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Orientation to Surgery - Department before entering Clinical postings.
“ Surgery is the red flower that blooms 
among the leaves & thorns that are the 
rest of medicine ” 
- Dr. Richard Selzer
Contents of Discussion 
 Aims of clinical training 
 Teaching learning methods 
 Guidelines on clinical postings 
 Objectives of clinical training 
 Recommended text books 
 Assessment & Examination
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.
3 Domains of Learning
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.
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.
“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
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
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
Recommended Textbooks
Recommended Textbooks
Recommended Textbooks
Why Bailey & Love ?? 
Remains world’s pre-eminent textbook, 
beloved by generations of surgeons. 
Authoritative 
Updated 
Easy to navigate 
Readable 
User-friendly
“ Its high standing & reputation for 
unambiguous advice also make it the 
first point of reference for many 
practising surgeons.”
Examination 
Internal Assessment 
Final Examination Total 
Theory Practical Theory Theory Practical 
Cases + 
I II Viva 
50 50 100 100 160 + 40 500
Types of Questions 
 Theory : 
Essay Questions, Short Answer/ Short Notes, 
and MCQs 
 Practical / Clinical Assessment: 
Long Case, Short Case, Objective Structured 
Clinical Examination (OSCE)
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
For today – 3 “ S ” 
 1. Symptom / Sign 
 2. Surface Anatomy
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 ]
“ S ” 
 Surface Anatomy & 
Surface marking
Orientation to Surgery - Department before entering Clinical postings.
Orientation to Surgery - Department before entering Clinical postings.
Orientation to Surgery - Department before entering Clinical postings.
Orientation to Surgery - Department before entering Clinical postings.
Disease Description 
“ In A Surgeons Gown Physcians May 
Make Some Clinical Progress. ”
Orientation to Surgery - Department before entering Clinical postings.
Orientation to Surgery - Department before entering Clinical postings.
Orientation to Surgery - Department before entering Clinical postings.

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Orientation to Surgery - Department before entering Clinical postings.

  • 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
  • 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. ”