Department of Surgery & Allied Subjects
Departmental Objectives:
The aim of this course is to provide community oriented & need based
education so as to produce basic doctors who will be able to:
· elicit a complete clinical history & physical findings and formulate diagnosis of common surgical problems prevalent in Bangladesh and abroad.
· carry out necessary investigations & interpret the results with proper utilization for management
· perform minor surgical procedures and treat minor surgical problems
· recognize the major surgical problems needing specialized care, initiate the primary treatment and refer to the appropriate centers
· diagnose and provide competent primary care in surgical emergencies.
· carry out the responsibility of management in common casualties or natural calamities to offer and arrange basic life support.
· take necessary preventive & prophylactic measures for surgical problems
· be involved in continued care & rehabilitation of surgical patients.
· deliver health education in the community with emphasis to the preventive aspects of surgical disorders.
· demonstrate the right attitude in
ü Patient Care
ü Community health care
ü Continuing medical education & research
ü Observing the moral & legal codes of medical ethics
List of Competencies to acquire:
1. Clinical –
· rapport building with patients, relatives, colleagues, health care professionals and supporting staffs of the hospital
· take detail relevant history
· conduct thorough clinical Examination
· decide on a provisional working diagnosis
· perform and/or order relevant investigations considering the cost effectiveness
· interpret common laboratory and imaging investigations
· calculate fluid and electrolyte requirements
· evaluate and make initial management of acute trauma patient
· adopt aseptic techniques and procedures and maintain principles of sterilization
2. Communication
· obtain permission before any examination and clinical procedures
· obtain informed consent for surgical procedures including organ ablation.
· appreciate right to privacy and information about the disease and its consequence
3. Managerial
· provide leadership during team work
· implement time management skills
· issue certificates (discharge, death, medical and injury).
· write notes (case notes, operation notes, referrals)
· keep detail and systematic records both manual and electronic
· use computer and IT facilities.
4. Manipulative and practical skills
· adopt universal aseptic techniques in handling surgical patient
· start IV lines
· insert NG tubes
· introduce urethral catheter and perform supra-pubic cystostomy
· drain superficial abscesses
· perform per-rectal examination
· achieve emergency control of revealed hemorrhage
· carry out initial management of wound
· repair minor wounds
· complete primary management of fractures and arrange transfer to appropriate centers.
· apply splints, slings, POP casts and slabs, tractions, bandages, sterile dressings