1. Introduction to Surgery 2 (SURG 636) Prof. ALAM

2. 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.

3. 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 Theoretical objectives

4. Clinical objective 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.

5. COURSE DESCRIPTION Surgery 2 (SURG 636): Six (6) weeks. 1st week: Didactic lectures and tutorials.

6. Weeks 2-5: Clinical rotation. Sunday – Wednesday: 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 patient-care related activities. Students will also be involved in preoperative preparations, post-operative care and other day to day activities within a surgical unit. Thursdays: In the college for lectures and tutorials

7. Sixth (6 th ) week Devoted to examination preparation time for students MCQ & slide show examination at the College. Clinical examination (short cases): Hospitals of posting

8. 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

9. Teaching Format 1.Lectures 2.Hospital rotation in General Surgery 3.Tutorials: Topics presentation by students Moderator: Prof Alam

10. Lecture Topics: Principles of Surgery & General 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)

11. Lecture Topics: Surgical specialties 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.

12. Neurosurgery: 1.Management of head injury 2.Intracranial tumours and infections Plastic surgery: 1.Management of burn 2.Skin and subcutaneous tumours 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

13. Day8 - 8.50 AM8.50 - 9.40 AM Break 9.40 - 10 AM 10-10.5010.50-11.40 Prayer Break 11.40-1PM Tutorial 1-4 PM SUNDAY 26.04.15 Introduction to Surgery 2 Prof. Alam Upper GI bleeding Prof. Alam Sterilization, aseptic technique and operation room Dr. Yasser Small bowel obstruction Dr. Yasser Topics presentation by students Moderator: Prof Alam MONDAY 27.04.15 Principles of transplantation surgery Prof. Alam Lower GI bleeding Prof. Alam Topics presentation by students Moderator: Prof Alam Topics presentation by students Moderator: Prof Alam TUESDAY 28.04.15 General presentation, assessment and investigations of urinary tract diseases Dr. Mohammed Turki Diseases of upper urinary tract (kidney & ureter) Dr. Mohammed Turki Obstructive jaundice Dr. Arrawi Large Intestinal obstruction and colostomies Dr. Arrawi Topics presentation by students Moderator: Prof Alam WEDNESDAY 29.04.15 Diseases of peritoneum and retroperitoneal space. Prof. Alam Day Surgery Prof. Alam Tutorial Topics presentation by students Moderator: Prof Alam 1-2 PM Common neonatal emergencies Dr. S Mallick 2-3 PM Anaesthesia and pain management Dr. Mahmood Hassan THURSDAY 30.04.15 Management of head injury Dr. Ahmad Lary Intracranial tumors and infections Dr. Ahmad Lary Tutorial Topics presentation by students Moderator: Prof Alam Pediatric emergencies Dr. S Mallick Hernias, abdominal wall defects, undescended testis, childhood obesity Dr. S Mallick

14. DAY & DATE LECTURE 8- 8.50 AM LECTURE 8.50- 9.40 BREAK 9.40- 10AM TUORIAL 10- 12 AM PRAYER BREAK 11.40 – 1 PM TUTORIAL 1 PM- 4 PM 2 nd week THURSDAY 07.05.15 Diseases of lower urinary tract Dr Mohammed Turki Diseases of external genitalia Dr Mohammed Turki Topics presentation by students Moderator: Prof Alam Topics presentation by students Moderator: Prof Alam 3 rd week THURSDAY 14.05.15 Management of burn Dr. Omar el Sharif Skin and subcutaneous tumors Dr. Omar el Sharif Topics presentation by students Moderator: Prof Alam Topics presentation by students Moderator: Prof Alam 4 th week THURSDAY 21.05.15 Diseases of oesophagus Dr. Waseem Hajjar Diseases of mediastinum & pleuro-pulmonary infections Dr. Waseem Hajjar Bronchogenic carcinoma, other lung tumours, metastatic carcinoma and mesothelioma Dr. Waseem Hajjar 10-10.40 AM Topics presentation by students 10.40- 12 AM Moderator: Prof Alam Case presentation by students Moderator: Prof Alam 5 th week THURSDAY 28.05.15 Surgical management of morbid obesity in adults Prof. Alam Case presentation by students Moderator: Prof Alam Case presentation by students Mod: Prof Alam

15. Tutorials A group of students, in turn, will prepare and present common surgical topics. The topics will be of general surgical interest. All participating students will share parts of the presentation. Presenting students will be asked questions relevant to the topic by tutor or other students. Other students will be encouraged to participate in discussion and ask questions.

16. SURGICAL TUTORIAL Student’s serial number Topics Date Time Pathophysiology and management of shock 26/4/151-2 PM Nutritional support in surgical patient 27/4/151-2 PM Management of a patient presenting with acute abdomen. 27/4/152- 3 PM Interventional radiology- indications & patient preparation 28/4/151-2 PM Preparation of patients for surgery 28/4/152-3 PM How to write a postoperative order including IV fluids. 29/4/1510-11 AM Management of blunt abdominal injury 29/4/1511-12 PM Management of penetrating abdominal injury 30/4/1510-11 AM Management of penetrating neck trauma 7/5/1510-11 AM Management of patients with neck swellings including thyroid. 7/5/1511-12 AM Management of mesenteric vascular occlusion 7/5/151-2 PM Management of bowel obstruction 7/5/152-3 PM Management of patients presenting with obstructive jaundice 14/5/1510-11 AM Management of patients with severe acute pancreatitis 14/5/1511-12 AM Management of a patient presenting with breast mass 14/5/151-2 PM Management of patients presenting painful irreducible hernia. 14/5/152-3 PM

17. Assessment Theory : MCQ examinations (Lecture topics + tutorial topics)- 30 Marks Clinical: 40 Marks Clinical examinations will be conducted at the hospital. Clinical exam format: Two short cases by two different examiners. ( 20 marks for each short case) Clinical slide show: 20 marks Case report and presentation: 10 marks. Submit case history of 3 patients seen during hospital rotation.- 5 Marks Present one case (SOAP format) in tutorial session. - 5 Marks

18. Thank you!