General Surgery Syllabus for Third Year Med Students

Course Information: Course Title : Credit Hours: Time Theoretical: Location Theory: Head of Department: Coordinator: Department Location Office Hours : Email Address: Website: Hall o. 2 Dr Ismael Hama Amine CABS, Assist. Prof Dr. Ali Omar saadoon College of medicine 3rd floor 8.00 am 3.30 pm med@univsul.net 27 Hours General Surgery 27 Hours - 2 units Days Saturdays ,8.00-9.00 am

http://www.univsul.org/E_C_Kolej.aspx?Ziman=2&Kolej=20

COURSE DESCRIPTION: Course Description : The course includes introducing general surgical course ,concentrating on basic surgical science that are necessary to be provide to the medical students to allow the student to be well oriented while starting history taking and clinical examination. Course Objectives : Understanding principles of general surgery including both basic science and clinical surgical practice, by improving clinical skills at history taking and approaching patients in the surgical wards, At the end of the course the student will be expected to be able to apply their basic clinical skills to approach cases and be able to analyze problem based cases. Also students expected to know all the information about basic surgical problems like bleeding, burns, wound and wound healing ect.

MATERIALS A D RESOURCES: This section includes information about the resources required for the successful completion of the class.
REFERE CES:
1. SHORT PRACTICE of SURGERY, Edited by,Norman S. Williams MS FRCS FMed Sci,Christopher J.K. Bulstrode MCh FRCS(Orth),P. RONAN OCONNELL MD FRCSI FRCPS(Glas) This 25th edition published in 2008 by Hodder Arnold, an imprint of Hodder Education, an Hachette UK company, 338 Euston Road, London NW1 3BH 2. Clinical Surgery:,A Practical Guide,Edited by,Qassim F Baker MRChB Diploma (Gen Surgery) FRCS ,Munther I Aldoori PhD FRCS(Glas) FRCS(Eng) FRCS(Ed) FACS 3. Policy Guidelines on Inclusion in Education,Published by the United Nations Educational, Scientifi c and Cultural Organization 7, place de Fontenoy, 75352 Paris 07 SP, France UNESCO 2009All rights reserved,Printed in France,ED2009/WS/31

4. Schwartz's Principles of Surgery, F. Charles Brunicardi, MD, FACS DeBakey/Bard Professor and Chairman, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas,Dana K. Andersen, MD, FACS,Timothy R. Billiar, MD, FACS, inth Edition,The McGraw-Hill Companies, Inc..Book ISB 9

5. Townsend. Sabistons Textbook of Surgery. 18th Edition. 2007. 6. Brunicardi. Schwarts Principles of Surgery. 9th Edition. 2010. 7. Surgical clinic of North America journal 8. Dermatologic Surgery journal 9. Aschergraft textbook of pediatric syrgery.

EXPECTATIO S A D POLICIES This section includes specific information about policies relevant to the class and indicates the expectations or requirements of the students associated with them. Attendance Students are expected to attend all classes and to complete all assignments for courses in which they are enrolled. An absence does not relieve the student of the responsibility to complete all assignments. If an absence is associated with a university-sanctioned activity, the instructor will provide an opportunity for assignment make-up. However, it is the instructors decision to provide, or not to provide, make-up work related to absences for any other reason. Academic Honesty Plagiarism. In speaking or writing, plagiarism is the act of passing someone elses work off as ones own. In addition, plagiarism is defined as using the essential style and manner of expression of a source as if it were ones own. If there is any doubt, the student should consult his/her instructor or any manual of term paper or report writing. Violations of academic honesty include: 1. Presenting the exact words of a source without quotation marks; 2. Using another students computer source code or algorithm or copying a laboratory report; or 3. Presenting information, judgments, ideas, or facts summarized from a source without giving credit. Cheating. Cheating includes using or relying on the work of someone else in an inappropriate manner. It includes, but is not limited to, those activities where a student: 1. Obtains or attempts to obtain unauthorized knowledge of an examinations contents prior to the time of that examination. 2. Copies another students work or intentionally allows others to copy assignments, examinations,

source codes or designs; 3. Works in a group when she/he has been told to work individually; 4. Uses unauthorized reference material during an examination; or 5. Have someone else take an examination or takes the examination for another

Instruction methodology: Theoretical lectures will be presented by the specialist teachers using data show presentation supplemented with different illustrations using diagrams and pictures. Interactive lecture presentation used allowing active sharing of the students with the lecturer about the lecture contents so students should read the subject before the lecture. Course Outline This section includes information on specific assignments, due-dates, topic coverage, and related class activities. DATE 1st week 2nd 5th week 6th 7th week 8th 9th week 10th 11th week 12th week 13th week 14th 15th week Topics Theoretical
Preparing patient for surgery. Bed side surgical procedures. Bites & Stings. Minimal access surgery MAS Special infections.

o. of lectures
1 4 2 2 2

Lecturer
Dr. Hewa Dr. Hewa Dr. Hewa Dr. Hewa Dr. Hewa

Day case surgery. Parasitic infestation. Surgical site infection (SSI).

1 1 2

Dr. Hewa Dr. Hewa Dr.Nyan

Mid Year 16th 18th week 19th 20th week 21st week 22nd 23rd week 24th week
Burn. Wounds, tissue repair &scars Ulcers, Cysts & skin Hemorrhage, shock & blood transfusion. Antibiotics and surgery (principle of antibiotic use in Surgery, prophylactic and therapeutic). Fluids & electrolytes and acid base balance 3 2 1 2 1 Dr.Jalal Dr.Jalal Dr.Nazar Dr.Nyan Dr.Nazar

25th week

Dr. Gona

What students should now about the lectures :

A / Lectures of Dr. Hewa :

1. Preoperative preparation of the patient: To learn the goal of the preparation, how to prepare otherwise healthy patients, how to prepare patients with co morbidity, and to be familiar with Informed consent, ASA classification of anaesthesia, and lastly to learn about instructions given to the patients 2. Day care surgery: To learn what is day care surgery, benefits, goals and criteria of patient selection and discharge criteria from day care surgery 3. Bedside procedures: to learn how to prepare, check equipments, and do different bedside procedures which will help the patients on different levels of ABC of surgery i.e. venus canullation, CVP line. Tracheostomy, Chest tube, Endotracheal entubation,etc. , with aid of number of videos for each procedure. 4. Minimal access surgery: To learn the general line of these type of surgery like: laparoscopy, single umbilical triport laparoscopy, NOTES and Da Vinci in laparoscopic surgery, with a video for teach procedure. 5. Bites and Stinges: Learning about epidemiology, presentation, grading, first aids and managements of human bite, animal bites, and snake bite> Scorpion sting, spider sting, wasp, bee, stings 6. Special Infections Talking about some acute and chronic specific infections like tuberculosis, tetanus, gangrene, HIV and aids and Learning about epidemiology, presentation, and managements

7. Learning about epidemiology, presentation, and managements of Parasitic investations which may present as surgical problems i.e.; ascariasis causing intestinal obstruction, Hydatid cyst presenting as a ma mass any where in the body. How to treat their surgical presentations

B / Lectures of Dr. Nizar :

CYSTS This lecture includes: Definition, types, classification, clinical features, complications and investigations required for proper diagnosis of cysts. OBJECTIVES: At the end of these lectures, the students should be able to: 1. 2. 3. ULCERS This lecture includes: Definition, classification, natural history, clinical features, investigations and management of cysts. OBJECTIVES: At the end of these lectures, the students should be able to: 1. Define ulcer 2. Differentiate between different types of ulcers different types of ulcer 3. Understand the basic principles of ulcer management Define cystic swelling Differentiate between true and false cysts. Understand the ways of clinical presentation and complications of cysts

SINUSES AND FISULAE This lecture includes: Definition, etiology, clinical features, investigations and treatment of sinuses and fistulae. OBJECTIVES: At the end of these lectures, the students should be able to: Define sinus and fistula and differentiate between them 4. Understand the causes of persistence of sinuses and fistulae 5. Understand the basic principles of management of sinuses and fistulae 1.

B / Lectures of Dr. Nian :

Surgical sites infection : To take idea and classification of most pathogenic organisms, prevention and management.

Blood transfusion : To know the indications of blood transfusion. To know the complications of blood transfusion. Haemorrhage and shock : To know types of shock. To know types of haemorrhage. To know management of both

Grading Assessment methods Grading scale: 90% to 100% = EXCELLENT 80% to 89% = VERY GOOD 70% to 79% = GOOD 60% to 69% = MEDIUM 50% to 59% = FAIR < 50 % = FAIL Percentage/point allocation per activity. assignment or exam: 60% of marks will be awarded from the theoretical examination (paper exam. Including short assay and MCQ questions) and 40% of the marks will be collected from the clinical assessment.

Name Dr. Hewa Omer Dr. Nian Nori Ameen Dr. Jalal Ali Hasen Dr. Nazar Mohamed Dr. Gona ahmed

Specialty General surgery Pediatric surgery Plastic surgery General surgery Anaesthesia

Dregree Ass. Prof Teacher Teacher Teacher Teacher

Mobile no. 07701530753 07703535880 07701926114 07701520025 07701447272

E-mail Drhiwaomerahmed@gmail.com Nian-pediatricsurgery@yahoo.com Jalal-nory@yahoo.com hamawandi@hotmail.com Gona7272@hotmail.com