SURGERY 7013OL - Minimally Invasive Surgery Theory IV

Online - Quadmester 4 - 2014

Theory IV looks at how two subspecialties have adapted to include minimally invasive surgical techniques. Students will learn how to define and measure quality of life and cosmesis - two areas that are cited in support of minimally invasive surgery. They will also explore the process of innovation and the concepts of leadership and finally be introduced to the new field of plasma medicine.

  • General Course Information
    Course Details
    Course Code SURGERY 7013OL
    Course Minimally Invasive Surgery Theory IV
    Coordinating Unit Surgery
    Term Quadmester 4
    Level Postgraduate Coursework
    Location/s Online
    Units 3
    Contact Online
    Prerequisites SURGERY 7007OL, SURGERY 7009OL, SURGERY 7012OL
    Restrictions Available to MMIS students only
    Course Description Theory IV looks at how two subspecialties have adapted to include minimally invasive surgical techniques. Students will learn how to define and measure quality of life and cosmesis - two areas that are cited in support of minimally invasive surgery. They will also explore the process of innovation and the concepts of leadership and finally be introduced to the new field of plasma medicine.
    Course Staff

    Course Coordinator: Peter Hewett

    Additional Academic Staff:

    Name Phone Email Location
    Mr (Chrys) Indran Chrysantha Sri Lal Hensman MBBS (Hons) FRACS 03 9760 2777 chris.hensman@adelaide.edu.au Melbourne
    Mr Alex Karatassas MBBS, FRACS 08 8222 6750 alex.karatassas@adelaide.edu.au The Queen Elizabeth Hospital
    Dr Dinesh TrehanMBBS, MS (Gen.Surg), DNB (Gen.Surg)FRACGP, FRACS 08 8182 9000 dinesh.trehan@adelaide.edu.au Royal Adelaide Hospital
    Dr. Santosh Antony 0lakkengil, MBBS, DNB (Gen.Surg.), M.MinInvSu.(Aus), FIAGES 08 8123 6826 santosh.olakkengil@adelaide.edu.au Royal Adelaide Hospital

    Administrative Contact Details:

    Name Phone Email Location
    Ms Sally Lauder 08 8222 7024 sally.lauder@health.sa.gov.au The Queen Elizabeth Hospital
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    On successful completion of this course students will be able to:

    1 Understand the history and current practice in minimally invasive surgery in colorectal surgery.
    2 Be familiar with the pathophysiology of abdominal wall hernia and techniques of repair based on these principles.
    3 Understand the pathophysiology of obesity and the different minimally invasive bariatric surgical techniques.
    4 Understand the  incidence and causes of thromboembolic events in minimally invasive surgery.
    5 Be able to review the available technology and indications with regards to neural stimulation.
    6 Understand the minimally invasive techniques used in vascular surgery.
    7 Become familiar with the minimally invasive gynaecological surgical procedures particularly those used for clearance of endometriosis.
    8 Understand the marked differences in anatomy, physiology and surgical technique.
    9 Understand the different modalities and techniques with regards to destruction of tumours without surgical access.
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1-9
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 1-9
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 1-9
    Skills of a high order in interpersonal understanding, teamwork and communication. 1-9
    A proficiency in the appropriate use of contemporary technologies. 1-9
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 1-9
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1-9
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1-9
  • Learning Resources
    Required Resources

    Students will require access to a computer and the internet.

    All learning resources will be delivered online with online tutorials consisting of links to text, video and websites delivering relevant content.

    Recommended Resources

    All learning resources will be delivered online with online tutorials consisting of links to text, video and websites delivering relevant content.

    Online Learning
    Colloquy will provide the online learning system for students via LEARN http://www.learn.adelaide.edu.au/login/index.php

    Once students have successfully enrolled with the University they can access the LEARN site where they will be attending their classes, viewing assignments, joining discussion forums and linking up with professors and fellow students. 
  • Learning & Teaching Activities
    Learning & Teaching Modes

    Theory IV will be taught via online tutorials with directed learning to text, videos and websites.

    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Type No of sessions Duration of sessions (hrs) Total hours
    Online tutorials 10 3 30
    Exam 1 1 1
    Reading/study time 10 6 60
    Tutorial preparation 10 5 50
    Exam preparation 15 15
    Written assignments 7 3 21
    Total workload per term: 172
    Learning Activities Summary
    Term 4

    Week Topic Lecture
    1 Colorectal surgery This topic covers the use of minimally invasive surgery in the treatment of colorectal conditions. The last 10 years has seen an explosion of interest in all facets of minimally invasive surgery for colorectal diseases including laparoscopy, hand assisted operations, SILS, NOTES, TEMS and hybrids of the mentioned procedures.
    2 Treatment of Body Wall Defects This topic discusses the treatment for body wall defects in minimally invasive surgery. It will also cover pathophysiology of effective treatment and functional reconstruction of the abdominal wall for large incisional hernias.
    3 Treatment of Obesity This topic completes a comprehensive review of obesity including current concepts in incidence, aetiology, pathophysiology, and treatment.
    4 Thromboembolism in Surgery This topic covers thromboembolism for surgeons.
    5 Neural Stimulation This topic covers minimally invasive neural stimulation. Neural stimulation is part of the brave new world of surgery. Students may be surprised to see the extent of progress that has been made in this field.
    6 Vascular Surgery This topic covers approaches that vascular surgeons are using to achieve outcomes via minimally invasive access methods.
    7 Gynaecology Surgery This topic will provide an overview of gynaecology in MIS. Laparoscopy is an important part of gynaecology. Indeed the specialty was the first to take on laparoscopy widely in clinical practice. Many gynaecologists have become highly skilled in pelvic dissection to deal with endometriosis and these techniques are investigated in this topic.
    8 Paediatric Surgery This topic will provide an overview of paediatrics in MIS. This topic is presented by Mr. Sanjeev Kurana, a paediatric surgeon at The Women’s and Children’s Hospital. It will describe the current state of minimally invasive surgery in paediatric surgery.
    9 Tumour Ablation This topic discusses methods of minimally invasive tumour ablation. Students will be able to understand and decide which of the following modalities will be suitable for minimally invasive tumour ablation.
    •    Heat - RFA, laser, microwave.
    •    Cold - cryotherapy
    •    Chemical - electrolytic, alcohol
    10 Revision and exam Revision and exam week
    Specific Course Requirements
    In order to be eligible for this program, applicants must meet the following requirements:

    Professional requirements:
    •    Students must be an experienced surgeon who has completed, or be within 1 year of completing, the FRACS, FRACOG (or equivalent).
    •    Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery.

    Visa requirements:
    •    Permanent residency or citizenship - to be a domestic applicant
    •    or hold a Temporary Business (Long Stay) Visa (Subclass 457) – to be an International applicant.
    •    Students must be resident in Australia.

    Work placement:
    Students should have a surgical fellowship or consultant position with a major interest in minimally invasive surgery. This surgical position is not automatically offered with the Master of Minimally Invasive Surgery and students are personally responsible for obtaining a suitable position.  Job dates should coincide with the University of Adelaide quadmester dates.
    Small Group Discovery Experience
    Surgical skills workshop weekend
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary

    Assessment task Assessment type Weighting Learning course outcome(s) being addressed
    Discussion / group contributions and participation Participation 10% 1-9
    Written assignments Summative 40% 1-9
    Exam Summative 50% 1-9
    Assessment Related Requirements

    All tutorials and workshops are compulsory.

    Assessment Detail
    Overall assessment details:
    •    Final exam will account for 50% of overall assessment.  The exam will consist of four short answer questions covering the content of the course each worth 25%.
    o    Exam administration: Exam to take place at the end of Term 4 at the end of the surgical skills workshop. It will be an online open book exam for a period of 2hrs.
    •    Written assignments will consist of online written assignments.  The assignments are 2,000 words. All marks will go towards a total of 40% of the overall assessment.
    •    Discussion / group contribution and participation. Contribution to discussion groups and boards and contribution performance metrics will also be taken into account accounting for 10% of the overall assessment.

    Individual assessment tasks:
    •    What can you learn from the randomized controlled trials posted for this topic? Discuss the difficulties in setting these trials up and the problems that may have been encountered in performing these studies. (1,000 word essay worth 5% of overall assessment for this course)
    •    In a 1,000 word essay, respond to the following prompts: (accounts for 5% of overall grade)
    o    Describe the process of assessment and preparation of a 42 year old female contemplating laparoscopic adjustable gastric banding.
    o    List the common comorbities of morbid obesity.
    o    Discuss the current concept of the brain in satiety.
    o    List and discuss the common complications of laparoscopic roux-en-y gastric bypass.
    o    Discuss the International Diabetic Federation recommendations in the treatment of the obese diabetic. How would this impact your day-to-day practice?
    o    Discuss the options in the treatment of the morbidly obese child.
    •    Is thromboembolism caused by surgery or malignancy? In your view and experience, is extended prophylaxis necessary? Explain why or why not. (1,000 word essay worth 5% of overall assessment for this course)
    •    Describe any forms of neural stimulation you have discovered that weren't outlined in the assigned reading and resources. In your view, how will this technology develop over the next several years? How will this technology develop over the next decade? Give examples of future applications. (1,000 word essay worth 5% of overall assessment for this course)
    •    Describe the major advances in minimally invasive vascular surgery that have occurred in the last 10 years. (1,000 word essay worth 5% of overall assessment for this course)
    •    What are the important principles that you have learnt regarding the minimally invasive surgical treatment of endometriosis. How might you apply these principles to your own work? (1,000 word essay worth 5% of overall assessment for this course)
    •    Compare a paediatric minimally invasive surgical operation with an adult surgical procedure you are familiar with. Describe and discuss the similarities and differences? (1,000 word essay worth 5% of overall assessment for this course)
    •    Describe the pathophysiology of radiofrequency ablation and potential complications. (1,000 word essay worth 5% of overall assessment for this course)
    Submission
    •    All submissions relating to tutorials will be delivered online via Colloquy’s online system.
    •    Examination location and date will be communicated by Program Coordinator and/or Program Administrator.
    •    Exam result turnaround time will be a maximum of 14 days.
    •    Any queries relating to classroom contribution can be discussed directly with ProgramCoordinator.
    •    Students should refer to the University’s Academic Honesty and Assessment Obligations for Coursework Students Policy & Coursework Students: Academic Dishonesty Procedures for information regarding written submissions: http://www.adelaide.edu.au/policies/230/?dsn=policy.document;field=data;id=239;m=view
    •    Students should contact the Program Coordinator if;
    o    They are unable to complete their tutorial obligations;
    o    They are unable to attend an examination;
    o    They are unable to attend the clinical immersion workshop;
    o    They are unable to meet any deadlines that are set during the course.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

  • Student Support
    Academic:                     

    Professor Peter Hewett                 
    Program Coordinator                 
    The Queen Elizabeth Hospital            
    Email:  peter.hewett@health.sa.gov.au         
    Phone:  08 8222 6248                 

    Professor Guy Maddern
    Program Director
    Head of Discipline, Surgery
    The Queen Elizabeth Hospital
    Email:  guy.maddern@adelaide.edu.au
    Phone:  08 8222 8492 (Departmental Secretary)


    Administrative:

    Ms Sally Lauder
    Program Administrator
    The Queen Elizabeth Hospital
    Email:  sally.lauder@health.sa.gov.au
    Phone:  08 8222 7024
  • Policies & Guidelines
  • Fraud Awareness

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