‫الهيئة القومية لضمان جودة التعليم واالعتماد‬

University: Alexandria
Faculty: Medicine

Program Specifications
(Academic year: 2015/2016)

A. Basic Information:
1. Program title: Doctorate Degree of Surgery
2. Program Award/Degree: Doctorate Degree.
3. Department (s) offering the program; General Surgery Department
4. Program director: Prof. Ahmed Tarek Awad
5. Program Coordinator: Prof. Dr. Samer Bessa

6. External evaluator(s): Prof. Dr. Safwat Abdel-Kader

7. Type of the program: Single.
8. Date of most recent program specifications approval: October 2016.
B. Professional Information:
1- Program Aims: The program aims to provide professional and educational experiences for
candidates to work as qualified consultants of surgery at a high level of performance through
improvement of their surgical skills and knowledge. Moreover, candidates of the program
must demonstrate an educational role to different levels of junior medical staff and acquire
upgraded knowledge and professional skills in one subspecialty branch of surgery.

2- Academic reference standards (ARS)& ILOs:

Academic reference standards of Doctorate Degree in Surgery is designed and approved by the
General Surgery Department, Faculty of Medicine. Alexandria University. Based on:
• The Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt
(2010). Published by National Authority for Quality Assurance and Accreditation of Education
(NAQAAE).
[http://naqaae.org/main/php/book/index.php]

Bench marks: this program is guided by the competencies of the ::

Royal College of Physicians and Surgeons Canada. (www.rcpsc.medical.org.)

Domain Academic Reference ILOs

Standards (by area)
A. Knowledge and Graduate of this program must
understanding have fluent and deep knowledge
and understanding of :
• Upgraded in depth
knowledge of basic sciences
serving general surgery.
By the end of this program, the
consultant will be able to:
A1. Describe relevant anatomy
to all basic surgical approaches.
A2. Describe fluently the
surgical impact on the surface
anatomy of the body in details.

A3. Define some common


• Detailed physiological body
responses affecting body
homeostasis related to
stressful surgical conditions
(trauma, surgical procedures,
pre and post operative
periods).
• Consultant management of
common and selected less
common problems.
• All scientific advances in the
field of general surgery and
other interrelated fields.
• Basics and ethics of the
scientific research.
• Quality standards and
fundamentals of ethical
practice.
‫الهيئة القومية لضمان جودة التعليم واالعتماد‬
pathological terms such as
neoplasia, malignancy,
dysplasia, metaplasia and
atypia.
A4. Demonstrate the
pathogenesis of disease states in
organ systems as it relates to
surgical management
A5. Discuss the impact of some
physiological processes on
specific organs and systems
homeostasis (pregnancy, aging
and obesity) and their influence
on management plans.
A6. Describe principles of
specialized trauma care
management.
A 7. Discuss difficult clinical
presentations to reach the proper
diagnosis in difficult and
uncommon surgical problems.
A8. Identify aspects that may
affect surgical management of
the patient and issues that may
impact post-operative care.
A9. Indicate advanced and
skillful knowledge of
laparoscopic and endoscopic
surgical procedures.
A10. Indicate absolute and
relative advantages and
disadvantages of various
therapeutic modalities needed in
general surgery and dealing with
difficult surgical complications.
A 11. Report the ethical
principles that govern decision
making in surgical problems
A 12. Demonstrate full
understanding of ethical
considerations that must be
followed during conduction of
research.
A 13. Discuss the limitation of
guidelines and when it is
appropriate to work outside
these guidelines.

B. Intellectual skills • Demonstrate effective clinical
problem solving and
judgment to address patient
problems, including
interpreting available data to
generate differential
diagnoses and management
plans
• Formulate and implement a
comprehensive management
plan in collaboration with
patients and their families.
• Interfere properly when
unexpected emergency
complication occur.
• Improve the existing
situation and add to the
speciality.
C. Professional Candidates must be competent
skills in:
• Identify sharply and explore
surgical problems to be
addressed from a patient
encounter.
• Demonstrate effective,
appropriate, and timely
application of preventive and
‫الهيئة القومية لضمان جودة التعليم واالعتماد‬
B 1. Analyze and evaluate
patient complaint and data to
solve difficult surgical
problems.
B2. Analyze and solve some
problems that don’t conform to
classic data.
B 3. Select with high skill the
best tool to investigate in wide
range of surgical practice.
B4.Decide the most proper
surgical or conservative plan of
treatment.
B5. Complete clinical
assessment with standardized
instruments and questionnaires.
B6. Integrate the results of
laparoendoscopic intervention
and other investigatory tools
with the clinical findings to
reach the correct diagnosis.
B 7. Change the plan of patient
management to suit existing
situation in case of lack of ideal
facilities
B8. Elicit and explain relevant
information based on
perspectives of patients and
families, colleagues, and other
professionals
B9. Contribute to the specialty
field through creativity and
innovation.
C 1. Perform physical
examination for patients with
different range of surgical and
medical problems.
C 2. Include the patient’s
context responses, concerns, and
preferences in management
planning.
C 3. Formulate a management
plan for complex cases.
C 4. Practice all types of general

therapeutic interventions
relevant to the specialist’s
practice.
• Develop skills in modern
techniques introduced in
their profession and use high
quality tools in diagnosis of
different surgical problems
and establish a differential
diagnosis for surgical cases.
• Develop clinical practice
based on analysis of relevant
clinical trials and evidence
based results.
• Negotiate and deal with
conflict.
• Appreciate the importance of
patient’s consent and write
full report in wide range of
cases.
‫الهيئة القومية لضمان جودة التعليم واالعتماد‬
surgical procedures and deal
perfectly with all complications.
C 5. Negotiate with other
consultants from other health
professionals, according to the
problem encountered
C 6. Perform advanced
laparoscopic procedures
C 7. Competently observe and
assist in performance of selected
endoscopic procedures in
complex cases.
C 8. Evaluates, plan and deal
effectively with usual and
unusual surgical emergencies
and elective procedure.
C 9. Seek out and synthesize
relevant information from other
sources, such as a patient’s
family, and other professionals.
C 10. Provide an advanced life
support according to the
standard American guidelines.
C 11. Teach juniors principles
of surgical practice as regards
investigations, differential
diagnosis and management.
C 12. Adopt an open-minded
approach to equality and
diversity in practice.
C 13. Manage and direct general
surgical admissions and
discharges with complete
documentation.
C 14. Convey precisely relevant
information and explanations to
patients and families, colleagues
and other professionals
C 15. Ensure appropriate
informed consent is obtained for
procedures and possible changes
and associated complications.
C 16. Prepare recommendations
in written and/or verbal form in

• Apply and conduct research
based on scientific rules and
ethics.
D. General and • Lead and work competently
transferrable skills in teams that provide surgical
health care.
• Organize & prioritize busy
schedules including the use of
ICT technologies.
• Retrieve and use information
from different sources based
on best evidence & best
practice.
• Apply and encourage
discussion, questions, and
interaction in the encounter
• Maintain clear, accurate, and
‫الهيئة القومية لضمان جودة التعليم واالعتماد‬
response to a request from
another health care professional.
C 17. Teach different issues of
research for colleagues and
juniors.
C 18. Plan and perform
effectively complete guided
research projects (writing
protocols, thesis,…..) and the
ability of revising and assessing
that of others.
D 1. Lead surgical teams in
secondary health care services.
D 2. Work effectively in
multidisciplinary teams and
with colleagues from a wide
range of professional groups.
D3. Communicate effectively
with other health care team
members including seniors,
juniors, subordinates
D4. Manage time effectively.
D5. Apply different sources of
information to obtain data and
advance computer and IT skills
through self learning.
D 6. Effectively apply and
present oral and written
information about a medical
encounter to different social
strata including patients and
their families.
D 7. Discuss and assess
vague/unclear patients’
problems with other team
members to reach a solution.
D 8. Share in and encourage
discussion, questions, and
interaction in the scientific
encounter meetings
D 9. Identify professional
limitations when facing
complicated issues and consult
accordingly.
D 10. Keep records appropriate

appropriate records (e.g.,
written or electronic) of
clinical encounters and plans.
E. Attitudes and
ethical behavior • Exhibit appropriate
professional behaviors in
practice, including honesty,
integrity, commitment,
compassion, respect and
altruism
• Respect diversity and
difference, including but not
limited to the impact of
gender, religion and cultural
beliefs on decision-making.
• Value commitment to lifelong
learning.
• Follow ethical principles in
conducting research.
‫الهيئة القومية لضمان جودة التعليم واالعتماد‬
in different forms
D 11. Perfectly present medical
information to the public or
media about a medical issue
when appropriate.
E 1 Engage patients, families
and relevant health
professionals in shared decision-
making to develop a plan of care
E2 Address challenging issues
such as obtaining informed
consent in difficult situations,
delivering bad news, and
addressing anger, confusion and
misunderstanding.
E3 Respect team ethics,
including confidentiality,
resource allocation and
professionalism
E4 Respect patients’
confidentiality, privacy and
autonomy and encourage
discussion and participation in
decision-making
E5 Accept responsibility for
patient care in different health
settings and with different
strata.
E6. Adhere to ethical principles
necessary in patients’ care and
carry out professional
responsibilities
E7. Value commitment to
lifelong learning and
professional development
including active participations
in professional organizations.
E8. Respect ethical
considerations on conducting
scientific research.
 ‫الهيئة القومية لضمان جودة التعليم واالعتماد‬

Program courses ILOs Matrix

ILOs A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13

Course title
Vascular Surgery X X X X X
II
Paediatric X X X X X X
Surgery II
Plastic Surgery II X X X X X X
Surgical Oncology X X X X X X X X X
II
Head & Neck X X X X
Surgery II
Upper GIT X X X X X X X X
surgery II
Hepato-biliary X X X X X X X X
Surgery II
Colorectal X X X X X X X X
Surgery II

ILOs B1 B2 B3 B4 B5 B6 B7 B8 B9
Course title
Vascular Surgery X X X X
II
Paediatric Surgery X X X
II
Plastic Surgery II X X X X
Sugical Oncology X X X X X
II
Head & Neck X X X X
Surgery II
Upper GIT surgery X X X X X X X
II
Hepato-biliary X X X X
Surgery II
Colorectal Surgery X X X X X
II

ILOs C1 C2 C3 C4 C5 C6 C7 C8 C9 C1 C1 C1 C1 C1 C1 C1 C1 C1
Course title 0 1 2 3 4 5 6 7 8
Lectures in X X X X X
Vascular
Surgery
Vascular X X X X X X
Surgery II
Paediatric X X X X X X X X X X X
Surgery II
Plastic Surgery X X X X X X X X X
II
Sugical X X X
Oncology II
Head & Neck X X X X X X X X X X X
Surgery II
Upper GIT X X X X X X X X
surgery II
Hepato-biliary X X X X X X X X X
Surgery II
Colorectal X
Surgery II
 ‫الهيئة القومية لضمان جودة التعليم واالعتماد‬

ILOs D D D D D D D D D D D E E E E E E E E
Course title 1 2 3 4 5 6 7 8 9 1 1 1 2 3 4 5 6 7 8
0 1
Lectures in Vascular X X X X X X X X X X X
Surgery
Vascular Surgery II X X X X X X X X X X X X X X X X X X
Paediatric Surgery II X X X X X X X X X X X X
Plastic Surgery II X X X X X X X X X X X X
Sugical Oncology II X X X X X X X X X X X X
Head & Neck Surgery X X X X X X X X X X X X X X
II
Upper GIT surgery II X X X X X X X X X X X X X X
Hepato-biliary Surgery X X X X X X X X X X X X X X
II
Colorectal Surgery II X

3- Curriculum Structure:
-Program duration: This program is fulfilled in not less than 3 years with a maximum of seven years
-Program structure:
Total Hours 52 Credit Hours
1. Obligatory subjects: 31 Credit Hours.
2. Thesis: 20 Credit Hours.
3. One Elective course: 1 Credit Hour

-Program Content:

A. Obligatory Courses:
Code Course Credit Contact hours
Hours Lectures Practical Others

053219320 Plastic Surgery II 2 2

053229320 Vascular Surgery II 2 2
05320901 Surgical Skills IV 3 3
05320902 Surgical Skills V 3 3
05320903 Surgical Skills VI 3 3
05320904 Pediatric Surgery II 2 2
05320905 Surgical Oncology II 2 2
05320906 Head and Neck Surgery II 2 2
05320907 Upper GIT Surgery II 2 2
05320908 Hepatobiliary Surgery II 2 2
05320909 Colon and Rectum Surgery II 2 2
05320910 Integrated Surgery II 3 3 3
05320911 Integrated Surgery III 3 3 3
B. Elective Courses:
From the elective courses offered by other departments.

4- Program Admission Requirements:

According to the regulations of the credit hour bylaws of the Faculty of Medicine
Alexandria University (annex).
5- Regulations for Progression and Program Completion:
According to the regulations of the credit hour bylaws of the Faculty of Medicine
 ‫الهيئة القومية لضمان جودة التعليم واالعتماد‬

Alexandria University (annex).

6- Methods of student assessment:

Methods Intended Learning outcomes to be
assessed
1. Written Exam a1 – a13, b1 – b9
2. Clinical Exam b1 – b9, c1- c18, e1 – e8
3. Assignments -----------------------------------------------
1. Thesis b1 – b9, e1 – e8

7- Methods of program evaluation:

Evaluator Tool Sample
1. Students enrolled in the program Questionnaires.
2. Alumni --------
3. Stakeholders (Employers) Focus group
4. External Evaluator (s) -----------
5. Others:

1. Program Director: Prof. Dr. Ahmed Tarek Awad

2. Program Coordinator: Prof. Dr. Samer Bessa
 Course Specifications
University: Alexandria
Faculty: Medicine
Department: Surgery

Course Information
Course Code 05320906 Course Name: Head & Neck Surgery

Program in which the Course is Given: Doctorate degree of Surgery

Number of Credit Hours Theoretical 1 Clinical/Practical 1

Course Aims

The course supports participants with updated fluent information about surgical diseases of head
and neck and provides deep knowledge and skills of different surgical procedures in head and neck
surgery.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program
matrix)
A. Knowledge
and A 7. Discuss difficult clinical
Understanding presentations to reach the proper
diagnosis in difficult and
uncommon surgical problems.
A8. Identify aspects that may
affect surgical management of the
patient and issues that may
impact post-operative care.
A10. Indicate absolute and
relative advantages and
disadvantages of various
therapeutic modalities needed in
general surgery and dealing with
Course ILOs
A1 Identify in details the different surgical
diseases of salivary glands, thyroid and
parathyroid gland and their management
A2 Describe fluently the pathology,
diagnosis and treatment of oral tumours.
A3 Describe the different therapeutic
procedures in head and neck surgery.
A4 Describe the detailed lines of
management for complicated and
uncomplicated conditions.
A5 Describe information about indications
and contraindications of diseases affecting
the thyroid, parathyroid and salivary glands.
D6 Describe the detailed procedures applied
in management of difficult surgical
problems in head and neck surgeries.
 difficult surgical complications
B. Intellectual B 1. Analyze and evaluate patient
skills complaint to solve difficult
surgical problem.
B2. Analyze and solve some
problems that don’t conform to
classic data.
B 3. Select with high skill the
best tool to investigate in wide
range of surgical practice.
B4.Decide the most proper
surgical or conservative plan of
treatment.
C.Professional C 4. Practice all types of general
and Practical surgery and deal perfectly with all
Skills complications.
C 8. Evaluates, plan and treats
usual and unusual surgical
emergencies and elective
procedure.
D. General D 2. Work effectively in
Skills multidisciplinary teams and with
colleagues from a wide range of
professional groups
D 5. Apply different sources of
information to obtain data.
D 11. Perfectly present medical
information to the public or
media about a medical issue when
appropriate.
Ethics and Appreciate the ethical principles
attitudes that govern decision making in
surgical problems.
A7 Discuss the contraindications and
complications of surgery of thyroid,
parathyroid, salivary glands and oral
carcinoma.
B1 Assess the obtained clinical data by
history and clinical examination.
B2 Interpret accurately incomplete patient's
data in critical situations to reach and
manage patients.
B3 Select the proper investigations needed
for individual difficult head and neck
surgical diseases.
B4 Solve clinical problems relevant to head
and neck surgical diseases.
B5 Outline a plan of treatment of surgical
diseases of salivary glands, thyroid gland,
oral carcinoma and parathyroid gland..
B6 Decide the surgical treatment of oral
carcinoma according to the patients' stage .
C1 Perform operations of thyroid,
parathyroid and salivary glands.
C2 Apply planning and treatment lines of
management of oral carcinoma.
C3 Apply planning and treatment lines of
management for usual and uncommon head
and neck diseases.
C4 Determine the management in
emergency cases.
D1 Communicate effectively with his
colleagues and teaching staff.
D2 Cooperate and actively participate with
his colleagues to effectively accomplish
group work activities.
D3 Develop decision making, and problem
solving skills (analyzing, evaluating
evidence, and logical reasoning )
D4 Provide accurate documented data.
D5 Apply the management of time
effectively on personal and team basis.
E1 - Define the ethical regulations that
regulate decision making in pediatric
surgical problems.
E2. Apply the main ethical principles
(autonomy, beneficence and non
maleficience in decision making about the
 clinical cases.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Surgery of salivary glands ✓ ✓
Surgery of salivary glands ✓ ✓
Surgery of thyroid gland ✓ ✓ ✓
Surgery of thyroid gland ✓ ✓
Surgery of oral cavity ✓ ✓
Surgery of neck masses ✓ ✓
Surgery of the jaw ✓ ✓ ✓
Reconstruction surgery of neck ✓ ✓ ✓
Cervical lymphadenopathy ✓ ✓ ✓
Radical neck dissection ✓ ✓
Parathyroid glands ✓ ✓ ✓
Suprarenal gland ✓ ✓ ✓
Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay ✓ Objective questions ✓

Case ✓ OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 % %
Practical/Clinical Exam 30% %
Others %

List of Textbooks and References

Lecture Notes Lecture hands out
Power point presentation
Course Text Books Grienfield
Sabiston
Suggested Extra Reading

Journals and Periodicals, others Surgical clinics of North America

Recent advances in surgery

Course Instructor
Prof. Dr. Ayman Sameh Nabawi Signature:
Course Coordinator:
Prof. Dr. Samer Bessa Signature:
Program Director (Head of Department)
Name: Professor : Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery

Course Information
Course Code: 05320908 Course Name: Hepato-biliary Surgery II

Program in which the Course is Given: Doctrate Degree of Surgery

Number of Credit Hours Theoretical 1 Clinical/Practical 1

Course Aims: The aim of this program is to enable the candidates, through development of
their surgical knowledge, professional skills and behavior, to become able to deal with all
surgical problems in the hepato-biliary subspecialty including liver, gall bladder, pancreas, and
bile duct both benign and malignant conditions.
Intended Learning Outcomes (ILOs)
Program ILOs Course ILOs
A. Knowledge By the end of this program, the By the end of this program, the graduate
and consultant will be able to: will be able to:
Understanding
A1. Describe relevant anatomy to A1.Illustrate the detailed surface and
all basic surgical approaches. surgical anatomy of liver, pancreas, and gall
bladder.
A2. Describe the anatomical development of
the liver, pancreas, and gall bladder and
hence deduce the congenital anomalies that
might take place.

A3. Illustrate the detailed anatomy of each

organ.

A4.Discuss the histology of liver, pancreas

and gall bladder.

A5.Define different hepato-biliary diseases,

the etiology and pathogenesis of each one.

A6.List the different type of pancreatic

pathology ranging from inflammation up to
malignant diseases.
 A7.Define the scope of micro-organisms
that predominated in hepato-biliary disease.
A4.Demonstrate the pathogenesis
of disease states in organ systems A8. Discuss the pharmacological aspects of
as it relates to surgical immunosuppressive drugs used in
management. transplantation.

A9. Discuss the signs and symptoms of

different diseases with concentration on the
correlation between them.

A10. Discuss the indications of surgery for

A7.Discuss difficult clinical each type of diseases.
presentations to reach the proper A11. Discuss the contraindications for
diagnosis in difficult and surgery in each of the diseases.
uncommon surgical problems.
A12. Discuss the most appropriate surgical
or non-surgical lines of treatment for
patients suffering from such disease as
pancreatitis.
A9. Indicate advanced and skillful
knowledge of laparoscopic and A13. Discuss the common medical
endoscopic surgical procedures. conditions in the field of pancreatic and
liver resection.

A14.Discuss the basis of laparoscopic (gall

A10. Indicate absolute and bladder surgery, bile duct surgery,
relative advantages and pancreatic surgery, and liver surgery).
disadvantages of various
therapeutic modalities needed in A15. Identify the principles, indications,
general surgery and dealing with relative advantages and disadvantages of
difficult surgical complications. various therapeutic modalities needed in
laparoscopic surgeries.

A16. Identify the advantages and

disadvantages of laparoscopic surgery as
well as the endoscopic surgery.

A17. List the ethical guidelines judging

decision making in liver transplant issues.

A18. Describe the guidelines and ethical

principles for diagnosis and management of
 each disease related to hepato-biliary
surgical problems.

A19.Describe the guidelines that specify the

importance of refraining liver
A 11. Report the ethical principles transplantation.
that govern decision making in
surgical problems A20. Discuss the instances that the
derailment away from the refraining
A13.Discuss the limitation of guidelines is possible and legal.
guidelines and when it is
appropriate to work outside these A21. Identify the small ethical details of real
guidelines. life surgical practice.
A22. Describe the legal rules and
authentications pertinent to the surgical
practice.
B. Intellectual B1. Analyze and evaluate patient B1.Correlate basic anatomical,
skills complaint to solve difficult physiological, embryological and
surgical problems. pathological facts related to pancreatic
diseases as well as other hepato-biliary
diseases.

B2.Interpolate the data collected from the

different sources to diagnose iatrogenic
biliary strictures.
B3. Select with high skill the best
tool to investigate in wide range of B3.Correlate the most appropriate
investigatory tools with clinical data for
surgical practice.
each Biliary disease.
B4. Prioritize the required investigatory
tools based upon how complex the case is.

B5.Correlate between the data gathered by

history taking and findings of both the
examination and the investigation.
B6. Integrate the results of B6. Interpret and deduce the valid
laparoendoscopic intervention and diagnosis through merging data from
other investigatory tools with the history and clinical examination.
clinical findings to reach the
correct diagnosis. B7. Adapt the plan of treatment according to
available facilities.
B7. Change the plan of patient
 management to suit existing B8. Modify the algorithm of patient
situation in case of lack of ideal management according to the progress and
facilities clinical response of the patients.

C.Professional C1..Perform physical examination C1.Obtain complete and detailed medical

and Practical for patients with different range and surgical histories.
Skills of surgical and medical problems.
C2. Take a valid complete history from the
C 2. Include the patient’s context patients.
responses, concerns, and
preferences in management C3.Examine patients with various
complain like abdominal pain, jaundice,
planning.
abdominal masses.

C4.Perform basic laparoscopic procedures

C4.Practice all types of general (Cholecystectomy).
surgery and deal perfectly with all
C5. Assist on major hepatobiliary
complications.
procedures.
C6.Perform advanced
C6.Observe selected endoscopic
laparoscopic procedures
procedures such as ERCP.

C7.Perform pancreatic resections, liver

resections, and bilio-enteric anastomosis.

C8. Manage (including diagnosis and

management) inflammatory as well as
neoplastic pancreatic diseases.

C9. Document general surgical admissions

and discharges.

C10.Manages surgical complications with a

wide range of variety.
C11.Teach juniors principles of
surgical practice as regards C11. Train junior residents with regular
investigations, differential and preserved supervision.
diagnosis and management. C12. Apply performance assessment to the
juniors continuously using various methods
of assessment, hence motivating the juniors
and give them regular feedback on their
performance.
 C13.Seek appropriate consultation from
other health professionals, according to the
patients’ needs.
C15.Ensure appropriate informed C14. Explain the surgical procedures to
consent is obtained for procedures patients and families appropriately.
and possible changes and
associated complications C15.Obtain the appropriate informed
consent after that before any surgical
procedures (minor and major).

C18. Plan and perform C16.Document and disseminate

effectively complete guided information related to common
research projects (writing laparoscopic hepato-biliary procedures so
protocols, thesis,…..) and the that could be suitable material to conduct
ability of revising and assessing research, with highly respect to the patients
that of others. privacy.

C17.Perform regular audit of peers records

in dealing with liver tumors, make use of
these results in performing a statistical
comparative analysis of certain paper.

D. General D2.Work effectively in D1.Communicate effectively with other

Skills multidisciplinary teams and with
colleagues from a wide range of
professional groups.
health care team members including
seniors, juniors, subordinates.
D2.Recognize the limitations when facing
Biliary complications such as biliary
fistulas and consult accordingly.

D3.Lead surgical teams in secondary health

care services.

D4.Organize time schedule according to

your work, and list priorities.

D4. Manage time effectively. D5. Decide surgical intervention to the

patients whenever indicated only.

D6. Consult about complicated cases with

 senior staff such as cases of HCC,
Pancreatic, and Bile duct carcinoma.

D7.Synthesize relevant data from different

D7.Discuss and assess sources as clinical examination,
vague/unclear patients’ problems investigation to reach an accurate diagnosis
with other team members to reach of complex cases.
a solution.
D8.Use information in simple and official
D8.Share in and encourage forms when dealing with media.
discussion, questions, and
interaction in the scientific D9.Convey relevant information and
encounter meetings explanations to patients, families,
colleagues and other professionals in a
suitable understandable manner and
encourage discussion and participation in
decision-making.

D10.Share in and encourage discussion,

questions, and interaction in the scientific
encounter meetings.

D11.document and keep the plans of

management of each patient appropriately
D 11. Perfectly present medical and clearly.
information to the public or
D12. Retrieve the data of the patient
media about a medical issue
seamlessly.
when appropriate.
D13.participate the patients’ families and
colleagues in deciding the management
either medical or surgical.

D14. Address the problem of the patients’’

compliance to the treatment with their
families and spouses.

Ethics and Appreciate the ethical principles E1.Apply the guidelines and ethical
attitudes that govern decision making in principles for diagnosis and management of
surgical problems. each disease related to hepato-biliary
surgical problems.

E2. Apply the ethical guidelines judging

 decision making in liver transplant issues.

E3. Apply the guidelines that specify the

importance of refraining liver
transplantation.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Diagnostic biliary procedures * *
Gall Bladder Surgery * * *
Pancreatitis * *
Pancreatic tumors * * *
Surgical jaundice * * *
Benign Liver Swellings * *
Liver trauma, abscess, cysts * * *
Liver tumors * * *
Liver resection * * *
Portal hypertension * *
Liver transplantation * * *
Bariatric Surgery * *
Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay √ Objective questions √

Case √ OSCE/OSPE √

Assignment √ Logbook fulfillment √

Others

Schedule of Assessment Mid-term %

End of term %
Distribution of Marks Written Exam 70 %
Practical/Clinical Exam 30 %
 Others %

List of Textbooks and References

Lecture Notes √

Course Text Books Schwartz text book of surgery

Bloomgart text book of iver, pancreas and
biliary tree
Suggested Extra Reading Recent Advances in Surgery

Journals and Periodicals, others Surgical Clinics of North America

Course Instructor
Name: Prof. Moahmed Karam Signature:

Program Coordinator
Name: Prof Dr. Samer Bessa Signature:

Program Director (Head of Department)

Name: Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery

Course Information
Course Code: 053219320 Course Name: Plastic surgery II

Program in which the Course is Given: Doctorate degree of Surgery

Number of Credit Hours Theoretical 1 Clinical/Practical 1

Course Aims
• Improve the surgical knowledge, professional skills and behavior of the candidates in
plastic surgery to become a highly qualified consultant of surgery able to deal with
surgical problems related to plastic surgery.

Intended Learning Outcomes (ILOs)

Program ILO
A. Knowledge By the end of this program, the
and consultant will be able to:
Understanding
A1. Describe relevant anatomy to
all basic surgical approaches.
A 7. Discuss difficult clinical
presentations to reach the proper
diagnosis in difficult and
uncommon surgical problems.
Course ILOs
By the end of this course, the consultant
will be able to:
A1. Describe the anatomical structures
that have relation to different free and
pedicle flaps used in reconstructive
surgery.
A2. Identify the various congenital
malformation indicated for plastic
surgery.
A3. List the different signs and
symptoms of malignant skin lesions.
A4. Discuss the atypical presentations of
malignant skin lesions.

A8. Identify aspects that may A5 Identify cultural, religious, and legal
affect surgical management of the issues in practice of esthetic surgery.
patient and issues that may impact A6. List the various possible
postoperative impact in patients with
post-operative care.
A10. Indicate absolute and
relative advantages and
disadvantages of various
therapeutic modalities needed in
general surgery and dealing with
difficult surgical complications.
A 11. Report the ethical principles A10. Define ideal reconstructive method
that govern decision making in
surgical problems
A 12. Demonstrate full
understanding of ethical
considerations that must be
followed during conduction of
research.
different systemic chronic diseases for
instance hypertension, diabetes etc.
A7. Discuss the indication, and
contraindications of different types of
esthetic surgery.
A8. Describe the complications and
expected outcome of different types of
esthetic surgery.
A9. Describe the recent trends in esthetic
surgery.
for repair of different traumas causing
tissue loss.
A11.Compare between the different
therapeutic modalities for a certain
esthetic or reconstructive problem.
A12. list the ethical guidelines and
principles that pave the way for proper
judgment concerning plastic surgical
procedures.
A13. List the main religious, racial and
sex limitations in plastic surgery and
respect their indications.
A14. List and identify details of legal
practice in esthetic and reconstructive
surgery.
A15. Discuss the ethical principles
guiding reconstructive surgery practice.
B. Intellectual B 1. Analyze and evaluate patient
skills complaint and data to solve
difficult surgical problems.
B2. Analyze and solve some
problems that don’t conform to
classic data.
B1.Interpret patient clinical data to
manage complicated plastic surgery
cases
B2.Interpret patient complaint to solve
difficult plastic surgery problem
B3Solve various non classical patients'
problems related to tissue loss following
trauma or burn.

B4. Correlate the non classical

B4.Decide the most proper
surgical or conservative plan of
treatment.
presentations with the clinical outcome
and complications
B5.Distinguish between the surgical and
conservative plans of treatment for
different plastic problems.

B6. plan for management for each

B9. Contribute to the specialty particular plastic case appropraitely.
field through creativity and B7. Introduce and Performnovice
innovation. procedures and principles in the field of
reconstructive surgery.

B8. correlate the importance with the

clinical outcome in case of using a
newly introduced device in the field of
microscopic surgeries.

C.Professional
and Practical C1.Perform physical examination C1. Acquire relevant and valid history
Skills for patients with different range of from different patients with various
culture level
surgical and medical problems.
C2. Appraise the history of the
presenting symptoms to reach a proper
C 2. Include the patient’s context diagnosis.
responses, concerns, and
C2.Examine the plastic surgical cases
preferences in management physically, searching for a proper
planning. diagnosis.
C3. Integrate between the signs and
symptoms of the surgical complain and

C3.Formulate a management
plan for complex cases
C 4. Practice all types of general
surgery and deal perfectly with all
complications.
C 5. Negotiate with other
consultants from other health
professionals, according to the
problem encountered
C10.Evaluates, plan and treats
usual and unusual surgical
emergencies and elective
procedure.
C 13. Manage and direct general
surgical admissions and
discharges with complete
documentation.
C15.Ensure appropriate informed C14.Formulate
consent is obtained for procedures consent for different plastic surgical
and possible changes and procedures associated with possible
associated complications
that of the medical complain, predicting
the postoperative outcome.
C4.Construct an algorithm of
management of patients with complex
deformities.
C5.Consult professors and colleagues ,
designing a relevant strategy for
management of various plastic cases.
C6. Perform all types of esthetic and
reconstructive surgeries.
C7.Apply all types of dressing for
patients suffering from different degree
of burns.
C8.Collaborate interdisciplinary to solve
a patient’s problem.
C9. Discuss the variable surgical
approaches relevant to a certain plastic
surgery problem and decide in teams the
most valid and suitable approach.
C10. Manage appropriately usual and
unusual surgical emergencies as burns,
and facial injuries and acquire the
adequate skill to face and deal and assist
in the various elective procedures that
might be encountered as grafts, flaps and
skin tumor treatment.
C11.Manage perfectly with all
complications encountered and practice
all types of plastic surgical emergencies
procedures.
C12.Report all admissions and write
down sheets for every type of procedure.
C13.Document discharge sheets for each
patient, with the details of the procedures
and medications.
relevant informed
changes of the management as well as
the surgical steps and their possible
associated complications.
 C15. Explain the informed consent
details to the patients or their relatives
clearly using simple and comprehensive
language.
C 16. Prepare recommendations in
written and/or verbal form in C16.Explain to patients families,
response to a request from another colleagues and other professionals the
health care professional. procedure of the surgical operation
C 17. Teach different issues of clearly.
C17. Reply to any interrogations raised
research for colleagues and
by the patients or their family members
juniors. patiently and explicitly with high degree
of honesty.
D. General D2.Work effectively in D1.Collaborate interdisciplinary and
Skills multidisciplinary teams and with respect the ethical principles of being I
colleagues from a wide range of team.
professional groups D2. Work in health care teams to make
the best use of your team members
reaching the most relevant and
appropriate diagnosis and management
plan.
D3.Communicate effectively with D3.Discuss and assess vague/unclear
other health care team members patients’ problems with other team
including seniors, juniors, members to reach a solution.
subordinates
D4. Deal with juniors and subordinates,
presenting the attributes of a good leader
professionally.

D5.Apply different sources of D5.Utilize various information and data

information to obtain data.
D 9. Recognize professional
limitations when facing
complicated issues and consult
accordingly.
sources professionally, appraising the
sources, judging their data validity,
searching for the most updated surgical
procedures.
D6. Outline management plan decision
according to the EBM guided by the
various data collection sources.
D7.Refer complicated cases to the
seniors or professors.
D8. perform self evaluation of own
expertise and skills expertise in dealing
with certain problem.
 Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Cutaneous Defects * *
Cleft Lip and Palate * *
Burns * * *
Management of Burns * *
Complications of Burns and Inhalation * *
Burn
Reconstructive Surgery of the Face * *
Hand Injuries * *
Breast Reconstruction * * *
Skin Tumours * * *
Vascular Malformations * *
Aesthetic Surgery * * *
Facial Injuries * * *
External Genitalia and Hypospadies * *
Hand Infections * * *
Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay √ Objective questions √

Case √ OSCE/OSPE √

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %
Practical/Clinical Exam 30 %
Others %

List of Textbooks and References

Lecture Notes Handout may be given by the staff member
who will present the lecture
Course Text Books The Greenfield's Surgery: Scientific Principles
and Practice
Sabiston Textbook of Surgery: The Biological
Basis of Modern Practicsurgical Practice
Suggested Extra Reading Recent advances in surgery
Journals and Periodicals, others Lancet, Journal of North America and journal
of Cancer

Course Instructor
Name: Prof Dr. Iman Labib Signature:

Program Coordinator
Name: Prof. Dr. Samer Bessa Signature:

Program Director (Head of Department)

Name: Prof Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery

Course Information
Course Code: 05320905 Course Name: Surgical Oncology II

Program in which the Course is Given: Doctorate degree of Surgery

Number of Credit Hours Theoretical 1 Clinical/Practical 1

Course Aims
• Provide educational experiences for candidates to become able to function as a qualified
consultant of surgery at a high level of performance
• Improve their professional surgical skills and knowledge in surgical management of
malignancies
• Upgrade their knowledge and professional skills in the branch of Surgical Oncology
Intended Learning Outcomes (ILOs)
Program ILO (refer to program Course ILOs
matrix)
A. Knowledge By the end of this program, the By the end of this course, the
and consultant will be able to: candidate should be able to:
Understanding A1- Describe and up-grade fluently
A1. Describe relevant anatomy to the basic knowledge of surgical
all basic surgical approaches. malignancies including anatomy and
A3. Define some common pathology.
pathological terms such as A2- Describe and up-grade the
neoplasia, malignancy, dysplasia, impact of different medical and
metaplasia and atypia. surgical diseases on different
A4. Demonstrate the pathogenesis malignancies.
of disease states in organ systems A3- Discuss and upgrade the
as it relates to surgical different pathological malignant
management changes that affect the organs, and its
alteration of the physiology, thus
A 7. Discuss difficult clinical leading to appearance of different
presentations to reach the proper presentation.
diagnosis in difficult and A4-Discuss the impact of these
uncommon surgical problems.
A8. Identify aspects that may
affect surgical management of the
patient and issues that may impact
post-operative care.
when facing unexpected
diagnosis intra-operatively.
A9. Indicate advanced and skillful
knowledge of laparoscopic and
endoscopic surgical procedures.
A10. Indicate absolute and relative
advantages and disadvantages of
various therapeutic modalities
needed in general surgery and
dealing with difficult surgical
complications.
A 11. Report the ethical principles
that govern decision making in
surgical problems.
pathophysiological changes on the
choice different surgical procedures.
A5-Describe the various common or
uncommon clinical presentations of
different organ malignancies and how
to pick it to reach proper diagnosis,
A6- Discuss the difference between
classical and un-classical presentation
of different organ malignancies.
A7- Identify the ideal plan for
management and treatment of
surgical oncology problems, and can
put a plan for management of
complicated cases.
A8- outline the plan of management
A9- Identify the role of laparoscopic
and endoscopic procedures in the
management of different organ
malignancies.
A10-Correlate clinical findings on
the patient, with the laparoscopic, or
endoscopic diagnosis that help to
reach a suitable decision in the plan
of management.
A11-Discuss the surgical impact of
anatomy of the GIT on different
surgical procedures particularly in
those patient with short gut
syndrome.
A12-Explain the various advantages
and disadvantages of different
therapeutic modalities needed in
malignancy surgery, its effect on the
life style of the patient, and dealing
with difficult surgical complications
with minimal morbidity to the
patient.
A13-Understrand the ethical
principles that govern decision
making in surgical malignancies
A14- State the situations when it is
appropriate to work outside the
 A 13. Discuss the limitation of
guidelines and when it is
appropriate to work outside these
guidelines.
B. Intellectual By the end of this course, the
skills candidate should be able to:
B 1. Analyze and evaluate
patient complaint to solve
difficult surgical problems.
B2. Analyze and solve some
problems that don’t conform to
classic data.
B5. Complete clinical
assessment with standardized
instruments and
questionnaires.
B 7. Change the plan of patient
limitations and guidelines.
By the end of this course, the
candidate should be able to:
B1-Correlate patient complaint with
the clinical examination to reach
proper provisional diagnosis for
management of different
malignancies
B2-Analyze and summarize patient
data to distinguish and solve difficult
surgical oncology problem
B3- Interpretdifficult data that don’t
conform to classical presentation in
conferences with other consultant to
help in reaching proper diagnosis.
B4-outline plan of most appropriate
investigations to decide the proper
surgical treatment considering the
patients' beneficence.
B5- Outline plan of investigations
for patients with complicated
problems using the most recent
available investigatory tools.in
B6-Distinguish patients with un-
classic malignant presentation
through the use diagnostic
laparoscopy, and endosopic tools..
B7-Apply patient assessment using
standardized instruments like
endoscopy or laparoscopy and/or
using more advanced equipments Commented [WA1]: Needs explanation
B8-Integrate the results of
Laparo-endoscopic intervention and
other investigatory tools with the
clinical findings to reach the correct
diagnosis with minimal morbidity,
and better outcomes.
B9- Change the plan of management
according to the progress of the
original plan in simulated situations
during accidental intra-operative
 management to suit existing
situation in case of lack of
ideal facilities.
B8. Elicit and explain relevant
information based on
perspectives of patients and
families, colleagues, and other
professionals.
C.Professional
and Practical By the end of this course, the
Skills candidate should be able to:
C1. Perform physical
examination for patients with
different range of surgical and
medical problems
C3. Formulate a
management plan for
complex cases
C5.Negotiate with other
consultants from other health
professionals, according to the
problem encountered
C6. Perform advanced
laparoscopic procedures
findings in those patients that present
with malignancy when to do
palliation and when to do radical
surgery.
B10-Interpret relevant information
based on perspectives of patients and
families, colleagues, and other
professionals.
By the end of this course, the
candidate should be able to:
C1-Take detailed surgical histories
that help to reach proper diagnosis,
and thus avoiding complications that
can occur during or after operation
particularly in patient with previous
abdominal operation.
C2-Analyze medical histories, that
may affect the diagnosis,
intervention, and
line of management.
C3-Relate the history of the
presenting symptoms to acquire data
that allow accurate formulation of the
problem, thus helping in solving this
problem and reaching a proper
diagnosis.
C4-Apply physical examination for
patients with malignancy problems,
particularly those difficult cases to
reach a proper provisional diagnosis,
and thus help in directing the need for
laboratory and radiological diagnosis.
C5-Perform wide range of
examination for patients with
surgical problems, taking in mind the
correlation with the history of
different malignancies.
C6-Employ advanced laparoscopic
procedures, particularly for early
cancer.
C7-Deal with the usual and unusual

C 7. Competently observe and
assist in performance of
selected endoscopic
procedures in complex cases.
C 9. Seek out and synthesize
relevant information from
other sources, such as a
patient’s family, and other
professionals.
C 11. Teach juniors principles
of surgical practice as regards
investigations, differential
diagnosis and management.
C 18. Plan and perform
effectively complete guided
research projects (writing
protocols, thesis,…..) and the
ability of revising and
assessing that of others.
D. General D 1. Lead surgical teams in
Skills secondary health care services.
surgical oncological emergencies,
can decide, and can change the plan
intra-operatively according to the
findings competently and effectively.
C8-Convey appropriate informed
consent is obtained for procedures
and possible changes and associated
complications that may occur during
or after the operation.
C9- Apply precisely relevant
information and explanations to
patients and families, colleagues and
other professionals.
C10- Document and disseminate data
related to procedures performed and
their outcomes, thus help in making a
good file system to the patient that
help in-case of occurrence of delayed
complication, or malignantrecurrence
and the need for reoperation with
accuracy.
C11-Co-operate in
preparation of conferences
with other consultants from
other health professionals,
according to the problem
encountered.
C12- Explain, and teach
juniors how to deal with any
surgical problems, how to
think, how to ask for proper
investigation, and finally how
to face any problem intra-
operatively.
C12- Perform effectively advanced
research and conduct a scientific
thesis successfully. .
D1-Learn surgical teams in
secondary health care services

D 6. Effectively apply and present
oral and written information about
a medical encounter to different
social strata including patients and
their families.
D 8. Share in and encourage
discussion, questions, and
interaction in the scientific
encounter meetings
E. Ethics and Appreciate the ethical principles that
attitudes govern decision making in surgical
problems.
D2-Work in multidisciplinary teams
and with colleagues to solve any
surgical problem that may
encountered.
D3. Communicate effectively with
other health care team members
including seniors, juniors,
subordinates.
D4-Apply different sources of data
collection to obtain comprehensive
data, improve and advance their
computer technology, and IT skills.
D5- Present information about
surgical oncology issues to different
social strata including patients and
their families effectively.
D6-Elicit and synthesize relevant
information from different sources to
solve patient’s problems.
D7- Arrange seminars, and
conferences with other consultants
from other health professionals,
according to the problem
encountered, so this will lead to
solution of the problem, and reaching
proper decision.
D8-Leaddiscussion, questions,
and interaction in the scientific surgical
oncology meetings
D9-Develop a plan to share decision-
making for families, and other health
professionals
E1 - Define the ethical regulations that
regulate decision making in oncology
surgical problems.
E2. Apply the main ethical principles
(autonomy, beneficence and non
maleficience in decision making about
the clinical cases.
 Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Breast (introduction) 1 1
Breast (cancer) 1 1
Breast(bbd) 1 1
Tumor markers and prognosis 1 1
Lymphadeno pathy 1 1
Lymphoma 1 1
Tumor chemotherapy and radiotherapy 1 1
Retroperitoneal tumors 1 1
Tumor biology 1 1
Carcinogenesis 1 1
Soft tissue tumors 1 1
Soft tissue sarcomas 1 1
Stem cells 1 1
Breast(surgery) 1 1
Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay √ Objective questions √

Case √ OSCE/OSPE √

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes Handout may be given by the staff member
who will present the lecture
Course Text Books Grienfield – Subiston
Surgical clinics – Recent Advances in surgery
Suggested Extra Reading -----------------------------

Journals and Periodicals, others Lancet, Recent advances in surgery, Journal of

North America and journal of Cancer

Course Instructor

Prof Dr. Galal AboAlnagah Signature:

Program Coordinator
Prof Dr. Tarek A. El-Fayoumi Signature:

Program Director (Head of Department)

Name: Prof Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: 05320907 Course Name: Upper GIT Surgery II

Program in which the Course is Given: Doctor Degree of Surgery

Number of Credit Hours Theoretical 1 Clinical/Practical 1

Course Aims
To provide educational experiences for candidates to become able to function as a qualified
consultant of GIT surgery at a high level of performance through improvement of their
professional surgical skills and knowledge, and moreover, candidates of the course must
perfect upgraded knowledge and professional skills in GIT surgery.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program
matrix)
A. Knowledge By the end of this program,
and the consultant will be able to:
Understanding
A1. Describe relevant anatomy
to all basic surgical approaches.
Course ILOs
By the end of this course, the candidate
should be able to:
A1-Describe the basic knowledge of GIT
surgery, including the anatomy, and
histology.
A2- Describethe embryological
development of the GIT, and the
congenital anomalies that might result.

A4. Demonstrate the A3- Discuss the different pathological

pathogenesis of disease states in
organ systems as it relates to
surgical management
conditions that affect the GIT, and its
alteration of the physiology, thus leading
to appearance of different presentation.
A4-Describe the effect of these
pathophysiological changes on the choice
different surgical procedures.

A 7. Discuss difficult clinical
presentations to reach the proper
diagnosis in difficult and
uncommon surgical problems.
A8. Identify aspects that may
affect surgical management of
the patient and issues that may
impact post-operative care.
A9. Indicate advanced and
skillful knowledge of
laparoscopic and endoscopic
surgical procedures.
A10. Indicate absolute and
relative advantages and
disadvantages of various
therapeutic modalities needed in
general surgery and dealing with
difficult surgical complications.
A4-Describe the effect of these
pathophysiological changes on the choice
different surgical procedures.
A5-Describe the various common or
uncommon clinical presentations of the GIT
pathology, and how to pick it to reach proper
diagnosis.
A6- list the differential diagnosis of commn
GIT clinical problems.
A7- Identify the ideal plan for management
and treatment of surgical GIT problems, and
can put a plan for management of complicated
cases.
A8- outline plan of management according
to the encountered unexpected diagnosis intra-
operatively.
A9- Identify the possible complications that
are expected to take place.
A10. List the advantages and disadvantages of
each surgical procedure separately.
A11. Correlate the management plans (the
various surgical modalities) .with their impact
of patients' quality of life.
A12-Describe laparoscopic and endoscopic
GIT procedures, particularly endoscopic
mucosectomy for early cancer, laparoscopic
antireflux, and obesity surgery.
A13- Identify the various advanced surgical
procedures based on the clinical presenation.
A14-Correlate the effect of surgical
procedures with the changes of the
anatomical structures of the GIT specially
patients with short gut syndrome.
A15- Discuss the uses of laparoscopic
modalities in the diagnosis and management
of uncommon and difficult GIT problems.
A16-Identify the indications, relative and
absolute contraindications, steps of the major
GIT operation

A 12. Demonstrate full
understanding of ethical
considerations that must be
followed during conduction of
research
B. Intellectual
skills
B 1. Analyze and evaluate
patient complaint to solve
difficult surgical problems.
B2. Analyze and solve some
problems that don’t conform to
classic data.
B3. Select with high skill the
best tool to investigate in wide
range of surgical practice.
A17- List the various postoperative
complications that might take place, hence
decide the indication for surgical intervention.
A18-Identify the ethical principles utilized in
dealing with the patients and indulging them
as well as families in deciding the
management plan.
A19-utilize the stipulated ethical principles in
judging and deciding certain major GIT
surgical procedures.
A20-Correlate the ethical guidelines with
indications and limitations of surgical
procedures during the process of decision
making
A21-List the details of the ethical and legal
principles.
By the end of this course, the candidate
should be able to:
B1- Relate patient complaint obtained
from proper history taking with the
clinical examination to reach proper
provisional diagnosis for simple and
complicated GIT problems.
B2- Appraise the key of each clinical
problem and infer this key to the proper
provisional diagnosis.
B3- Integrate patient data gathered from
various sources, to solve GIT surgical
problems particularly those syndromes
that occur in association with certain GIT
tumors.
B4. Outline the possible investigatory
tools that could be used to confirm the
provisional diagnosis or decide the final
diagnosis from the differential diagnosis
list based on the data collected from
physical examination as well as the
patients’ complaint.
B5- Select the best diagnostic
investigatory tool relevant to ach GIT

B4.Decide the most proper
surgical or conservative plan
of treatment.
B5. Complete clinical
assessment with standardized
instruments and questionnaires.
B6. Integrate the results of
laparoendoscopic intervention
and other investigatory tools
with the clinical findings to
reach the correct diagnosis.
B7. Change the plan of
patient management to suit
existing situation in case of
lack of ideal facilities.
C.Professional
and Practical
Skills C1. Perform physical
examination for patients with
different range of surgical and
disease separately.
B6- Apply the recent available
investigatory tool particularly in those
patients with complicated GIT problems.
B7-Distinguish patients with un-classic
GIT presentation through the use
diagnostic laparoscopy, and endoscopic
ultrasound.
B8-Apply the ideal line of treatment
whether surgical or conservative according
to the patient condition.
B9- Modify management plans according
to the progression of the disease.
B10-Oulline a plan of GIT assessment
using standardized instruments like
endoscopy or laparoscopy or apply more
advanced equipments as endoscopic
ultrasound.
B11-Relate the results of the used
investigatory tools with the clinical
findings in the diagnosis and management
complicated GIT cases.
B12-Adapt the choices of the
management plan according to the
resources available.
B13- Reframe the line of treatment
according to the accidental intraoperative
findings as well as to the prognosis of the
patients’ state of health.
By the end of this course, the candidate
should be able to:
C1-Take detailed surgical histories that
help to reach proper diagnosis.
C2-Interpolate medical histories, that may
 medical problems. affect the diagnosis, intervention, and line of
management.
C3-Correlate the history of the presenting GIT
symptoms to acquire data that allow accurate
formulation of the problem, thus helping in
solving this problem and reaching a proper
diagnosis.

C4-Examine the GIT patient physically,

C3. Formulate a management trying to reach a provisional diagnosis.
plan for complex cases. C5-Percuss the GIT patients’
abdomen properly either confirming
or denying the possibility of
malignancies.
C5. Negotiate with
C6-Prepare an algorithm for
other consultants from
management suitable for each GIT
other health
case specifically.
professionals, according
to the problem C7- Schedule flexible plan for
encountered management specific for difficult
and complex GIT cases particularly
those cases that need second
intervention as mesenteric vascular
occlusion, and those patients with
carcinoma of the left colon that
present with intestinal obstruction.
C6. Perform advanced
laparoscopic procedures C8-Consult seniors or professors in
cases that are rarely encountered
and hence not familiar with their
appropriate management plan.
C9- Communicate interdisciplinary
especially in the OR for the sake of
the patient.

C10-Utilize advanced laparoscopic GIT

C7. Competently observe procedures, particularly endoscopic
selected endoscopic procedures mucosectomy for early cancer,
and complex cases laparoscopic antireflux, laparoscopic
obesity surgery, and laparoscopic
colectomies.
C11- Assist seniors with major GIT cases
applying the novice laparoscopic
procedures.

C8. Evaluates, plan and deal
effectively with usual and
unusual surgical emergencies
and elective procedure.
C 9. Seek out and synthesize
relevant information from other
sources, such as a patient’s
family, and other professionals.
C13. Manage and direct
general surgical admissions
and discharges with complete
documentation.
C 17. Teach different issues of
research for colleagues and
juniors.
C 18. Plan and perform
effectively complete guided
research projects (writing
protocols, thesis,…..) and the
C12- Experiment new laparoscopic
surgical techniques on animal.
C13- Observe new selected endoscopic
procedures and try to apply it on complex
cases
C14-Apply competently wide range of
endoscopic procedures.
C15-Document the GIT patients surgical
and medical data in details with the
patients and name and number that infer
easily to the surgical history of this
patient.
C16- Keep the patients records in
accessible and safe storage place.
C17-Master the emergency situations
encountered intra operatively or in the ER
with proficiency as well as with rationale.
C18-Obtain appropriate informed consent,
explained clearly in it the whole procedure
with its possible complications that might
take place.
C19- Gather information about the history
of the patients’ case from various sources
including his family members and
colleagues if possible.
C20- Search in the various literature and
information sources guided by the data
gathered from the patients family and
colleagues to agree upon the best
management line possible.
C21- Implement the data of each of the
surgical cases preserving the privacy of
the patients in conducting certain research
to be published in international journals..
C22- Explain, and teach juniors how to
deal with any surgical problems, how to
think, how to ask for proper investigation,
and finally how to face any problem intra-
operatively.
C23- Perform effectively complete guided
research.
 ability of revising and assessing
that of others.
D. General
Skills
D 1. Lead surgical teams in
secondary health care
services.
D2. Work effectively in
multidisciplinary teams and
with colleagues from a wide
range of professional groups.
D5. Apply different sources of
information to obtain data and
advance computer and IT skills
through self learning.
D 6. Effectively apply and
present oral and written
information about a medical
encounter to different social
strata including patients and
their families.
D 9. Share in and encourage
discussion, questions, and
By the end of this course, the candidate
should be able to:
D1- Lead surgical teams in secondary
health care service.
D2- Communicate with juniors and
subordinates, conducting the required
message clearly and invoke any argument
politely.
D3-Work in multidisciplinary teams and
with senior colleagues to solve any
surgical problem that may be encountered.
D4. Preserve allegiance to the seniors and
clinical teachers who were assuming the
responsibility of teaching them clinical
skills ne day.
D5- Improve their background computer
and IT skills whenever possible, getting
acquainted with any novice program that
might be of benefit of their medical career.
D6- Create novice methods of clinical
teaching using the IT and the advanced
computer skills guided by the IT members.
D7-Explicit the data of the encountered
cases properly written or orally..
D8-Expond the problem of the patients to
their families and spouses with variable
culture levels and attitudes clearly and
with a simple non medical terms.
D9- Explain the same case with perfectly
utilized medical and surgical terms to the
expertise and professors.
D10- Participate in the departmental
monthly scientific meeting presenting the
most complex case encountered during the
work through certain time period.
D11- Apply for international and national
 interaction in the scientific surgical conferences preparing relevant
encounter meetings. scientific topic to share or disseminate.
Ethics and Demonstrate the ethical principles utilized
attitudes in dealing with the patients and indulging
them as well as families in deciding the
management plan.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
GERD & Hiatal Hernia 

Upper GI bleeding    
Peptic ulcer 
Gastric tumors  
Acute abdomen    
Abdominal suppuration  
Intestinal obstruction    
PANCREATIC SURGERY 1  
(anomalies, injury , cyst, pancreatitis,
tumour , endocrine ,function)
PANCREATIC surgery2  
(anomalies, injury , cyst ,pancreatitis,
tumour , endocrine ,function)
SI Tumours( abdominal lymphoma   
,carcinoid tumour)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment Essay  Objective questions 

Case  OSCE/OSPE 

Assignment Logbook fulfillment 

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %
Practical/Clinical Exam 30 %
Others %

List of Textbooks and References

Lecture Notes Lecture notes in each topic of the course

Course Text Books Sabiston Text Book of Surgery

Grienfield Text book of Surgery
Suggested Extra Reading

Journals and Periodicals, others Recent Advances of Surgery

Surgical clinics of North America

Course Instructor
Prof. Dr. Mohamed Tawfik Alrwini Signature:

Program Coordinator
Name: prof. Signature:

Program Director (Head of Department)

Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: Course Name: Integrated Surgery II
Program in which the Course is Given: Doctorate degree of Surgery
Number of Credit Hours 3 Theoretical 1 Clinical/Practical 2

Course Aims
Help candidates acquire the advanced competencies of Surgical knowledge , Patient care ,
professionalism , system based practices , and Inter-professional and communication skills.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs
matrix)
A knowledge Candidate should be able to :-

a1. Recognize the different manifestations

of each basic & complicated Surgical
problem.
a2. Define the specific diagnostic methods
for each basic & complicated Surgical
problem.
a5. Define the risk factors which lead to
development of basic & complicated
Surgical problem.

B. Intellectual Candidate should be able to :-

Skills
b1. Determine the clinical keys features of
each basic & complicated Surgical
problem.
b2. Determine the plan of management for
each basic & complicated Surgical
problem.
C.Professional C1. By the end of this course, the candidate
and Practical should be able to:
Skills
c1. Describe a history to acquire
information in sufficient breadth and
depth to able allow accurate
formulation of basic & advanced
surgical problem
c2. Decide on the most likely diagnosis
And differential diagnosis

D. General D 1. Lead surgical teams in By the end of this course, the candidate
Skills and the operating theater. should be able to:
communication
skills d1. Interact effectively with professionals
in other disciplines and agencies.
d2. Participate in research.
d3. Work effectively in multi- disciplinary
team regarding each problem.
d4. Develop skills in the presentation of
information for a range of audiences,
including spoken presentations at
meetings and written information.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Problem solving based teaching of basic √ √ √
& complicated Surgical problem

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay ✓ Objective questions √
 Case OSCE/OSPE

Assignment Logbook fulfillment

Others √

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %
Practical spots squeezes 30 %
Assignment %

List of Textbooks and References

Lecture Notes Surgery McQs and Emqs

Course Text Books Sabiston Textbook of Surgery

Suggested Extra Reading Schwartz's Principles of Surgery Self-

Assessment and Board Review
Journals and Periodicals, others Annals of Surgery
British Journal of Surgery
Journal of the American College of Surgeons

Course Instructor
Name: Prof Dr Galal Abouelnagah Signature:

Program Coordinator
Name: Prof. Dr. Samer Saad Bessa Signature:

Program Director (Head of Department)

Name: Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: Course Name: Integrated Surgery III
Program in which the Course is Given: Doctorate degree of Surgery
Number of Credit Hours 3 Theoretical 2 Clinical/Practical 1

Course Aims
Help candidates acquire high advanced competencies of Surgical knowledge , Patient care ,
professionalism , system based practices , and Inter-professional and communication skills.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs
matrix)
A knowledge Candidate should be able to :-

a1. Define the different causes of the basic

& complicated Surgical problem.

a2. Recognize the serious complications of

each basic & complicated Surgical
problem.
a5. Define the general management of
each basic & complicated Surgical
problem.

B. Intellectual Candidate should be able to :-

Skills
b1. Determine the pathognomonic
features and the characteristic
diagnostic method for each basic &
complicated Surgical problem.
b2. Determine how and when to gather
information from other professionals.
C.Professional C1. By the end of this course, the candidate
and Practical should be able to:
Skills
c1. Supplement detailed clinical
assessment with standardized clinical
examination of a patients who have
basic or advanced surgical problem
c2. Plans for investigations and general
management of basic & advanced
surgical problem.
c3. Review and modify management plan
as appropriate and know to request
help form senior colleagues or other
services
c4. Know who to involve from different
specialties to solve the problem.

D. General D 1. Lead surgical teams in By the end of this course, the candidate
Skills and the operating theater. should be able to:
communication
skills d1. Interact effectively with professionals
in other disciplines and agencies.
d2. Lead research projects and support
others in research.
d3. Work effectively with colleagues from a
wide range of professional groups.
d4. Develop skills in the presentation of
information for a range of audiences,
including spoken presentations at
meetings and written information.
 Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Problem solving based teaching of basic √ √ √
& complicated Surgical problem

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay Objective questions √

Case √ OSCE/OSPE √

Assignment Logbook fulfillment

Others (oral) √

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam %
Clinical cases 70 %
Oral & operative talk 30 %

List of Textbooks and References

Lecture Notes Surgery McQs and Emqs

Course Text Books Sabiston Textbook of Surgery

Suggested Extra Reading Schwartz's Principles of Surgery Self-

Assessment and Board Review
Journals and Periodicals, others Annals of Surgery
British Journal of Surgery
Journal of the American College of Surgeons
Course Instructor
Name: Prof Dr Galal Abouelnagah Signature:

Program Coordinator
Name: Prof. Dr. Samer Saad Bessa Signature:

Program Director (Head of Department)

Name: Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: 05320901 Course Name: surgical skills IV
Program in which the Course is Given: Doctorate degree of Surgery
Number of Credit Hours Theoretical Clinical/Practical 3

Course Aims
Help candidates acquire the basic operative procedural operative competencies

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs
matrix)
C.Professional C1. Perform minor surgical By the end of this course, the candidate
and Practical procedures should be able to:
Skills
C1- Apply the basic principles of surgical
practice.
C2- Perform a wide range of minor surgical
procedures.

D. General D 1. Lead surgical teams in the By the end of this course, the candidate
Skills operating theater. should be able to:

D1- Supervise, assist and guide the juniors

while performing a minor surgical
procedure

D2- Communicate effectively with other

health care team members including seniors,
juniors, subordinates.

D3- - keep up to date patients’ record and

undertake patients’ data retrieving.
D4- Develop a plan to share decision-
 making with families, and other health care
professionals.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Minor surgical procedures 

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment 

Others (Intra-oper

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam %
Written practical comments %
Assignment %
Logbook fulfillment 100 %

List of Textbooks and References

Lecture Notes

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor
Name: Prof. Dr.: Wael Shalaan , Prof. Dr: Ahmed Khairi , Prof. Dr. Mokamed Karam, Prof. Dr.
Mohamed Tawfik Alriwini, Prof. Dr. Mohamed Saad Allibishy, Prof. Dr. Ayman Sameh, Prof. Dr. Iman
Labib, Prof. Dr. Gala Abou-Alnagah Signature:

Program Coordinator
Name: Prof. Dr. Samer Saad Bessa Signature:

Program Director (Head of Department)

Name: Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: 05320903 Course Name: surgical skills VI
Program in which the Course is Given: Doctorate degree of Surgery
Number of Credit Hours Theoretical Clinical/Practical 3

Course Aims
Help candidates acquire the laparoscopic procedural operative competencies

Intended Learning Outcomes (ILOs)

Program ILO (refer to program
matrix)
C.Professional C1. Assist and /or perform
and Practical laparoscopic surgical procedures
Skills
Course ILOs
By the end of this course, the candidate
should be able to:
C1- Apply the basic principles of
laparoscopic surgical practice
C2- Identify, assist and possibly perform the
different steps of a laparoscopic surgical
procedure
C3- Manage the different intraoperative
complications that might be encountered in
laparoscopic surgery

D. General D 1. Lead surgical teams in the By the end of this course, the candidate
Skills operating theater. should be able to:

D1- Supervise, assist and guide the juniors

while performing a laparoscopic surgical
procedure

D2- Communicate effectively with other

health care team members including seniors,
 juniors, subordinates.

D3- - keep up to date patients’ record and

undertake patients’ data retrieving.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Minor surgical procedures 

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment 

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam %
Written practical comments %
Assignment %
Logbook fulfillment 100 %

List of Textbooks and References

Lecture Notes

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor
Name: Prof. Dr. Mokamed Karam, Prof. Dr. Mohamed Tawfik Alriwini, Prof. Dr. Mohamed Saad
Allibishy, Prof. Dr. Gala Abou-Alnagah Signature:

Program Coordinator
Name: Prof. Dr. Samer Saad Bessa Signature:

Program Director (Head of Department)

Name: Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: 05320902 Course Name: surgical skills V
Program in which the Course is Given: Doctorate degree of Surgery
Number of Credit Hours Theoretical Clinical/Practical 3

Course Aims
Help candidates acquire the advanced operative procedural operative competencies

Intended Learning Outcomes (ILOs)

Program ILO (refer to program
matrix)
C.Professional C1. Assist and /or perform major
and Practical surgical procedures
Skills
Course ILOs
By the end of this course, the candidate
should be able to:
C1- Apply the basic principles of surgical
practice in major surgical procedures
C2- Identify, assist and possibly perform the
different steps of a major surgical procedure
C3- Modify the operative plan according to
intra-operative findings
C4- Manage the different intraoperative
complications that might be encountered in
surgery

D. General D 1. Lead surgical teams in the By the end of this course, the candidate
Skills operating theater. should be able to:

D1- Supervise, assist and guide the juniors

while performing a major surgical procedure

D2- Communicate effectively with other

health care team members including seniors,
 juniors, subordinates.

D3- - keep up to date patients’ record and

undertake patients’ data retrieving.
D4- Develop a plan to share decision-
making with families, and other health care
professionals.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Minor surgical procedures 

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment 

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam %
Written practical comments %
Assignment %
Logbook fulfillment 100 %

List of Textbooks and References

Lecture Notes

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor
Name: Prof. Dr.: Wael Shalaan , Prof. Dr: Ahmed Khairi , Prof. Dr. Mokamed Karam, Prof. Dr.
Mohamed Tawfik Alriwini, Prof. Dr. Mohamed Saad Allibishy, Prof. Dr. Ayman Sameh, Prof. Dr. Iman
Labib, Prof. Dr. Gala Abou-Alnagah Signature:

Program Coordinator
Name: Prof. Dr. Samer Saad Bessa Signature:

Program Director (Head of Department)

Name: Prof. Dr. Ahmed Tarek Awad Signature:
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery

Course Information
Course Code: 05320904 Course Name: Pediatric Surgery II

Program in which the Course is Given Doctorate in Surgery

Number of Credit Hours Theoretical 1 Clinical/Practical 1

Course Aims

1.1 Acquire knowledge, skills, and attitudes for a consultant pediatric surgeon.
1.2 Be able to deal with rare, complicated, and operated cases that require redo in pediatric
surgery.
1.3 Be able to conduct advanced research.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs
matrix)
A. Knowledge By the end of this program,
and the consultant will be able to:
Understanding A2. Describe fluently the surgical A1- Identify and recognize the embryology
impact on the surface anatomy of of congenital malformation.
the body in details.
A2- Discuss the relation of congenital
malformation to presentation and
management of disease process.

A4. Demonstrate the pathogenesis A3- Define the detailed pathogenesis of

of disease states in organ systems
as it relates to surgical
management.
surgical problems affecting the pediatric
age group.
A4-Discuss clinical presentation of
uncommon pediatric surgical conditions.

A7. Discuss difficult clinical A5- Describe algorithm plan for the
presentations to reach the proper management of pediatric surgical
 diagnosis in difficult and conditions
uncommon surgical problems.
A5-Describe management of complications
and recurrent cases in pediatric surgery

A6-Identify the role of laparoscopy in the

field of pediatric surgery.

A7-Discuss operative details of major

neonatal and pediatric surgery.
A9. Indicate advanced and skillful
knowledge of laparoscopic and A8- Discuss the limitation of interference
endoscopic surgical procedures. with complicated or advanced cases and
identify the needs for senior consultations.
A9- Describethe major contraindications
pertinent to each of the surgical procedures
under the umbrella of pediatric surgery.

B. Intellectual B 3. Select with high skill the best B1-Correlate patient data to manage
skills tool to investigate in wide range complicated cases.
of surgical practice.
B2-Analyze and evaluate patient complaint
to solve difficult surgical problem

B3-Describe the best investigation to

advanced or difficult cases including modern
and antenatal diagnostics.
B 7. Change the plan of patient
management to suit existing B4-Aquire good knowledge of clinical
situation in case of lack of ideal scoring systems in pediatric surgery
facilities
B5-Describe different plans of management
according to the facilities and equipments
B6- Elicit and explain relevant information
based on perspectives of patients and
B8. Elicit and explain relevant families, colleagues, and other professionals.
information based on perspectives B7-Contribute to the specialty field through
of patients and families, creativity and innovation
colleagues, and other
professionals.

C. C1. Perform physical examination C1-Describe a history of the presenting

Professional for patients with different range symptoms to acquire information to allow
and Practical of surgical and medical problems. accurate formulation of the problem
Skills
C5. Negotiate with other C2-Perform neonatal and pediatric
consultants from other health examination with special reference to
professionals, according to the congenital anomalies.
problem encountered
C3-Contribute the parents context
responses, concerns, and preferences in
management planning

C4-Indicate algorithm plan for difficult and

advanced cases

C5-Negotiate with other consultants

C7. Competently observe and from other health professionals,
assist in performance of selected according to the problem
endoscopic procedures in encountered
complex cases.
C6- Describe suitable endoscopic and
laparoscopic procedures in pediatric surgery

C7- Describe the ability to document

manually and electronically admissions
in pediatric surgery,

C8- Acquire the ability to treat acute

C8. Evaluates, plan and deal
obstructions, assist in major neonatal
effectively with usual and unusual surgery, assist in laparoscopic procedures.
surgical emergencies and elective
procedure. C9-Teach junior staff on the management of
common pediatric surgical conditions.

C10-Discuss the proper management of

emergency and elective pediatric surgical
conditions

C11-Provide neonatal resuscitation and

C12. Adopt an open-minded manage ventilators and pediatric fluid
approach to equality and diversity balance effectively.
in practice.
C12-Collect relevant data from patient
relatives, other medical professionals.

C13- Adopt an open-minded approach to

equality and diversity in their practice

C14- Be able to obtain high risk informed

consent in critical cases in pediatric surgery

C15-Complete documentations of
therapeutic procedures including electronic
 data entry.

D. General D1. Lead surgical teams in D1- Lead and co-operate effectively surgical
Skills secondary health care services teams in secondary health care services.
D2. Work effectively in D2- Co-ordinate multidisciplinary teams in
multidisciplinary teams and with children with multiple congenital
colleagues from a wide range of anomalies.
professional groups. D3- Prepare perfect schedules for
management of complicated pediatric cases.

D4- Advance their computer and IT skills

through self learning.
D3. Communicate effectively
with other health care team D5- Communicate effectively with other
health care team members including
members including seniors,
seniors, juniors, subordinates
juniors, subordinates
D6- Apply effectively oral and written
information about a medical encounter.

D4. Manage time effectively. D7-Effectively present information about

health care issues to different social strata
including patients and their families.

D8-Discuss and assess vague/unclear

patients’ problems with other team members
to reach a solution.
D5. Apply different sources of
information to obtain data and
advance computer and IT skills D9-Elicit and synthesize relevant
through self learning. information from different sources to solve
patient’s problems.

D10-Discuss effectively verbal reports of

clinical encounters and plans to different
audience.

D7. Discuss and assess

vague/unclear patients’ problems D11-Recognize his limitations when facing
with other team members to reach complicated issues and consult accordingly.
a solution.
D12- Apply accurately verbal reports of
clinical encounters and plans
D13- Discuss perfectly medical
information to the public or media about a
medical issue when appropriate.
D14-Share in and encourage discussion,
D8. Share in and encourage questions, and interaction in the scientific
 discussion, questions, and encounter meetings
interaction in the scientific D15- Respect diversity and difference,
encounter meetings. including but not limited to the impact of
gender, religion and cultural beliefs on
decision-making

D 11. Perfectly present medical D16- Develop a plan to share decision-

information to the public or media
about a medical issue when
appropriate.
making for families, and other health
professionals
D17-Keep records appropriate in different
forms
D18- Use information in simple and
official forms when dealing with media.

Ethics and
attitudes
Report the ethical principles that E1 - Define the ethical regulations that
govern decision making in regulate decision making in pediatric
surgical problems. surgical problems.
E2. Apply the main ethical principles
(autonomy, beneficence and non
maleficience in decision making about the
clinical cases.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content learning Clinical group
(Units/Topics) discussion

Neonatal respiratory distress ✓ ✓ ✓

Inguinoscrotal conditions ✓ ✓ ✓
Pediatric tumors ✓ ✓ ✓
Pediatric acute obstructions ✓ ✓ ✓
Hypospadias and intersex ✓ ✓ ✓
Obstructive uropathy ✓ ✓
Neonatal intestinal ✓ ✓ ✓
obstruction
Defects of the anterior ✓ ✓ ✓ ✓
abdominal wall

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay (✓) Objective questions (✓)

Case (✓) OSCE/OSPE

Assignment (✓) Logbook fulfillment (✓)

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %
Practical/Clinical Exam 30 %
Others %

List of Textbooks and References

Lecture Notes Alexandria textbook of surgery

Course Text Books Ashcraft’s pediatric surgery

Suggested Extra Reading Operative pediatric surgery

Journals and Periodicals, others Journal of pediatric surgery

Course Instructor
Prof. Dr: Ahmed Khairi Signature:

Program Coordinator
Prof. Dr. Samert Bessa Signature:

Program Director (Head of Department)

Prof .Dr Ahmed Tarek Awad Signature :
 Course Specifications

University: Alexandria
Faculty: Medicine
Department: Surgery Department

Course Information
Course Code: 05320909 Course Name: Colon and Rectal Surgery II
Program in which the Course is Given: Doctorate degree of Surgery

Number of Credit Hours Theoretical ??1 Clinical/Practical 1

Course Aims
• Provide educational experiences for candidates to become able to function as a qualified
consultants of surgery at a high level of performance
• Improve their professional surgical skills and knowledge in surgical management of
colorectal diseases
• Upgrade their knowledge and professional skills in the branch of Colon and Rectum
Intended Learning Outcomes (ILOs)
Program ILO (refer to program Course ILOs
matrix)
A. Knowledge By the end of this program, the By the end of this course, the
and consultant will be able to: candidate should be able to:
Understanding
A2. Describe fluently the surgical A1- Identify the basic anatomical and
impact on the surface anatomy of histological (micro-anatomy)
the body in details. structures of the lower GIT.

A2- - Describe the physiological

basisthe lower GIT mechanisms

A3- Correlate surgical interference

with the possible physiological
disturbance of the lower GIT.

A3- Describe the different

pathological conditions that affect the

A5. Discuss the impact of some
physiological processes on
specific organs and systems
homeostasis (pregnancy, aging
and obesity) and their influence
on management plans.
A 7. Discuss difficult clinical
presentations to reach the proper
diagnosis in difficult and
uncommon surgical problems.
A8. Identify aspects that may
affect surgical management of the
patient and issues that may impact
post-operative care.
GIT, Correlate the pathology of the
lower GIT with different clinical
presentation (symptoms and signs).
.A4-Define various pathophysiologic
changes in the lower GIT and their
corresponding indicated surgical
procedure.
A5. Identify various indications for
different lower GIT surgeries.
A6-Discuss the clinical picture of the
patients deduced from the proper
history taking to reach proper
diagnosis in patients with internal
herniation, and un-classical
presentation of GIT malignancies.
A7. Deduce the valid differential
diagnosis of the uncommon lower
GIT diseases based upon the clinical
presentation of the paients.
A8- Identify the ideal plan for
management and treatment of
surgical GIT problems
A9. Set the algorithm for
management of complicated lower
GIT surgical problems.
A10. Modify the plan of management
of each case accordingly to fit the
chronological development of the
problem.
A11- Describe any unexpected
finding or diagnosis intraoperatively
and hence, modify the management
plan accordingly.

A10. Indicate absolute and
relative advantages and
disadvantages of various
therapeutic modalities needed in
general surgery and dealing with
difficult surgical complications.
A11. Indicate advanced and
skillful knowledge of
laparoscopic and endoscopic
surgical procedures.
A12-Identify the indications, relative and
absolute contraindications of the various
(major and minor) lower GIT procedures.
A13- Outline the steps of the major lower
GIT operations.
A14- list possible postoperative
complications deciding the proper
management plan.
A15- Decide the proper time of surgical
intervention particularly in emergency
risk situations.
A16- Correlate the impact of congenital
anomalies of the GIT with different
surgical procedures particularly in those
patients with short gut syndrome.
A17-tabulate the various advantages and
disadvantages of different lower GIT
surgical procedures.
A18. Describe the effect of various lower
GIT surgical procedures on the life style
of the patients.
A19. List the possible difficult surgical
complications pertinent to the lower GIT
and describe the contingent management
algorithm resulting in minimal morbidity
rate.
A20- Describe the surgical procedures of
the laparoscopic and endoscopic GIT
procedures.( particularly endoscopic
mucosectomy for early cancer,
laparoscopic antireflux, and obesity
surgery

B. Intellectual
skills
B 1. Analyze and evaluate patient
complaint to solve difficult
surgical problems.
A21- Correlate the clinical findings on
the patient, with laparoscopic, or
endoscopic findings to reach a valid
diagnosis.
By the end of this course, the candidate
should be able to:
B1-Associate patient complaint with the
clinical examination to reach proper
provisional diagnosis for different lower
GIT problems.
B2- Interpret the details of the history
taken from the patient and infer to valid
provisional diagnosis, directing the major
plan of management.
B3-Analyze, and paraphrase patient data
to distinguish and solve difficult lower
GIT surgical problems particularly those
syndromes that occur in association with
certain GIT tumors.
B4-compare the data of patients with
complicated lower GIT problems,
deducing the valid diagnosis and
management plans.
B5-interprets various diagnostic tools
reaching the valid diagnosis.

B3. Analyze and solve some
problems that don’t conform to
classic data.
B4.Decide the most proper
surgical or conservative plan
of treatment.
B6- Discuss difficult data that don’t
conform to classical presentation in
seminars, and conferences with other
consultant to help in reaching proper
diagnosis.
B7- Negotiates interdisciplinary in a trial
to solve non-classic lower GIT surgical
problems.
B8-Decide the best investigatory tool
relevant for each GIT problem as well as
convenient with the socioeconomic state
of the patients.
B9- Select the most recent available
investigatory tool particularly in those
patients with complicated GIT problems.
B6-Classify those patients with un-
classic GIT presentation through the use
diagnostic laparoscopy, and endoscopic
ultrasound.
B7-Infer to the valid line of treatment,
implementing the data collected from the
patients’ history and the investigatory
tools.
B8- adopt the most relevant surgical
procedure and approach according to the
data assembled of the patients.
B9-infer to GIT assessment with suitable
instruments like endoscopy or
laparoscopy or implement more
advanced equipments as endoscopic
ultrasound.
B10-Integrate the results of
laparoendoscopic intervention and other
investigatory tools with the clinical
findings to reach the correct diagnosis

B5. Complete clinical assessment
with standardized instruments and
questionnaires.
B 7. Change the plan of patient
management to suit existing
situation in case of lack of ideal
facilities.
C.Professional
and Practical
Skills
C1. Perform physical examination
for patients with different range of
surgical and medical problems.
and the ideal management of cases with
minimal morbidity.
B11-Change the plan of management
according to the progress of the original
plan in simulated situations during
accidental intra-operative findings in
common GIT surgical problems
especially those patients that present with
malignancy in the gastrointestinal tract,
when to do palliation and when to do
radical surgery.
B12-Explain relevant information based
on perspectives of patients and families,
colleagues, and other professionals
B13-Contribute to the GIT field through
creativity and innovation.
By the end of this course, the
candidate should be able to:
C1- Interpret, analyze medical histories,
that may affect the diagnosis,
intervention, and Line of management.
C2-Relate the history of the presenting
GIT symptoms to acquire data that allow
accurate formulation of the problem, thus
helping in solving this problem and
reaching a proper diagnosis.
C3-Apply physical examination for
patients with GIT problems, particularly
those difficult cases to reach a proper
provisional diagnosis, and thus help in
directing the need for laboratory and
radiologic diagnosis.
C4-Perform wide range of examination
for patients with GIT surgical problems,
taking in mind the correlation with the
 history particularly those patients with
gastrointestinal malignancies.

C3. Formulate a management C5-Schedule a management plan

plan for complex cases. for difficult and complex GIT cases
particularly those that need second
intervention as mesenteric vascular
occlusion and carcinoma of the left
colon that present with intestinal
obstruction.
C6- Modify the management plan
schedule along the line of treatment
pacing the changes encountered in
the prognosis of the case.

C 5. Negotiate with other

C7-Conduct seminars, and
consultants from other health
conferences with other
professionals, according to the
consultants from other health
problem encountered
professionals, according to the
problem encountered, so this will
lead to solution of the problem,
and reaching proper decision.
C8- Share and report the
important data of various lower
GIT problems interdisciplinary,
assembling the various opinions
and ideas, opting the valid and
reliable diagnosis.

C6. Perform advanced C9-Employ advanced laparoscopic GIT

laparoscopic procedures procedures, particularly endoscopic
mucosectomy for early cancer,
laparoscopic antireflux, laparoscopic
obesity surgery, and laparoscopic
colectomies.

C10- Perform new laparoscopic surgical

techniques on animal.

C11-Apply competently wide range of

 C7. Competently observe endoscopic procedures
selected endoscopic
procedures and complex cases C12-Recognize, and observe new
selected endoscopic procedures and try to
apply it on complex cases

C 9. Seek out and synthesize C13- Convey precisely relevant

relevant information from information and explanations to patients
other sources, such as a and families, colleagues and other
patient’s family, and other professionals.
professionals.

C13. Manage and direct general

surgical admissions and discharges C14- Decide the suitable time of
hospitalization of certain case with lower
with complete documentatio.
GIT problem, to perform the relevant
health care.

C15-Perform GIT surgical admissions

and discharges with complete
documentation to help in returning to this
data for follow up of the patient.

C16-Ensure appropriate informed

consent is obtained for procedures and
possible changes and associated
complications that may occur during or
after the operation.
C 17. Teach different issues of
C21- Explain, and teach juniors how to
research for colleagues and
deal with any surgical problems, how to
juniors.
think, how to ask for proper
investigation, and finally how to face any
problem intra-operatively.

C22- supervise junior surgeons assuming

the responsibility of certain procedure
inside the operating theatre and
postoperatively.

D. General By the end of this course, the

Skills candidate should be able to:
 D 1. Lead surgical teams in
secondary health care services.
D 2. Work effectively in
multidisciplinary teams and
with colleagues from a wide
range of professional groups.
D5. Apply different sources of
information to obtain data and
advance computer and IT skills
through self learning.
D 6. Effectively apply oral and
written information about a
medical encounter.
D 8. Share in and encourage
discussion, questions, and
interaction in the scientific
encounter meetings
D1-Visualize, help, and learn surgical
teams in secondary health care services.
D2- supervise, assist and guide the
juniors while managing GIT problem.
D3-Work in multidisciplinary teams and
with colleagues to solve any surgical
problem that may encountered.
D4. Communicate effectively with other
health care team members including
seniors, juniors, subordinates.
D5-Apply different sources of
information to obtain data, improve and
advance their computer technology, and
IT skills.
D6- keep up to date patients’ record and
undertake patients’ data retrieving.
D7-Effectively present information about
GIT issues clearly and comprehensibly to
different social strata including patients
and their families.
D8-Elicit and synthesize relevant
information from different sources to
solve patient’s problems.
D9- Arrange seminars, and conferences
with other consultants from other health
professionals, according to the problem
encountered, so this will lead to solution
of the problem, and reaching proper
decision.
D10-Share in and encourage discussion,
questions, and interaction in the scientific
GIT meetings.
D11-Develop a plan to share decision-
 making with families, and other health
care professionals.

Ethics and . Demonstrate full understanding
Attitudes of ethical considerations that must
be followed during conduction of
research.
E1- Apply the main ethical principles
(autonomy, beneficence and non
maleficience in deciding the proper
timing of operations as well as decision
making in solving complicated and
advanced lower GIT problems.

E2 -Describe the importance of

consenting the patients who are
candidates of research idea.

E3-Identify the common ethical and

medicolegal issues in GIT surgery
practices.

Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics) learning Clinical group
discussion
Instructive Meeting *
Anal Fissure,hemorrhoids&Perianal * * * *
suppurations
Obstructed Defecation * *
Surgical anatomy and physiology of * *
anal canal
Lower G.I.T bleeding * * * *
Diagnostic tools CR Disease * * * *
(endoscopy ,motility,……)
Fecal Incontinence * *
IBD * *
Rectal Prolapse * * * *
Miscellaneous Anorectal Condition * *
Diverticular Disease * * *
Laparoscopy in Colorectal Surgery * * * * *
Colorectal Neoplasm * * * * *
Colorectal Neoplasm * * * * *

Please check (✓) the appropriate method.

Student Assessment
Methods of Assessment Essay √ Objective questions √

Case √ OSCE/OSPE √

Assignment Logbook fulfillment √

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %
Practical/Clinical Exam 30 %
Others %

List of Textbooks and References

Lecture Notes Handout may be given by the staff member
who will present the lecture
Course Text Books Sabiston Text book of Surgery
Grienfield Text book of Surgery
Suggested Extra Reading -----------------------------

Journals and Periodicals, others Recent advances in surgery, Surgical Clinics

North America

Course Instructor
Name: Prof Dr. Signature:

Program Coordinator
Name: Prof Dr Signature:

Program Director (Head of Department)

Name: Prof Dr. Ahmed Tarek Awad Signature: