2007 12 12 Set Examination

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Transcript of 2007 12 12 Set Examination

SET GENERIC SURGICAL SCIENCE EXAMINATION AND SET CLINICAL EXAMINATIONCURRICULUM CONTEXT SET 1 Surgical Science Curriculum Knowledge of Anatomy, Pathology and Physiology is fundamental to safe and comprehensive surgical practice. SET Trainees consolidate knowledge, understanding and application of these basic sciences at the outset of their surgical training. During SET1 Trainees gain an understanding of the basic sciences as they apply to the principles of surgery and acquire skills in basic surgery, clinical assessment and the use of diagnostic modalities. Learning SET 1 trainees gain knowledge and skills during clinical placements, by attending courses, by utilising online resources and through text-based study. SET Trainees are also required to participate in hospital resident training programs. The College provides a Recommended Reading List, Case Studies other online learning resources and examples of practice Multiple Choice Questions on the College website to assist trainees to learn the basic surgical sciences. Online Resources have been developed by the College to provide a context for trainees to learn and apply the basic surgical sciences. Case studies, examples of practice multiple choice questions and discussion forums are presented on the College website, complementing trainees' in-depth reading and study of basic sciences. Trainees are encouraged to use the College online resources as a flexible, self-directed learning resource to be accessed in any order at convenient times. The Case Studies also provide opportunities for trainees to practise applying different kinds of knowledge to clinical situations to use basic sciences, patient history and the results of physical examination and investigation to build judgement, make diagnoses, make clinical decisions and recommend treatment. Clinical scenarios are presented in a format that encourages trainees to apply their knowledge as they progress sequentially through a number of stages of unfolding information. Trainees are challenged at each stage with questions and discussion points. Trainees can practise answering multiple choice questions online. Practice questions include answers and explanations, allowing trainees to self-correct their responses. Surgical Science Assessment SET trainees knowledge and skills are formally assessed by examination: the Generic SET Surgical Science Examination (SSE), the Specialty-specific SET Surgical Science Examinations and the Clinical Examination (which has elements of applied surgical science as well as clinical skills). Other assessments are conducted in the workplace. The SET Surgical Science Examinations relate to the College Competency of Medical Expertise; these examinations test candidates knowledge, understanding and application of Anatomy, Pathology and Physiology, in health and disease as they apply to generic and specialty specific situations. Every trainee must complete the Generic Surgical Science Examination, the Clinical Examination. Specialty-specific Surgical Science Examinations must be completed in accordance with each specialtys requirements. The Specialty-specific Surgical Science curricula are outlined by the nine surgical specialties and further information about these examinations is available from specialty websites.

The generic component of the SSE presents an equal number of questions in Anatomy, Physiology and Pathology. In the speciality specific SSE there is a variable balance between the three disciplines

Specialty-specific Surgical Science Examination In 2008, General Surgery and Urology have a common specialty-specific examination. Trainees in these specialties will all undertake the same Surgical Science Examination. Cardiothoracic Surgery, Neurosurgery, Otolaryngology Head and Neck Surgery, and Vascular Surgery have separate specialty-specific Surgical Science Examinations. Orthopaedic Surgery, Paediatric Surgery and Plastic & Reconstructive Surgery will continue with their current examination processes. Please refer to specialty websites for specialty training regulations.

SET Surgical Science Examination and Clinical Examination requirements Generic Surgical Science Examination Specialty-specific Surgical Science Examination* Clinical Examination 1 examination 1 examination 1 examination 2 days x 2 hours written examination, MCQ format, 240 questions 1 day x 2 hours written examination, MCQ format, 120 questions 2 to 3 hour practical examination, OSCE format

* See the notes above the table on the specialty specific Surgical Science Examination.

Pass requirements and timing of the SET Surgical Science Examinations Once selected into a specialty training program a candidate may sit the Generic Surgical Science Examination. The generic and specialty specific components of the examination will be considered separately Candidates may carry forward a pass in one component of the SSE (generic or specialty specific). Each specialty has established time limits for the successful completion of the different components of the examination (refer to individual specialty training regulations).

CURRICULUM TOPICSThe following tables describe Anatomy, Pathology and Physiology topics included in the Generic Surgical Science Examination. Trainees are advised to refer to specialty websites for Specialty-specific Surgical Science Examination content.


ANATOMYTOPIC Abdomen Text Last Content Gross anatomy of o Abdominal wall o Retroperitoneum o Abdominal organs o Vessels o Nerves o Male and female external genitalia Histology of intra-abdominal organs (visual) Embryologic origin of abdominal organs Cerebral blood supply o Venous sinuses o Circle of Willis and major branches Gross anatomy of brain including o Ventricles o named nuclei o major traits Gross anatomy of spinal cord including consequences of injury Major neural plexuses o cervical o brachial o lumbar Cranial nerves Gross anatomy of the skull and cervical vertebrae Gross anatomy of the major structures of the neck and thoracic inlet General cellular histology, structure and function Epithelia Exclude Anomalies of intra-abdominal anatomy



Head and neck Histology


Anatomy of orbit, internal ear, nasal cavities, oral cavity, facial muscles Bone and cartilage


ANATOMY (continued)Text Content Exclude

Lower limb






Upper limb


General features of o Bones o Muscles o Nerves o Vessels of lower limbs and their actions o Joint anatomy Gross anatomy of o Abdominal wall o Retroperitoneum o Abdominal organs o Vessels o Nerves Functional anatomy and musculature of o Organs o Vessels o Nerves Bony anatomy of o thoraco-lumbar spine o pelvis overview Surface anatomy Gross anatomy of the chest wall and major intrathoracic structures including diaphragm and pleura Nerve supply to chest wall and thoracic organs Vascular anatomy, lymphatic drainage Embryology o Thoracic wall o Diaphragm General features of o Bones o Muscles o Nerves o Vessels of upper limbs and their actions

Embryology Foot

Detailed musculoskeletal anatomy of pelvis Skeletal embryology Detailed anatomy of male and female reproductive organs Joints

Embryology Joint anatomy

PATHOLOGYTOPIC Antibiotics Text Rang Content Cell wall active agents Specific antibiotic activity profiles Exclude

Genetics and molecular biology Immunology

Yung Infectious Diseases, a clinical approach Robbins


Infection Robbins Yung Infectious Diseases, a clinical approach Robbins

Mendelian Genetics Cyto genetics Molecular biology Cell division Immune response Transplantation and immunogenetics Antibodies structure and function Hypersensitivity HLA typing Auto immune conditions Major histo-compatibility complexity Immunity to infection General bacteriology, virulence Entecic infections, toxic shock Infection (e.g. IVDUs, post splenectomy, post operative, tetanus) Disinfection, sterilisation Fungi, viruses, parasites antibiotic resistance Neoplastic growth and spread Carcinogenesis Pathology of individual neoplasms Common tumours Hamartoma

Cloning Rarer genetic-based diseases Specialty specific content

specific localised infections


PATHOLOGY (continued)General Pathological Phenomena Text Robbins Content Cellular pathology Antibodies structure and function Radiation damage Apoptosis, cell injury Haemostasis, haemorrhage, thrombosis, oedema Ischaemia Infarction Atheroma Necrosis, degeneration Apoptosis Disorders of metabolism Amyloid Fibrinoid Hyaline Lymploma and myeloma Chronic anaemia Disorders of platelets and haemostasis Intra vascular haemolysis Transfusion Exclude

Pathology blood

Robbins Australian Red Cross Blood Transfusion and Component Therapy

PATHOLOGY (continued)Pharmacology Text Rang Opie Drugs and the Heart Specific designated journal references Content Drug side effects and interactions Pharmacokinetics and volume distribution Liver disease and drug metabolism Prolonged suxamethonium side effects, including neuromuscular blockade Local anaesthetics Salicylate side effects Narcotics Mechanisms of thrombolytic and cardiovascular drugs (including digoxin and antiarrhythmics), o actions, side effects Lipid lowering agents Fluid therapy Induction agents / reversal of anaesthesia Insulin management / oral hypoglycaemics Aspirin Sedation Anticoagulation Vasopressor / vasodilators Antibiotic - dosing, toxicity Anticonvulsants Analgesia All relevant Acute inflammation Granulomatous inflammation Chronic inflammation Bacterial infection Viral infection Wound healing Radiation and cytotoxic drugs Temperature regulat