Surgery, Year 4

2015

Faculty of Medicine

Suez CanalUniversity

Course Specifications
University: Suez CanalUniversity
Faculty: Faculty of Medicine
Programme(s) on which the course is given: Bachelor of Medicine & Surgery
Major or Minor element of programs: N/A
Department offering the program: Education sector
Department offering the course: Surgery and Emergency departments
Academic year / Level: Year 4
Date of specification approval: Approved by the Faculty Board on 15/9/2009
Date of modification approval: April 2015

A- Basic Information
Title: Surgery

Code: SUR 3.4.2

Credit Hours: N/A

Lectures: 25

Practical and Tutorials: 110

Seminars: 4

Self-Learning: 56
Total: 200h

B- Professional Information
1 Overall Aims of Course
The overall aims of the course are that the student:

Actively acquires the essential up-to-date knowledge and skills required for diagnosing
and managing common surgical problems.
Actively acquires the basic concepts of history taking and presentation, together with
the development of the necessary skills in eliciting and interpreting abnormal physical
signs in the various organ systems.
.Adopts positive attitudes towards humans, the community, and science

.Becomes a continuous self-learner

Surgery, Year 4
2015

2 Intended Learning Outcomes of Course (ILOs)

a- Knowledge and Understanding:
By the end of the course, students should be able to:
Surgery
a.1 Describe thepre-operative preparations for the patients.
a.2 Explain the general operative preparations.
a.3 Identify the elements of postoperative care.
a.4 Discuss fluid and electrolyte balance.
a.5 Illustrate body surface lesions.
a.6 Describe the principles of care of wounds.
a.7 Identify causes of delayed wound healing
a.8 Describe the causes of groin hernias.
a.9 Explain the pathogenesis of groin hernias.
a.10 Identify the clinical presentations of groin hernias.
a.11 Identify the different types of burns.
a.12 Describe different types of cleft lip and palate
a.13 Identify the different anorectal problems.
a.14 Identify the clinical presentations of the different anorectal problems.
a.15 Identify the causes and types of ischemia.
a.16 Identify the causes of varicose veins.
a.17 Identify the different causes of neck swellings.
a.18 Discuss causes and clinical presentations of shock
a.19 Identify the causes of acute abdomen.
a.20 Identify the causes of surgical jaundice.
a.21 Identify the different causes of breast mass.
a.22 Identify the causes of portal hypertension
a.23 Identify the causes of intestinal obstruction
a.24
a.25

Emergency
List the causes of cardiorespiratory arrest in adults.
Identify and treat patient at risk of cardiorespiratory arrest using the ABCDE

approach.
a.26

Discuss the different causes and pathogenesis of acute abdomen

a.27
a.28

List the causes and Pathophysiology of air way obstruction.

Describe techniques for airway management when initiating resuscitation.
List the types of burns.

a.29

Surgery, Year 4
2015

b- Intellectual Skills
By the end of this course, students should be able to:
b.1 Explain the process of wound healing.
b.2 Outline management of abnormal wound healing
b.3 Explain the pathogenesis, clinical presentations and management of groin
hernias.
b.4 Explain the pathogenesis of burn.
b.5 Plan the management of burns including post burn deformities
b.6 Identify the pathogenesis of cleft lip and palate
b.7 Outline the management of cleft lip and palate
b.8 Explain the pathogenesis and management of the different anorectal problems.
b.9 Explain the pathogenesis, clinical presentations and management of ischemia.
b.10 Explain the pathogenesis and clinical presentations of varicose veins.
b.11 Explain the management of varicose veins.
b.12 Explain the pathogenesis clinical presentations and management of the
different thyroid problems.
b.13 Design the plan of multiple injured patients.
b.14 Design the plan of management of shock
b.15 Explain the management of acute abdomen.
b.16 Design the plan of management of surgical jaundice.
b.17 Explain the pathogenesis and management of the different breast masses.
b.18 Explain the pathogenesisclinical presentations and management of portal
hypertension.
b.19 Explain the clinical presentations and pathogenesis of intestinal obstruction.
b.20 Outline the management of intestinal obstruction.
Emergency
b.21 Differentiate between acute coronary syndromes.
b.22 Outline immediate treatment of acute coronary syndrome.
b.23 Explain management and differentiate different types of diabetic coma.
b.24 Explain the management of anaphylaxis.
b.25 Identify the correct sequence of priority in assessing the multiple injured
patients.
b.26 Outline the primary and secondary surveys to assess multiple injured patients.
b.27 Describe the assessment protocol of surgical bleeding.
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Surgery, Year 4
2015
b.28 Explain the management of different types of burns.
b.29 Design plan of management of chest trauma
b.30 Design plan of management of different types of burn
b.31 Demonstrate problem solving skills in solving surgical problems; by being able
to: Define surgical problems in provided case.
Prioritize the problems.
Interpret available information about the case including clinical data and results of
investigation.
Analyze clinical problems in the light of results of history, physical examination and
investigations.
Evaluate available information objectively, recognizing its limitations.
b.32 Integrate the results of history, physical and laboratory test findings into a
meaningful diagnostic formulation.
b.33 Construct appropriate management strategies for patients with common
surgical diseases, both acute and chronic.
b.34 Interpret the significance and relevance of abnormal physical signs.
b.35 Select the appropriate needed investigation tool relevant to a particular patient
and adequately interpret the results.
b.36 Formulate a differential diagnosis list and prioritize the options according to the
collected data
b.37 Design an initial course of management for stabilization of patients with serious
surgical problems.
b.38 Demonstrate problem solving skills.
b.39 Adopt evidence-based approach to practice.
b.40 Apply critical thinking and judgment skills.
b.41 Apply scientific thinking to formulate a differential diagnosis list and
prioritize the options according to the collected data.
c- Professional and Practical Skills
By the end of this course, students should be able to:
c1.

Take a complete history for a given patient:

Elicit the presenting problems and relevant details
Elicit past medical/surgical history, family history, social history,
medications and allergies
Perform an appropriate review of systems to detect other health
problems
establish a comfortable rapport with the patient
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Surgery, Year 4
2015
c2. Perform general and focused clinical examination for a given patient:
Perform the examination, general and systemic, in logical sequence,
focusing on particular systems when appropriate
Show sensitivity and respect during the physical examination,
explaining the procedures to the patient in understandable language.
Demonstrate proper use of medical instruments (e.g. stethoscope,
sphygmomanometer)
Demonstrate proper use of draping to position the patient for optimal
exposure while maintaining patient dignity and privacy
c3. Exhibit empathy, tact, and compassion during history taking and physical
examination, maintaining a professional and ethical code of conduct
c4. Concisely communicate the history and physical examination in accepted
medical terminology
c5. Present significant positive and negative findings in a systematic fashion
d- General and Transferable Skills
By the end of the course, students should be able to:
1
2
3
4
5
6
7

Function effectively in a team.

Communicate effectively with peers and tutors.
Show respect to other team members points of view.
Accept constructive criticism and feedback on their work.
Perform self- and peer-assessment.
Demonstrate efficient Information and Communication Technology (ICT)
skillsin conducting projects.
Demonstrate effective presentation skills

3- Contents
Topic

No. of hours

Lecture

12
6
14
6

2
1
4
1

Tutorial/
Practical
10
5
10
5

7
6
11
6
6
6
12
6

2
1
1
1
1
1
2
1

5
5
10
5
5
5
10
5

Intestinal Obstruction
Groin Hernia
Neck swellings
Surgical jaundice and gall bladder
diseases
Burn
Lower Limb Ischemia
Multiple injured patient
Common surgical infection
Venous disorders
Portal Hypertension
Acute Abdomen
Perioperative care of surgical
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Surgery, Year 4
2015
patient
Thyroid Swellings
Anorectal diseases
Wound healing and Cleft lip
&palate
Breast diseases
skin and subcutaneous tissue
lesions
Shock
Total

6
6
6

1
1
1

5
5
5

7
6

2
1

5
5

6
135

1
25

5
110

4 Teaching and Learning Methods

4.1 Clinical sessions (Outpatient Clinics)
4.2 Tutorial classes
4.3 Interactive lectures
4.4 seminars

5- Student Assessment Methods

5.1 Observations(using Checklists and rating scales) to assess the psychomotor and
affective domains
5.2 Written Modified Essay Questions (MEQ) for assessment of the cognitive
domain.
5.3 Multiple choice question (MCQ)for assessment of the cognitive domain.
5.4Portfolio to assess the cognitive, psychomotor and the affective domains.
5.5 OSCE to assess the psychomotor and the affective domains.

Assessment Schedule
Assessment 1: Periodic Clinical exam
Assessment 2: Periodic Written
Assessment 3: Final Clinical exam
Assessment 4: Final Written

Week 9, 18 of 1st and 2nd term

Week 19of 1st and 2nd term.
September (after end of 6th year)
September(after end of 6th year)

Weighting of Assessments
Type of exam
Periodic exam (60%)
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Surgery, Year 4
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60%

40%

60%

40%

Clinical exam
Case (20%)
Portfolio(20%)
OSCE (60%)
Written exam
MEQ (70%)
MCQ (30%)

Final exam (40%)

Clinical exam
Case (40%)
OSCE (60%)
Written exam
MEQ (70%)
MCQ (30%)

Oral Examination.
NA
Other types of assessment
NA
Any formative only assessments: Weekly evaluation of the students performance in the PBL
tutorial sessions.
6- List of References
Appendix 1
7- Facilities Required for Teaching and Learning
Equipped places for clinical teaching
Clinical Skills lab.
Audio visual aids (Data show, overhead projector, video tapes, posters)
Multimedia programs
Course Coordinator:
Phase III Coordinator: Dr. Rayna Moustafa