APMC CORE COMPETENCIES EXPECTED OF MEDICAL GRADUATES IN SURGERY

1. Identify incidences (age, sex, etc).

2. Identify presenting signs and symptoms, and physical exam findings.
3. Discuss etiology, causative and contributory factors.
4. Explain the mechanism of the disease.
5. Select the appropriate diagnostic work-up
6. Interpret results of diagnostic procedures and laboratory examinations.
7. Formulate diagnosis.
8. Determine extent and stage of the disease.
9. Describe the most appropriate management ( medical, surgical, chemotherapy)
10. Predict course and behavior of the disease.
11. Identify complications from the disease and complications from treatment and procedures.
12. Decide on management of complications.
13. Identify indications for referral to a specialist.

BREAST 1. Breast Cancer

2. Fibroadenoma
3. Fibrocystic disease

ESOPHAGUS 1. Achalasia
2. Corrosive esophagitis
3. Mallory Weis syndrome
4. Esophageal perforation
5. Reflux esophagitis
6. Gastroesophageal reflux
7. Leiomyoma
8. Barrett’s esophagus
9. Esophageal carcinoma

STOMACH 1. Peptic ulcer disease

2. Gastritis
3. Leiomyoma
4. Gastric cancer
5. GIST

SPLEEN 1. Disorders of the spleen – hyposplenism, hypersplenism, splenic cyst

2. Indications for splenectomy

SMALL BOWEL 1. Intestinal obstruction

• Mechanical – adhesions, tumors, volvulus,
• Ileus
2. Typhoid ileitis
3. Intestinal tuberculosis
4. Crohns disease
5. Mesenteric thrombosis
6. Small bowel neoplasm

LARGE BOWEL 1. Acute Appendicitis

 APMC CORE COMPETENCIES EXPECTED OF MEDICAL GRADUATES IN SURGERY

2. Ulcerative colitis
3. Polyps
4. Colonic carcinoma
5. Diverticular disease

RECTUM AND ANUS 1. Rectal CA

2. Hemorrhoids
3. Anal Fistula
4. Perianal abscess
5. Anal tumors

LIVER 1. Liver abscess

2. Hepatocellular carcinoma
3. Portal Hypertension

GALLBLADDER 1. Cholelithiasis
2. Choledocholithiasis
3. Cholecystitis
4. Gallstone ileus
5. Gallbladder Tumors

PANCREAS 1. Pancreatitis
2. Pancreatic tumors

ABDOMINAL WALL, 1. Hernias

OMENTUM, MESENTERY - Hiatal hernia
- Diaphragmatic hernia
- Inguinal hernias
2. Mesenteric cyst
3. Abdominal wall tumors

HEAD AND NECK 1. Benign swellings –lymphadenopathies,

2. Branchial cysts, thyroglossal duct cysts, vascular tumors
3. Squamous cell carcinoma
4. Neoplasm of the salivary gland
5. Thyroid cancer
6. Thyroid adenoma
7. Hyperthyroidism
8. MCAG

SOFT TISSUE TUMORS 1. Sebaceous cyst

2. Epidermal inclusion cyst
3. Squamous cell CA
4. Basal cell CA
5. Melanoma
6. Soft tissue sarcoma