1. Introduction to Surgery 1 (SURG 633) Semester 171
M K ALAM MS;FRCS
Professor of Surgery
Al Maarefa Medical College

2. Theoretical Objectives
To provide:
A broad based knowledge of Basic Surgical Principles.
Abroad based knowledge of Common Surgical Diseases. (Epidemiology, aetiology, risk factors, pathophysiology, classification, clinical presentation, differential diagnosis, investigations, overall management, specific treatment, complications and prognosis).

3. Clinical Objectives Perform & demonstrate skills of: History taking.
Clinical examination.
Interpretation of clinical signs.
Recording & presenting- history & clinical examination findings.
Symptoms & signs of common surgical diseases.
To formulate a differential diagnoses.
Investigation & management of surgical diseases/emergency.

4. Clinical Objectives Perform & demonstrate :
Self-learning & use of different teaching aids.
The spirit of dedication & concern.
Professional behavior in dealing patients & their relatives.
Respect patient’s wishes, and privacy.
Importance of confidentiality of patient’s information.
Communication skill- with patient & their families in simple language.

5. Semester 171 1st Rotation (R1)- Sun 17th Sept- Mon 23rd Oct ‘17
2nd rotation (R2)- Tues 24th Oct-Thurs 30th Nov ‘17
3rd rotation (R3)- Sun 03 Dec.-Mon 08th Jan 2018

6. Course plan - R1, R2, R3 Week 1: Lectures
Lecture/Tutorial-Thursday
Week 2 -5/6 Hospital posting,
Mid-Block examination: SUNDAY of Week 3
Case presentation & logbook submission- Last tutorial day
Final examination

7. Lectures Number of lectures (30). Duration of lectures: 50 minutes.
Lecture topics and its ILOs are listed.

8. Lecture topics: Principles of Surgery
1. Shock:
2. Nutritional support of surgical patients:
3. Fluid/electrolytes disorders, acid base disorder, IV fluids:
4. Metabolic response to injury:
5. Hemostasis (coagulation defects, blood products & blood transfusion)
6. Wounds and wound healing, wound management:
7. Surgical infections & antibiotics:
8. Investigation of surgical patients:
9. Trauma (2 lectures)
10. Preoperative assessment and management:
11. Post-operative care and complications:
12. Principles of surgical oncology:

9. Lecture topics: General Surgery
13. Acute abdomen. (2 lectures)
14. Gallbladder & biliary tract disease:
15. Diseases of stomach and duodenum:
16. Diseases of small bowel:
17. Diseases of large bowel including rectum:
18. Common neck swellings:
19. Diseases of thyroid gland:
20. Diseases of adrenal and parathyroid:
21. Liver diseases:
22. Diseases of pancreas:
23. Diseases of spleen.
24. Diseases of the breast:
25. Common ano-rectal diseases:
26. Abdominal wall and hernia:
27. Diseases of peritoneum and retroperitoneal space

10. Tutorials 1st -5th week Venue: ALMAAREFA Medical College
Interactive sessions.
History & clinical examination (Different systems & body regions)
Laboratory data interpretations.
Imaging study interpretations.
Case presentation- One interesting case seen during hospital posting.

11. Lectures & Tutorials schedule – Rotation 1 & Rotation 3
TEACHING PROGRAM SURG 1(633) SEMESTER 171
Lectures & Tutorials schedule – Rotation 1 & Rotation 3
Day & Date AM AM
Break AM AM
Prayer PM
1-3 PM
Tutorial
SUNDAY R R
Introduction to Surgery 1.
Prof. Alam
Metabolic response to injury
Prof Alam
Wounds & Healing.
Prof. AlSaigh
Fluid/Electrolyte & Acid-Base disorders, IV fluids
Dr. Al Ghamdi
H/E of Neck
Dr. Ahmad Al Ghamdi
MONDAY R R
Shock
Nutritional support in surgical patients
Trauma (1)
Trauma (2).
H/E of Breast
TUESDAY R R
Diseases of spleen
Diseases of thyroid gland
Dr. Akily
Diseases of adrenal
& parathyroid
Haemostasis & Coagulation defects
H/E of Thyroid gland
WEDNESDAY R R
Abdominal wall and
hernias
Diseases of
peritoneum &
retroperitoneal space
Small bowel diseases
Prof. Salamah
Post-operative care & complications
Prof Salamah
H/E of Swelling & Ulcers
THURSDAY R R
Gallbladder & biliary tract diseases
Dr. Hamad Qahtani
Liver diseases
Diseases of pancreas
Diseases of stomach & duodenum
H/E of Hernias

12. Investigation of surgical patients Dr. Al Ghamdi
DAY &
DATE
Lecture AM
Lecture AM
BREAK AM
Lecture AM AM
PRAYER
TUTORIAL
1 PM - 4 PM
THURSDAY R R
Investigation of surgical patients
Dr. Al Ghamdi
Preoperative assessment
Diseases of large bowel & rectum
Common anorectal diseases
H/E OF ABDOMEN
Prof. AlSaigh R R
Common neck
swellings
Prof Alam
Principles of Surgical Oncology
Surgical infection & antibiotics
Dr. Akily
Diseases of breast
Prof AlSaigh
H/E of extremities R R
Lab. data interpretation
H/E of perineal diseases
Interpretation of common imaging studies Dr. Al Ghamdi R R
Acute abdomen(I)
Acute abdomen (II)
Case presentation by students
Prof AlSaigh, Prof Alam & Dr. Ahmed Al Ghamdi

13. Lectures & Tutorials schedule – Rotation 2
TEACHING PROGRAM SURG 1(633) SEMESTER 171
Lectures & Tutorials schedule – Rotation 2
Date & Day AM AM
Break AM AM
Prayer PM
1-3 PM
Tutorial
(Tuesday)
Introduction to Surgery 1.
Prof. Alam
Metabolic response to injury
Prof Alam
Wounds & Healing.
Prof. AlSaigh
Fluid/Electrolyte & Acid-Base disorders, IV fluids
Dr. Al Ghamdi
H/E of Neck
Dr. Ahmad Al Ghamdi
(Wednesday)
Shock
Nutritional support in surgical patients
Trauma (1)
Trauma (2).
H/E of Breast
(Thursday)
Diseases of spleen
Diseases of thyroid gland
Dr. Akily
Diseases of adrenal
& parathyroid
Haemostasis & Coagulation defects
H/E of Thyroid gland
(Sunday)
Abdominal wall and
hernias
Diseases of
peritoneum &
retroperitoneal space
Small bowel diseases
Prof. Salamah
Post-operative care & complications
Prof Salamah
H/E of Swelling & Ulcers
Gallbladder & biliary tract diseases
Dr. Hamad Qahtani
Liver diseases
Diseases of pancreas
Diseases of stomach & duodenum
H/E of Hernias

14. Lecture, Tutorials & Case presentations Surg. 1 Sem. 171 Rotation 2
DAY &
DATE
Lecture AM
Lecture AM
BREAK AM
Lecture AM AM
PRAYER
TUTORIAL
1 PM - 4 PM
THURSDAY
Investigation of surgical patients
Dr. Al Ghamdi
Preoperative assessment
Diseases of large bowel & rectum
Common anorectal diseases
H/E OF ABDOMEN
Prof. AlSaigh & perineal diseases
Common neck
swellings
Prof Alam
Principles of Surgical Oncology
Surgical infection & antibiotics
Dr. Akily
Diseases of breast
Prof AlSaigh
H/E of extremities
Prof. AlSaigh
Lab. data interpretation
Interpretation of common imaging studies Dr. Al Ghamdi
Acute abdomen- 1& 2
Case presentation by students
Prof AlSaigh, Prof Alam & Dr. Ahmed Al Ghamdi

15. Hospital postings Surgical units: 4 weeks (Week 2-5).
Attend: in-patient, operating room, emergency room & OPD.
Actively participate: History/examination, & differential diagnosis Present patient’s history, examination findings & participate in case discussion with in-charge clinicians or deputies.
Follow up & interpret investigation results (blood, imaging) .
Discuss management plan and attend operations.

16. Hospital posting Surg. 1 Semester 171
Day
8 AM to 4 PM
SUN
HOSPITAL POSTING
MON
TUE
WED
THURSDAY
TUTORIAL

17. Hospital postings
Maintain a logbook- document all patients seen, procedures attended/participated (signed by a consultant/ registrar/ tutor.)
Display professional behavior at all time.
Must abide by the hospital rules.
Must strictly adhere to the confidentiality of patients and hospital.
Must follow the dress code.
Carry own pen torch and stethoscope.

18. SKILLS/PROCEDURES- AT HOSPITAL
History & examination of different organ systems
Study of imaging studies
Interpretation of laboratory investigations
Nasogastric tube
Wound drains
Wound care
IV line
PR exam
Prostate examination
Proctoscopy
Suturing
Urinary catheterization (Male & Female)
Colostomy care (if available)

21. Marks distribution Mid-Block examination- 15 Marks
Case presentation (5) + logbook (5)- 10 Marks
Log book evaluation- attendance, h/e of pts., case presentation, skills attended/participated & tutor signature
Final examination- 75 Marks

22. MID-BLOCK EXAMINATIONS
R1 – Sunday 1st October 2017
R2 - Sunday 12th November 2017
R3 - Sunday 17th December 2017
Exam component:
MCQ : 45 questions Marks

23. FINAL EXAMINATIONS- Sem. 171
R1- Sun 22 Oct & Mon 23 Oct 2017
R2- Wed 29 Nov& Thu 30 Nov 2017
R3- Sun 07 Jan & Mon 08 Jan 2018
Examination components:
MCQ: questions Marks
2. Slide Show: 5 slides Marks (Each slide 2 marks)
3. Case scenarios: (2cases) Marks (Case slides/scenario & questions)
4. OSCE: (5 stations) Marks
(X-ray, lab results, specimens, instruments, clinical pictures, history taking, clinical examination)
5. Clinical examination: 20 marks ( Thursday) on real patients in hospital

24. BLUEPRINT FOR MCQs 2-3 2-3 3-4 1-2 1-3 Metabolic response to injury
Lecture Topics
Number of MCQs - 45
Midblock exam
Number of MCQs- 30 End-block exam
Metabolic response to injury
2-3
Shock
Nutritional support of surgical patients:
Fluid/electrolytes disorders, acid base disorder, IV fluids
 2-3
Hemostasis, coagulation defects, blood products & blood transfusion:
Wounds and wound healing, wound management
Surgical Infections & antibiotics
Investigation of surgical patients
Trauma and multiple injury
3-4
Preoperative assessment and management
Post-operative care and complications
Principles of surgical oncology
1-2
Acute abdomen
Gallbladder & biliary tract disease
Diseases of stomach and duodenum
Diseases of small bowel
Diseases of large bowel including rectum
Common neck swellings
1-3
Diseases of thyroid gland
Diseases of adrenal and parathyroid
Liver diseases
Diseases of pancreas
Diseases of spleen
Diseases of the breast
Common ano-rectal diseases
Abdominal wall and hernia
Diseases of peritoneum & retroperitoneal space
Tutorial topics
BLUEPRINT FOR MCQs

27. Recommended Books: (Latest Editions)
1.Browse’s Introduction to The Symptoms and Signs of Surgical Disease
2.Principles and Practice of Surgery: Editors Garden, Bradbury, Forsythe and Parks
Pocket Books:
1. Churchill’s pocket book- Surgery by Raftery and Delbridge
2. Oxford’s Handbook of Surgery

29. THANK YOU & GOOD LUCK!