3. • To recognize the health and social
problems faced by patients
• Understand the individual experiences of
vulnerable groups within the region served
by JRRH.
• To direct patients to community-based
sources of help
• To advocate for community services that
support individuals.
• To be able to advocate for community
services which support patients.
4. • To gain hands on experience in surgical
principals, clerkships and general theatre
skills.
• To develop understanding of works ethics,
employment demands and responsibilities.
• To apply the principles and techniques
theoretically learnt into real-life problem-
solving situations.
• To provide an opportunity for me to interact
with other fellow students and senior
practitioners.
6. • Mainly conducted at Out-Patients Department (OPD)
and Main surgical wards.
• Full patient history (of presenting complaint,
family/demographics, surgical history) is taken.
• Patients are then examined i.e. general examination
(head to toe) and examining systems related to the
history of presenting complaint.
• Preferred investigations would then be requested
according to the nature of the case.
• Decision to admit a patient from OPD is then made
according to the severity of the condition;
- E.g: a small limb ulcer less than 3cm2 managed as
OPD case
- A bigger one with sepsis or signs of gangrene would
need admission.
7.
8. • This department receives all emergencies
• Patients are then sent for admission to the
respective wards.
• Commonest cases were due to Burns,
trauma, especially RTA fractures and some
pathological cases like osteomyelitis
• Surgical procedures done here included open
reduction and internal fixation of fracture tibia
and chronic osteomyelitis.
9.
10. • Ward-9 is the surgical ward at JRRH
• Shelters both male and female patients
admitted from OPD, post-operative patients
and patients awaiting surgeries.
• Ward rounds are conducted each day of the
week but major ward round (with consultants)
is Tuesday.
• Here I did patient clerking, requested for
investigation, presenting cases to consultants,
writing ward notes into patient files like new
patient’s complaints and working diagnosis.
11.
12.
13. • At JRRH, surgical operations are done on a daily
basis throughout the week.
• Thursday is the main operation day especially for
electives.
• I observed and participated in Pre, Intra and Post-
operation procedures.
• I managed to participate in more than 100 surgical
procedures and observe more than 150 surgeries
including resection and anastomosis for a case of
gangrenous colon secondary to sigmoid volvulus,
appendectomy, exploratory laparotomy for a case
of intestinal obstruction.
14. • I also managed to single handedly do some
procedures under supervision, for example
performing I&D, wound desloughing,
circumcisions, STS.
• Commonest conditions received at JRRH,
included among others intestinal obstruction,
herniorrhaphies (not excluding the Busoga
Hernias), burns especially in kids,
circumcision and many trauma related cases.
• Orthopedic cases like open reduction and
internal fixation of fracture tibia,
sequestrectomy for chronic osteomyelitis.
19. • Mainly doing stitch removal on the 7th
post-operative day.
• Monitoring the hygiene of the incision
site (e.g: ensuring the site is dry,
wound is clean)
• Ensuring that there is proper
apposition of incision edges and signs
of good wound healing which one of
the indications to remove stiches.
20.
21.
22. • I acquired new knowledge and practical
experiences about surgical patient
management, surgical techniques, diagnosis,
investigation of surgical patients, assisting and
performing different surgeries.
• I improved my confidence in clinical clerkship.
• I gained exposure to the demands and
challenges of the work place specifically
surgical unit.
• I had a chance to meet and work with potential
employers and interact with fellow colleagues
in patient care and learnt how to work as a
23. • I also acquired managerial skills like
holding staff meetings on a well-
designed schedule like that of JRRH.
• I gained more appreciation of the
medical profession and therefore
better work ethics.
24. • Insufficient funds for my facilitation
throughout the placement.
• Lack of medical supplies to patients
which would make my work difficult
sometimes.
• Lack of near accommodation to the
hospital which would had an impact
on me especially during night
emergencies.
25. • Provision enough facilitation in form of
money to smoothen the learning
process.
• Provision of accommodation within
the hospital to smoothen emergency
care and night duties.
• Improving on the availability of
medical sundries to ease work.
