Surgery

SECTION 1/6: SURGERY (UROLOGY)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Surgery (Urology) discussed during my time in Medical School:

A. LECTURE:

1. 3rd semester:

a. Reproductive System:

- Family planning: Male sterilization (vasectomy)

- Male infertility: Diagnosis (history taking, physical examination, laboratory investigation - seminal fluid analysis, adjunct test - urinalysis and hormonal assessment), causes (pretesticular - hypothalamus and pituitary disease, testicular - chromosomal disorder-gonadotoxin-systemic disease-testical trauma-defective androgen activity-cryptorchidism-varicocele, posttesticular -male reproductive tract obstruction-sperm motility disorder-impontency-hypospadia), treatment (surgical intervention - varicocele-vasovasostomy-epididimovasostomy-ejaculatory duct obstruction-electroejaculation-sperm aspiration by MESA and TESA-orchidopexy-pituitary ablation, non surgical intervention - specific: pyospermia-coital therapy-infertility immunology-medical therapy - medical empirical therapy: clomiphene citrate-tamoxifen-kalikreins-antioxidant therapy - growth hormone)

2. 5th semester:

a. Genitourinary System:

- Kidney colic

- Urological stone

- Urinary incontinence

- Congenital anomalies of the kidney, ureter and urinary bladder

- Neoplasm of prostate

- Scrotal swelling: Hydrocele, epididymal cyst

- Male sexual dysfunction

- Injuries of the genitourinary system: Injuries to the kidney, ureter, bladder, urethra, external genitalia

- Urethral stricture disease: Anterior urethral stricture, posterior urethral stricture

- Gross hematuria

- Urinary retention

- Testicular torsion

- Oliguria and anuria obstruction

- Priapism

- Tumor of genitourinary system: Renal parenchymal neoplasm, bladder carcinoma, urethral cancer, genital tumor, prostate carcinoma

- Foreskin emergencies: Phimosis, Paraphimosis, zipper injuries, foreign bodies in genitourinary system, post-circumcision complication 

3. 6th semester:

a. Emergency Medicine:

- Renal and genitourinary system emergencies: Urinary tract infection (UTI), male genital problems, dialysis patient, urological stone disease

B. SKILLS LABORATORY (OSCE):

1. 5th semester:

a. Genitourinary System:

- Circumcision method

*This medical syllabus copied and edited from 1 manual book for 3rd semester medical student, 1 manual book for 5th semester medical student and 1 manual book for 6th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

SECTION 2/6: SURGERY (ONCOLOGY)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Surgery (Oncology) discussed during my time in Medical School:

A. LECTURE:

1. 3rd semester:

a. Reproductive System:

- Benign tumor of female reproductive organ: Benign breast tumor

- Malignancy of female reproductive organ: Breast cancer

2. 7th semester:

a. Elective (Viral-Oncogene):

- Introduction of cancer biology: Perspective oncology and the future of oncology

- Solid tumor: Surgical role in solid tumor

B. SKILLS LABORATORY (OSCE):

1. 3rd semester:

- History taking in breast disorder cases

- Breast physical examination

*This medical syllabus copied and edited from 1 manual book for 3rd semester medical student and 1 manual book for 7th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

SECTION 3/6: SURGERY (CARDIO-THORACIC)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Surgery (Cardio-Thoracic) discussed during my time in Medical School:

A. LECTURE:

1. 4th semester:

a. Cardiovascular System:

- Surgical intervention in cardiovascular disease

b. Respiratory System:

- Surgical intervention in respiratory disease: Trauma of thorax, subcutaneous emphysema, hemothorax, pneumohemothorax, pleural effusion, empyema, lungs malignancy

2. 6th semester:

a. Emergency Medicine:

- Trauma of thorax region: Primary survey (Identifing tension pneumothorax, open pneumothorax - sucking chest wound, flail chest, massive hemothorax, cardiac temponade), secondary survey (8 lethal injuries are considered: simple pneumothorax, hemothorax, pulmonary contusion, tracheobronchial tree injury, blunt cardiac injury, traumatic aortic distruption, traumatic diaphragmatic injury, mediastinal traversing wounds), management (thoracic needle decompression, chest tube insertion, pericardiocentesis)

*This medical syllabus copied and edited from 2 manual books for 4th semester medical student and 1 manual book for 6th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

SECTION 4/6: SURGERY (GASTROENTEROLOGY)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Surgery (Gastroenterology) discussed during my time in Medical School:

A. LECTURE:

1. 5th semester:

a. Gastrointestinal System:

- Esophageal atresia

- Corrosive lesion of esophagus

- Reflux esophagitis

- Gastro-esophageal reflux disease (GERD) in adult

- Disorder of diaphragm

- Abdominal wall disorder

- Hernia: Types (Femoral, epigastric, incisional, umbilical, inguinal, scrotal), direct and indirect hernia

- Intestinal atresia

- Meckel's diverticulum

- Umbilical fistula

- Omphalocele gastroscisis

- Malrotation of intestine

- Pyloric stenosis

- Intussussception

- Rectal prolaps

- Hemorrhoids

- Perianal abscess

- Perianal fistula

- Anal fissure

- Rectal tumor

- Anal atresia

- Hirschprung's disease

- Acute abdomen: Peritonitis, Abscess in pouch of Douglas, perforation of internal abdominal organs, masenteric lymphadenitis, acute appendicitis, appendicular abscess, obstructive illeus

- Choledocholithiasis

- Hydrops of gall bladder

2. 6th semester:

a. Emergency Medicine:

- Abdominal trauma: Anatomy (Anterior abdomen, flank, back, peritoneal cavity, pelvic cavity, retroperitoneal space), mechanism (blunt trauma, penetrating trauma), initial assessment (history taking, physical examination, evaluation of penetrating wounds, local exploration of stab wounds, assessing pelvic stability, examination of penile-perineal-rectal-vaginal-gluteal), insertion of gastric tube, urinary catheter, blood and urine sampling, diagnostic peritoneal lavage

- Digestive system emergencies: Acute abdomen (peritonitis, illeus, appendicitis), gastointestinal tract bleed (upper and lower)

*This medical syllabus copied and edited from 1 manual book for 5th semester medical student and 1 manual book for 6th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

SECTION 5/6: NEUROSURGERY

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Neurosurgery discussed during my time in Medical School:

A. LECTURE:

1. 6th semester:

a. Emergency Medicine:

- Head trauma

- Nervous system neoplasm

- Head trauma: Anatomy (scalp, skull, meninges, brain, cerebrospinal fluid, tentorium), 

- Head trauma: Physiology (intracranial pressure, Monro-Kellie doctrine, cerebral perfusion pressure, cerebral blood flow)

- Head trauma: Classification (Mechanism of injury, severity of injury - GCS score, morphology of injury)

- Management of mild head injury

- Management of moderate head injury

- Management of severe head injury

- Medical therapy for head injury: Intravenous fluids, hyperventilation management, mannitol, furosemide, steroids, barbiturates, anticonvulsants

*This medical syllabus copied and edited from 1 manual book for 6th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

SECTION 6/6: SURGERY (PLASTIC)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Surgery (Plastic) discussed during my time in Medical School:

A. LECTURE:

1. 6th semester:

a. Emergency Medicine:

- Immediate life-saving measures for burn injuries: Airway, stop the burning process, intravenous lines, assessing the burn patient (history taking, body surface area, depth of burn), stabilizing the patient (airway, breathing, circulating blood volume, physical examination, flow sheet, baseline determinations for the major burn patient - blood & x-rays, circumferential extremity burns - maintenance of peripheral circulation, gastric tube insertion, narcotic-analgesics-sedatives, wound care, antibiotics), special burn requirements (chemical burns and electrical burns), criteria for transfer

*This medical syllabus copied and edited from 1 manual book for 6th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

Basic Subjects For A Medical Student (Part 3a/7)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic discussed during my 3rd Semester in Medical School:

A. CORE SUBJECTS:

1. Anatomy:

a. Reproductive System:

- Anatomy of female reproductive organ: Embryology of female reproductive organ, anatomy of pelvic, muscles of pelvic diaphragm, pelvic gaps, external female reproductive system, internal female reproductive organs, vascularization and innervation of reproductive organ, breast

- Anatomy of male reproductive organ: Embryology of male reproductive organ, gonad (testes), tract (extratesticular, intratesticular), glands (epididymis, seminal vesicle, prostate, Cowper)

- Anatomy of male and female reproductive organ (laboratory topic)

b. Growth and Development:

- Development of bone and nervous system in children

2. Histology:

a. Reproductive System:

- Histology of female reproductive organ: Ovary, genital tracts, placenta, breast

- Histology of male reproductive organ: Testes, ductal systems (efferent duct, epididymis, Deferens duct, ejaculatory duct, urethra), exocrine ducts (seminal vesicle, prostate gland, seminal fluid, semen), penis (structure of copulation organ, bulbourethral gland-Cowper)

- Histological structure of female reproductive organ (laboratory topic)

- Histological structure of male reproductive organ (laboratory topic)

3. Physiology:

a. Reproductive System:

- Function and action mechanism of female reproductive hormones: Hypothalamus, pituitary, ovary, testosteron

- Function and action mechanism of male reproductive hormones

- Normal pregnancy: Physiology during pregnancy, blood pressure during pregnancy and mother's adaptation during pregnancy

b. Growth and Development:

- Children growth and development: Effect of changing environment from intrauterine to extrauterine over multiple system inside children's body 

- Factor that affecting growth and development of children: Endocrine physiology during period of growth and developmental in children

4. Biochemistry:

a. Reproductive System:

- Biosynthesis and transportation of female reproductive hormones: hypothalamus, pituitary, ovarian hormones, testosterone hormone

- Biosynthesis and transportation of male reproductive hormones (testosterone, dihydrotestosterone, estradiol)

- Malignancy of female reproductive organ: Molecular biology of carcinoma (oncogene and tumor suppressor gene, metastatic tumor, angiogenesis)

- Urine protein test (laboratory topic)

b. Growth and Development:

- Factor that affecting growth and development of children: Hormonal and growth factor in children's growth and development (growth hormone, IGF-1, IGF-2, EGF, insulin, thyroid and etc.)

5. Obstetric and Gynecology:

a. Reproductive System:

- Normal menstrual cycle (Hypothalamus-Pituitary-Ovary axis) and gynaecological examination method (abdominal and pelvic examination)

- Normal pregnancy: Morphological and functional development of fetus, antenatal care

- Complications in pregnancy: Hyperemesis gravidarum, premature rupture of membrane (PROM) and preterm premature of membrane (PPROM), hypertension in pregnancy, antepartum hemorrhage (APH), premature delivery, post-date delivery, Intrauterine growth retardation (IUGR) and macrosomic baby, multiple pregnancy, disease and abnormality of placenta and amniotic membrane, genital abnormality, abortion (and miscarriage), ectopic pregnancy, endocrine disorder in pregnancy, haematological disorder in pregnancy, immunological disorder in pregnancy

- Antenatal diagnosis and therapy of inherited congenital fetal disorder (genetic disorder) and acquired congenital fetal disorder

- Normal delivery: Signs of labor, physical examination during in labor, intrapartum monitoring (CTG and partograph), mechanism of normal delivery, postpartum, lactation (breastfeeding)

- Complication during delivery: Dystocia, postpartum hemorrhage, puerperial infection

- Instrumental and operative delivery: Forceps assisted delivery, vacuum assisted delivery, breech presentation and breech delivery, cesarean section and postpartum histerectomy

- Female genital anomali

- Functional disorder of female reproductive system: Amenorrhea, dysfuctional uterine bleeding (DUB), hyperprolactinemia, galactorrhea, pituitary adenoma, hyperandrogenism, endometriosis, dysmenorrhea, menopause

- Family planning: Effectiveness of contraception, non-hormonal contraception. hormonal contraception, female sterilization

- Infertility: Female infertility

- Benign tumor of female reproductive organ: Benign tumor in vulva, vagina, cervix, uterus, oviduct, and ovary

- Malignancy of female reproductive organ: Malignancy in vulva, vagina, cervix, intraepithelial of cervix, uterus, ovary, gestational trophoblastic disease

- History taking in obstetric and gynaecology cases (skills laboratory topic)

- Physical examination in obstetric cases (determining gestational age) (skills laboratory topic)

- Physical examination in gynaecological cases (examination via vagina) (skills laboratory topic)

- Conducting normal delivery (skills laboratory topic)

- Papsmear and vaginal swab (skills laboratory topic)

b. Growth and Development:

- Children gynaecological problem: Gynaecological examination technique in children, gynaecological disorder in children

6. Nutrition:

a. Reproductive System:

- Normal pregnancy: Nutrition during pregnancy

- Nutrition during lactation (breastfeeding)

b. Growth and Development:

- Biological and physical requirement that affecting growth and development of infant and toddler: Nutritional requirement for every stages of growth, nutrition and family health education, affecting factors in determining type of food during growth and development period

7. Radiology:

a. Reproductive System:

- Diagnostic investigation in pregnancy: USG, radiological pelvimetry

8. Pharmacology:

a. Reproductive System:

- Medications in pregnancy

- Uterotonic and tocolytic

- Medications in lactation (breastfeeding)

- Pharmacokinetic and Pharmacodynamic of female hormonal contraception

- Detection of sulfonamide in urine (laboratory topic)

- Drug interaction for medication used in pregnancy and lactation, genital and reproductive matter (laboratory topic)

b. Growth and Development:

- Biological and physical requirement that effecting growth and development of infant and toddler: Medications affecting growth and development, exposure of active substance that affecting growth and development

- Prescription of drugs and compounding drugs in peadiatric (laboratory topic)

- Drug interaction in polypharmacy drug prescription in paediatric (laboratory topic)

9. Biology:

a. Reproductive System:

- Inherited congenital fetal disorder (genetic disorder) and acquired congenital fetal disorder: Genetic (chromosomal abnormalities, sex chromosomal abnormalities, genetic test)

10. Microbiology:

a. Reproductive System:

- Infection in pregnancy: Bacterial infection, viral infection

b. Growth and Development:

-  Factor that affecting growth and development of children: Pathogenic microorganism during growth and development (bacteria, virus, fungi)

11. Parasitology:

a. Reproductive System:

- Infection in pregnancy: Parasitic infection (Toxoplasmosis and Malaria)

b. Growth and Development:

- Factor that affecting growth and development of children: Parasitic infection

- Identifying infectious form of soil transmitted Helminths (laboratory topic)

12. Anesthesiology:

a. Reproductive System:

- Normal delivery: Analgesic and anesthetic in delivery, painless labor

- Operative delivery: Anesthetic in cesarean section, pre-operative and post-operative management in cesarean section delivery

- Malignancy in female reproductive organ; Management of cancer pain

13. Paediatric:

a. Reproductive System:

- Normal delivery: Neonatal care

b. Growth and Development:

- Growth and development: Basic concept of growth and development, structural-organ function-psychomotor development in neonatal and perinatal period

- Disorders in neonate and infant: Infection and seizure in neonate, high risk neonate, trauma during delivery process, endocrine disorder, respiratory problem in neonates, hyperbilirubinemia in neonate, hypothermia in neonate

- Structural-organ function-psychomotor-cognitive-emotional development in infant and toddler 

- Biological and physical requirement that effecting growth and development of infant and toddler: Breast milk and lactation: Management of lactation, feeding for infant and toddler

- Disorders during growth and development of children: Down's syndrome, disorders of thyroid gland, diabetes mellitus, growth disorder, failure to thrive, disorder in motoric dan language development

- Structural-organ function-psychomotor-cognitive-emotional development in school-age children

- Growth and development monitoring: Nutritional status evaluation, early detection of growth and development disorder, management of nutritional status disorder

- Growth and development in adolescent: timing of puberty, structural-organ function-psychomotor-cognitive-emotional development in adolescent

- Affecting factors that contribute growth and developmental delay in adolescent: Puberty disorder, child abuse and neglected child

- Promotive-preventive-rehabilitation in children health: Demography, prevention of communicable disease, psychosocial in family and community level, optimization of basic needs of children, rehabilitation

- History taking in growth and development status (skills laboratory topic)

- Early detection technique in growth and development disorder (by using KPSP form) (skills laboratory topic)

- Early detection of autism and behavioral disorder in children (skills laboratory topic)

- Anthropometry examination in children (skills laboratory topic)

- Immunization procedure (BCG, Hepatitis/DPT) (skills laboratory topic)

14. Pathology (Clinical):

a. Reproductive System:

- Functional disorder of female reproductive system: Interpretation of reproductive system hormones

- Seminal fluid analysis and pregnancy test (laboratory topic)

b. Growth and Development:

- Common laboratory investigation (with its interpretation) done in neonate and infant 

- Laboratory investigation and interpretation for diagnosis of growth and development disorder

- Preparation of direct faecal smear specimen (skills laboratory topic)

15. Urology:

a. Reproductive System:

- Family planning: Male sterilization (vasectomy)

- Male infertility: Diagnosis (history taking, physical examination, laboratory investigation - seminal fluid analysis, adjunct test - urinalysis and hormonal assessment), causes (pretesticular - hypothalamus and pituitary disease, testicular - chromosomal disorder-gonadotoxin-systemic disease-testical trauma-defective androgen activity-cryptorchidism-varicocele, posttesticular -male reproductive tract obstruction-sperm motility disorder-impontency-hypospadia), treatment (surgical intervention - varicocele-vasovasostomy-epididimovasostomy-ejaculatory duct obstruction-electroejaculation-sperm aspiration by MESA and TESA-orchidopexy-pituitary ablation, non surgical intervention - specific: pyospermia-coital therapy-infertility immunology-medical therapy - medical empirical therapy: clomiphene citrate-tamoxifen-kalikreins-antioxidant therapy - growth hormone)

16. Oncology:

a. Reproductive System:

- Benign tumor of female reproductive organ: Benign breast tumor

- Malignancy of female reproductive organ: Breast cancer

- History taking in breast disorder cases (skills laboratory topic)

- Breast physical examination (skills laboratory topic)

17. Pathology (Anatomy):

a. Reproductive System:

- Histological feature of benign tumor in female reproductive organ (vulva, vagina, cervix, uterus, oviduct, ovary, and breast)

- Histological feature of malignancy in female reproductive organ (vulva, vagina, cervix, uterus, oviduct, ovary, and breast)

- Uterine myoma and ovarian cyst (laboratory topic)

- Endometriosis and cervical cancer (laboratory topic)

18. Psychiatry:

a. Growth and Development:

- Mental-emotional development in school-age children: Psychosexual-psychocognitive-psychosocial-moral development, disorder (and management) of mental-emotional development

*This medical syllabus copied and edited from 2 manual books for 3rd semester medical student from my university during my era. 

**The topic currently discussed for 3rd semester medical student in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.