orientation to surgery - department before entering clinical postings

“ Surgery is the red flower that blooms among the leaves & thorns that are the rest of medicine ”

- Dr. Richard Selzer

Contents of Discussion

Aims of clinical training

Teaching learning methods

Guidelines on clinical postings

Objectives of clinical training

Recommended text books

Assessment & Examination

Salient Features - Aims

To develop a primary care physician with appropriate -

Knowledge, Skill and Attitude to treat

common disease at the primary care level.

To diagnose, workup and proper referral of common surgical conditions.

3 Domains of Learning

Teaching learning methods

The following strategy is used for organizing teaching learning activities:

a) Lectures are used for teaching the basic principles &

system based aspects of surgery.

b) Integrated seminars are utilized during the last

semesters for teaching system based surgery.

c) Clinical teaching to students on surgical Inpatient

wards.

d) Basic surgical skill training.

Guidelines – Clinical postings

Clinical posting will be from 9.00 a.m. to Noon, from Monday to Friday, barring Public Holidays.

Attendance is marked on a daily basis. A minimum of 75% attendance is mandatory for permission

to appear in the ward exam. Attendance at clinical postings will be counted towards the

final eligibility for University exams. Any person coming to clinic after 9.10 A.M. will be marked

absent. Maintain a record of cases seen and surgical skills learnt in a

diary/logbook.

“He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all.”

- Sir William Osler

Objectives of Clinical training

At the end of clinical posting in surgery, a student should be able to:

Elicit a detailed & relevant historyCarry out a physical examinationIdentify patients’ problemsReach a differential diagnosisFormulate appropriate investigationsInterpret the results of investigationsPlan appropriate managementUndertake some aspects of management

Assessment of Clinical training A ward exam will be conducted for the students at the end of each clinical posting. Minimum of 75% attendance is needed to be able to appear in the exam. The marks obtained at these ward exams will count towards the final University Internal Assessments (best 3 of 5 exams to be held).Assessment at the ward exam will be based on the following:

o Case reports portfolio

o Performance at exam: clinical, OSCE, viva voce as applicable

o Professional attitude and behaviour

o Logbook- accuracy, timely completion

Recommended Textbooks

Recommended Textbooks

Recommended Textbooks

Why Bailey & Love ??

Remains world’s pre-eminent textbook,

beloved by generations of surgeons.

Authoritative

Updated

Easy to navigate

Readable

User-friendly

“ Its high standing & reputation for unambiguous advice also make it the first point of reference for many practising surgeons.”

Examination

Internal Assessment Final Examination Total

Theory Practical Theory Theory Practical Cases + I II Viva

50 50 100 100 160 + 40 500

Types of Questions

Theory :

Essay Questions, Short Answer/ Short Notes,

and MCQs

Practical / Clinical Assessment:

Long Case, Short Case, Objective Structured

Clinical Examination (OSCE)

Summary

Surgery – Easy subject – Mneumonics

No seniors – You are the first

Simultaneous reading – Clinical & Non-clinical sub.

Attendence – Compulsory / No late coming

Lectures – Oriented to B & L [ 90% ]

Two way communication – Discussion

For today – 3 “ S ”

1. Symptom / Sign

2. Surface Anatomy

2 “ S ”

Symptoms :

Symptoms are the body's mother tongue.

[ Complaints given by the Patients ]

Signs :

Signs are in a foreign language.

[ What we elicit – find out ]

“ S ”

Surface Anatomy &

Surface marking

Disease Description

“ In A Surgeons Gown Physcians May

Make Some Clinical Progress. ”