1. Introduction to Surgery 1 (SURG 633)
Prof. ALAM MS;FRCS
Professor of Surgery
Al Maarefa Medical College

2. Theoretical Objectives
To provide a broad based knowledge of Basic Surgical Principles.
To provide a broad based basic knowledge of Common Surgical Diseases (Epidemiology, aetiology, risk factors, pathophysiology, classification, clinical presentation, differential diagnosis, investigations, overall management, specific treatment, complications and prognosis).

3. Clinical Objectives
Perform and demonstrate skills of careful history taking.
Perform and demonstrate skills to conduct a comprehensive clinical examination.
Demonstrate appropriate skills to interpret clinical signs.
Record and present full and summarized history and clinical examination findings.
Demonstrate knowledge of the symptoms and signs of common surgical diseases.
Demonstrate reasoning skill to formulate a differential diagnoses.
Demonstrate basic knowledge of investigation and management of surgical diseases and surgical emergency.
Adopt self-learning techniques and use of different resources of teaching aids.
Learn and demonstrate the spirit of dedication and concern.
Professional behavior in dealing with patients and their relatives.
Respect patient’s wishes, and privacy.
Learn importance of confidentiality of patient’s information.
Learn to communicate with patient and their families in simple language.

4. Teaching Format Lectures - Week 1 at the ALMAAREFA College
Tutorials (Monday) - Week 1-4 at the ALMAAREFA College
Hospital postings – 4 weeks

5. Lectures Number of lectures (30). Duration of lectures: 50 minutes.
Lecture topics and its ILOs are listed.

6. Lecture topics: Principles of Surgery
Shock:
Nutritional support of surgical patients:
Fluid/electrolytes disorders, acid base disorder, IV fluids:
Metabolic response to injury:
Hemostasis,( coagulation defects, blood products and blood transfusion)
Wounds and wound healing, wound management:
Surgical infections & antibiotics:
Investigation of surgical patients:
Trauma (2)
Preoperative assessment and management:
Post-operative care and complications:
Principles of surgical oncology:

7. Lecture topics: General Surgery
13. Acute abdomen. (2 lectures)
14. Gallbladder & biliary tract disease:
15. Diseases of stomach and duodenum:
16. Diseases of small bowel:
17. Diseases of large bowel including rectum:
18. Common neck swellings:
19. Diseases of thyroid gland:
20. Diseases of adrenal and parathyroid:
21. Liver diseases:
22. Diseases of pancreas:
23. Diseases of spleen.
24. Diseases of the breast:
25. Common ano-rectal diseases:
26. Abdominal wall and hernia:
27. Diseases of peritoneum and retroperitoneal space

8. Tutorials During the weeks of hospital posting (1st -4th week)
At the ALMAAREFA Medical College
Sessions presented/ moderated by a teacher.
Cover the areas of history taking, clinical examination of different systems and body regions, laboratory data and imaging study interpretations.
Each student will present 1 interesting case seen during hospital postings for evaluation.

9. Teaching program Semester 152 SURG 1(633)
Date:
Day AM AM
Break AM AM
Prayer PM
Lectures PM
Lecture PM
SUN
Introduction to Surgery 1.
Prof. Alam
Metabolic response to injury
Prof Alam
Shock
Nutritional support in surgical patients
Fluid/ electrolytes, acid/base disorders, IV fluids
Wounds &
Healing.
MON
Hemostasis, coagulation
defects, blood products & transfusion.
Dr Jaber Alfaifi
Investigation of surgical patients
Trauma (1)
Trauma (2).
Preoperative assessment
Principles of
Surgical oncology.
TUE
Diseases of spleen
Diseases of thyroid gland
Dr. Akily
Diseases of adrenal
& parathyroid
Common neck swellings
Acute abdomen-1
Acute abdomen-2
WED
Diseases of large bowel & rectum
Common anorectal diseases
Small bowel diseases
Prof. Salamah
Post-operative care & complications
Prof Salamah
Diseases of breast
Abdominal wall and
hernias
THU
Gallbladder & biliary tract diseases Dr. Hamad Qahtani
Liver diseases
Dr. Hamad Qahtani
Diseases of pancreas Dr. Hamad Qahtani
Diseases of stomach & duodenum
Surgical infection & antibiotics.
Diseases of
peritoneum &
retroperitoneal space

10. 1st – 4th Week of Hospital posting & Tutorials Tutorial at the College
Day
8 AM to 4 PM
SUN
HOSPITAL POSTING
MON
Tutorial at the College
TUE
WED
THURS

11. Lecture & Tutorial at the College
1st – 4th Week of Hospital postings & Tutorials
DAY &
DATE
Lecture AM AM
BREAK AM
TUORIAL AM
PRAYER
TUTORIAL
1 PM- 4 PM
Monday
H/E OF ABDOMEN
Prof. Alam
H/E- Neck and Thyroid
Dr Jaber Alfaifi
Laboratory data interpretation
Prof Alam
H/E- Abdominal wall hernia
& perineal diseases
Interpretation of imaging studies
H/E of extremities
H/E Breast diseases
H/E-Swellings & Ulcer
Case presentation by students
Prof Alam & Dr Jaber
Case presentation by students
Dr Jaber
Day
8 AM to 4 PM
SUN
HOSPITAL POSTING
MON
Lecture & Tutorial at the College
TUE
WED
THURS

12. Hospital postings In surgical units for 4 weeks (Week 2-5).
Spend time in OPD, in-patient, operating room and emergency room.
Actively participate in history taking, physical examination and discussing differential diagnosis.
Present patient’s case history, physical examination and participate in case discussion.
Follow up and interpret investigation (blood, imaging) results.
Discuss management plan and attend surgery with the treating team.
Maintain a logbook- document all patients seen, procedures attended/participated and get it signed by a consultant/ registrar/ tutor.
Display professional behavior at all time.
Must abide by the hospital rules.
Must strictly adhere to the confidentiality of patients and hospital.
Must follow the dress code.
Carry own pen torch and stethoscope.

13. SKILLS/PROCEDURES- AT HOSPITAL
Reading x-rays and other imaging techniques of various surgical diseases and surgical traumas
Interpretation of related investigations (e.g. blood, biochemistry, serology, etc.).
Nasogastric tube
Wound drains
IV line
PR exam
Prostate examination
Proctoscopy
Colostomy management
Wound care
Suturing
Breast exam
Catheterization (Male & Female)

15. Methods of assessments
1. MCQ- 30 Marks (90 questions) at ALMAAREFA MEDICAL COLLEGE
2. Slide show: 20 Marks - 10 slides (Spot diagnosis, Lab. Results, Imaging studies, Surgical specimens, Intraoperative findings , Common instruments used in clinical practice)
Each slide will be of 2 marks and will have 2 questions.
3. Clinical: 40 Marks
Each student - two short cases assessed by two different examiners.(20 marks for each short case) 
(History taking skill, physical examination and the management of a given short case) 
4.Case presentation: 5 Marks
Each student - one case (SOAP format) in tutorial session.
The evaluation will be based on a standard form from the college.
5.Logbook (college form) : 5 Marks
Each student will submit a complete cases / skill records seen / learnt during hospital rotation for evaluation.

16. Recommended Books: (Latest Editions)
1.Browse’s Introduction to The Symptoms and Signs of Surgical Disease
2.Principles and Practice of Surgery: Editors Garden, Bradbury, Forsythe and Parks
Pocket Books:
1. Churchill’s pocket book- Surgery by Raftery and Delbridge
2. Oxford’s Handbook of Surgery

17. GOOD LUCK!