Welcome to Department Welcome to Department of the Surgeryof the Surgery

ProfProf. A.H.M. Shamsul Alam. A.H.M. Shamsul Alam

What is Surgery?What is Surgery?

The art, practice, The art, practice, or work of or work of treating diseases, treating diseases, injuries, or injuries, or deformities by deformities by manual or manual or operative operative proceduresprocedures

Surgery in MBBS curriculumSurgery in MBBS curriculum

General SurgeryGeneral Surgery General Surgical PrinciplesGeneral Surgical Principles Systemic Surgical diseasesSystemic Surgical diseases Orthopaedics: Diseases of bone and jointsOrthopaedics: Diseases of bone and joints Urology: Diseases of the urinary systemUrology: Diseases of the urinary system Neurosurgery: Diseases of the nervous systemNeurosurgery: Diseases of the nervous system

Ophthalmology: Diseases of eyesOphthalmology: Diseases of eyes ENT: Ear-Nose-Throat diseases(Otolaryngology)ENT: Ear-Nose-Throat diseases(Otolaryngology)

Surgery:Surgery:Course durationCourse duration

Total three years and six months

3rd year 4th year 5th year(1.5 Y)

Professional exam in January 1015General Surgery (300)

Eye(100), ENT(100), Total=500 marks

General Surgery: 3General Surgery: 3rdrd year schedules year schedules

Lectures (Once weekly 7-30 AM to 8-30 AM)Lectures (Once weekly 7-30 AM to 8-30 AM) Basic principles of surgeryBasic principles of surgery Some common surgical diseasesSome common surgical diseases

Hospital placements (Daily 8-30 to10-30 AM)Hospital placements (Daily 8-30 to10-30 AM) Four months in surgical wardsFour months in surgical wards

2 months cycle2 months cycle One month in other areasOne month in other areas

Radiology, Blood transfusion, emergency etc.Radiology, Blood transfusion, emergency etc.

Lectures Lectures (Twice weekly: combined 4(Twice weekly: combined 4thth+5+5thth year) year) Systemic surgical diseasesSystemic surgical diseases Orthopaedics, Urology, NeurosurgeryOrthopaedics, Urology, Neurosurgery

Hospital placements (Daily 8-30 to 10-30 AM)Hospital placements (Daily 8-30 to 10-30 AM) Two months in Orthopaedic surgical wardsTwo months in Orthopaedic surgical wards One month in other areasOne month in other areas

General Surgery: 4General Surgery: 4thth year schedules year schedules

Lectures Lectures (Four classes weekly: 2 combined 4(Four classes weekly: 2 combined 4thth+5+5thth year and two for 5year and two for 5thth year only) year only) Systemic surgical diseasesSystemic surgical diseases Orthopaedics, Urology, Paediatric surgeryOrthopaedics, Urology, Paediatric surgery

Hospital placements (Daily 8 to 10-30 AM)Hospital placements (Daily 8 to 10-30 AM) Two months surgical wardsTwo months surgical wards One month in other areas One month in other areas

General Surgery: 5General Surgery: 5thth year schedules year schedules

General Surgery: How important it is General Surgery: How important it is in 3in 3rdrd year? year?

Longest period of placement in wardsLongest period of placement in wards You will have the first chance to know the You will have the first chance to know the

patientspatients It is the best chance develop clinical skillsIt is the best chance develop clinical skills Clinical skills takes long time to developClinical skills takes long time to develop

What would you do in What would you do in Hospital wards?Hospital wards?

You will learn the art of communication with You will learn the art of communication with the patientsthe patients History takingHistory taking

Listen to their complaintsListen to their complaints Ask questionsAsk questions Write notesWrite notes

You will learn the art of examining the You will learn the art of examining the patients physicallypatients physically

Hospital Placements: Hospital Placements: You need to carry with youYou need to carry with you

Guidelines to follow in the Guidelines to follow in the wardswards

Enter into the wards in timeEnter into the wards in time Follow ward antiquatesFollow ward antiquates

Put on your apron with ID cardPut on your apron with ID card Talk in a low voiceTalk in a low voice Do not let your movement disturb the Do not let your movement disturb the

patients, doctors and nursespatients, doctors and nurses Wish the patients (Say, Salam/Good morning!)Wish the patients (Say, Salam/Good morning!) Inquire into patient’s well being (Say, how are Inquire into patient’s well being (Say, how are

you?)you?)

Be respectful and kind to themBe respectful and kind to them Ask permissionAsk permission before you talk or examine before you talk or examine ReassureReassure them that you are not going to hurt them that you are not going to hurt Be gentleBe gentle and ensure privacy while exposing and ensure privacy while exposing

themthem Never hurtNever hurt them while examining them while examining Give privacy:Give privacy: be aware of it while examining be aware of it while examining Be protective: Be protective: Ladies must always be examined in Ladies must always be examined in

presence of another lady.presence of another lady.

Your attitude towards Your attitude towards patientspatients

Your job in the hospital Your job in the hospital wardswards

Learn the art of history taking and physical Learn the art of history taking and physical examinationexamination Be methodicalBe methodical Follow a ‘clinical method book’Follow a ‘clinical method book’ Write a draft in your note bookWrite a draft in your note book Write final history in special notebook (for history only)Write final history in special notebook (for history only)

Present your case historyPresent your case history To a group of students or teacherTo a group of students or teacher Submit the case history to a teacher for reviewingSubmit the case history to a teacher for reviewing

Learn the surgical procedures by observing/doingLearn the surgical procedures by observing/doing Be familiar with surgical instruments and Be familiar with surgical instruments and

materialsmaterials

Attending Attending operationoperation theatretheatre

Take prior permission from the SurgeonTake prior permission from the Surgeon Put on cap, musk and freshly washed OT dress Put on cap, musk and freshly washed OT dress Put on a disposable shoe cover/OT slipper Put on a disposable shoe cover/OT slipper Do not touch anything in the operation theatreDo not touch anything in the operation theatre Keep yourself away from surgeon, assistant and Keep yourself away from surgeon, assistant and

instruments (at least two feet)instruments (at least two feet) Do not obstruct the theatre staffDo not obstruct the theatre staff Observe everything and ask questions for Observe everything and ask questions for

clarificationclarification

Shoe coverShoe cover

OT dress

Theatre attire

Cap and musk

AssessmentsAssessments 33RdRd year: year:

Completion of Card-I with ‘Ward Completion’ examination Completion of Card-I with ‘Ward Completion’ examination (Clinical)(Clinical)

Term-I examination (MCQ and SAQ)Term-I examination (MCQ and SAQ) 44thth Year: Year:

Completion of Card-II with ‘Ward Completion’ examination Completion of Card-II with ‘Ward Completion’ examination (Orthopaedic Clinical)(Orthopaedic Clinical)

Term-II examination (MCQ and SAQ)Term-II examination (MCQ and SAQ) 55thth Year Year

Completion of Card-III with ‘Ward Completion’ Completion of Card-III with ‘Ward Completion’ examination (Clinical)examination (Clinical)

Term-III examination/Final assessment (MCQ and SAQ)Term-III examination/Final assessment (MCQ and SAQ)

Books to readBooks to read

Text bookText book Bailey and Love’s short practice of Bailey and Love’s short practice of

surgerysurgery Farguhadrson’s operative surgeryFarguhadrson’s operative surgery

Clinical methodsClinical methods Hamilton Bailey’s clinical methodsHamilton Bailey’s clinical methods S.Das’s clinical methodsS.Das’s clinical methods

Any question?Any question?

Wish you a fantastic learning experience with us !!!

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