidelines.

Literature and Other Teaching Materials

Recommended Literature and Other Teaching Materials

• Surgery: Hamberger, Bertil; Haglund, Ulf. Ninth edition, revised: Stockholm: Liber, 2017.
• Surgery: Ljungqvist, Olle; Naredi, Peter; Sund, Malin; Thorlacius, Henrik. Fifth edition: Lund: Studentlitteratur, [2021].
• Strong for Surgery - Strong for Life: Swedish Medical Association, 2020.
• Orthopedics: Lindgren, Urban; Svensson, Olle. Fourth edition: Stockholm: Liber, 2014.
• Orthopedics: Pathophysiology, Diseases, and Trauma in Children and Adults: Karlsson, Magnus; Karlsson, Jón; Roos, Harald. Edition 1: Lund: Studentlitteratur, [2018].
• Anesthesiology: Bodelsson, Mikael; Forss, Kalle; Werner, Mads; Nilsson, Ingemar. Second edition, revised: Lund: Studentlitteratur, 2005.
• Emergency Medicine: Fryckstedt, Jessica. Third edition, revised and updated: Lund: Studentlitteratur, 2014.
• Fluid Therapy: Berséus, Olle; Svensén, Christer; Hjelmqvist, Hans. Second edition, updated and expanded: Stockholm: Liber, 2014.
• Urology: Damber, Jan-Erik; Peeker, Ralph. Second edition, revised: Lund: Studentlitteratur, 2012.
• Imaging for Students: Lisle, David. Fourth edition: London: Hodder Arnold, 2012.
• Radiology: Blomqvist, Lennart; Zackrisson, Sophia. Edition 2: Lund: Studentlitteratur, 2022.

In addition to the recommended literature, course materials are provided, including references to current scientific publications, available on the learning platform.