About the Department
The broad goal of the teaching of undergraduate students in Surgery is to produce graduates capable of delivering efficient first contact surgical care.
The goals of postgraduate training course in Surgery would be to train a MBBS doctor who will Practice surgery efficiently and effectively backed by scientific knowledge and skill. No syllabus can be comprehensive but the following topics are not intended to be prescriptive but it is a guide to the topics which need to be covered during training.
At the end of the training and evaluation,
- He will develop right attitudinal skills which will ensure effective and correct communication with patients, relatives, colleagues and superiors
- Continue to develop keen interest in continuing surgical education irrespective of whether he is in a teaching institution or is in Private practice
- Be a motivated 'teacher' - defined as a surgeon keen to share his knowledge and skills with a colleague or a junior or any learner.
The departmental objectives, syllabus and skills to be developed in the department of surgery during undergraduate medical education are presented herewith. These are prepared taking into consideration of various aspects and institutional goals given below :
- A medical student after graduation may have different avenues of his/her professional career and may work either as a first contact physician in a private, semi-private or public sector or may take up further specialization in surgery or other specialties.
- He may have to work in different settings such as rural, semi-urban or urban which may have deficient or compromised facilities.
- These are based on the various health services research data in our community.
- These are also based on following institutional goals in general;
At the end of the teaching/ training the undergraduate will be able to:
- Diagnose and manage common health problems of the individual and the community appropriate to his/her position as a member of the health team at primary, secondary and tertiary levels.
- Be competent to practice curative, preventive, promotive and rehabilitative medicine and understand the concepts of primary health care.
- Understand the importance and implementation of the National Health Programmes in the context of national priorities.
- Understand the socio-psychological, cultural, economic and environmental factors affecting health and develop humane attitude required for professional responsibilities.
- Develop the ability for continued self-learning with a scientific attitude of mind and acquire further expertise in any chosen area of medicine.
The following objectives are laid out to achieve the goals of the course. These objectives are to be achieved by the time the candidate completes the course. The objectives are considered under the subheadings
- Knowledge (Cognitive domain)
Knowledge and information about the subject, Recallof and Analysis of available information to be used for the treatment of patients.
- Skills (Psycho motor domain)
The correct skills to be developed by working in a drylab as well as surgeries on animals (Minimal access Surgery). He/She should develop surgical skills by assisting seniors as well as being assisted by seniors
- Human values Ethics involved in Surgical practice
At the end of the training, the candidate must be able to:
- Describe etiology, pathophysiology, principles of diagnosis and management of common surgical problems including emergencies, in adults and children.
- The candidate should be conversant with Homeostatic mechanism and Fluid Electrolyte balance and replacement therapy including blood transfusion, plasma expanders and treatment of various types of shock.
- Nutrition: Assessment, Management of parenteral and enteral nutrition
- Disorders of coagulation pertaining to surgeries, DVT, Thrombophilia
- Describe common malignancies in the country and their management
- Recognize conditions that may be outside the area of his specialty / competence and appropriate referral to specialist
- Advice regarding the operative or non-operative management of the case and to carry out this management effectively.
- Update himself by self-study and by attending courses, conferences and seminars relevant to surgery.
- Teach and guide his team, colleagues and other students.
- Undertake audit, use information technology tools and carry out research, both basic and clinical, with the aim of publishing his work and presenting his work at various scientific forums.
At the end of the course, the student should be able to
- Diagnose common surgical conditions both acute and chronic, in adult and children.
- Plan various laboratory tests for surgical conditions and interpret the results;
- Identify and manage patients of haemorrhagic; septicaemic and other types of shock.
- Be able to maintain patent air-way and resuscitate:
- A critically injured patient.
- Patient with cardio-respiratory failure;
- A drowning case.
- Monitor patients of head, chest, spinal and abdominal injuries, both in adults and children
- Provide primary care for a patient of burns;
- Acquire principles of operative surgery, including pre-operative, operative and post operative care and monitoring;
- Treat open wounds including preventive measures against tetanus and gas gangrene.
- Diagnose neonatal and paediatric surgical emergencies and provide sound primary care before referring the patient to secondary/territory centers;
- Identify congenital anomalies and refer them for appropriate management.
In addition to the skills referred above in items (1) to (10), we have observed/assisted/performed the following:
- Incision and drainage of abscess;
- Debridement and suturing open wound;
- Excision of simple cyst and tumours.
- Biopsy and surface malignancy
- Catheterisation and nasogastric intubation;
- Peritoneal and pleural aspirations;
- Diagnostic proctoscopy
- Hydrocoele operation;
- Endotracheal intubation
- Tracheostomy and cricothyroidetomy;
- Chest tube insertion.
Human values,and Ethical practice
- Adopt ethical principles in all aspects of clinical practice. Professional honesty and integrity arefostered. Surgical care is delivered irrespective of the social status, caste, creed or religion of the patient.
- Develop communication skills, in particular the skill to explain various options available in management
- Be humble and accept the limitations in his knowledge and skill and to ask for help from colleagues and specialist in the field when needed.
- Respect patient's rights and privileges including patient's right to information and right to seek a second opinion
- Take a proper clinical history, examine the patient, perform essential diagnostic procedures and order relevant tests and interpret them to come to a reasonable diagnosis about the surgical condition.
- Perform minor operative procedures and common general surgical operations independently and the major procedures with help from a senior surgeon.
- Provide basic and advanced life saving support services (BLS & ALS) in emergency situations
- Manage acute abdominal emergencies and poly trauma.
- Undertake thorough wound management, including burn wounds.
- Undertake complete patient monitoring including the preoperative and post operative care of the patient.
- Use of antibiotics in Surgery, Surgical infections’ & use of Prophylactic antibiotics
Human values, Ethical practice and Communication abilities
- Adopted ethical principles in all aspects of surgical practice. Professional honesty and integrity are fostered. Surgical care is delivered irrespective of the social status, caste, creed or religion of the patient.
- Develop communication skills, in particular the skill to explain various options available in management and obtain a true informed consent from the patient.
- Provide leadership and get the best out of the team in a congenial working.atmosphere.
- Apply high moral and ethical standards while carrying out human or animal research.
- Be humble and accept the limitations in knowledge and skill and to ask for help from colleagues when needed.
- Respect patient's rights and privileges including patient's right to information and right to seek a second opinion.
UG & PG
The undergraduate teaching in surgery has been integrated at various stages with different pre and para and other clinical departments.