SAUDI BOARD OF GENERAL SURGERY

WHERE WE STAND?

Dr. Suleiman Jastaniah, FRCS (Ed), FACS, Trauma

Fellowship (Toronto University)

Associated Prof. Faculty of Medicine, Umm Al-Qura University,

Consultant General Surgery Al-Noor Specialist Hospital,

Head of Western region committee of surgical training

The objectives:

The begging of Saudi board of surgery

The Progress

Now How is the program

The role of :

The Saudi commission

The scientific council

The regional committee

The program director

The training center

The first scientific council was formed in 1996, the head of

that council was Dr. Adnan Mofti.

They recognized the centers for training the same centers

recognized for Arab board.

The first patch of G.S graduated in 1998, and they were 10

graduates

The training centers were in central region, western region,

Assir region and eastern region.

In each region there was regional committee supervised the

training, recognized the centers, and do evaluation of the

candidates.

At the end of the year they promoted the candidates .

They distributed the candidates between the different

training centers

For the final year the scientific council conducted written

and clinical examinations.

They call experts external and local examiners to do the

clinical examinations as long and short cases .

The Progress:

There were 13 centers in western region in 2000 and now 24

centers

IN Assir region there were 2 centers and now 6 centers

The central region there were 5 centers and now 15 centers

The eastern region there were 2 centers and now 13 centers

The total number of recognized training centers 58 centers in

addition to 3 centers in Kingdom of Al Bahrain

The total number of graduates up to 2016- 848

The total number of candidates in training till now 690

There is change in the acceptance of the candidate from

regional acceptance to central and matching system

The evaluation of the candidates become more CAN MED

oriented

The recognition of training center becomes excellent and

CAN MED oriented

The Saudi Board of General Surgery:

5-years

( R1, R2, R3 junior levels)

( R4-R5 senior levels)

Junior level (R1, R2, and R3)

Rotation in general surgery (24 months)

Rotation outside general surgery (12 months)

Intensive care unit (12 weeks)

Emergency department (12 weeks)

Vascular surgery (6 weeks)

Pediatric surgery (6 weeks)

Plastic surgery (6 weeks)

Elective rotation (6 weeks)

Vacation (4 week)

Senior level (R4 and R5)

Rotation in general surgery (24 months)

Candidates shall spend the final two years of training (R4, R5)

as senior resident s in general surgery units

where they will be responsible for managing emergency and

elective admissions, organizing educational activities, and

supervision of junior colleagues.

Senior residents shall acquire gradual independence during this

period of training..

Research activity

The trainee shall be encouraged to participate in research

activities during the training program under the guidance and

supervision of the trainers.

At least one research project should be published before

taking the final examination.

(Ref. training Program Book lit)

The program learning outcome is based on

fulfilling the CanMed competencies

FORMAL TEACHING AND ACADEMIC ACTIVITIES

1. A half day is reserved weekly as an academic day for

surgical residents. All residents are free from their clinical duties

to attend the academic activity, which is planned in terms of

the assigned tutor, time slots, and venue.

2. A monthly regional academic activity is also planned in

terms of an assigned tutor, time slots, and venue.

Residents from all hospitals in the region will gather for this

activity.

3. Other academic activities include:

a. Daily morning report

b. Weekly evidence-based review in surgical practice

c. Weekly morbidity and mortality meeting

d. Weekly radiology, pathology, or tumor board meeting

ASSESSMENT

Residents' evaluation and assessment throughout the

program is carried out in accordance with the Commission's

training and examination rules and regulations.

This includes the following:

A. Annual Assessment:

Formative Continuous Evaluation:

To fulfill the CanMEDS competencies based on the end-of-

rotation evaluation

Summative Continuous Evaluation:

This is a summative continuous evaluation report prepared

for each resident at the end of each academic year.

End-of-Year Examination

The end-of-year examination will be limited to R1, R2, R3, and

R4.

Saudi Board Examination: Part I

This written examination is conducted in an MCQ format

and held at least once a year.

Final General Surgery Board Examination (Saudi Board

Examination: Part II)

The final Saudi Board Examination comprises two parts:

1. Written Examination:

It is delivered in an MCQ format and held at least once a

year.

2. Clinical Examination:

The examination is held at least once a year, in an OSCE

format in the form of PMPs (Patient Management Problems).

The role of SCFHS in surgical training:

- It controls the recognition of training center.

-It controls the examination through examination

committee.

-It chooses the candidates and do the matching system,

distribute them to the centers according to the posts available

in each center.

- It forms the scientific council which masters and follows the

training in each center.

The scientific council:

IT supervises the training, approves the list of accepted

candidates every year, transfer the candidate from region to

region, discuss the problems of the candidates and sorted out,

allows for sitting examination, and approves the promotion of

the candidates etc.

The regional committee:

we have 4 regional committees. The committee forms from

program directors of each recognized center in the region.

They have roles in accepting the candidates, supervise the

training in the region, evaluate the candidates, and follow the

academic activities in each center.

The program director:

He has a major role in the training center, supervise the

trainees, meets with them regularly, sort out their problems as

early as possible, follows their evaluation, distribute them in the

center or arrange for them training post in other center(master

plan) and prepare them to pass the examinations.

THANK YOU