84392 - Surgical Cases and Scientific Evidence

Course Unit Page

Academic Year 2022/2023

Learning outcomes

Apply clinical reasoning to analyze and resolve common problems of surgical interest. Present and critically analyze clinical cases, formulating an appropriated surgical strategy for each case that takes into account the costs, benefits and risks of selected procedures. Decribe and use the principles of evidence-based medicine in the context of specific surgical conditions. Search, retrieve, and present published data from the scientific literature, determine its validity through critical appraisal, and evaluate its translation into everyday clinical practice. Construct a scientific article according to established standards for publication.

Course contents

The course will cover all fields of general surgery including upperGI, hepatobiliarypancreatic, colorectal and emergency surgery.

The course will be designed to be interactive. Students will be presented a clinical case, on which the subsequent diagnostic and therapy pathway will be developed. Student will be required to interact and discuss the different options. Students' opinions during the case presentation will be accepted and discussed regardless of the correct pathway, in order to develop an environment of positive attitude towards errors and mistakes. Once the clinical case will be concluded, the current evidence of the scientific literature and real-life examples (including videos) will be provided and discussed.


The Current Surgical textbook - 13th edition

Guidelines | World Society of Emergency Surgery (wses.org.uk) [https://www.wses.org.uk/guidelines]

ECCO (European Crohn's and Colitis Organisation) Guidelines

ESCP (European Society of Coloproctology) Guidelines

Teaching methods

Frontal and interactive lessons.

Attendance to learning activities is mandatory; the minimum attendance requirement to be admitted to the final exam is 60% of lessons. lessons. Students who fail to meet the minimum attendance requirement will not be admitted to the final exam of the course, and will have to attend relevant classes again during the next academic year.

Professors may authorize excused absences upon receipt of proper justifying documentation, in case of illness or serious reasons. Excused absences do not count against a student’s attendance record to determine their minimum attendance requirement.

Assessment methods

The oral exam will cover all the subjects of the course. The student has to answer questions to demonstrate his/her knowledge of specific subjects, the ability to understand the links between different parts of the course, and the use of appropriate terminology.

Gradation of the final grade:

Insufficient: lack of preparation. Serious and repeated conceptual errors.

18-19: knowledge of the basic concepts without serious gaps. Exposition of concepts and language as a whole acceptable.

20-24: knowledge of the basic concepts without gaps. Ability to analyze and link in partial autonomy. Exposure of discrete concepts and language.

25-29: preparation of good or very good level or even excellent preparation but with inaccuracies in the presentation that compromise the achievement of full marks. Ability to analyze and link independently. Exposure of concepts in the right succession and mastery of the language.

30-30L: full preparation, consolidated and without inaccuracies on the topics covered in the course. Ability to promptly frame the topic. Ability to analyze and connect independently. Concepts in the right succession and full command of the specific language.

Teaching tools

Surgical videos

Interactive slides

Scientific articles

Office hours

See the website of Matteo Rottoli