Introduction to Surgery 2
(SURG 636)
Prof. M K ALAM MS FRCS
AL MAAREFA COLLEGE
Aims
• To prepare professional clinicians with sound
knowledge, skills, understanding and appropriate
attitudes ready to qualify in the graduating
examination.
• They should be ready to specialize and practice in
the field of medical science of their choice.
Theoretical objectives
o To provide a broad based knowledge of diseases in
the field of general surgery
o To provide basic knowledge of diseases in the field
of surgical specialties
Clinical objectives
• Perform and demonstrate skills of history taking.
• Perform and demonstrate skills of a comprehensive clinical examination.
• Demonstrate appropriate skills to interpret clinical signs.
• Record and present full and summarized history and clinical examination .
• Demonstrate knowledge of the symptoms and signs of common surgical diseases.
• Demonstrate reasoning skill to formulate a reasonable differential diagnoses.
• Learn indications and appropriate use of investigations.
• Learn the need for careful, accurate and speedy decision making.
• Observe and get involved with surgical emergencies and critically ill patients.
• Familiarize with the spectrum of surgical care (operative, non-operative)
• Adopt self-learning techniques and use different resources of teaching aids
• Learn and demonstrate the spirit of dedication, concern, confidentiality of information, and
professional manners.
COURSE DESCRIPTION
• Surgery 2 (SURG 636)
• Six (6) weeks.
• 1st week: Lectures
Weeks 2-5: Clinical rotation.
4 days- fully spent in the hospital.
Participate in clinical rounds , outpatient clinics, assist in surgical
procedures and attend operating surgery sessions.
Students are expected to master history taking and perform clinical
examination on surgical patients as well as participating in patientcare related activities.
Students will also be involved in preoperative preparations, post-
operative care and other day to day activities within a surgical unit.
Wednesdays: In the college for tutorials
Sixth (6th) week
• Examination preparation time for students
• MCQ & slide show (Monday)- examination at the College.
• Clinical examination: (Wednesday)- 2 short cases at the
hospital
Teaching Format
1.Lectures
2.Hospital rotation in General Surgery
3.Tutorials:
Common case scenario/ interpretation of lab.
results/ imaging studies/ spot diagnosis
Syllabus
Course will include topics from:
1.
Principles of surgery
2.
General surgery
3.
Urology
4.
Thoracic surgery
5.
Neurosurgery
6.
Plastic surgery
7.
Pediatric surgery
8.
Vascular surgery
Principles of Surgery
1.
Anaesthesia and pain management
2.
Sterilization, aseptic technique and operation room
(Sutures, diathermy, drains, laparoscopic surgery)
3.
Day surgery
4.
Principles of transplantation surgery
General Surgery
1.
Upper GI hemorrhage.
2.
Lower GI hemorrhage
3.
Small bowel obstruction
4.
Large bowel obstruction and colostomies
5.
Obstructive jaundice
6.
Diseases of peritoneum and retroperitoneal space.
7.
Surgical management of morbid obesity in adults (Bariatric surgery)
Urology
1.
General presentation, assessment and investigations of urinary
tract diseases.
2.
Diseases of upper urinary tract (kidney & ureter)
3.
Diseases of lower urinary tract (bladder, prostate, urethra)
4.
Diseases
of
external
genitalia:
Circumcision,
Congenital
abnormalities of the penis, undescended testis (cryptorchidism), Torsion of
the testis, Epididymo-orchitis, hydrocele, Varicocoele.
Thoracic surgery
1.
Diseases of oesophagus
2.
Mediastinum, and pleuro-pulmonary infections
3.
Presentation and management of: Bronchogenic carcinoma,
other lung tumours including metastatic carcinoma, mesothelioma.
Pediatric surgery
1.
Common neonatal emergencies: Hirschsprung’s disease,
Esophageal atresia, Imperforated anus, intestinal atresia,
2.
Pediatric emergencies: Acute appendicitis, intussusception,
Meckel’s diverticulum, Foreign bodies, perianal sepsis
3.
Hernias, abdominal wall defects, undescended testis,
childhood obesity
Vascular surgery
1. Arterial diseases
2. Venous diseases & lymphatic diseases
Neurosurgery
1.
Management of head injury
2.
Intracranial tumours and infections
Plastic surgery
1.
Management of burn
2.
Skin and subcutaneous tumours
ALMAAREFA COLLEGE
Teaching program: SURG 2 (635)
Day
8 - 8.50 AM
8.50 - 9.40 AM
SUNDAY
31.01.16
Introduction to
Surgery 2
Prof. Alam
Upper GI bleeding
Prof. Alam
MONDAY
01.02.16
Principles of
transplantation surgery
Lower GI bleeding
Semester 152
Break
9.40 10 AM
10-10.50
10.50-11.40
Sterilization,
aseptic technique
and operation
room
Dr. Yasser
Small bowel
obstruction
Dr. Yasser
Dr. Qaisar
Obstructive
jaundice
Large Intestinal
obstruction and
colostomies
Dr. Alam
Day Surgery
Prof. Alam
Prof. Alam
TUESDAY
02.02.16
WEDNESDAY
03.02.16
THURSDAY
04.02.16
Date 31.01.16- 04.02.16
Dr. Alam
Tutorial
1-4 PM
Arterial disease
1-2 PM
Diseases of
mediastinum &
pleuro-pulmonary
infections
Dr. Waseem Hajjar
Venous & lymphatic
diseases
2-3 PM
Dr. Qaisar
Anaesthesia and pain
management
Prof Alam
Dr Bilal
General presentation,
assessment and
investigations of urinary
tract diseases
Dr. M Turki
Diseases of upper
urinary tract (kidney
& ureter)
Dr. M Turki
Management of Burn
Dr Shareef
Management of skin &
subcutaneous tumours,
skin grafts
Dr Shareef
Surgical
management of
morbid obesity in
adults
Prof. Alam
1-2 PM
Common
neonatal
emergencies
Dr. S Mallick
2-3 PM
Pediatric emergencies
Diseases of external
genitalia
Dr. M Turki
Diseases of
peritoneum and
retroperitoneal
space.
Prof. Alam
Hernias,
abdominal
wall defects,
undescended
testis,
childhood
obesity
Dr. S Mallick
Bronchogenic carcinoma,
other lung tumours,
metastatic carcinoma and
mesothelioma
Diseases of lower urinary
tract
Dr. M Turki
Diseases of
oesophagus
Dr. Waseem Hajjar
Prayer
Break
11.40-1PM
Management of
head injury+
Raised ICP
Intracranial tumors
and infections
Dr. Safdar
Dr Safdar
Dr. S Mallick
(2-3 PM)
Dr. Waseem Hajjar
SURG 636 – Semester 152
1st – 4th Week of clinical rotation
Day
8 AM to 4 PM
SUN
MON
HOSPITAL POSTING
TUE
WED
THU
TUTORIALS at the College
HOSPITAL POSTING
TUTORIALS 1st - 4th week of clinical rotation
WEDNESDAYS at ALMAAREFA COLLEGE (Semester 152)
DAY &
DATE
Tutorial 8-9.40 AM
BREAK
9.40- 10AM
TUORIAL
10- 12 AM
PRAYER
BREAK
11.40. 1 PM
TUTORIAL
1 PM- 4 PM
WEDNESDAY
10.02.16
23.03.16
27.04.16
Case scenario- Acute abdomen
Moderator: Dr. Akeely
Case scenario- Breast lump
Moderator- Prof Alam
Case scenario: Neck swelling
Moderator: Prof Alam
WEDNESDAY
17.02.16
30.03.16
04.05.16
Case scenario: Abdominal injury
Moderator: Prof Alam
Case scenario: Intestinal obstruction
Moderator: Dr. Akeely
Case scenario: GS / vascular
case
Moderator: Prof Alam
WEDNESDAY
24.02.16
06.04.16
11.05.16
Laboratory investigations/
imaging studies
Moderator Prof Alam
Spot diagnosis
Moderator: Prof Alam/ Dr Akeely
Case presentation by students
Prof Alam/ Dr Akily
WEDNESDAY
02.03.16
13.04.16
18.05.16
Case presentation by students
Prof Alam/ Dr Akeely
Case presentation by students
Prof Alam/ Dr Akeely
Case presentation by students
Prof Alam/ Dr Akily
Assessment
•
Theory : MCQ examinations (Lecture topics + tutorial topics)- 30 Marks
•
Clinical slide show: 20 marks
•
Clinical: 40 Marks
Clinical examinations will be conducted at the hospital.
Clinical exam format: Two short cases evaluation by two different examiners.
(20 marks for each short case)
•
Case presentation: 5 marks. (Present one case you were involved)
•
Logbook: 5 Marks Records of cases and skills you were involved during hospital
posting. Logbook must be presented at the time of case presentation
Clerkship Records
ID: - …………………
Student Name:-………………………….….
Clerkship:-……………………………
Date from
/
/
to
/
/
Hospital:-…………..…………………..
Group
(
)
Level
(
)
Cases / skills Records:
The student must document frequency of cases /skills (encounters) in the list below. Student must ensure
that the form is signed by the trainer.
Date
Cases/skills
Trainer’s Name:-…………………………………………..
Action / Plan
Trainer's sign:-……………………….............
Thank you!