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Upper GI Surgery – Advanced Modules “This prospectus is made under the provisions of the Universities Act, the Postgraduate Institute of Medicine Ordinance, and the General By-Laws No. 1 of 2016 and By-Laws No. 2 of 2016 for Degree of Doctor of Medicine(MD) and Board Certification as a Specialist” Copyright © 2015 by Postgraduate Institute of Medicine, University of Colombo, 160 Prof. Nandadasa Kodagoda Mawatha, Colombo 7, Sri Lanka. All rights reserved. This course document is the intellectual property of the Postgraduate Institute of Medicine, University of Colombo. No part of this document may be copied, reproduced or transmitted in any form by any means (electronic, photocopying, recording or otherwise) without the prior written permission of the Postgraduate Institute of Medicine, University of Colombo. POSTGRADUATE INSTITUTE OF MEDICINE UNIVERSITY OF COLOMBO, SRI LANKA Prospectus Board Certification in Gastrointestinal Surgery 2014 Specialty Board in Gastrointestinal Surgery Board of Study in Surgery Table of Contents Page 1. Introduction 3 2. Training Programme - Setting and organisation ............................................................................. 4 2.1. Entry criteria .......................................................................................................................... 4 2.2. Selection process ................................................................................................................... 4 2.3. Trainee posts .......................................................................................................................... 4 2.4. Training centres ..................................................................................................................... 4 2.5. Faculty and trainers ............................................................................................................... 4 2.6. Duration of training and rotation of training centres ............................................................. 5 2.7. Objectives .............................................................................................................................. 5 2.8. Learning activities ................................................................................................................. 6 2.9. Documentation of training ..................................................................................................... 7 2.10. Supervision of training ........................................................................................................ 8 2.11. Assessment and appraisal of training (PCBA) .................................................................... 8 2.12. Board certification in GI Surgery ........................................................................................ 9 Annex – 1. Curriculum ...................................................................................................................... 10 Annex – 2. Format for Project proposal ............................................................................................. 51 Annex – 3. Format for Log book ....................................................................................................... 58 Annex – 4. Format for Portfolio ........................................................................................................ 59 Annex – 5. Format for Progress report .............................................................................................. 64 Annex – 6. Advanced training modules ............................................................................................. 65 1. Introduction Gastrointestinal(GI) surgery as a specialty has evolved worldwide over a considerable period of time. The scope of GI surgery includes upper gastrointestinal surgery, Hepato- Pancreatico-Biliary (HPB) surgery and Coloproctology (Colorectal Surgery). Though all the trainees in GI surgery will be board certified as Gastrointestinal surgeons at the end of successful completion of the program, trainees are encouraged to select one of these as their area of special interest with a view to developing expertise in that field in future. A GI surgeon is a specialized surgeon who has the capability of handling uncommon scenarios and performing difficult surgical procedures in there field of specialization. This is best accomplished by the surgeons who are frequently exposed to these complicated procedures. An attempt was made to cover the spectrum of GI surgery in the Curriculum that has been developed and included along with the prospectus. Therefore trainees in GI surgery are advised to follow the guidelines in this prospectus and use the curriculum to achieve the standard required for a specialized GI surgeon. This prospectus has been prepared by the specialty board in GI surgery in the PGIM. It is expected to serve as a guide to trainees and trainers in GI surgery 3 2. Training Programme - Setting and organisation 2.1. Entry Criteria: To enter the training program in Gastrointestinal Surgery the candidate should: 2.1.1 Complete the MD (Surgery) Part II examination conducted by the Postgraduate Institute of Medicine, Sri Lanka, and 2.1.2 Not be Board Certified by the PGIM in any specialty or sub-specialty 2.2 Selection process Trainees are selected based on order of merit in the MD (Surgery) examination and trainee’s preference. 2.3 Trainee Posts The number to be enrolled will be notified in a circular issued by the PGIM. It will be decided upon by Board of Management of the PGIM on recommendation of the Specialty Board in GI Surgery and Board of Study in Surgery, in consultation with the Ministry of Health. 2.4 Training Centers Training in GI Surgery should be in a GI Surgical unit affiliated to a Teaching Hospital. The center should have facilities for in patients and out patients and have adequate facilities for Endoscopy ( Diagnostic and Therapeutic) and adequate operating time in a well equipped operating theater for conventional and advanced Laparoscopic surgical procedures. Training units are recognized for post MD training only after evaluation of an audit submitted by the unit in accordance with the regulations laid by the PGIM. 2.5 Faculty and Trainers Trainers must be board certified in the PGIM and must have completed five years of service after board certification. Members of the faculty must have adequate clinical experience and research interest. They should be committed to teaching and have enthusiasm to the training program. 4 2.6 Duration of training and rotation of raining centers The total duration of in-service training shall be three (3) years, which may be completed in one of two ways. Option 1 Two years of training in Sri Lanka, in a surgical unit recognized for postgraduate training in gastrointestinal surgery by the Board of Study in Gastrointestinal Surgery. and One year of training in an overseas surgical unit approved by the Board of Study in Surgery, on the recommendation of the Specialty Board in Gastrointestinal Surgery for training in gastrointestinal surgery Option 2 One year of training in a Sri Lanka in a surgical unit recognized for postgraduate training in gastrointestinal surgery by the Board of Study in Surgery and Two years of training in an overseas surgical unit approved by the Board of Study in Surgery, on the recommendation of the Specialty Board in Gastrointestinal Surgery for training in gastrointestinal surgery. 2.7 Objectives On completion of the three year period of training, the trainee should: a) have skills appropriate to a specialist in GI Surgery (diagnostic, operative, counseling, risk management, management of medico-legal issues) b) have administrative and organizational skills c) be able to clearly document and prioritize problems d) have appropriate attitudes e) be able to cooperate with and assist other surgical sub-specialists as well as general surgeons f) be able to conduct and supervise research and clinical audits g) be committed to continuous professional development h) be able to disseminate knowledge effectively i) have an adequate knowledge of the English language and be able to communicate effectively in it j) have adequate knowledge and skills in information technology 5 2.8 Learning activities During the training period, trainees are also expected to engage in the following: a. Attend radiology meetings (ideally on a weekly basis). b. Attend pathology meetings (ideally on a weekly basis) c. Take part in multi-disciplinary team discussions d. Participate in, (and conduct where necessary) regular audit/ morbidity & mortality meetings e. Engage in Continuing Medical Education activities (2.8.1) f. Undertake clinical studies and present at local, regional, national or international meetings. Trainees are also encouraged to carry out a research project (2.8.2) g. Engage in the teaching (2.8.3) 2.8.1 CME activities The recommended CME activities include • Participation at regional and international workshops Attend an international meeting preferably in the chosen area of special interest (eg. Association of Colorectal Surgeon of India, Malaysian Society of Colorectal Surgeons meeting, Asian Federation of Coloproctology meeting, Australian Colorectal Society meeting, European meeting, The Association of Coloproctology of Great Britain and Ireland, American society of Colorectal Surgeons etc) . Participation at annual scientific meetings organized by the professional colleges and other societies . Participation at seminars/lectures/scientific sessions organized by local societies • Participation
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