3. Prioritize different problems within an appropriate time frame.
SKILLS IN RESEARCH
The trainee will be able to:
1. Use evidence based medicine and evidence based guidelines
2. Conduct research individually by using appropriate research methodology and statistical methods.
3. Correctly guide others in conducting research by advising about study designs, research methodology and statistical methods that are applicable. understand, interpret and use results of various research articles
ATTITUDES
Towards Patients
The trainee will be able to:
a. Establish a positive relationship with all patients in order to ease suffering.
b. Facilitate the transfer of information important to the management and prevention of disease
2. Demonstrate awareness of bio-psycho-social factors in the assessment and management of a patient.
3. Demonstrate sensitivity in performing any examination. All such encounters should be chaperoned. It is important to explain to the patient why an intimate examination is necessary and what the examination will involve. The patient’s permission must be obtained and, where possible, the patient should be invited to bring a relative or friend. The patient should have privacy to dress and undress. The discussion should be kept relevant and avoid unnecessary personal comments. Questions and feedback should be encouraged throughout and at the end of the session.
4. Consistently show consideration of the interests of the patient and the community as paramount, and these interests should never be subservient to one’s own personal or professional interest.
Towards Self Development:
The trainee will be able to:
1. Demonstrate, consistently, respect for every human being irrespective of ethnic background, culture, socioeconomic status or religion.
2. Deal with patients in a non-discriminatory and prejudice-free manner.
3. Deal with patients honestly and with compassion.
4. Demonstrate flexibility and willingness to adjust appropriately to changing circumstances.
5. Foster the habit and principle of self-education and reflection in order to constantly update and refresh knowledge and skills and as a commitment to continuing education.
6. Recognize stress in one self and others.
7. Deal with stress and support medical colleagues and allied health workers.
8. Handle complaints including self-criticism or criticism by colleagues or patients.
9. Understand the importance of obtaining and valuing a second opinion
Towards Society:
The trainee will be able to:
1. Understand the social and governmental aspects of health care provision.
2. Offer professional services while keeping the cost effectiveness of individual forms of care in mind.
3. Apply an understanding of hospital and community-based resources available for patients and care givers in rural areas.
4. Demonstrate an understanding of health service management and health economics in rural areas.
5. Understand the use of ‘telemedicine’ in practicing health
OBJECTIVES
At the end of the training for FCPS in Surgery a trainee shall be able to:
1. Initially assess the patients seeking surgical treatment for their problems by:
2. Obtaining pertinent history.
3. Performing correct physical examinations.
4. Formulating a working diagnosis.
5. Deciding whether the patient requires: ambulatory care or hospitalization. Referral to other health professionals. Emergency care including life saving measures
6. Manage patients requiring surgical treatment as follows:
a) Plan an enquiry strategy i.e. order appropriate investigations and interpret the results.
b) When required, perform specified surgical procedures independently and competently.
c) Deal effectively and promptly with complications which may occur during the course of disease or treatment.
d) Maintain records of patients including summarization and indexing.
e) Seek consultation when needed.
f) Carry out effective and efficient management of emergency situations.
1. Undertake research and publish findings.
2. Acquire new information; assess its utility and make appropriate applications.
3. Recognize the role of teamwork and function as an effective member/ leader of the team.
4. Advise the community on matters related to promoting health and preventing disease.
5. Train para-professionals and other/ junior members of the team.
CORE CURRICULUM
Attention to the topics listed will ensure that the trainee has covered, to a substantial degree, those areas of each discipline considered as essential core knowledge. The coverage that each discipline receives below is not indicative of the relative importance placed on each discipline in the training program, or in the Examination.
It is understood that each trainee will not have the opportunity to become proficient in all skills during a four-year training program. However each trainee should endeavor to at least observe every procedure being performed and, if possible, to participate in it as actively as possible.
1. Principles of Surgery
Homeostasis, hemorrhage, transfusion, shock, infection, trauma in general, endocrine and metabolic responses to injury, fluid, electrolyte and nutritional management, wound healing and care, burns, tissue transplantation, anaesthesia, complications of Surgery, physiological monitoring of patients, pre and post operative care.
2. Surgery of the head, neck and face and neurosurgery
Congenital anomalies, tumours of head and neck, infections, head injury, intracranial lesions, thyroid, parathyroid, lymph nodes and lymphatics, spinal cord, and peripheral nerves, cervical spine, oral cavity, salivary glands, teeth and gums.
3. Orthopaedics and trauma
Diseases of the skeleton including spine, fractures, dislocations, hand and foot conditions, amputations.
4. Genito-urinary system
Investigations, kidney, ureter, bladder, prostate, penis, urethra, scrotum, testes, epididymis, vas deferens, varicocele, congenital anomalies
1. Thorax
Thoracic inlet, chest wall, breast, pleura, mediastinum, lungs, heart, large vessels, thymus, diaphragm, oesophagus
Bailey and Love's Short Practice of Surgery by 
Current diagnosis & treatment surgery by 
