Department of Surgery, SSH and BKZMC

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Department of Surgery, SSH and BKZMC

  1. 2. BEGUM KHALEDA ZIA MEDICAL COLLEGE & SHAHEED SUHRAWARDY HOSPITAL Department of Surgery
  2. 3. Brief History of Hospital <ul><li>Shaheed Suhrawardy hospital (Former Ayub Central Hospital) was planned to be established at Dhaka by the erstwhile central government of Pakistan as the only full fledged general hospital with all modern medical facilities in the then East Pakistan. </li></ul><ul><li>In July 1963, the scheme was proposed for 200 bedded general hospital and was approved by the then National Economic Council. </li></ul><ul><li>A two storied out patients department (OPD) was constructed over about 19 acres of land in 1960 where outdoor facilities for pathology and Radiology were functioning till 1975. </li></ul>Hospital Building
  3. 4. Brief History of Hospital <ul><li>After liberation the hospital was renamed as Shaheed Suhrawardy Hospital. </li></ul><ul><li>The Government of Bangladesh sanctioned 75 indoor beds which were functioning till 1978. </li></ul><ul><li>In 1983, a project profile was submitted for a 500 bedded hospital to be completed within 3 years. </li></ul><ul><li>But considering the fund constrains the proposed Shaheed Suhrawardy Hospital was established with facilities for 300 beds in the first phase to be further expanded in subsequent phases. </li></ul>Hospital and college Area from above
  4. 5. <ul><li>Presently, Shaheed Suhrawardy Hospital is a 375 bedded Medical College hospital in Sher-e-Bangla Nagar, Dhaka </li></ul><ul><li>About 1000-1200 patients are getting outpatient service daily from different departments and the demand is rapidly increasing day by day. </li></ul>Brief History of Hospital Outpatient Department
  5. 6. <ul><li>On 26 th February 2006, decision was made to establish the new medical college in the campus of SSH with an enrollment of hundred students. </li></ul><ul><li>101 medical students were admitted to the college in April, 2006. </li></ul>Brief History of College College Building (temporary)
  6. 7. <ul><li>It was felt by all that our country still needs to produce more doctors to cope up with the rising patient demand. </li></ul><ul><li>On 4 th October, 2005 a meeting by planning committee of MOH&FW took the following decisions: </li></ul><ul><ul><li>100 students for MBBS course in the academic year of 2005 – 2006 can be enrolled in a new medical college. </li></ul></ul><ul><ul><li>Unutilized space of SSH can be utilized for a new government medical college. </li></ul></ul><ul><ul><li>SSH can be improved from a 375 bed to 500 bed hospital.   </li></ul></ul>Brief History of College Students preparing for an ITEM
  7. 8. Department of Surgery Clinical Ward Class On the 18 th February 2008 SSH the 3 rd year students started clinical classes in the hospital. Ward classes everyday 2 hours in the morning and 2 hours in the evening. They are distributed among the 5 units. Clinical Ward Class
  8. 9. <ul><li>The students are taught the principles of surgery and are demonstrated clinical examinations in small groups. In ward classes emphasis is given on the bedside teaching. </li></ul><ul><li>The students also attend operations in theatre, both routine and emergency. Here they are provided with the basic concepts of theatre, sterilization, instruments and basic surgical techniques. </li></ul>Department of Surgery Clinical Ward Class
  9. 10. <ul><li>Clinical students have to complete item cards, which are strictly supervised by the respective teachers. </li></ul><ul><li>At the end of the placement the students undergo ward completion examination that includes OSPE and clinical. The standard of the examination is maintained to meet up the level of final professional examinations. </li></ul><ul><li>At the end of each term the 3 rd year students have to face term final examinations which includes written , clinical, and viva. </li></ul>Department of Surgery Examinations Taking Bed-side Preparation
  10. 11. <ul><li>Clinical meetings of the Department of Surgery are held every Saturday morning from 8:30 to 10:00 am. </li></ul><ul><li>Attended by all the doctors of the surgery department. Professors head the sessions. </li></ul><ul><li>Interesting or academic cases are discussed in the meeting. Usually a single case is presented by an honorary medical officer, by rotation, and discussed openly by all. </li></ul><ul><li>The session helps trainees greatly to improvise their knowledge as well as get familiar with the exam situation. </li></ul>Weekly Clinical Seminar Department of Surgery
  11. 12. <ul><li>Central clinical meetings are held every Thursday morning at the Director’s conference hall. </li></ul><ul><li>There is always huge participation from Department of Surgery. </li></ul>Department of Surgery Central Clinical Meeting
  12. 13. <ul><li>On every first Tuesday of a month CPD lectures are held at the conference room at the principal’s office. </li></ul><ul><li>The topics are on teaching methods and materials. </li></ul><ul><li>These lectures are participated by teachers of the institute. The teachers from the Department of Surgery are also among them. </li></ul>Department of Surgery CPD Lectures
  13. 14. <ul><li>Every third Tuesday Journal Club is held at the conference hall in principal’s office. </li></ul><ul><li>Related topics from recent journals are discussed by the respective departments. </li></ul><ul><li>The meetings have significant contribution from the teachers of the Surgery Department. </li></ul>Journal Club Department of Surgery
  14. 15. <ul><li>There are five units in the department. </li></ul><ul><li>All the units are headed by an unit head. </li></ul><ul><li>Since the hospital is a teaching one the units are staffed with teaching personnel, the assistant professor , consultants and registrars. </li></ul>Unit Distribution Department of Surgery
  15. 16. Unit Distribution… Department of Surgery
  16. 17. Unit Distribution… Department of Surgery
  17. 18. <ul><li>The post graduation training in the Department of Surgery has been recognized by BCPS for five years effective from July 2003 for a period of two years ( ref: prospectus). </li></ul><ul><li>At present there are about 10-15 honorary medical officers in each unit. </li></ul><ul><li>Near about 50 Honorary doctors are working under 5 Units in the Department of Surgery </li></ul>Post-graduate Training Department of Surgery
  18. 19. <ul><li>The honorary doctors play the key role in management of the admitted patients. Beds are distributed among the doctors and they give regular follow-ups and take the responsibility of the management of the respective patients. They are also concerned about all the admitted patients in the unit. </li></ul><ul><li>They attend the routine and emergency operations. Here the honorary doctors get ample scope to perform surgeries and thus have good hands-on-training under proper supervision. </li></ul>Post-graduate Training… Department of Surgery Honorary doctors attending OTs
  19. 20. <ul><li>It is a well equipped and very spacious. Left wing of the theatre belongs to the Department of Surgery which is also shared by the orthopaedics department. </li></ul><ul><li>In this wing there are 3 operating rooms. In 2 of them facilities for major operations under general anaesthesia are present. The third OT is usually reserved for minor day cases under local anaeshesia . </li></ul>Operation Theatre Well-equipped OT Room-1
  20. 21. <ul><li>Hence two major operations are performed simultaneously along with some minor cases. Therefore the number of operations performed daily by a unit is far greater than in other hospitals in Dhaka. For this reason the trainees here get good opportunity to develop surgical skills. </li></ul>Operation Theatre
  21. 22. <ul><li>In the theatre the anaeshesia machines are very modern. The instruments here are of very high quality and well maintained. Laparoscopic surgeries are routinely performed. All the latest surgical appliances are used in the theatre including high frequency diathermy machine, halogen light and harmonic scalpel. </li></ul>Operation Theatre Outpatient Minor OT
  22. 23. Hospital statistics <ul><li>Total Bed Number: 375 </li></ul><ul><ul><li>Non-Paying 225 </li></ul></ul><ul><ul><li>Paying 120 </li></ul></ul><ul><ul><li>Cabin 30 </li></ul></ul>January-December, 2008
  23. 24. Hospital statistics… <ul><li>Total Beds in Surgery: 100 </li></ul><ul><ul><li>Non-Paying 42 </li></ul></ul><ul><ul><li>Paying 32 </li></ul></ul><ul><ul><li>Cabin 20 </li></ul></ul>N.B. Cabin are open for all department January-December, 2008
  24. 25. Hospital statistics… <ul><li>Total Hospital Admission: 10445 </li></ul><ul><li>Admission in Surgery: 2219 </li></ul><ul><ul><li>OPD 2025 </li></ul></ul><ul><ul><li>Emergency 194 </li></ul></ul><ul><li>Mortality </li></ul><ul><ul><li>Total 270 </li></ul></ul><ul><ul><li>Surgery Department 05 </li></ul></ul><ul><li>Bed Occupancy 84.71 % </li></ul>Admission in Surgery January-December, 2008
  25. 26. Hospital statistics… <ul><li>Outpatient Service </li></ul><ul><ul><li>Total attendance 29040 </li></ul></ul><ul><ul><ul><li>Male 16696 </li></ul></ul></ul><ul><ul><ul><li>Female 12344 </li></ul></ul></ul><ul><ul><li>Total Operations 2145 </li></ul></ul>Distribution of OPD attendance January-December, 2008
  26. 27. Hospital statistics… <ul><li>Indoor Operations: </li></ul><ul><ul><li>Elective Operations 1207 </li></ul></ul><ul><ul><ul><li>Major 1009 </li></ul></ul></ul><ul><ul><ul><li>Minor 198 </li></ul></ul></ul><ul><ul><li>Emergency Operations 431 </li></ul></ul><ul><ul><ul><li>Major 376 </li></ul></ul></ul><ul><ul><ul><li>Minor 55 </li></ul></ul></ul>January-December, 2008
  27. 28. Supportive Services Available Facility Academic Staff Equipment Services Pathology Assoc. Prof (1) Astt. Prof(1) Lect(2) Modern equipments for basic pathology and histopathology Clinical pathological service and histopathology Biochemistry Prof(1) Assoc. Prof(1) Astt. Prof(2) Lect(2) All modern equipments for teaching and providing service Service is imparted through hospital Microbiology Prof(1) Assoc. Prof(1) Lect(3) All modern equipments for teaching and providing service Service is imparted through hospital Radiology Consultant(1) Radiologist(2) Modern equipments for Radiology and Ultrasonography Plain X-ray, Contrast X-ray and Ultrasonography Blood bank Prof(1) MO(2) Modern equipments for blood grouping, cross matching, screening, blood component separator and storage Services are offered to hospital patients Anesthesiology Consultant(3) Anesthesiologist(2) MO(5) Equipments for Regional and General anesthesia, Pulse oxymeter Preanesthetic checkup, Anesthesia and postoperative care
  28. 29. <ul><li>The Post Operative Ward is located just beside the operation theatre. </li></ul><ul><li>It has a separate direct entry from the theatre and one from the outside corridor. </li></ul><ul><li>There are 14 beds. </li></ul><ul><li>It is equipped with oxygen supply, sucker machine, pulse oxymeter and other necessary appliances. </li></ul><ul><li>Duty nurses are always present in the ward. The patients are supervised by doctors from Department of Anaesthesiology. They are present on call and always available when needed. </li></ul>Post-operative Ward and ICU 14 Bed Post-operative recovery Ward
  29. 30. <ul><li>There is no ICU facility in the hospital yet present. </li></ul><ul><li>Since NICVD is very nearby, ICU support when needed is taken from there. </li></ul><ul><li>Formalities are underway for the development of ICU within the hospital. </li></ul>Post-operative Ward and ICU
  30. 31. Library <ul><li>There are two libraries, one in the hospital and the other in the college. </li></ul><ul><li>The college library is a very spacious one accommodating about 100 readers at a time. It is open on the weekdays from 8:00am to 8:00pm that is 12 hours a day. </li></ul><ul><li>The library is very rich with books and journals and it is also well staffed. Annual budget for 2007-2008 is 16, 57,645 taka. </li></ul><ul><li>Arrangements are being made for developing online linkage. </li></ul>College Library and reading room
  31. 32. <ul><li>The hospital library was inaugurated in 2001. The library is quite spacious. It is well lit and well ventilated. At a time 40 readers can sit there. The library is open from 8 am to 8 pm on all working days. There are about 200 books in the library. </li></ul><ul><li>Until 2005 a yearly budget of 75,000 taka was allotted for procurement of books for the library. Hence the latest and expensive books were purchased during that period. But since the establishment of the college library in 2006 the budget has been transferred to the college library fund. </li></ul><ul><li>At present the hospital library is mainly used as a reading room. </li></ul>Library Hospital Library and reading room
  32. 33. <ul><li>Because of the location, facilities, land area and the services available in Shaheed Suhrawardy Hospital, in near future this institute will definitely be the premier hospital of the country. And the Department of Surgery is a proud and inseparable part of the institute. </li></ul>

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