Idea Transcript
Course Guide 34462 General radiology
COURSE DATA Data Subject Code Name Cycle ECTS Credits Academic year
34462 General radiology Grade 6.0 2017 - 2018
Study (s) Degree 1204 - Grado de Medicina
Subject-matter Degree 1204 - Grado de Medicina
Center FACULTY OF MEDICINE AND ODONTOLOGY
Subject-matter 11 - Diagnostic and therapeutic procedures
Coordination Name CASTILLO PALLARES, FRANCISCO JAVIER
Acad. Period year 3 Second term
Character Obligatory
Department 260 - MEDICINE
SUMMARY Theoretical-practical training of future physicians in the field of General Radiology (techniques and equipment, general anatomy), Radiation Oncology and Physical Medicine-Rehabilitation. At the end of the course the student should have adquired: • Basic knowledge about the fundamentals and principles of Medical Physics, Radiation Oncology, Radiation Protection and techniques used in diagnostic imaging (Radiodiagnosis and Nuclear Medicine) in different organs and systems. In addition, you should be aware of the therapeutic applications of image-guided and nuclear medicinebased therapy, the different aspects of disability, diagnosis and treatment, as well as the promotion of personal autonomy, functional adaptation to the environment and the therapeutic use of Physical agents and the basic principles and scope of radiotherapy, as well as the different modalities of therapeutic irradiation. The Law on the Management of Health Professions (LMHP), in its article 6.2 a) states: "It is the responsibility of Medical Graduates to indicate and carry out activities aimed at the promotion and maintenance of health, Diseases and to the diagnosis, treatment and rehabilitation of patients, as well as to the prosecution and prognosis of the processes under care."
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Course Guide 34462 General radiology
PREVIOUS KNOWLEDGE Relationship to other subjects of the same degree There are no specified enrollment restrictions with other subjects of the curriculum. Other requirements It is recomended to have passed "Anatomy"
OUTCOMES 1204 - Grado de Medicina - Understand the foundations of action, indications and efficacy of therapeutic interventions, based on available scientific evidence. - Have the capacity to make an initial diagnosis and establish a reasonable strategy of diagnosis. - Establish the diagnosis, prognosis and treatment, applying principles based on the bestinformation available and on conditions of clinical safety. - Acquire properclinical experience in hospitals, health care centres and other health institutions, under supervision, as well as basic knowledge of clinical management focused on the patient and the correct use of tests, medicines and other resources available in the health care system. - Know how to use the sources of clinical and biomedical information available, and value them critically in order to obtain, organise, interpret and communicate scientific and sanitary information. - Know how to use IT in clinical, therapeutic and preventive activities, and those of research. - Keep and use medical records which contain information about the patient for later analysis, preserving the confidentiality of personal data. - In the professional practise, take a point of view which is critical, creative, constructive and researchoriented. - Understand the importance and the limitations of scientific thinking in the study, prevention and management of diseases. - Be able to formulate hypothesis, gather information and evaluate it critically in order to solve problems by following the scientific method. - Proper organisation and planning of the workload and timing in professional activities. - Team-working skills and engaging with other people in the same line of work or different. - Criticism and self-criticism skills. - Capacity for communicating with professional circles from other domains. - Acknowledge diversity and multiculturality. - Consideration of ethics as a fundamental value in the professional practise. - Working capacity to function in an international context. - Evaluate the risk-benefit balance of diagnostic and therapeutic procedures. - Is aware of the indications in biochemical tests, as well as haematological, immunological, microbiological, anatomical and pathological, and image tests. - Knows the foundations of radiation interaction with the human body. - Understands the foundations of basic radiological semiology of various organs and systems. - Knows other techniques to obtain diagnostic image. - Assesses indications and contraindications of radiological studies. - Is able to apply radiological protection criteria within the diagnostic and therapeutic procedures with ionising radiation. 34462 General radiology
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Course Guide 34462 General radiology
- Is able to interpret a radiological image through systematic reading.
LEARNING OUTCOMES English version is not available Al final del curso, los alumnos deberán ser capaces de: 1. Describir las radiaciones ionizantes empleadas en Radiodiagnóstico, en Medicina Nuclear y en Radioterapia. 2. Describir las bases físicas del Radiodiagnóstico, de la Medicina Nuclear y de la Radioterapia. 3. Explicar el fundamento y los procedimientos básicos de la dosimetría física. 4. Justificar la necesidad de la Protección Radiológica. 5. Conocer los límites de dosis y los procedimientos básicos de Radioprotección en las aplicaciones médicas de las radiaciones ionizantes. 6. Explicar el fundamento biológico y las indicaciones generales de la Radioterapia. 7. Describir los fundamentos tecnológicos de la Radioterapia. 8. Explicar los procedimientos básicos de la planificación y dosimetría clínica de los tratamientos radiológicos. 9. Explicar las principales consecuencias de la interacción entre las radiaciones ionizantes y el organismo humano. 10. Describir las distintas modalidades de imagen radiológica, conociendo la tecnología empleada en Radiología (Radiodiagnóstico y Medicina Nuclear). 11. Enumerar los estudios morfológicos y funcionales mas frecuentes en Radiología (Radiodiagnóstico y Medicina Nuclear). 12. Conocer la clasificación y utilización diagnóstica y terapéutica de los distintos agentes físicos utilizados en la Rehabilitación médica. 13. Conocer las indicaciones y contraindicaciones más frecuentes en Rehabilitación médica. 14. Describir la metodología de evaluación del paciente discapacitado. 15. Realizar una valoración funcional y establecer objetivos terapéuticos. 16. Valorar las posibilidades de respuesta tumoral a la radioterapia y establecer las indicaciones de la radioterapia curativa y paliativa, exclusiva y combinada. 17. Valorar los riesgos de morbilidad de la radioterapia del cáncer y aplicar medidas preventivas y correctoras. 18. Diferenciar las características e indicaciones de las distintas modalidades de irradiación terapéutica. 19. Describir y explicar la integración de la radioterapia en el tratamiento de los diferentes tipos de cáncer.
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Course Guide 34462 General radiology
DESCRIPTION OF CONTENTS 1. THEORETICAL LESSONS
2. THEORETICAL LESSONS 9. Radiotherapy in the integral treatment of cancer patients. Clinical bases and indications of radiotherapy.Usual dose intervals. 10. Techniques of application of radiotherapy: types, characteristics, equipment and general indications. Stages in the radiotherapeutic process: objective and equipment. 11. Combinations of radiotherapy with other treatments in the most prevalent tumors: fundamentals and strategies. Radiation therapy in non-neoplastic diseases: indications. Radiotherapy palliative. 12. Introduction to radiology: concept and historical evolution. Content and scope.Information and general plan of the course. 13. Conventional radiography: concept, types of image and general indications. Contrast radiography: contrast media. UIV and digestive tract. 14. Ultrasound scan: concept, types of image. 15. Computed Tomography (CT): concept and general indications. Semiology.CT angiography. 16. Magnetic resonance imaging (MRI): concept, types of image. 17. Concept of Physical Medicine and Rehab. Promotion of personal autonomy, quality of life adaptation of the environment.The ICF of the WHO. The rehabilitation process: clinical-medical medical-social tasks. Medical diagnosis and assessment of the patient with disability, prognosis protocol of medical treatment functional assessment and ADL.Quality of life.Diagnosis, prognosis medical treatment and rehabilitation of most common syndromes in locomotor.
and and and and
18. Therapeutic resources: agents and physical non-ionizing means. Electrotherapeutic, electromagnetic, thermotherapeutic, cryotherapeutic, phototherapy, kinesiological, hydrotherapeutic and orthoprosthetic means (prescription and medical indication of technical aids, walking, and support products). Logophone and occupational means.
3. THEORETICAL LESSONS 19. Diagnosis, prognosis and medical and rehabilitative treatment of immobilization syndrome and general trauma and surgical syndrome. Orthopedic rehab. 20. Diagnosis, prognosis and medical treatment and rehab of cardiac and respiratory syndromes. Respiratory rehab program. 21. Diagnosis, prognosis and medical and rehab treatment of neurological syndromes: central and peripheral nervous system injuries: stroke, brain damage, spinal cord injury, neurodegenerative diseases. 22. Diagnosis, prognosis and medical and rehabilitative treatment of pain and musculoskeletal syndromes: rachialgias and alterations of the spine, enteropathies, fibromyalgia and myofascial syndrome. 23. Vascular rehab: Lymphedema. Amputees.
4. PRACTICAL LESSONS 34462 General radiology
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Course Guide 34462 General radiology
SEMINARS 1. Medical Physics Seminar I: Resolution of numerical exercises. 2. Medical Physics Seminar II: Resolution of numerical exercises. 3. Basic aspects of reading and radiological semiology (radiography, ultrasound, CT and MRI). Bone densitometry: procedures and indications. 4. Basic Aspects of Imaging Therapy. Interventional, Vascular and Non-Vascular Diagnostic Procedures. 5. Basic aspects of reading in Nuclear Medicine (scintigraphy, SPECT, PET). 6. Process of Diagnosis and Treatment in Oncology. Role of Radiotherapy. 7. Integration of radiotherapy in the treatment of head and neck tumors. Learning based on clinical cases. 8. Integration of radiotherapy in the treatment of CNS and Lung tumors. Learning based on clinical cases. 9. Integration of radiotherapy in the treatment of digestive tumors and benign lesions. Learning based on clinical cases. 10. Integration of radiotherapy in the treatment of gynecological, urological tumors and the role of Brachytherapy in its treatment. Learning based on clinical cases. 11. Integration of radiotherapy in the treatment of breast cancer. Palliative treatments and emergencies. Learning based on clinical cases. CLINICAL CASES AND PRACTICAL REHABILITATION HOSPITAL PRACTICES 1. Recognition of the various imaging techniques in X-ray diagnosis. 2. Recognition of the various imaging techniques in X-ray diagnosis. 3. Structure and functions of a Nuclear Medicine service. Recognition of the various imaging techniques. 4. Structure and functions of a Radiation Protection and / or Radiation Therapy service. 5. Recognition of various imaging techniques in Radiodiagnosis. 6. Recognition of various imaging techniques in Radiodiagnosis. 7. Structure and functions of a Nuclear Medicine service. Recognition of various imaging techniques. 8. Structure and functions of a Radiation Protection and / or Radiation Therapy service. MEDICAL PHYSICS LABORATORY PRACTICES 2. Experiences with X-rays. Radiological contrast. 3. Radioactive equilibr
WORKLOAD ACTIVITAT Theory classes Seminars Laboratory practices Clinical practice Study and independent work Readings supplementary material Preparation of practical classes and problem Resolution of case studies TOTAL
34462 General radiology
Hours 26.00 20.00 9.00 20.01 40.00 15.00 15.00 5.00 150.01
% To be attended 100 100 100 100 0 0 0 0
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Course Guide 34462 General radiology
TEACHING METHODOLOGY English version is not available - Clases teóricas apoyadas con material audiovisual disponible para el estudiante en aula virtual. - Clases prácticas de seminario impartidas en los Hospitales, con propuestas de casos clínicos y de problemas a trabajar en el aula. - Prácticas en laboratorio con guía de la práctica disponible para el estudiante en el aula virtual previamente a la realización de la misma con desglose de la fundamentación teórica, objetivos, resultados a obtener y hoja de resultados con las gráficas y valores obtenidos en cada práctica. - Prácticas clínicas, en Servicios hospitalarios de Radiodiagnóstico, Medicina Nuclear y Radioterapia, participando en la actividad habitual de estos servicios
EVALUATION English version is not available Examen final tipo test con 74 preguntas con respuesta de opción múltiple (5respuestas posibles y sólo una correcta), sobre el material de los temas teóricos (50% de la calificación), seminarios y prácticas de laboratorio y clínicas (50% de la calificación). Por cada tres respuestas erróneas se descuenta 1 punto. Se aprobará la asignatura con una nota igual o superior a 5, siendo necesario haber asistido como mínimo, al 80% de las clases prácticas (total de seminarios, prácticas de laboratorio y prácticas clínicas). La asistencia a las prácticas será obligatoria.
REFERENCES Basic - CAMERON J.R., SKOFRONICKJ.G. Medical Physics. Ed. John Wiley and Sons, New York, 1978. - CATALA J. Física. Ed. Cometa SA, Madrid 1988. - FRUMENTO A.S. Biofisica,3ª Edición. Ed. Mosby / Doyma Libros, Madrid 1995. - GREMY F (ed). Biophysique. Ed. Flammarion Medicine-Sciences,1982. - KANE J.W. STERNHEIM M.M., Física, 2ª Edición. Ed. Reverte, Barcelona 1989. - STROTHER G.K. Física Aplicada a las Ciencias de la Vida. 2ª Edición. Ed. McGraw-Hill, Bogotá 1977. - Medicina Nuclear: - Pérez, Labanda y cols: Medicina Nuclear Clínica. Marban. Madrid. 1994 - Merrick: Essentials of Nuclear MedicineSpringer. London 1998 - Wilson:Textbook of Nuclear Medicine.Lippincott-Raven Publishers. Philadelphia 1998 34462 General radiology
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Course Guide 34462 General radiology
- Oncología radioterápica: - Calvo, Felipe; Oncología radioterápica: Principios, métodos, gestión y práctica clínicas. Arán Ed. - Lara, Pedro: Principios generales del cáncer. Arán Ed. - Pérez, Carlos: Principles and Practice of Radiation Oncology. Lippincott, Williams and Wilkins Ed. - Clifford Chao, K.S.: Radiation Oncology Management Decisions. Walters, Kluwer and Lippincott, Williams and Wilkins Ed.
Additional - SERAM, Radiología esencial. Ed. Médica Panamericana. 2010.
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