Department of Surgery

5

•       INTRODUCTION

Recent developments and technological advances in surgery have made it necessary to review surgical postgraduate training worldwide in terms of content and duration. Public medical service providers currently demand that surgeons of all subspecialties have basic knowledge and skills to treat any emergency surgical conditions before onward referral to the relevant subspecialty. Current training programs are structured to offer a common foundation course in Surgical Pathology, Surgical Anatomy, Surgical Physiology and Principles of Surgery for all the surgical specialties during the first two years of training.  Successful completion of the foundation course is necessary before proceeding to further specialist training in General surgery, Otolaryngology-Head and Neck Surgery, Oral and Maxillofacial Surgery (3 years) and Neurosurgery (4years).  The current program for MMed Surgery of the University of Nairobi, which was compiled in 1972 has been revised to bring it in line with these global developments. This program will benefit our clients, and make our program competitive internationally.

OBJECTIVES

1. To produce a general surgeon with sufficient knowledge and skills in the basic foundations of surgery.
2. To produce a general surgeon with sufficient knowledge and skills in management of general surgical diseases.

ADMISSION REQUIREMENTS

2.1 The Common Regulations for the Master of Medicine Degree at the University shall apply. 

2.2 The candidate eligible for admission into the program shall fulfill the following conditions:

2.2.1 Hold a basic medical degree i.e. Bachelor of Medicine and Bachelor of Surgery (MBChB) of the University of Nairobi, or an equivalent qualification from an institution recognized by Senate.

2.2.2 Candidates must possess evidence of registration or eligibility to be licensed by Medical Practitioners and Dentists Board for purposes of training.

2.2.3 The applicant will be required to have a valid Professional Indemnity cover during the period of training.

2.2.3  Evidence of proficiency in English language is mandatory.

3.0 CREDIT TRANSFER AND EXEMPTION

A candidate may, on the recommendation of the School Board and approval by Senate, be allowed to transfer up to a maximum of one third of the non-clinical taught course units offered in the programme.

3.1 Applicants seeking course exemption shall send a formal application to the Director, Board of Postgraduate Studies through the Dean School of Medicine.  Justification of request and evidence of credentials to support such a request shall be attached to the application. 

3.2 Application for course exemption shall be processed after payment of prescribed fee.

3.3 Applicants shall only be exempted from course units equivalent to those offered at the University of Nairobi. 

ADMISSION REQUIREMENTS

2.1 The Common Regulations for the Master of Medicine Degree at the University shall apply. 

2.2 The candidate eligible for admission into the program shall fulfill the following conditions:

2.2.1 Hold a basic medical degree i.e. Bachelor of Medicine and Bachelor of Surgery (MBChB) of the University of Nairobi, or an equivalent qualification from an institution recognized by Senate.

2.2.2 Candidates must possess evidence of registration or eligibility to be licensed by Medical Practitioners and Dentists Board for purposes of training.

2.2.3 The applicant will be required to have a valid Professional Indemnity cover during the period of training.

2.2.3  Evidence of proficiency in English language is mandatory.

3.0 CREDIT TRANSFER AND EXEMPTION

A candidate may, on the recommendation of the School Board and approval by Senate, be allowed to transfer up to a maximum of one third of the non-clinical taught course units offered in the programme.

3.1 Applicants seeking course exemption shall send a formal application to the Director, Board of Postgraduate Studies through the Dean School of Medicine.  Justification of request and evidence of credentials to support such a request shall be attached to the application. 

3.2 Application for course exemption shall be processed after payment of prescribed fee.

3.3 Applicants shall only be exempted from course units equivalent to those offered at the University of Nairobi. 

4.0 COURSE STRUCTURE AND DURATION

4.1       The training program will be completed in a minimum of 5 years  and a maximum of ten years.        

4.2       The Principles of Surgery shall consist of mandatory rotations in General Surgery, Orthopaedic Surgery, Surgical Critical Care and Lectures.

4.3.      The degree programme shall be offered on a full time basis consisting of two parts. Part one will consist of the following courses: Surgical Anatomy, Surgical Physiology, Surgical Pathology and Research Methods, Biostatistics & Epidemiology (year 1); Principles of Surgery and Surgery logbook (year 1 & 2).  Part two will consist of the following courses: Principles and Practice of General Surgery, Dissertation and Surgery Log book (year 3, 4 & 5).     

4.4       The programme shall consist of taught courses, clinical surgical skills, laboratory surgical skills, logbook and a dissertation. 

4.5       All the courses covered will involve lectures, clinical work, clinical teachings,

            seminars, conferences, demonstrations, tutorials and training in special surgical

            techniques in a skills laboratory

5.0 COURSE OUTLINE.

5.1 PART I.

YEAR 1

Year 2

5.2 PART II

YEAR: 3

PRINCIPLES AND PRACTICE OF GENERAL SURGERY--STAGE ONE

YEAR 4

5.3 PRINCIPLES AND PRACTICE OF SURGERY-- STAGE II

YEAR 5:

5.4. PRINCIPLES AND PRACTICE OF GENERAL SURGERY-- STAGE III

6.0 EXAMINATION REGULATIONS.

6.1 Taught courses

1.         A candidate shall present himself/herself for University Examinations in

Part I of study at such a time as the School may determine and as approved by Senate. The Surgical Anatomy, Surgical Pathology, Surgical Physiology and Research Methods, Biostatistics & Epidemiology examinations shall be sat at the end of the first year.   The Principles of Surgery examination shall be sat at the end of the second year.  The Principles and Practice of General Surgery examination shall be sat at the end of the third, fourth and fifth year (Stage I, II and III). 

2.         Thirty percent of the marks shall be from continuous assessment.

3.         A candidate shall be expected to be physically and mentally sound and able to perform surgical duties while undertaking the program.  A candidate is expected to conduct him/herself in a manner befitting the medical profession and shall not be allowed to sit the examination if he/she does not meet these requirements and may be discontinued from the program.

4.         Successful completion of each part shall be determined by satisfactory performance of the examination and a candidate shall not proceed to the next part if he has not passed all the constituent course units.

5.         A candidate is expected to take all the courses to the satisfaction of the Department, the Board of the School and the Senate. 

6.         The University examination shall include written, oral, clinical or practical as     determined by the School and approved by the Senate. 

7.         A candidate who fails to satisfy the examiners in the courses sat in Part 1 and Part 11 examinations shall on recommendation of the Board of Examiners and approval of the Senate be permitted a maximum of two supplementary examinations in the failed course examination within a period of six months.

8.         A candidate who fails the clinical examination in The Principles of Surgery

and in The Principles and Practice of General Surgery shall be considered to have    

failed the whole examination.                

9.         The pass mark of all the courses shall be 50%. 

10.       If a candidate fails in the second supplementary or exceeds the prescribed maximum duration of the course, then the candidate shall be discontinued.

6.2. Dissertation and Log Book.

1.        The topic for the dissertation shall be within a field of General Surgery agreed upon

between the candidate and the Department. The dissertation will be examined according to the requirements for such examinations in the School of Medicine and must be submitted three months to the date of Part II (Stage III) Principles and Practice of General Surgery. It will be assessed through evaluation by internal examiners and an external examiner. 

2.        A candidate who fails to achieve 50% overall mark in the dissertation may be allowed to resubmit up to a maximum of two resubmissions within a period of three months. 

 3.        Successful completion of the dissertation will be required before sitting for Part  

II (Stage III) Principles and Practice of General Surgery.

4.        The log book shall contain a chronological record of all diagnostic or operative procedures done during the training. A candidate must present the surgery logbook one month before the date of Part I Principles and Practice of Surgery examination and part II (Stage III) Principles and Practice of General Surgery examination.

5.        A candidate who fails to achieve 50% overall mark in the surgery logbook may,   

           after further rotation in the relevant course, resubmit it for further examination    

           within six months.

6.         Successful completion of the surgery logbook will be required before sitting for Part I

            Principles of Surgery examination and Part II (Stage III) Principles and Practice of

            General Surgery examination.

7.         A candidate who fails in the second resubmission of the dissertation and surgery logbook or exceeds the prescribed maximum duration of the course will be discontinued.  

6.3 Examinations   

Year 1

      HMS 601                    Surgical Anatomy,     

                                         1x3 hr written paper                        (200 Marks)

                                        1x3 hr practical examination           (300marks)

                                          ½ hr   oral examination                 (100 marks)

      HMS 602                    Surgical Physiology    

                                          1x3 hr written paper                      (200marks)

                                          1x3 hr MCQ                                  (200 marks)

                                           ½ hr oral examination.                 (100 marks)

HMS 604                      Research Methods, Biostatistics 

                                       & Epidemiology 

                                        1x3 hr written paper                         (100 marks)

HMS 605                    Surgical Pathology

                                         1x3 hr written paper/MCQ.           (100 marks)

                                         1x3 hr MCQ                                   (100marks)

                                         1x3 hr practical examination          (200 marks)

                                         ½ hr oral examination                    (50 marks)

Year 2

      HMS 603                   Principles of Surgery

                                         1x3 hr written paper                       (100 marks)

                                         1x3 hr MCQ                                   (100 marks)        

                                         1x4 hr Clinical                               (200 marks)

     HMS 606                  Principles of Surgery logbook         (200 marks)     

       Year 3

      HMS 701              Principles and Practice of General Surgery Stage I

                                      1x3hr written paper                           (100 marks)

                                      1x3 hr MCQ                                      (100 marks)

                                       1x4hr Clinical                                   (200 marks)

       Year 4

      HMS 702              Principles and Practice of General Surgery Stage II 

                                      1x3hr written paper                           (100 marks)

                                      1x3 hr MCQ                                      (100 marks)

                                       1x4hr clinical                                    (200 marks)

      Year 5

      HMS 703              Principles and Practice of General Surgery Stage III

                                       1x3 hr written paper                         (100marks)

                                       1x3hr MCQ                                      (100 marks)

                                       1x4 hr clinical                                   (200marks)   

      HMS 704                  General Surgery Log Book            (200 marks)

      HMS 1101                 Dissertation                                     (100 marks)

7.0 AWARD OF DEGREE

      A candidate who satisfies the examiners in all the examinations for all the parts

      Shall, on the recommendation of the Board of Examiners and approval of Senate,

      be awarded the degree of Master of Medicine in General Surgery.

8.0 COURSE DESCRIPTION

For course details contact Chairman department of Surgery

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