1. Welcome to Department of the Surgery Prof. A.H.M. Shamsul Alam

2. What is Surgery? The art, practice, or work of treating diseases, injuries, or deformities by manual or operative procedures

3. Surgery in MBBS curriculum General Surgery General Surgery General Surgical Principles General Surgical Principles Systemic Surgical diseases Systemic Surgical diseases Orthopaedics: Diseases of bone and joints Orthopaedics: Diseases of bone and joints Urology: Diseases of the urinary system Urology: Diseases of the urinary system Neurosurgery: Diseases of the nervous system Neurosurgery: Diseases of the nervous system Ophthalmology: Diseases of eyes Ophthalmology: Diseases of eyes ENT: Ear-Nose-Throat diseases(Otolaryngology) ENT: Ear-Nose-Throat diseases(Otolaryngology)

4. Surgery: Course duration Total three years and six months 3 rd year 4 th year 5 th year(1.5 Y) Professional exam in January 1015 General Surgery (300) Eye(100), ENT(100), Total=500 marks

5. General Surgery: 3 rd year schedules General Surgery: 3 rd 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 surgery Basic principles of surgery Some common surgical diseases Some common surgical diseases Hospital placements (Daily 8-30 to10-30 AM) Hospital placements (Daily 8-30 to10-30 AM) Four months in surgical wards Four months in surgical wards 2 months cycle 2 months cycle One month in other areas One month in other areas Radiology, Blood transfusion, emergency etc. Radiology, Blood transfusion, emergency etc.

6. Lectures (Twice weekly: combined 4 th +5 th year) Lectures (Twice weekly: combined 4 th +5 th year) Systemic surgical diseases Systemic surgical diseases Orthopaedics, Urology, Neurosurgery Orthopaedics, 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 wards Two months in Orthopaedic surgical wards One month in other areas One month in other areas General Surgery: 4 th year schedules General Surgery: 4 th year schedules

7. Lectures (Four classes weekly: 2 combined 4 th +5 th year and two for 5 th year only) Lectures (Four classes weekly: 2 combined 4 th +5 th year and two for 5 th year only) Systemic surgical diseases Systemic surgical diseases Orthopaedics, Urology, Paediatric surgery Orthopaedics, Urology, Paediatric surgery Hospital placements (Daily 8 to 10-30 AM) Hospital placements (Daily 8 to 10-30 AM) Two months surgical wards Two months surgical wards One month in other areas One month in other areas General Surgery: 5 th year schedules General Surgery: 5 th year schedules

8. General Surgery: How important it is in 3 rd year? Longest period of placement in wards Longest period of placement in wards You will have the first chance to know the patients You will have the first chance to know the patients It is the best chance develop clinical skills It is the best chance develop clinical skills Clinical skills takes long time to develop Clinical skills takes long time to develop

9. What would you do in Hospital wards? You will learn the art of communication with the patients You will learn the art of communication with the patients History taking History taking Listen to their complaints Listen to their complaints Ask questions Ask questions Write notes Write notes You will learn the art of examining the patients physically You will learn the art of examining the patients physically

10. Hospital Placements: You need to carry with you

11. Guidelines to follow in the wards Enter into the wards in time Enter into the wards in time Follow ward antiquates Follow ward antiquates Put on your apron with ID card Put on your apron with ID card Talk in a low voice Talk in a low voice Do not let your movement disturb the patients, doctors and nurses Do not let your movement disturb the patients, 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 you?) Inquire into patient’s well being (Say, how are you?)

12. Be respectful and kind to them Be respectful and kind to them Ask permission before you talk or examine Ask permission before you talk or examine Reassure them that you are not going to hurt Reassure them that you are not going to hurt Be gentle and ensure privacy while exposing them Be gentle and ensure privacy while exposing them Never hurt them while examining Never hurt them while examining Give privacy: be aware of it while examining Give privacy: be aware of it while examining Be protective: Ladies must always be examined in presence of another lady. Be protective: Ladies must always be examined in presence of another lady. Your attitude towards patients

13. Your job in the hospital wards Learn the art of history taking and physical examination Learn the art of history taking and physical examination Be methodical Be methodical Follow a ‘clinical method book’ Follow a ‘clinical method book’ Write a draft in your note book Write 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 history Present your case history To a group of students or teacher To a group of students or teacher Submit the case history to a teacher for reviewing Submit the case history to a teacher for reviewing Learn the surgical procedures by observing/doing Learn the surgical procedures by observing/doing Be familiar with surgical instruments and materials Be familiar with surgical instruments and materials

14. Attending operation theatre Take prior permission from the Surgeon Take 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 theatre Do not touch anything in the operation theatre Keep yourself away from surgeon, assistant and instruments (at least two feet) Keep yourself away from surgeon, assistant and instruments (at least two feet) Do not obstruct the theatre staff Do not obstruct the theatre staff Observe everything and ask questions for clarification Observe everything and ask questions for clarification

15. Shoe cover OT dress Theatre attire Cap and musk

16. Assessments 3 Rd year: 3 Rd year: Completion of Card-I with ‘Ward Completion’ examination (Clinical) Completion of Card-I with ‘Ward Completion’ examination (Clinical) Term-I examination (MCQ and SAQ) Term-I examination (MCQ and SAQ) 4 th Year: 4 th Year: Completion of Card-II with ‘Ward Completion’ examination (Orthopaedic Clinical) Completion of Card-II with ‘Ward Completion’ examination (Orthopaedic Clinical) Term-II examination (MCQ and SAQ) Term-II examination (MCQ and SAQ) 5 th Year 5 th Year Completion of Card-III with ‘Ward Completion’ examination (Clinical) Completion of Card-III with ‘Ward Completion’ examination (Clinical) Term-III examination/Final assessment (MCQ and SAQ) Term-III examination/Final assessment (MCQ and SAQ)

17. Books to read Text book Text book Bailey and Love’s short practice of surgery Bailey and Love’s short practice of surgery Farguhadrson’s operative surgery Farguhadrson’s operative surgery Clinical methods Clinical methods Hamilton Bailey’s clinical methods Hamilton Bailey’s clinical methods S.Das’s clinical methods S.Das’s clinical methods

18. Any question?

19. Wish you a fantastic learning experience with us !!!

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