Department of General Surgery

Introduction

Department of General Surgery was incorporated in Government Medical College, akola in 2002 as one of the final year subject with aim of providing quality education to undergraduate students. The department has capacity of 120 beds for general surgical patients, 30 beds for burn patients and a 12 beded surgical intensive care unit. The department has 1 Professor, 3 Associate Professors, 5 Assistant Professors, 4 senior residents and 9 Junior Residents.

The department provides basic training in General Surgery to undergraduates and also provides general surgical care for patients.

The patients coming to this institute are not only from Akola district but also from neighbouring districts like Amravati, Buldana, Washim & some part of Yavatmal. Since Government Medical College was established on existing District Hospital which was one of pioneer referral unit in this area since 1927, the department too inherits the faith of masses in patient care. This department is committed to ensure accessible, high quality and ethical care for all patients coming to this hospital.

Mission
  1. To impart sound medical education based on strong scientific evidence to students.
  2. To have Excellence in providing competent and compassionate healthcare services to the community.
  3. Commitment for state of art in surgical care by providing a caring and supportive environment for patients, patient's families and subordinates.
  4. Encourage clinical research and continually seek better, more efficient ways to achieve quality education and patient care goals.
  5. Adhere to high professional standards by a commitment to ethics, confidentiality, trust, respect and transperency.
  6. Collaborate and share knowledge to benefit patients and practicing doctors.
  7. To provide preventive care to surgical patients.
So ultimate mission is to attain optimal physical, mental, and social health and well-being for all general surgical patients.

Vision

As a teaching institute we like to train students both undergraduates and postgraduates who are competent, skillful, ethical, knowledgeable on whom a society can rely.

It is utmost important to create confidence in society about the survival of their patient by giving quality and advanced care.

As modern care becomes more and more sophisticated and advanced it also becomes beyond the reach of a common man so it's our vision to create more reliable Medical care system by providing a caring and supportive environment for patients, patient's families and subordinates. Its our vision to Provide services that are respectful, convenient, easily usable and culturally competent.

In long run it necessitates to conduct assessments and evaluation programmes that routinely involve end user of services and in turn modify programmes appropriately to improve the quality of service.

Functions and objectives
1) A medical student after graduation may have different avenues of his/her professional career and may work either as a first contact physician in a private, semi private or public sector or may take up further specialization in surgery or other specialties.
2) He may have to work in different settings such as rural, semi-urban or urban which may have deficient or compromised facilities.
3) At the end of the teaching/training the undergraduate will be able to:
  • a) Diagnose and manage common health problems of the individual and the community appropriate to his/her position as a member of the health team at primary, secondary and tertiary levels.
  • b) Be competent to practice curative, preventive, promotive and rehabilitative medicine and understand the concept of primary health care.
  • c) Understand the importance and implementation of the National Health Programmes in the context of national priorities.
  • d) Understand the socio-psychological, cultural, economic and environmental factors affecting health and develop human attitude required for professional responsibilities.
  • e) Develop the ability for continued self-learning with a scientific attitude of mind.
4) At the end of the course, the student shall be able to:
  • i. Describe aetiology, pathophysiology, principles of diagnosis and management of common surgical problems including emergencies, in adults and children.
  • ii. Define indications and methods for fluid and electrolyte replacement therapy including blood transfusion.
  • iii. Define asepsis, disinfection and sterilization and recommend judicious use of antibiotics.
  • iv. Describe common malignancies in the country and their management including prevention.
  • v. Enumerate different types of anaesthetic agents, their indications, mode of administration, contraindications and side effects.
5) At the end of the course, the student shall be able to:
  • a. Diagnose common surgical conditions both acute and chronic, in adult and children.
  • b. Plan various laboratory tests for surgical conditions and interpret the results.
  • c. Identify and manage patients patients of haemorrhagic, septicaemic and other types of shocks.
  • d. Be able to maintain patient air-way and resuscitate a critically injured patient.
  • e. Provide primary care for a patient of burns.
  • f. Aquire principles of operative surgery, including pre-operative, operative and post-operative care and monitoring.
  • g. Treat open wounds including preventive measures against tetatus and gas gangrene.
  • h. Diagnose neonatal and paediatric emergencies and provide sound primary care before referring the patient to secondary/tertiary centres.
  • i. Identify congenital anomalies and refer them for appropriate management.
6) In addition to the skills referred above he shall have observed/assisted/perfoemed the following:
  • i) Incision and drainage of abcesses.
  • ii) Debridement and suturing open wounds.
  • iii) Venesection.
  • iv) Excision of simple cysts and tumours.
  • v) Biopsy of surface malignancy.
  • vi) Catheterisation and nasogastric intubation.
  • vii) Circumcision.
  • viii) Meatotomy.
  • ix) Vasectomy.
  • x) Peritoneal and pleural aspirations.
  • xi) Diagnostic proctoscopy.
  • xii) Hydrocoele operation.
  • xiii) Endotracheal intubation.
  • xiv) Tracheostomy and cricothyroidectomy
  • xv) Chest tube insertion.
7)To train undergraduates and post graduates in General Surgery so they:
  • Function effectively as consultants, integrating optimal, ethical and patient-centered medical care.
  • Establish and maintain clinical knowledge, skills and attitudes appropriate to Surgery.
  • Perform a complete and appropriate assessment of a patient
  • Use preventive and therapeutic interventions effectively.
  • Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic fields.
  • Seek appropriate consultation from other health professionals, recognizing the limits of their own expertise
  • Develop rapport, trust and ethical therapeutic relationships with patients and their relatives.
  • Participate effectively and appropriately in an inter-professional health care team.
  • Maintain and enhance professional activities through ongoing learning.
8) To conduct clinics, lectures, seminars, for students in General Surgery.
9) To conduct theory and practical exams.
10) To carry out and guide research activities for students and teachers.
11)To provide surgical care to patients which includes
  • Outpatient care
  • Inpatient care
  • Burn care
  • Surgical intensive care
  • Open Surgery
  • Laparoscopy
  • GI Endoscopy
  • Specialty clinics- Surgical Gastroenterology, Neuro -Surgery, Pediatric Surgery, Plastic Surgery, Urology and Surgical Oncology
12)To train various paramedical staff.
13) To conduct CME for health professionals.
14) To provide expertise in various policy making related to patient care
15) To carry out national health care Programmes
16) To evaluate various health issues.
17) Adopt ethical principles in all aspects of his clinical practice.
18) Respect patient's rights and privileges including patient's right to information and to seek a second opinion.