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Cracking the Intercollegiate General Surgery FRCS Viva: A Revision Guide PDF

400 Pages·2013·4.697 MB·English
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Cracking the Intercollegiate General Surgery FRCS Viva A Revision Guide Cracking the Intercollegiate General Surgery FRCS Viva A Revision Guide Edited by Elizabeth Ball MBChB PhD FRCS Consultant Oncoplastic Breast Surgeon Ipswich Hospital NHS Trust, Ipswich, UK Stewart Walsh MSc MCh FRCS Associate Professor of Surgery and Consultant Vascular Surgeon University Hospital Limerick, Limerick, Ireland Tjun Tang MA(Hons) MD FRCS Consultant Vascular Surgeon Changi General Hospital, Singapore Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2014 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20130710 International Standard Book Number-13: 978-1-4441-8473-0 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publish- ers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copy- right.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com This book is dedicated to my nearest and dearest, for their love, support and understanding. Elizabeth Ball For Serena, who put up with it all from the beginning. Stewart Walsh This book is gratefully dedicated to my wife and children: Nicole the most supportive, loving and understanding person I know and Eleanor and Leo, who give me the greatest joy in life. Thank you. Tjun Tang Contents Foreword ...................................................................................................................ix The Editors ................................................................................................................xi The Contributors ....................................................................................................xiii Introduction ............................................................................................................xvii Abbreviations ..........................................................................................................xxi Chapter 1 Academic Viva .....................................................................................1 Elizabeth Ball, Tjun Tang and Stewart Walsh Chapter 2 Critical Care .......................................................................................25 Jithesh Appukutty, Elizabeth Ball, John Davidson, Vinodkumar Singh, Nicole Keong, Tjun Tang and Stewart Walsh Chapter 3 Emergency Surgery ............................................................................85 Elizabeth Ball, Nicole Keong, Dermot O’Riordan, C J Shukla, Tjun Tang, Colin Walsh and Stewart Walsh Chapter 4 General Surgery ...............................................................................153 Elizabeth Ball, Pankaj Mishra, Dermot O’Riordan, C J Shukla, Tjun Tang, Thomas Tsang, Colin Walsh and Stewart Walsh Chapter 5 Breast Surgery ..................................................................................229 Elizabeth Ball, Amy E E Burger and Sue K Down Chapter 6 Colorectal Surgery ...........................................................................257 Edward Courtney, Gillian Tierney and Samson Tou Chapter 7 Endocrine Surgery ............................................................................277 Elizabeth Ball and Ashish Lal Chapter 8 HPB Surgery ....................................................................................293 Saurabh Jamdar, Jeffrey Lordan, Dermot O’Riordan and Manel Riera vii viii Contents Chapter 9 Transplant Surgery .......................................................................303 Zia Moinuddin, Rajesh Sivaprakasam and David van Dellen Chapter 10 Upper GI Surgery ..........................................................................319 Naheed Farooq, Dermot O’Riordan, Dimitri Pournaras, Manel Riera and Andy Tsang Chapter 11 Vascular Surgery ...........................................................................335 Tjun Tang, Janice Tsui, Stewart Walsh and Michael Wu Bibliography .....................................................................................................355 Index ..................................................................................................................359 Foreword This is no question a high hurdle. But it’s not something that cannot be done. Lou Lamoriello This observation was made about hockey but could equally be applied to the FRCS examination. ‘The exit exam’ sits in the mind of every surgeon throughout his or her final years of training. It is the last hurdle, the ultimate professional examination on the road to independent practice as a consultant surgeon. It is the surgical profes- sion’s final opportunity to ensure that the trainees reach the standards and calibre expected of consultant surgeons in the United Kingdom and Ireland. It was never meant to be straightforward. For many exit FRCS candidates, it is often a number of years since they have been in an examination situation. Undergraduate and postgraduate medical educa- tion has changed radically over the last decade. Increasingly, FRCS candidates may have little or no experience of the ‘viva voce’ that forms a major component of the exit exam and which was the bread and butter of exams in my day. These examina- tions seek not only to evaluate the candidate’s knowledge of various surgical topics but also to test the candidate’s reasoning and decision-making skills through the use of multiple clinical scenarios. Patients are no longer passive recipients of our knowl- edge and wisdom and come prepared to their consultation armed with information gleaned from the Internet and prepared to interrogate the unwary practitioner. The ‘viva voce’ not only is an integral part of the examination, but also serves to prepare candidates for life as independent consultant surgeons. The contributors to this book have all taken and passed the Intercollegiate FRCS in General Surgery in the last 5 years. They have not produced a textbook but instead have sought to provide a guide to approaching the viva for those yet to take the examination. By the time of the exit exam, candidates have many competing pres- sures compared to the MRCS earlier in training. Families, mortgages and ‘getting that job’ all add to the stress for candidates. Hopefully, by providing some advice on how to tackle the myriad of topics that may come up in the vivas, this book will go some way toward reducing the stress. Dr Stansfield, an anatomist at the Royal College of Surgeons, sent my generation of surgeons off to their exams with the rejoinder, ‘I don’t wish you luck, I wish you justice’; reading this book will ensure justice is delivered. The Lord Ribeiro Kt, CBE, FRCS ix

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