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DEPARTMENT
OF SURGERY OVERVIEW Surgery
department has dramatic interest in making certain that a wide variety of
processes of surgical interest are made available to the department for
the benefit of undergraduate and postgraduate student. It has sought
collabourative integration with other departments such as anatomy and
radiology, especially in the emerging field of electronic learning. Thus
CDs are available which integrates surgery with anatomy or physiology and
are very useful in the understanding of the subject. Also video sending
facilities allow procedures to be watched in various areas aside from the
theatre, such as internet, intranet and doctor’s and student’s rooms
in the teaching hospital. OBJECTIVES The
MB, BS curriculum in Surgery of the University of Jos spans a period of
three years from the beginning of the fourth to the end of the sixth year
of the medical training. The
main goal is to produce medical
doctors well versed in the art and science of surgery and well adapted to
the surgical problem commonly seen in the West African subregion and
elsewhere. The curriculum also prepares them for residency training in
surgery. The clinical students are exposed to comprehensive course of
lectures, tutorials in small groups, surgical clerkship, out patient
surgical clinics, accident and emergency services, operating theatre
sessions, medical informatics, medical ethics, basic research knowledge
and audio-visual display of the above. They are also allowed to
participate as observers in resident programmes such as surgical audit,
clinical case presentations, theatre sessions and seminars. TEACHING
AND LEARNING METHOD The
lectures cover all subspecialties of surgery, medical informatics and
ethics in surgery. The lectures are equitably distributed among the
lecturers with emphasis on their subspecialties, research interests, as
well as in areas they are actively involved in practice. The lectures are
grouped into subspecialties, which form course units, and at the end of
each course unit an assessment test is given. EVALUATION At
the end of their training the results of the tests form the continuous
assessment score which is an integral part of their score at the final 5th
MB, BS examination. Students who do not meet up to 80% attendance and
participate in all the activities of the surgery curriculum are not
allowed to take the final examination in surgery. 300
LEVEL CLASS SUR
351: INTRODUCTION
TO SURGERY (5 CREDITS) Course
objectives: At
the end of the course the student should be able to develop the skill to
make diagnosis and management general surgical conditions. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content The
Science of surgery, Historical perspectives. The
Art of History taking & examination of the surgical patient. The
Art of History taking & examination of the paediatric patient. History
and examination of the Genito - Urinary System. The
Investigation of the Genito - Urinary System. Examination
of the musculo skeletal system. Investigation
of the musculo skeletal system. Examination
and Investigation of the Respiratory system/Chest. Examination
and investigation of the
Gastrointestinal system/ Examination
and Investigation of the Surgical, Neurological Patient Investigation
and Examination of Fractures. The
conduct of students in theatre, principles of asepsis. Superficial
Ulcers, Nomenclature, Physical features, Differential Diagnosis,
furuncles, abscess, pustule. Sinuses
and Fistulae Hernias: Definition, Types, Examination. Diagnosis. Inflammatory
Lesions: Abscess, Symptoms/ Signs. Multiple
Traumas: Definition, Triage, Resuscitation & Monitoring. Multiple
Trauma: Assessment of progress, Investigation, Treatment and
complications. General
principles of fracture management. Complications
of fracture management. Anatomy
of the thorax, Mediastinal structures / Clinical significance. Neurosurgical
anatomy, Scalp, Skull, Blood Vessels, Brain, Clinical Significance. Aids
and the Surgeon Missile
Injuries - general principle & management Ethics
in Surgery Surgical
clerkship Computer
in Surgery Examination
skills - essay writing,MCQ techniques, clinical and viva Medical
informatics Medical
Informatics Medical
Informatics Revision End
of course continuous assessment Test 400
LEVEL CLASS SUR
451 : GENERAL SURGERY
(2 CREDITS) Course
objectives: At
the end of the course the student should be able to develop the skill to
make diagnosis and management of advanced general surgical conditions. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Investigation
of a surgical patient: Principles of
Differential diagnosis Principles
of surgical treatment & preparation of the surgical patient of
the surgical patient Shock.
Concept. Definition. Pathophysiology. Types
and Management. Uses
and abuses of Laser in surgery; cryotherapy Endoscopy
in surgical practice. Radiotherapy
in surgical practice Chemotherapy
in surgical practice Immunotherapy,
immunochemotherapy, immunoradiotherapy. Entero-cutaneous
fistula. Sebaceous
cyst: Examin. Presentation & Mgt. Skin
lesions 11- Keloids, Hypertrophic scars, Haemangiomas,
Kaposi sarcomas. Superficial
ulcers: Types- Tropical, Infective (Stages
of chronic ulcers), Neoplastic, Venous etc. Melanomas
- Benign/Malignant Surgical
wounds - Type and Management Groin
masses - Inguinal, Femoral hernias, Hydrocele, Saphena varix. Intestinal
Obstruction : Definition, Pathophysiology, Presentation,
Classification, Management. Drains
in surgical practice: Uses and Abuses. Principles
of Asepsis/Antisepsis: Hospital (NOSOCOMIAL) Infection. Detention,
prevention, Treatment. Fluid
and Electrolytes in Surgical Practice Blunt
and Penetrating Abdominal Injuries Common
anal conditions - haemorrhoids, Fistulae, Anal abscesses, fissures. Nutrition
in Surgery: Hyperalimentation, Parental nutrition. Acute
Abdomen. Upper
GIT bleeding. Lower
GIT Bleeding. Pyomyositis/Guinea
worm abscess: Differential Diagnosis & Mgt. Management
of Pain in Surgery REVISION
I. REVISION
II. REVISION
III. End
of course continuous assessment test. SUR
452: SURGERY POSTING I (4 CREDITS) Course
objectives: At
the end of the course the student should be able to develop the skill to
make diagnosis and management of endocrine, congenital anomalies,
gastroenterological urological and burns and plastic surgical conditions. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Congenital
anomalies and endocrine surgery -Brachial
apparatus & its abnormalities- Branchial cyst, fistula. -The
thyroid gland-Anatomy & functions:Goitres- toxic: clinical -Presentation/mgt. -Non
toxic; types, clinical presentation, mgt. -Thyroid
carcinomas: types, clinical presentation. Mgt. -Congenital
cyanotic heart disease, types ,presentation, principle &
Mgt. -Pancreatic
Tumours, MEN(MEA) Syndrome -Tumours
of the adrenal gland(except neuroblastomas) -Benign
Breast lesions:Differential diagnosis, presentation/
- -Mgt./prognosis. -Carcinoma
of the breast:Aetiology, presentation, clinical & histo- -Pathological
types, classification. -Congenital
bone disorders -club foot, genu varum, genu valgum, and syndact. -Phaeochromocytoma(adrenal
medulla) & thymus gland -Pituitary
Tumours -The
Adrenal gland (cortex) tumours Gastrointestinal
system -Peptic
ulcer disease- Aetiology, Mgt., complications. -Gall
bladder Disease: Acalculous & calculus cholecystitis. -Gastric
carcinoma: Aetiology, Presentation, Mgt. & Prognosis. -Inflammatory
lesions of the intestinal tract, Diverticuitis, Amoebic colitis. -TB
Abdomen; TB Peritonitis. -Colonic
tumours- Aetiology, Staging, Clinical presentation, Mgt. -Prognosis. -Appendicitis
presentation, Differential diagnosis, Mgt. -Anorectic
carcinoma-Clinical presentation, Mgt., & Prognosis. -Hepatoma -Retroperitoneal
tumour. -Intra-abdominal
abscesses - Liver abscess, subphrenic, pelvic etc. -Abdominal
trauma- Mgt. -Dysphagia-
Aetiological considerations & Mgt. Urology -Haematuria-
Differential Diagnosis, Mgt. -Upper
U.T trauma- presentation/ Mgt. -Lower
U.T trauma - presentation/ Mgt. -Obstructive
Uropathy-definition, causes presentation & Mgt. of BPH. -Carcinoma
of prostate- Presentation, Mgt., Prognosis. -Calculi
of the urinary tract- Aetiology, Mgt., -Congenital
GUT LESIONS- Multi, Polycystic kidneys etc. -Malignancies
of the Kidney & Bladder. -The
Acute Scrotum-
Differential Diagnosis(Epididymorchitis/ -Torsion
of testis & adnexae etc.). -Strictures
of the genito- urinary tract- aetiology, presentation,Mgt -Male
Infertility -Priapism -Intersex -Hypospadias/Epispadias Burns
and Plastics -Burns
1 Definition, Aetiological factors, Resuscitation & Mgt. -Burns
2 -Inhalational injuries & Respiratory problems. -Burns
3- Complications of Burns & Mgt. -Methods
of skin cover: Grafts & Flaps. -Facio-
maxillary trauma: Simple concepts & classifications, -Resuscitation
& Mgt. -Congenital
malformations of the face- cleft lip/palate -Mandibular
fractures & dental wiring. -Common
Dental conditions SUR453
SURGERY POSTING II (4 CREDIT) Course
objectives: At
the end of the course the student should be able to develop the skill to
make diagnosis and management of ENT, cardiothoracic region, vascular,
neurological and
paediatric surgical conditions. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Solid
tumours -Benign
tumours originating from muscles & fascial planes -Soft
tissues sarcomas: types/ classification/ presentation/MGT/ -Prognosis. -Salivary
Gland tumours & tumuors of the Jaw. -Chest
Wall tumours- presentation & management. -Testicular
tumours; classification, presentation, management prognosis -Lymphomas -Carcinoma
of the larynx -Clinical
Examination & Posting Test 406 / 501. -Clinical
Examination & Posting Test 406 / 501. Cardiothoracic
and vascular surgery -Varicose
veins- Pathology, Presentation, Clinical Examination, mgt. -Vascular
aneurysms - types, A/V malformations: -Congenital
anomalies of the chest wall & ribs. -Investigations
in cardiothoracic surgery -Principles
of cardiopulmonary bye-pass -Ischaemic
Vascular disorders ( acute & chronic) -Oesophageal
carcinoma -Bronchogenic
carcinoma -Mediastinal
Tumours -Chest
trauma - Blunt / penetrating. Haemothorax,Pneumothorax, -Traumatic
Diaphragmatic hernia, Flail chest, etc. -Lymphoedema -Lung
function Tests/ Basic electrocardiogram -Chest
x-ray/ Basic echocardiography -Achalasia
cardia -Foreign
bodies in the oesophagus/ Oesophageal strictures Paediatric
surgery -Peculiarities
of the neonate / infant physiology vis -a - vis the adult. -Abdominal
masses in childhood I- Burkitt's lymphoma - -Neuroblastoma. -Abdominal
masses in childhood II - Nephroblastoma (Wilm's) -Hodgkin's
& Non Hodgkin's lymphoma. -Childhood
Sarcomas. -Subcutaneous
masses in children - Dermoid cyst, cytic hygroma, -Haemangiomata
etc. -Neonatal
Intestinal obstruction. -Congenital
Aganglionic megacolon ( Hirschsprung's disease -Congenital
anorectal anomalies -Exomphalos,
Gastroschisis, Umbilical Hernia -Biliary
Atresias, choledochal cyst. -Congenital
Diaphragmatic hernias. -Fluid
& Electrolyte Balance in paediatric surgical patients -Tracheo
oesophageal fistulas Neurosurgery -Neurosurgical anatomy -
revision. -Acute
Head injury I - Examination - Investigation -General
causes of unconsciousness -Management
of the unconscious patient. -Investigations
in neurosurgery -Monitoring
the Glasgow coma scale. -Acute
Head injury II- Treatment, Rehabilitation, Complications. -Space
occupying Lessons of the brain. -The
paraplegic patient - Aetiology, Presentation, Examination, -Management
and Complications. -The
Quadriplegic patient - Aetiology, Presentation, Examination, -Management
and Complications. -Congenital
CNS malformations- Spina Bifida, Hydrocephalus, -Microcephalus. SUR
454: ENT Surgery (1 CREDIT) Course
objectives: At
the end of the course the student should be able to develop the skill to
diagnosis and prescribe management of ear, nose and throat diseases
requiring operative treatment. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content -Anatomy
and Physiology of the Ear (External, Middle, & Internal ) -Symptoms
and signs of Ear disease.Diseases of the External ear -FB
/ cerumen in the ear. -Ear
infections of the - Otitis externa, otitis media, acute mastoiditis -Meniere's
disease. Deafness - various types and management. -Pharynx
/ Tonsils / Adenoids.- Anatomy and Physiology.Disease of the
Adenoids and Tonsilitis. -Oesophagus
- Anatomy. -Retropharyngeal
abscess. -F/B.
In Oesophagus / Oesophagoscopy. -Epistaxis,
Salivary calculi, -Benign
tumour of the ear, nose & throat -Dysphagia
- Differential Diagnosis. -Larynx-
Anatomy & Physiology. -Symptoms
of laryngeal disease : FB in Larynx -Tracheotomy
and other artificial airways. -Nose
and paranasal sinuses - Anatomy and Physiology. -Symptoms
of nasal disease, Coryza, furunculosis of the nose, -Septal
abscess and perforation; FB in the nose. -Sinusitis
- Acute and Chronic. Fracture of nose and paranasal -Sinuses.
Choanal atresia; Epistaxis - causes. -Rhinitis
- Allergic and vasomotor. -Rhinoentomorphthoromycosis. 600
LEVEL CLASS SUR
652: SURGERY
POSTING III (6 CREDITS) Course
objectives: At
the end of the course the student should be able to develop the skill to
perform basic research in surgery. Teaching
& Learning Methods: Lectures,
tutorials Problem
based learning. Evaluation MCQ
(True-False items, Essay, Practical) Content Special
topics in surgery -Portal
hypertension. -Surgery
in the jaundiced patient. -Surgery
in the diabetic patient. -Liver
- Abscesses & Carcinoma. -Principles
of chemotherapy and Immunotherapy in the surgical -Practice
(Breast carcinoma). -Chemotherapy
for childhood tumours. -The
various types of asphyxia and Respiratory disorders in children (
F.B. in trachea, Choanal atresia etc. ). -Cardiopulmonary
Resuscitation. -Oesophageal
Stricture. -Upper
G.I.T. Bleeding. -Lower
G.I.T. Bleeding. -Parathyroid
tumours. -Pancreatitis. -Lumps
in the Neck. REVISION
I. REVISION
II.( Wrapping up ). AUDIOVISUALS
IN SURGERY Ethics
in surgical practice Basic
Research methods in Surgery
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