Upload
uthamalingam-murali
View
121
Download
1
Tags:
Embed Size (px)
DESCRIPTION
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.
Citation preview
“ 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 historyCarry out a physical examinationIdentify patients’ problemsReach a differential diagnosisFormulate appropriate investigationsInterpret the results of investigationsPlan appropriate managementUndertake 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
Disease Description
“ In A Surgeons Gown Physcians May
Make Some Clinical Progress. ”