Surgical Sciencs
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Faculty of Life Sciences & Medicine School of Bioscience Education 6BBYS301 SURGICAL SCIENCES Module Handbook 2018 - 2019 30 Credits - Level 6 SURGICAL SCIENCES COURSE BOOKLET 2018-19 PROGRAMME LEADS Mr. Kamran Ahmed Senior Lecturer and Hon. Consultant Urological Surgeon [email protected] Professor Prokar Dasgupta Chair for Robotic Surgery & Urological Innovation and Consultant Urological Surgeon [email protected] Prof. Muhammad Shamim Khan Professor of Urology and Surgical Education and Consultant Urological Surgeon [email protected] Dr. Abdullatif Aydin Simulation Research Fellow [email protected] MRC Centre for Transplantation, School of Immunology & Microbial Sciences SURGICAL SCIENCES COURSE BOOKLET 2018-19 INTRODUCTION This course aims to provide you with an over-view of fundamental components of surgical sciences and technology by integrating both theoretical and practical aspects of surgery. The course is delivered through a dynamic range of lectures given by leaders in the field, from surgeons and academics alike. Modules covered include introduction to research methods, core and specialist principles of surgery and surgical technology, which will add focus on the modernisation of surgical practice through innovative technology such as robotic and laparoscopic surgery. The course will feature heavily on practical aspects of surgery and hands on experience. Technical skills sessions will be held at the Olympus Simulation Centre at Guy’s Hospital and Weston Education Centre at King’s College Hospital, where you will have access to the latest simulation technology in surgery. There will be opportunities to observe live surgery, including robot-assisted, and enjoy operating theaters and surgical simulation environments. Aside from the technical aspects of surgery, we aim to provide you with an overview of non-technical skills such as communication, team working and surgical decision making, leadership and management. There are plenty of opportunities to gain research experience during the course. The programme leads and course providers will fully support you in learning how to plan, conduct and present your own research. There are opportunities for publication for exceptional work. Pre-requisites for course: Students must have completed MBBS Phases 1-2 and passed MBBS part 2 (or equivalent) exams at first attempt (50% pass mark) and have passed all Student Selected Components (SSCs) or equivalent. Cases of academic misconduct such as plagiarism may be taken into account when deciding an offer. Students from MBBS phases 3-4 are expected to have achieved the same level of performance as Phase 1-2 students and pass their end of year MBBS (or equivalent) examinations and SSCs at first attempt. SURGICAL SCIENCES COURSE BOOKLET 2018-19 MODULE AIMS FUNDAMENTALS OF RESEARCH 1. To gain an understanding of the fundamentals of surgical research including literature search techniques, types of studies, critical appraisal, composing original research for publication and the fundamentals of grant writing. 2. Be familiar with evidence-based medicine, be able to critically analyse scientific literature and use it to justify arguments and draw conclusions. 3. Develop self directed learning skills and learn to independently search and evaluate scientific papers and other literature to consolidate learning in lectures and as evidence of wider reading in written examinations. 4. Develop the skills to communicate and present scientific data orally and in written format. PRINCIPLES OF SURGERY (CORE) 1. To understand the core theoretical and practical principles of surgical science, including pre and postoperative management of surgical patients, surgical complications and their management, basics of anaesthesia, recovery and wound healing. 2. To gain a basic understanding of the dynamics of the operating theatre through formal lectures and observation of the operating theatre environment. 3. To gain a basic understanding of the practical aspects of surgery such as instrumentation and basic surgical techniques. Develop basic surgical skills through practical sessions and workshops and training in simulated environments with advanced surgical technologies. 4. To gain an over-view of the issues surrounding patient safety and measures taken to ensure patient safety in the surgical environment. PRINCIPLES OF SURGERY (SPECIALTIES) 1. To gain a basic understanding of what different surgical specialties entail 2. To understand the science behind major concepts in key surgical specialties. SURGICAL TECHNOLOGY 1. To gain a basic understanding of innovations in surgery such as endoscopic, laparoscopic and robotic surgery – stages of evolution, application, equipment and evidence-based practice. 2. To gain a basic understanding of other minimally invasive techniques including microsurgery and LASERs – stages of evolution, application, equipment and evidence-based practice. SURGICAL SCIENCES COURSE BOOKLET 2018-19 TEACHING METHODS Lectures: There are normally 3-4 lectures per week, covering an overview of different aspects of surgical science and technology. The course is divided into five main components and these will be delivered as follows: Semester 1: Principles of Surgery (Core & Specialties) Semester 2: Surgical Technology You are expected to consolidate learning in lectures through independent study of wider literature. Technical & Non-technical Skills Sessions: There are a variety of opportunities to develop basic surgical skills such as suturing, knot tying through practical workshops and, also, laparoscopic skills. The simulation centre at Guy’s Hospital is well equipped to allow you to explore more advanced simulation programmes in minimally invasive modalities such as endoscopy, laparoscopic and robot-assisted surgery. This component will be delivered in the following order: • Semester 1: Basic Surgical Skills • Semester 2: Laparoscopic Surgical Skills Furthermore, students will receive the following specialty skills workshops: • Orthopaedic Skills - Plastering and Fracture Fixation • Core Skills in Microsurgery Students will also receive a half-day workshop on the role of Non-technical Skills in surgical practice, where you will learn about the importance of communication, team-work, leadership and decision making in surgery. Research: The Fundamentals of Research component of the course will provide students the opportunity to become involved in research, leading to potential publications, as many of the course lecturers are actively involved in research and are happy to supervise enthusiastic students. Conferences: As part of Fundamentals of Research, students may be registered for a scientific meeting running on the module day. In previous years, students were attended the European Robotic Surgery Symposium and the Richard Tiptaft Visiting Professorship to give students a feel of how research is disseminated. Observation in Theatres: Students will be given the opportunity to observe live surgery, should they wish to, in specialties of their interest. Workshops: Students will receive career workshops on how to prepare a Surgical Portfolio and pursue an interest in a surgical specialty, academia and entrepreneurship. SURGICAL SCIENCES COURSE BOOKLET 2018-19 PUBLICATIONS FROM STUDENT WORK Many of our students have been very successful on producing outstanding pieces of work for their in-course essays. With the support of our faculty, many of these have been published (examples as below): (1) Quirke K, Aydin A, Brunckhorst O, Bultitude M, Khan M, Dasgupta P, Sarica K, Ahmed K. Learning Curves of Urolithiasis Surgery: A Systematic Review. J Endourol. 2018 Jul 24. [Epub ahead of print] PMID: 30039711 (2) Ounounou E, Aydin A, Brunckhorst O, Khan MS, Dasgupta P, Ahmed K. Nontechnical Skills in Surgery: A Systematic Review of Current Training Modalities. J Surg Educ. 2018 Aug 16.[Epub ahead of print] PMID: 30122636 (3) Jamshaid F, Froghi S, Di Cocco P, Dor FJ. Novel non-invasive biomarkers diagnostic of acute rejection in renal transplant recipients: A systematic review. Int J Clin Pract. 2018 Jul 16:e13220. [Epub ahead of print] Review. PMID: 30011113 (4) Sharma SC, Raison N, Khan S, Shabbir M, Dasgupta P, Ahmed K. Male circumcision for the prevention of human immunodeficiency virus (HIV) acquisition: a meta-analysis. BJU Int. 2018 Apr;121(4):515-526. PMID: 29232046 (5) Ridgley J, Raison N, Sheikh MI, Dasgupta P, Khan MS, Ahmed K. Ischaemic priapism: A clinical review. Turk J Urol. 2017 Mar; 43(1):1-8. PMID: 28270944 (6) Wallace L, Raison N, Gumman F, Moran A, Khan MS, Dasgupta P, Ahmed K. Cognitive training: How can it be adapted for surgical education? Surgeon. 2017 Aug;15(4):231-239. PMID: 27658665 (7) Wood TC, Raison N, Haldar S, Brunckhorst O, McIlhenny C, Dasgupta P, Ahmed K. Training Tools for Nontechnical Skills for Surgeons-A Systematic Review. J Surg Educ. 2017 Jul - Aug;74(4):548-578. PMID: 28011262 (8) Morgan M, Aydin A, Salih A, Robati S, Ahmed K. Current Status of Simulation-based Training Tools in Orthopedic Surgery: A Systematic Review. J Surg Educ. 2017 Jul - Aug;74(4):698-716. PMID: 28188003 (9) Mullen E, Ahmed K, Challacombe B. Systematic review of open versus laparoscopic versus robot-assisted nephroureterectomy. Rev Urol. 2017;19(1):32-43. PMID: 28522928 (10) Rees T, Raison N, Sheikh MI, Jaffry Z, Madaan S, Challacombe B, Ahmed K, Dasgupta P. Is extended pelvic lymph node dissection for prostate cancer the only recommended option? A systematic over-view of the literature. Turk J Urol. 2016 Dec;42(4):240-246.