Training
All the programmes include experience in clinical management, surgical procedures, ICU care and research.
Clinical management:
This includes working up patients, examining patients in the outpatient department, performing operations and doing on-call duties. Irrespective of the duration or type of training programme the candidate is accepted for, he or she will be required to work initially as a first on call resident, the duties of which are similar in nature to that of a house officer's. If he or she is a long term trainee then at a later date the candidate is assigned second on call duties which are equivalent to a surgical registrar's responsibilities.
Research and publications:
Each trainee is required to complete a research project which may consist of analysis of retrospective clinical data, prospective clinical investigation or experimental research.
Critical analysis:
This includes presenting and evaluating research publications at journal clubs, reviewing and summarizing the literature on a current topic, presenting cases in the combined and grand rounds of the Institute, paper or poster presentations at local, national or international conferences.
Surgical experience:
Operations which a trainee or resident will assist and learn may include the following:
Portal hypertension
- Proximal splenorenal shunts (elective and emergency)
- Side-to-side portocaval shunts
- Cavoatrial shunts
- Mesocaval shunts
- Gastric devascularization
Liver
- Major hepatic resections
- Wedge resection for carcinoma of the gall bladder
- Liver transplantation
Biliary tract
- Cholecystectomy (open and laparoscopic)
- Choledocholithotomyr
- Choledochoduodenostomy
- Hepaticojejunostomy
Pancreas
- Necrosectomy for pancreatic necrosis/ abscess
- Lateral pancreaticojejunostomy
- Cystojejunostomy/cystogastrostomy
- Pancreaticoduodenectomy
- Resection of endocrine tumours
Oesophagus
- Oesophageal resection: Transhiatal/Transthoracic
- Oesophageal bypass: gastric pull up/colonic pull up
Stomach and duodenum
- Vagotomy and drainage
- Partial/ Radical gastrectomy
- Total gastrectomy
Colon and rectum
- Right, left and total colectomy
- Ileoanal anastomosis with J-pouch
- Abdominoperineal resection
- Anterior resection
- Modified Duhamel’s procedure for adult Hirschsprung’s disease
- Anal sphincter repair and reconstruction