This PPT will make M.B.B.S students to oriented towards the Dept. of Surgery when they are entering the clinical postings and enable them to develop Attitude / Skill & Knowledge in providing a primary care to the patients.

2. “ Surgery is the red flower that blooms
among the leaves & thorns that are the
rest of medicine ”
- Dr. Richard Selzer

3. Contents of Discussion
 Aims of clinical training
 Teaching learning methods
 Guidelines on clinical postings
 Objectives of clinical training
 Recommended text books
 Assessment & Examination

4. Salient Features - Aims
 To develop a primary care physician with
appropriate -
Knowledge, Skill and Attitude to treat
common disease at the primary care level.
 To diagnose, workup and proper referral of
common surgical conditions.

5. 3 Domains of Learning

6. Teaching learning methods
 The following strategy is used for organizing teaching
learning activities:
a) Lectures are used for teaching the basic principles &
system based aspects of surgery.
b) Integrated seminars are utilized during the last
semesters for teaching system based surgery.
c) Clinical teaching to students on surgical Inpatient
wards.
d) Basic surgical skill training.

7. Guidelines – Clinical postings
 Clinical posting will be from 9.00 a.m. to Noon, from
Monday to Friday, barring Public Holidays.
 Attendance is marked on a daily basis.
 A minimum of 75% attendance is mandatory for
permission to appear in the ward exam.
 Attendance at clinical postings will be counted towards
the final eligibility for University exams.
 Any person coming to clinic after 9.10 A.M. will be
marked absent.
 Maintain a record of cases seen and surgical skills learnt
in a diary/logbook.

8. “He who studies medicine without
books sails an uncharted sea, but he
who studies medicine without patients
does not go to sea at all.”
- Sir William Osler

9. Objectives of Clinical training
At the end of clinical posting in surgery, a student should be able to:
Elicit a detailed & relevant history
Carry out a physical examination
Identify patients’ problems
Reach a differential diagnosis
Formulate appropriate investigations
Interpret the results of investigations
Plan appropriate management
Undertake some aspects of management

10. Assessment of Clinical training
A ward exam will be conducted for the students at the end of each
clinical posting.
Minimum of 75% attendance is needed to be able to appear in the
exam.
The marks obtained at these ward exams will count towards the final
University Internal Assessments (best 3 of 5 exams to be held).
Assessment at the ward exam will be based on the following:
o Case reports portfolio
o Performance at exam: clinical, OSCE, viva voce as applicable
o Professional attitude and behaviour
o Logbook- accuracy, timely completion

11. Recommended Textbooks

12. Recommended Textbooks

13. Recommended Textbooks

14. Why Bailey & Love ??
Remains world’s pre-eminent textbook,
beloved by generations of surgeons.
Authoritative
Updated
Easy to navigate
Readable
User-friendly

15. “ Its high standing & reputation for
unambiguous advice also make it the
first point of reference for many
practising surgeons.”

16. Examination
Internal Assessment
Final Examination Total
Theory Practical Theory Theory Practical
Cases +
I II Viva
50 50 100 100 160 + 40 500

17. Types of Questions
 Theory :
Essay Questions, Short Answer/ Short Notes,
and MCQs
 Practical / Clinical Assessment:
Long Case, Short Case, Objective Structured
Clinical Examination (OSCE)

18. Summary
 Surgery – Easy subject – Mneumonics
 No seniors – You are the first
 Simultaneous reading – Clinical & Non-clinical sub.
 Attendence – Compulsory / No late coming
 Lectures – Oriented to B & L [ 90% ]
 Two way communication – Discussion

19. For today – 3 “ S ”
 1. Symptom / Sign
 2. Surface Anatomy

20. 2 “ S ”
 Symptoms :
Symptoms are the body's mother tongue.
[ Complaints given by the Patients ]
 Signs :
Signs are in a foreign language.
[ What we elicit – find out ]

21. “ S ”
 Surface Anatomy &
Surface marking

26. Disease Description
“ In A Surgeons Gown Physcians May
Make Some Clinical Progress. ”