Contents of the Training and Management Programme

Training

 

 

All the programmes include experience in clinical management, surgical procedures, ICU care and research.

 

Clinical management:
This includes working up patients, examining patients in the outpatient department, performing operations and doing on-call duties. Irrespective of the duration or type of training programme the candidate is accepted for, he or she will be required to work initially as a first on call resident, the duties of which are similar in nature to that of a house officer's. If he or she is a long term trainee then at a later date the candidate is assigned second on call duties which are equivalent to a surgical registrar's responsibilities.

Research and publications:
Each trainee is required to complete a research project which may consist of analysis of retrospective clinical data, prospective clinical investigation or experimental research.

Critical analysis:
This includes presenting and evaluating research publications at journal clubs, reviewing and summarizing the literature on a current topic, presenting cases in the combined and grand rounds of the Institute, paper or poster presentations at local, national or international conferences.

Surgical experience:
Operations which a trainee or resident will assist and learn may include the following:
 

Portal hypertension

1. Proximal splenorenal shunts (elective and emergency)

2. Side-to-side portocaval shunts

3. Cavoatrial shunts

4. Mesocaval shunts

5. Gastric devascularization

Liver

1. Major hepatic resections

2. Wedge resection for carcinoma of the gall bladder

3. Liver transplantation

Biliary tract

1. Cholecystectomy (open and laparoscopic)

2. Choledocholithotomy

3. Choledochoduodenostomy

4. Hepaticojejunostomy

Pancreas

1. Necrosectomy for pancreatic necrosis/ abscess

2. Lateral pancreaticojejunostomy

3. Cystojejunostomy/cystogastrostomy

4. Pancreaticoduodenectomy

5. Resection of endocrine tumours

Oesophagus

1. Oesophageal resection: Transhiatal/Transthoracic

2. Oesophageal bypass: gastric pull up/colonic pull up

Stomach and duodenum

1. Vagotomy and drainage

2. Partial/ Radical gastrectomy

3. Total gastrectomy

Colon and rectum

1. Right, left and total colectomy

2. Ileoanal anastomosis with J-pouch

3. Abdominoperineal resection

4. Anterior resection

5. Modified Duhamel’s procedure for adult Hirschsprung’s disease

6. Anal sphincter repair and reconstruction