لجنــة قطــاع الدراســات الطبيـة
General Surgery
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لجنــ ة قطــاع الدراســات الطبيـة
Basic Information
Level: first Rotation start date:……
Rotation end date:…
Rotation Departments /Units (if applicable):
Surgery ……
Duration in weeks Working hours per week
12 As in the program
Educational and Clinical training: ……. hours/week
training activities
Directed/core learning: ………
hours/week
Self-learning: …………. hours/week
I. Clinical Competencies/ EPA
By the end of the General Surgery rotation, MI will be able to:
Carry out and document relevant EPAs for the following clinical conditons
List of requirements
Minimal
Cases/ Relevant Expected frequency
descriptors
presentations/procedures (EPAs) Level recorded in
portfolio
Wounds and ulcers EPA 1-20
Ulcer examination C
Wound dressing C 5
Wound stitching and C
removal of stitches
Swellings and inguinal-scrotal EPA 1-9 A 3
swellings EPA 11-13
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لجنــة قطــاع الدراســات الطبيـة
Common neck swellings EPA 1-9 A 3
(thyroid, lymph nodes) EPA 11-13
Common infections (e.g., peri- EPA 1-20 5
anal infection, breast infection, C
hand infection, face infection, B
erysipelas) B
• Physical examination
• Justify the diagnosis
• Abscess drainage
Burns EPA 1-20 B 2
Anal disorders EPA 1-9 A 3
Hernias EPA 1-9 A 3
Breast masses EPA 1-9 A 3
Jaundice EPA 1-9 A 3
Acute abdomen EPA 1-10 A 3
Varicose veins EPA 1-9 A 3
Ischemic limb EPA 1-11 A 3
Diabetic foot EPA 1-11 A 3
Dyspepsia EPA 1-10 A 3
Expected Level
A. Observation
B. Practice with direct supervision
C. Practice with indirect supervision
Every MI should print a paper to document each case mentioned in the
above list of requirements.
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لجنــة قطــاع الدراســات الطبيـة
Part I: Filled by the MI (for each case)
Patient serial # (In the logbook):
Hospital record #:
Other
Seen at: Outpatient Inpatient ER
(specify)
Date:
Age & Gender:
Main theme of the
case
Case Summary:
Self-reflection:
What did I do right?
What needs more development?
Plan for further development
1 2 3 4
5 6 7 8
EPA: (check the
9 10 11 12
appropriate boxes)
13 14 15 16
17 18 19 20
Signature of the MI
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لجنــة قطــاع الدراســات الطبيـة
Part 2: To be filled by the trainer for each case
EPA tested Rubric Strength points Points needing
improvement
Trainer’s name Trainer’s signature
Re-evaluation and follow up
Trainer’s name Trainer’s signature
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لجنــة قطــاع الدراســات الطبيـة
II Procedures with documentation of their
performance:
By the end of the General Surgery rotation, the MI should be able to
perform the following procedures (with indirect supervision).
Fill in the following form and get the evaluation and signature of the
trainer in the last column.
Venue (OR, Hospital Performance Trainer
Skill /procedure Date
ward, ER,..) Record Level Signature
Perform
venipuncture
and collecting
blood
samples.
Insert a
cannula into
peripheral
veins.
Establish
peripheral
intravenous
access and
setting up an
infusion; use
of infusion
devices
Give
intramuscular,
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لجنــة قطــاع الدراســات الطبيـة
Venue (OR, Hospital Performance Trainer
Skill /procedure Date
ward, ER,..) Record Level Signature
subcutaneous,
intradermal
and
intravenous
injections.
Suture
superficial
wounds.
Perform
cardiopulmon
ary
resuscitation
and basic life-
support
Perform and
interpret basic
bedside
laboratory
tests
Perform and
interpret ECG
Manage an
electrocardiog
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لجنــة قطــاع الدراســات الطبيـة
Venue (OR, Hospital Performance Trainer
Skill /procedure Date
ward, ER,..) Record Level Signature
raph (ECG)
monitor
Take swabs
for different
diagnostic
purposes
Use a
nebulizer for
administratio
n of
inhalation
therapy
Perform male
and female
bladder
catheterizatio
n
Administer
basic oxygen
therapy
Perform
wound care
and basic
wound
dressing
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لجنــة قطــاع الدراســات الطبيـة
Venue (OR, Hospital Performance Trainer
Skill /procedure Date
ward, ER,..) Record Level Signature
Manage blood
transfusion
Insert a
nasogastric
tube.
Administer
local
anesthetics
Assisted
Practice aseptic
procedures in
the
OR (5 times)
Minor Assisted
procedure
(One case
witnessed
and one
practice)
Managing Assisted
wound &
Diagnosis of
complication (5
times)
Assisted
Wound dressing
(5 times)
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لجنــة قطــاع الدراســات الطبيـة
Venue (OR, Hospital Performance Trainer
Skill /procedure Date
ward, ER,..) Record Level Signature
Assisted
Removal of
surgical
drains (5 times)
Assisted
Removal of
stitches
and tubes (5
times)
PR examination Assisted
(2 times)
Suturing Assisted
uncomplicated
wounds (3
times)
Abscess Assisted
drainage
(3 times)
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لجنــة قطــاع الدراســات الطبيـة
Assessment
WPBA
List of requirements/plan of WPBA/maximum of 5 during rotation
WPBA Case/ Time (week Time for Evidence
tool number of the compensatory and record
procedure
rotation) for the exam in portfolio
first exam
Mini-
CEX
DOP
CBD
Mini-
CEX
DOP
Recording of WPBA
Clinical
WPBA Result
Case/procedure Date supervisor
tool (rubric)
signature
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لجنــة قطــاع الدراســات الطبيـة
III. Directed learning/Interactive Clinical Lectures/
Workshops:
List of requirements
Time (week
Learning Evidence Record in
Topic number of
activity required portfolio
the rotation)
a. Orientation
b. Common surgical
instruments and their
use.
c. Preoperative
interventions
(including
preoperative
investigations,
taking consent
etc.…)
d. Appropriate
postoperative care
e. Post-operative
monitoring,
analgesics, etc.
f. Acute abdomen
g. Shock and first aid
management
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لجنــة قطــاع الدراســات الطبيـة
Assessment
Recording
Clinical
Learning
Topic Date Evidence supervisor
activity
signature
IV. Self-learning
List of requirements
Time (week Record
Learning Evidence
Activity number of the in
activity required
rotation) portfolio
• Incision Academy Certificates
courses: from Incision
….. Academy
……
• Journal clubs
• Grand rounds
• Departmental
teaching sessions
• Peer review
meetings
• Inter-professional
meetings, including
practice meetings
and those with
social care.
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لجنــة قطــاع الدراســات الطبيـة
Assessment
Recording
Learning Trainer
Title Date Evidence
activity signature
End of rotation reflection:
Choose at least five of the list of 20 EPAs and reflect your experience
during rotation
Signature of
EPA Your reflection
clinical supervisor
General reflection
Rotation / attendance proof "multiple pages"
أسم الوحدة التي نسبة عدد الساعات التى قضاها توقيع المشرف توقيع المنسق توقيع مدير
تدرب بها فى الوحدة من اجمالى المطلوب اإلكلينيكي التعليمى المستشفى
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لجنــة قطــاع الدراســات الطبيـة
Team observation report (multisource)
To be completed by the clinical supervisor after consultation of all staff
who directly supervised the MI (at least five)
Level out of
Signatures
10
1. Treats patients politely and Trainer:
considerately
1-
2. Involves patients in decisions
2-
about their care
3-
3. Respects patients' privacy and
dignity 4-
4. Respects confidentiality 5-
5. Responds when asked to review 6-
a patient 7-
6. Liaises with colleagues about 9-
continuing care of patient
8-
7. Works as a member of a team
10-
8. Accepts criticism and responds
constructively
Clinical
9. Keeps records of acceptable
supervisor
quality
10. Keeps up to date with
administrative tasks
11. Acts within own capability,
seeks advice appropriately
12. Manages time efficiently
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لجنــة قطــاع الدراســات الطبيـة
Summary of MI rotation Assessment
Basic information
MI name and signature:
Department
Hospital
Date of start of rotation
Date of end of rotation
Trainers name in training department and
signatures
Clinical supervisor(s) name and signature
Educational coordinator name and signature
Activity Fulfilled Not fulfilled
WPBA
Directed learning
Self-learning
Team observation report
Final judgment
Acceptable progress Unacceptable progress
A above expectation D Below expectation
B meet expectation
C borderline
Signature of Clinical Supervisor
Signature of Educational coordinator
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