The syllabus

Progress

Abdominal Wall and Retroperitoneum

Curriculum, page 1 Basic knowledge of the normal embryology, anatomy, and pathology, of:

• abdominal cavity and its walls
• inguinoscrotal region
• external genitalia
• urogenital tract

Text books: (1) Atlas of Abdominal Wall Reconstruction, by Michael J Rosen. Elsevier (2) The SAGES Manuel of Hernia Repair, By Brian Jacobs. Springer

• Femoral Hernia: Curriculum, page 2
• Inguinal hernia: Curriculum, page 2
• PaediatriIc inguinal hernia: Curriculum, page 2
• Umbilical Hernia: Curriculum, page 2
• Epigastric Hernia: Curriculum, page 2
• Incisional Hernia: Curriculum, page 3
• Spigelian Hernia: Curriculum, page 4
• Lumbar Hernia: Curriculum, page 4
• Obturator Hernia: Curriculum, page 4
• Diaphragmatic hernia

Other

• Omphalocoele: Curriculum, page 3
• Gastroschisis: Curriculum, page 3
• Abdominal wound dehiscence: Curriculum, page 3
• Laparostomy: Curriculum, page 4

Urology

• Congenital hydrocele: Curriculum, page 2
• Adult hydrocele: Curriculum, page 5
• Scrotal trauma: Curriculum, page 5
• Epididymal cyst: Curriculum, page 5
• Mal-descent of the testis: Curriculum, page 5
• Varicocele: Curriculum, page 6
• Testicular tumours: Curriculum, page 6
• Vasectomy: Curriculum, page 7

Emergency urology:

• Urinary retention: Curriculum, page 28
• Urinary tract infection: Curriculum, page 28
• Phimosis: Curriculum, page 28
• Paraphimosis: Curriculum, page 28
• Epididymo-orchitis: Curriculum, page 28
• Testicular torsion: Curriculum, page 28
• Ureteric calculi: Curriculum, page 29

Breast

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Axilla
• Lymphatic systems
• Pituitary gonadal axis
• Steroid hormone biochemistry and molecular biology

Text books: (1) The Breast: Comprehensive Management of Benign and Malignant Diseases (ISBN 9781416052210), 4 th edition, by K.I. Bland & E.M. Copeland (2) Breast Surgery: A Companion to Specialist Surgical Practice (ISBN 9780702049590), 5th edition by J.M. Dixon (3) Treatment of Breast Infection. BMJ, ISSN 0959-8138, 02/2011, Volume 342, Issue Feb11 1, p. d396. Dixon, J. M and Khan, L. (4) Diseases of the Breast (ISBN 9781451186277), 5 th edition by J.R. Harris, M.E. Lippman, M. Morrow, C.K. Osborne. (5) ABC of Breast Diseases (ISBN 9781444337969), 4th edition by J.M. Dixon

Benign breast disease

• Benign and proliferative breast disease: Curriculum, page 9
• Nipple Pathology: Curriculum, page 9
• Mastalgia: Curriculum, page 9
• Inflammatory breast conditions: Curriculum, page 10
• Lymphoedema: Curriculum, page 16
• Gynaecomastia: Curriculum, page 14
• Galactorrhoea: Curriculum, page 9

Breast cancer

• Ductal Carcinoma in Situ: Curriculum, page 10
• Breast screening: Curriculum, page 11
• Breast cancer work up
• Early-stage breast cancer: Curriculum, page 11
• Locally advanced breast cancer: Curriculum, page 13
• Advanced breast cancer: Curriculum, page 13
• Breast oncoplastics and reconstruction
• Axillary nodes unknown primary: Curriculum, page 15
• Pregnancy-Associated Breast Cancer
• Male breast cancer: Curriculum, page 14

Colorectal

Basic knowledge: of the normal embryology, anatomy, and pathology, of: breast

• Small bowel, colon, and rectum
• Anus and anal sphincter
• Pelvis
• GI anatomy and embryology
• Functional physiology of the GI trac

Text books: (1) Principles and Practice of Surgery for the Colon, Rectum, and Anus (ISBN 9780824729615), by Gordon, P.H and Nivatvongs, S. (2) Surgery of the Anus, Rectum & Colon, 3 rd edition (ISBN 9780702027239) by M Keighley (3) Colorectal Surgery: A Companion to Specialist Surgical Practice (ISBN-13: 9780702049651), 5th edition by R.K.S. Phillips & S Clark. (4) Current therapy in colon and rectal surgery (ISBN 9781556644801), 2 nd edition by V.W. Fazio, J.M. Church & C.P. Delaney.

Proctology

• Pilonidal disease: Curriculum, page 54
• Proctalgia fugax
• Obstructed defecation: Curriculum, page 25
• Constipation Curriculum, page 25
• Perianal Paget’s disease: Curriculum, page 23
• Anal intraepithelial neoplasia: Curriculum, page 23
• Anal squamous cell carcinoma: Curriculum, page 23
• Condyloma acuminata: Curriculum, page 23
• Anal adenocarcinoma: Curriculum, page 23
• Anal Melanoma: Curriculum, page 23
• Pruritus ani: Curriculum, page 20
• Rectal prolapse: Curriculum, page 19
• Incontinence: Curriculum, page 19
• Anal fistula: Curriculum, page 19
• Ischiorectal abscess: Curriculum, page 18
• Perianal abscess: Curriculum, page 18
• Anal fissure: Curriculum, page 18
• External anal skin tag: Curriculum, page 18
• Haemorrhoids: Curriculum, page 18
• Hirschsprung disease
• Idiopathic Megarectum and Megacolon: Curriculum, page 25

Colorectal cancer

• Genetics of colorectal cancer: Curriculum, page 21
• Rectal cancer: Curriculum, page 21
• Colon cancer: Curriculum, page 21
• Introduction to colorectal cancer: Curriculum, page 21
• Colorectal polyps: Curriculum, page 20

Colonic inflammation

• Microscopic colitis: Curriculum, page 23
• Pseudomembranous colitis: Curriculum, page 23
• Infectious proctocolitis: Curriculum, page 23
• Chronic ischemic colitis: Curriculum, page 23
• Radiation proctocolitis: Curriculum, page 23
• Types of colitis: Curriculum, page 23
• Indeterminate colitis
• Crohn’s disease: Curriculum, page 22
• Inflammatory bowel disease and pregnancy
• Ulcerative colitis: Curriculum, page 22

Acute colorectal

• Diverticula: Curriculum, page 21
• Non-specific abdominal pain: Curriculum, page 25
• Colonic pseudo-obstruction: Curriculum, page 24
• Volvulus: Curriculum, page 24
• Large bowel obstruction: Curriculum, page 24
• Anastomotic dehiscence: Curriculum, page 24
• Complications of Colonoscopy: Curriculum, page 24
• Acute colonic perforation Curriculum, page 24
• Lower gastrointestinal haemorrhage: Curriculum, page 24
• Toxic Megacolon
• Neutropenic enterocolitis
• Stercoral colitis
• Rectal foreign body

Other Colorectal

• Irritable bowel syndrome: Curriculum, page 25
• Stoma: Curriculum, page 25
• Tailgut cyst
• Epiploic Appendagitis

Emergency

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Abdominal cavity and its contents
• Head and neck
• Thorax and its contents
• Upper and lower limbs

Text books: (1) Current Surgical Diagnosis and Treatment (ISBN 9780071590877), 13 th edition by L.W. Way and G.M. Doherty. (2) CCrISP Manual (3) War Surgery in Afghanistan and Iraq: A Series of Cases of 2003-2007 (ISBN 9780981822808), edited by S.C. Nessen, D.E. Lounsbury, and S.P. Hetz.

• Spontaneous bacterial peritonitis: Curriculum, page 27
• Abdominal wall haemorrhage: Curriculum, page 27
• Acute Appendicitis: Curriculum, page 27
• Appendiceal tumours: Curriculum, page 27
• Intestinal ischemia Curriculum, page 24

Gynaecology

• Ovarian cysts: Curriculum, page 29
• Ectopic pregnancy: Curriculum, page 29

ENT

• Epistaxis: Curriculum, page 29

Endocrine

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• branchial arch development
• Regional anatomy of neck
• Surgical anatomy of the neck
• Thyroid
• Parathyroid
• Adrenal
• Pancreas/neuroendocrine system

Text books: (1) Textbook of Endocrine Surgery (ISBN 9789351528067), 3 rd edition by O. Clark, Q-Y Duh et al

Thyroid

• Thyroid gland physiology
• Thyroid nodule work up
• Malignant thyroid tumours: Curriculum, page 33
• Goitre: Curriculum, page 32
• Hypothyroidism: Curriculum, page 32
• Hyperthyroidism: Curriculum, page 32
• Thyroid disease in pregnancy
• Thyroiditis

Adrenal

• Adrenal physiology
• Adrenal gland tumours: Curriculum, page 36

Parathyroid

• Parathyroid gland physiology
• Hypocalcaemia: Curriculum, page 34
• Hypercalcaemia: Curriculum, page 34
• Hyperparathyroidism: Curriculum, page 34
• Parathyroid cancer
• Parathyroidectomy

Other

• Genetic Endocrine disorders: Curriculum, page 35, Curriculum, page 35

Endocscopy

Text books: (1) “Gastrointestinal Endoscopy in Practice” Canard, Jean Marc. 2011 Elsiever inc. Available in RACS online library

Peri-procedural

• Endoscopy overview: Curriculum, page 38
• Principles of Electrosurgery: Curriculum, page 38

Head & Neck

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• The head (extracranial)
• The neck (upper aero-digestive tract and soft tissues)

Head and Neck lumps

• Pharyngeal pouch: Curriculum, page 43
• Thyroglossal cyst: Curriculum, page 43/Curriculum, page 32
• Branchial cleft cyst: Curriculum, page 43
• Carotid body tumour: Curriculum, page 43
• Horner syndrome

Head and Neck infections

• Cervical lymphadenitis: Curriculum, page 43
• Cervical infections: Curriculum, page 43

Head and Neck Other

• Upper airway occlusion: Curriculum, page 42
• Upper aero-digestive tract neoplasia: Curriculum, page 42

Salivary Gland pathology

• Sialolithiasis: Curriculum, page 42
• Sialadenitis: Curriculum, page 42
• Salivary gland tumours: Curriculum, page 42

Sepsis and the critically ill patient

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Organ-specific sepsis
• Systemic Inflammatory Response Syndrome (SIRS)/Multiple Organ Dysfunction Syndrome (MODS)
• System specific dysfunction (e.g. renal impairment)
• Co-morbidities that may alter management and/or adversely affect outcome

Text books: (1) Care of the Critically Ill Surgical Patient (ISBN 9780340810484), 2 nd edition, edited by I.D. Anderson. (2) Core Topics in General & Emergency Surgery: A Companion to Specialist Surgical Practice (ISBN 9780702049644), 4th edition, by S. Paterson-Brown

Infections

• Atypical infections: Curriculum, page 48
• Psoas abscess: Curriculum, page 47
• Necrotising soft tissue infections: Curriculum, page 46
• Tetanus

Shock

• Sepsis Syndrome: Curriculum, page 30 Curriculum, page 46
• Shock: Curriculum, page 46
• Multi-Organ Dysfunction Syndrome
• Acute Respiratory Distress Syndrome: Curriculum, page 46

Other

• Acute pain control: Curriculum, page 50
• Anticoagulants: Curriculum, page 50
• ASA: Curriculum, page 49
• Nutritional and malabsorption: Curriculum, page 49
• Fluids and electrolytes
• The splenectomised patient: Curriculum, page 48
• Immune System: Curriculum, page 48
• Frailty
• Operative risk calculators
• Anaphylaxis

Skin & soft tissue

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Regional surgical anatomy of body surfaces
• Histology of the skin and appendages
• Principles of wound healing and cosmesis
• Anatomy, histology and physiology of the integument
• Anatomy of subcutaneous spaces and structures
• Anatomy and physiology of skeletal muscle and associated neuro-lympho-vascular structures
• The wound healing process

Skin cancer

• Melanoma: Curriculum, page 52
• Merkel cell tumour: Curriculum, page 52
• Bowen’s disease: Curriculum, page 52
• Squamous cell carcinoma: Curriculum, page 52
• Basal cell carcinoma: Curriculum, page 52

Benign skin and subcutaneous lesions

• Hyperhidrosis: Curriculum, page 55
• Hidradenitis suppurativa: Curriculum, page 53
• Ingrown toenail: Curriculum, page 53
• Keloid and hypertrophic scar: Curriculum, page 52
• Ganglion cyst: Curriculum, page 52
• Cutaneous cysts: Curriculum, page 52
• Lipoma: Curriculum, page 52
• Seborrheic keratosis: Curriculum, page 52
• Papilloma: Curriculum, page 52
• Actinic keratosis: Curriculum, page 52
• Melanocytic nevus: Curriculum, page 52
• Skin lesion overview

Skin infections and breakdown

• Necrotising soft tissue infections: Curriculum, page 53
• Gas gangrene: Curriculum, page 53
• Fournier’s gangrene: Curriculum, page 53
• Wounds and wound healing: Curriculum, page 53
• Soft tissue abscess: Curriculum, page 53
• Cellulitis: Curriculum, page 53
• Diabetic foot: Curriculum, page 54
• Hand Infections: Curriculum, page 54

Peripheral nerve issues

• Peripheral nerve injuries and entrapments: Curriculum, page 56
• Carpal tunnel syndrome: Curriculum, page 55
• Dupuytren’s Contracture

Small bowel

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Peritoneal cavity
• Small bowel – digestion and absorption; immune and endocrine functions; motility
• Anatomy and embryology of the small intestine
• Functional physiology of the small intestine

Text books: (1) Core Topics in General & Emergency Surgery: A Companion to Specialist Surgical Practice (ISBN 9780702049644), 5th edition, by S. Paterson-Brown. (2) Colorectal Surgery: A Companion to Specialist Surgical Practice (ISBN-13: 9780702049651), 5th edition by R.K.S. Phillips & S Clark

Non-acute

• Slow transit and functional small bowel disease: Curriculum, page 62
• Radiation enteritis: Curriculum, page 62
• Infectious disorders of the small bowel: Curriculum, page 61
• Small bowel tumours: Curriculum, page 59, Curriculum, page 58
• Gut malrotation
• Pyloric Stenosis
• SMA syndrome, Nutcracker syndrome

Acute

• Intussusception: Curriculum, page 58
• Small bowel obstruction: Curriculum, page 58
• Ileus
• Intestinal ischemia Curriculum, page 24 Curriculum, page 59 Curriculum, page 59
• Jejunal and Ileal Diverticula: Curriculum, page 61
• Meckel’s diverticulum: Curriculum, page 60
• Small bowel bleeding: Curriculum, page 60
• Duodenal obstruction: Curriculum, page 59
• Duodenal diverticula: Curriculum, page 59
• Foreign bodies in the GI tract: Curriculum, page 58
• Bezoars
• Adhesions

Malabsorption

• Intestinal failure: Curriculum, page 61
• Enterocutaneous fistula: Curriculum, page 60
• Blind loop syndrome
• Coeliac disease
• Tropical Sprue

Surgical oncology

• Palliative care: Curriculum, page 68
• Appendiceal tumours: Curriculum, page 67
• Ascites: Curriculum, page 67
• Lymphoma: Curriculum, page 66
• Metastatic disease of unknown primary: Curriculum, page 66
• Familial cancer syndromes: Curriculum, page 64
• Principles of screening for malignancies: Curriculum, page 64
• Fundamentals of cancer biology: Curriculum, page 64
• Sarcoma: Curriculum, page 65
• Retroperitoneal Sarcoma: Curriculum, page 66
• Mesothelioma: Curriculum, page 67
• Desmoid tumour
• Malignant pleural effusions: Curriculum, page 67
• Chemotherapy
• Radiotherapy

Transplant

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Liver failure
• Renal failure
• Intestinal failure
• Diabetes mellitus

Text books: (1) Transplantation Surgery: Companion to Specialist Surgical Practice (ISBN 9780702021466), 7th edition, by J.L. Forsythe

• Immunosuppressive medications
• Infections in transplant
• Operating on immunosuppressed transplantation patient: Curriculum, page 73
• Malignancy in transplantation: Curriculum, page 71
• Organ donation: Curriculum, page 71
• Renal Transplant: Curriculum, page 70
• Intestinal transplant: Curriculum, page 73
• Pancreas Transplant: Curriculum, page 72
• Graft rejection: Curriculum, page 70
• Tertiary hyperparathyroidism: Curriculum, page 71

Trauma

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Head and neck
• Spine
• Limbs
• Thorax
• Abdomen
• Pelvis

Text books: (1) Trauma (ISBN 9780071717847), 7th edition, by D. Feliciano, K. Mattox, and E. Moore. (2) Anatomic Exposures in Vascular Surgery (ISBN 9780781741019), 2nd edition, by R.J. Valentine and G.G. Wind

• Initial management in trauma: Curriculum, page 75
• Damage control surgery: Curriculum, page 75
• Trauma physiology: Curriculum, page 75
• Transfusion in Trauma: Curriculum, page 75
• Extremities trauma: Curriculum, page 81
• Pelvic trauma: Curriculum, page 80
• Abdominal trauma: Curriculum, page 79
• Chest trauma: Curriculum, page 78
• Spine trauma: Curriculum, page 78
• Face and neck trauma: Curriculum, page 78
• Head and Brain trauma: Curriculum, page 77, Curriculum, page 42
• Blast injuries: Curriculum, page 77
• Burns: Curriculum, page 76
• Rhabdomyolysis and Crush injury: Curriculum, page 76
• Abdominal compartment syndrome
• Vascular trauma: Curriculum, page 102
• AAST Injury Scoring Scale
• Retrograde Endovascular Balloon Occlusion of Aorta
• Critical care of a trauma patient: Curriculum, page 75
• Triage and Mass Casualty
• Trauma and pregnancy
• Disseminated Intravascular Coagulation

Hepatic, Pancreatic & biliary

Hepatic

• Ascites: Curriculum, page 87

• Portal hypertension: Curriculum, page 86

• Chronic liver failure: Curriculum, page 72, Curriculum, page 87

• Acute Liver failure: Curriculum, page 72, Curriculum, page 87

• Benign liver lesions: Curriculum, page 86

• Hydatid cysts: Curriculum, page 86

• Amoebic liver abscess: Curriculum, page 86

• Pyogenic liver abscess: Curriculum, page 86

• Hepatic cysts, Cystadenoma, Bilary cystadenocarcinoma: Curriculum, page 86

• Liver haemangioma: Curriculum, page 86

• Focal nodular hyperplasia: Curriculum, page 86

• Hepatocellular adenoma: Curriculum, page 86

• Colorectal liver metastases: Curriculum, page 85

• Non colorectal liver metastases: Curriculum, page 85

• Hepatocellular carcinoma: Curriculum, page 85

• Epithelioid haemangioendothelioma

• Liver Angiosarcoma

Biliary

• Choledochal anomalies: Curriculum, page 89
• Bile duct injuries: Curriculum, page 89
• Benign biliary strictures: Curriculum, page 89
• Cholangiocarcinoma: Curriculum, page 88
• Gallbladder carcinoma: Curriculum, page 88
• Gallbladder polyp: Curriculum, page 88
• Gallstone disease: Curriculum, page 88

Pancreatic

• ERCP complications: Curriculum, page 91
• Pancreatic neuroendocrine neoplasms: Curriculum, page 91
• Pancreatic cystic neoplasms: Curriculum, page 90
• Pancreatic Cancer: Curriculum, page 90
• Chronic pancreatitis: Curriculum, page 90
• Acute pancreatitis: Curriculum, page 89
• Complications of pancreatitis Curriculum, page 89

Spleen

• Lymphadenopathy: Curriculum, page 92
• Splenomegally: Curriculum, page 92
• Elective Splenectomy: Curriculum, page 92
• Immune thrombocytopenic purpura: Curriculum, page 92
• Splenic artery aneurysms

Oeosphago-gastric

• Oesophageal physiology

Bariatrics

• Bariatric surgery workup: Curriculum, page 83
• Bariatric operations: Curriculum, page 83
• Metabolic Complications post Bariatric surgery: Curriculum, page 61

Oesophagus

• Oesophageal perforation: Curriculum, page 95
• Oesophageal foreign bodies: Curriculum, page 95
• Oesophageal varices: Curriculum, page 95
• Oesophageal motility disorders: Curriculum, page 95
• Benign oesophageal tumours: Curriculum, page 94
• Oesophageal cancer: Curriculum, page 94
• Oesophageal strictures: Curriculum, page 94
• Caustic Ingestion: Curriculum, page 94
• Oesophageal Diverticulum
• Hiatus hernia: Curriculum, page 94
• Gastro-oesophageal reflux: Curriculum, page 94
• Barrett’s Oesophagus: Curriculum, page 94
• Functional Dyspepsia

Stomach

• Gastrointestinal stromal tumor: Curriculum, page 97
• Gastric polyps
• Gastric Lymphoma
• Gastric neuroendocrine tumours
• Gastric adenocarcinoma: Curriculum, page 96
• Marginal ulcer/Cameron Ulcer: Curriculum, page 96
• Peptic ulcers/H. PyloriCurriculum, page 96
• Gastric volvulus, Gastritis, Gastric outlet obstruction

Vascular

Basic knowledge of the normal embryology, anatomy, and pathology, of: breast

• Arterial

• Venous

• Lymphatic systems

• Lymphoedema: Curriculum, page 103

• Chronic mesenteric ischemia: Curriculum, page 102

• Acute arterial mesenteric ischaemia: Curriculum, page 102

• Superficial thrombophlebitis: Curriculum, page 102

• Deep vein thrombosis: Curriculum, page 102

• Varicose veins: Curriculum, page 101

• Diabetic foot: Curriculum, page 100

• Aneurysmal disease: Curriculum, page 100

• Peripheral vascular disease: Curriculum, page 99

• Acute Limb Ischaemia: Curriculum, page 99

• Chronic leg ulcers: Curriculum, page 54

• Vascular access: Curriculum, page 66, Curriculum, page 70

• Inherited thrombophilia

• Other vascular topics