MD in Urology
The goals of postgraduate training course in Surgery would be to train a MBBS doctor who
will Practice surgery efficiently and effectively backed by scientific knowledge and skill .
No syllabus can be comprehensive but the following topics are not intended to be
prescriptive but it is a guide to the topics which need to be covered during training.
At the end of the training and evaluation, The following objectives are laid out to achieve the goals of the course. These objectives
are to be achieved by the time the candidate completes the course. The objectives may be
considered under the subheadings
1. Knowledge (Cognitive domain): Knowledge and information about the subject, Recall
of and Analysis of available information to be used for the treatment of patients.
2. Skills (Psycho motor domain): The correct skills to be developed by working in a dry
lab as well as surgeries on animals (Minimal access Surgery). He/She should develop
surgical skills by assisting seniors as well as being assisted by seniors
3. Human values: Ethics involved in Surgical practice
The topics are considered under:
• Basic sciences,
• General Surgery topics and
• Specialty topics.
There will be an overlap between the General surgery and specialty categories.
General Surgery Topics include the following:
History of surgery
Clinical History and examination - detailed systematic history taking, clinical
examination of various systems, coming to a provisional working diagnosis.
Rationale of diagnostic tests - Ordering diagnostic tests with prioritizing the needs,based
on the clinical, hospital and the patient's socioeconomic condition
Informed consent / Medico legal issues - Understanding the implications of acts of
omission and commission in practice. Issues regarding Consumer Protection Act. -
Implications in a medico-legal case like accidents, assaults etc.
Concept of Essential Drugs and Rational use of drugs
Surgical audit - Understanding the audit of process and outcome. Methods adopted for
Evidence based medicine - Understanding journal based literature study;
the value of text book, reference book articles; value of review articles; original articles and
their critical assessment. Understanding the value of retrospective, prospective,
randomized controlled and blinded studies. - Understanding the principles and meanings
various biostatistical tests applied in these studies.
Use of computers in surgery: Retrieval of important information, Record keeping,
Powerpoint presentations for teaching, Statistical methods
Preoperative evaluation of patients with Co-morbid conditions
Principles of operative surgery like asepsis, antisepsis, sterilization. Basic surgical
techniques; properties of suture materials; appropriate use of sutures, drains, prosthetic
grafts. Postoperative care - concept of recovery room care; airway management;
assessment of wakefulness; management of cardiovascular instability in this period. Post
operative pain management as well as care of terminally ill patients especially cancer
patient. Basic surgical instrumentation - Principles of surgical instrumentation; their
maintenance and troubleshooting. Familiarize with minimal access surgery instruments,
Diathermy & lasers.
Wound management: wound healing; factors influencing healing;
Assessment of trauma; Assessment of head, chest and abdominal trauma and triage -
Assessment of a trauma victim; resuscitation; care at the site; triage; care in the accident
department; criteria for immediate surgery; immediate workup and logical referral criteria.
Surgical infections - asepsis and antisepsis; microbiological principles; rational use of
antibiotics; special infections like synergistic gangrene and diabetic foot infections.
Hepatitis and AIDS
Surgical nutrition - nutritional assessment; metabolic response to stress; need for
nutritional support; enteral nutrition; routes of access to GI tract; parenteral nutrition;
access to central veins for nutritional support.
Acute abdomen - Appendicitis / Peritonitis / Perforated viscus / Intestinal obstruction
Hernias - simple and complicated - various types of hernias; their repair; prosthetic
Critical care - Cardiorespiratory failure - management of shock; including monitoring;
sepsis scores; pharmacological support.
Fluid and electrolyte balance / Acid - Base metabolism - The body fluid Compartments;
metabolism of water and electrolytes; factors maintaining homeostasis; causes for and
treatment of acidosis and alkalosis.
Pain control - acute and chronic pain; cancer and non-cancer pain; patient controlled
Principles of oncology - cell kinetics; causation of tumours; principles of oncologic
surgery, radiotherapy and chemotherapy; paraneoplastic syndromes; cancer pain
management; palliative care
Principles of burn management -