It is essential that all stakeholders in the Surgery Training Programme understand the Surgery Curriculum to achieve the intended learning outcomes of the programme. The Surgery Curriculum is designed to include the following;

• Surgery syllabus – a statement of content
• Mode of delivery- teaching learning methods & strategy
  • Learning opportunities & Learning outcomes
  • Educational strategies & Educational environment
• Assessment

Surgery Syllabus

Course Content

General

1. Introduction to Surgery & Clinical orientation
2. History of surgery 
3. Behavior in OT, Sterility, hand scrubbing etc.
4. Pre-op, Post-op, Management of co-morbidities
5. Fluid balance in surgery
6. Hypovolemic shock, Septic shock
7. Surgical infections in soft tissues
8. Surgical Microbiology
9. Hernia -abdominal wall defects
10. Management of simple lumps & bumps
11. Principles of Plastic Surgery
12. Wound classification, Wound healing & complications
13. Nutrition in Surgery
14. Basics of organ transplantation
15. Palliative & Terminal care in surgery
16. Patient safety & Quality of Surgical Care
17. Medico-legal aspects relevant to Surgery
18. Evidence based surgery, Audits, Clinical Trials & Research in surgery.
19. Recent developments & Trends in surgery

G I System & Abdomen

1. Symptomatology & Investigations of GI system
2. Dysphagia, Ca Oesophagus
3. GORD
4. Peptic ulcer disease
5. Acute & Chronic Gastritis
6. Gastric Carcinoma
7. Gastric Outlet Obstruction
8. Upper GI bleeding
9. Portal hypertension, Splenomegaly & indications for splenectomy
10. Lower GI bleeding, Haemorrhoids
11. Gall stones, Acute & Chronic Cholecystitis
12. Pancreatic & liver tumours
13. Obstructive jaundice
14. Acute & Chronic Pancreatitis
15. Intestinal obstruction
16. Inflammatory bowel disease
17. Diverticular disease
18. Perianal conditions
19. Abdominal mass
20. Acute abdomen and Peritonitis 
21. Acute appendicitis
22. Colorectal carcinoma
23. Irritable bowel syndrome 
24. Abdominal hernias
25. Different types of abdominal stomas & management
26. Ascites

Genito-Urinary System

1. Congenital abnormalities of GU tract
2. Principles of management of urological injuries
3. Lower Urinary Tract Symptoms (LUTS)
4. Diseases of the Prostate gland- benign & malignant 
5. Urolithiasis and management options
6. Malignancies of the urinary tract
7. Bladder dysfunctions
8. Testicular problems
9. Surgical conditions of the penis
10. Urinary Tract infections- surgical aspects

Trauma

1. Introduction & Principles of trauma management including prevention & pre-hospital care
2. Advanced Trauma Life Support - ATLS
3. Metabolic response to trauma
4. Abdominal & Chest trauma
5. Maxillofacial injuries
6. Limb trauma, vascular injuries
7. Classification & Management of soft tissue injuries
8. Multiply injured patient- Polytrauma patient
9. Sports injuries
10. Burns

Vascular Surgery

1. Congenital vascular malformations
2. Vascular Trauma
3. Varicose veins
4. Deep Vein Thrombosis and complications
5. Acute limb Ischaemia
6. Occlusive arterial disease
7. Aneurysms including Abdominal Aortic Aneurysm
8. Lymphatic disorders
9. Diabetic foot, Chronic leg ulcers
10. Amputation of limbs and Post amputation management

Neurosurgery

1. Head injury, pathophysiology & management including prevention
2. Raised intracranial pressure
3. Hydrocephalus
4. Intracranial haemorrhage 
5. Principles of management of Spinal injuries
6. Principles of management Space occupying lesion in brain
7. Management of an unconscious patient

Endocrine Surgery + Breast

1. Thyroid diseases - benign 
2. Thyroid malignancies
3. Adrenal, Hormone secreting tumours
4. Parathyroid diseases
5. Benign diseases of the breast & Gynecomastia
6. Carcinoma of breast

Oral & Maxillofacial Surgery

1. Maxillofacial Trauma
2. Dento-alveolar sepsis
3. Benign lesions in the oral cavity
4. Problems of salivary glands
5. Carcinoma of tongue & Cheek

Paediatric Surgery

1. Common Paediatric Surgical presentations to GP/OPD
2. Surgical emergencies in Neonates including TOF & Diaphragmatic Hernia
3. Hypertrophic Pyloric Stenosis & other common GI problems in children
4. Common GU problems in children including Hypospadias
5. Biliary atresia, Hirschsprung disease, Imperforate anus
6. Trauma in children, including home accidents & non-accidental injuries

Orthopaedic Surgery

1. Congenital disorders in bones & joints 
2. Principles of management of Fractures & Dislocations 
3. Carpel Tunnel Syndrome
4. Bone & joint infections
5. Surgical disorders of joints
6. Orthopaedic Surgical problems in children
7. Bone tumours
8. Principles of management of Sports Injuries
9. Principles of management of patient with multiple injuries
10. Principles of management of Peripheral nerve injuries
11. Principles of management of tendon injuries
12. Acute and chronic back ache

ENT Surgery

1. Clinical anatomy & physiology relevant to ENT Surgery
2. Acute & Chronic Otitis Media & Externa
3. Acute & Chronic Sinusitis 
4. Epistaxis 
5. Foreign bodies in Ear, Nose & Throat and Inhaled FBs
6. Hearing problems 
7. Vertigo & Tinnitus 
8. Upper airway obstruction & Tracheostomy
9. Neoplastic lesions in pharynx & larynx

Ophthalmology

1. Applied anatomy & physiology relevant to ophthalmology 
2. Common causes of visual impairment & blindness
3. Trauma to the eye- emergency management & referral
4. Red Eye – causes and management
5. Systemic diseases affecting the eye 
6. Paediatric eye conditions including ocular motility disorders

Cardiothoracic Surgery

1. Trauma to the chest – blunt & penetrating
2. Acute thoracic emergencies – spontaneous pneumothorax, cardiac tamponade etc.
3. Lung abscess & Empyaema 
4. Tumours in the lung
5. Mediastinal masses 
6. Mediastinitis
7. Principles of surgery in Ischaemic Heart Disease

Anaesthesiology & Critical Care

1. Pre-op assessment & management of a surgical patient
2. Types of Anaesthesia & Per-operative care
3. Fluid & Electrolyte management during and after surgery
4. Post-op monitoring including HDU & ICU care
5. Post-op pain relief
6. Maintenance of airway, Endotracheal intubation & Ventilation 
7. Principles of Critical Care

Teaching, Learning Methods & Strategies

Learning take place in 3 main domains;

1. Cognitive domain – Knowledge
2. Psychomotor domain – Skills – Clinical & Procedural
3. Affective domain – Attitudes & Behavior

Learning Environments & Methods 

Faculty-based/ Classroom based Learning

• Lectures
• Small group teaching &learning
• Clinical Lecture Demonstrations (CLD)
• Skills Lab & Simulation Centre sessions

Hospital/ Ward-based Learning – Bedside Learning

• Clinical Appointments in Surgery
• Special Ward Classes

The current Surgery Professorial appointment is conducted at Rathnapura Teaching Hospital Ward 10 and 16. 

Community -based Learning – Home & Community visits

The students are expected to visit the homes of selected patients during their surgical appointments ( 2nd Surgery & Professorial Surgery) and make short presentations to the entire group of students. The Department of Surgery will collaborate with the Department of Community Medicine and other clinical departments and define the learning outcomes for these activities.