Contents of the Training and Management Programme
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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
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Proximal splenorenal shunts (elective and emergency)
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Side-to-side portocaval shunts
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Cavoatrial shunts
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Mesocaval shunts
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Gastric devascularization
Liver
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Major hepatic resections
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Wedge resection for carcinoma of the gall bladder
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Liver transplantation
Biliary tract
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Cholecystectomy (open and laparoscopic)
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Choledocholithotomy
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Choledochoduodenostomy
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Hepaticojejunostomy
Pancreas
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Necrosectomy for pancreatic necrosis/ abscess
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Lateral pancreaticojejunostomy
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Cystojejunostomy/cystogastrostomy
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Pancreaticoduodenectomy
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Resection of endocrine tumours
Oesophagus
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Oesophageal resection: Transhiatal/Transthoracic
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Oesophageal bypass: gastric pull up/colonic pull up
Stomach and duodenum
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Vagotomy and drainage
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Partial/ Radical gastrectomy
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Total gastrectomy
Colon and rectum
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Right, left and total colectomy
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Ileoanal anastomosis with J-pouch
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Abdominoperineal resection
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Anterior resection
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Modified Duhamel’s procedure for adult Hirschsprung’s disease
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Anal sphincter repair and reconstruction