FCPS syllabus in Bangladesh 

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FCPS part 1 surgery syllabus PAPER -I

ANATOMY, EMBRYOLOGY, HISTOLOGY

Candidates will be required to have knowledge of the structure and function of all systems of the body where applicable to the common clinical conditions. They should have a sound knowledge of those aspects of regional anatomy that are relevant to the clinical and operative surgery.

They should have the basic understanding of imaging methods e.g., radiology and ultrasound, CT, MRI with the basic knowledge of interpretation.

The basic medicine is also to be designed so that it helps interpretation of various imaging in medicine.

I. Gastrointestinal System :

·       Anatomy relevant to the function, pathology and surgery of the GIT and relevant structures (salivary glands, liver, biliary tree and pancreas).

·       General configuration of the peritoneal cavity and peritoneal reflections.

·       Anterior and posterior abdominal walls and relationships of viscera.

·       Anatomy relevant to the common problems of the pelvic floor, anal canal, sphincters and ischiorectal fossa.

·       Intra-abdominal spaces, organs and relations, peritoneum and external genitalia.

II. Cardiovascular System :

The anatomy of heart, major arteries, veins and lymphatics with particular reference to the circulatory implications of the common surgical procedures.

III. Respiratory System :

·         General consideration of lungs, trachea and the bronchial tree. Thoracic walls, intercostal spaces, diaphragm and surgical approaches to thoracic visera.

·         Anatomy of the thoracic viscera.

·         Anatomical aspects of paracentesis, thoracic and chest drainage, tracheostomy, laryngotomy etc.

·         Surface marking of pleura, lungs, heart & trachea.

IV. Genitourinary system :

·         Anatomy relevant to the function, pathology and surgery
of the urinary tract, male and female genital organs.

V. Endocrine System and Breast :

·         Anatomy relevant to the function, pathology and surgery of endocrine glands and the breast.

VI. Nervous system :

·         The macro-anatomy of the brain, spinal cord voluntary and autonomic nerves as they relate to the surgical disorders and trauma.

·         CSF.

·         Origin, course, distribution of the cranial and peripheral nerves.

·         General knowledge of the tracts.

·      Anatomy relevant to the common operations of the neck.

·         The anatomy of the scalp and cranial cavity.

VII. Myology :

·         The function, movement and the surgically relevant relations of muscles, with the emphasis on muscle groups and their nerve supply.

VIII. Osteology and Arthrology :

·         The anatomy and relations of bones and joints, especially in relationship to the common fractures and dislocations. Candidates should known the main features attachments and relations of surgical interest.

The principles of bone development.

IX. Histology :

·         Slides of organs of common surgical interest e.g., tongue, oesophagus, stomach, intestines, appendix, thyroid, lymph node, liver, testis, lung, heart, bones, cartilage, blood vessels etc. are needed. A basic knowledge of histology will be required to understand the functions of tissue or organ without details of cytology and electron microscopy.

X. Cadaver :

·         Parts of functional and practical interest.

·         Organs, sections of parts, muscles, vessels etc. of (common) surgical importance.

XI. Skin and subcutaneous tissue.

XII.  Embryology

The essentials of embryology necessary to understand the common developmental abnormalities.

XIII.  Surface Anatomy :

·         Common organs, vessels, nerves etc. of clinical importance.

XIV. X-rays :

· Common features which would be relevant in to training in a surgical / orthopedic unit e.g., identifying parts of bones, important joints and its constituent bones, lungs, heart, diaphragm etc.

FCPS part 1 surgery syllabus PAPER PAPER-II

PHYSIOLOGY, BIOCHEMISTRY, PHARMACOLOGY
BIOSTATISTICS

A. Physiology and Biochemistry

Candidates should have a basic knowledge of the Physiology and Biochemistry of all the bttention should be given to the followings :

I. Metabolism :

·           The physiological responses to the surgical operations and trauma.

·           The body control mechanisms and how they are altered in the injury and diseases.

·           Nutrition (normal, enteral and parenteral).

·           Fluid electrolyte balance and their disturbances.

·      Acid – base balance and its disturbances.

·           Cell functions.

·           Patho physiology and management of burn.

II. Cardiovascular system :

·      Normal cardiovascular physiology

·      The mechanism of shock blood loss and their correction.

·      Control of body fluid compartments.

·      Edema and lymphatic functions.

III. Respiratory system :

·      Normal respiratory physiology particularly in the context
of G.A, lung function, gas transfer, oxygen carriage.

·      Pulmonary functions.

·      Oxygen therapy and ventilatory support.

IV. Nervous System :

·      The principles of central and peripheral nervous control.

·      The mechanism and route of transmission of nerve impulses and how diseases and trauma alter those.

·      Functions of different parts of brain and tracts.

Pain and its control

V. Gastrointestinal system :

·      Physiology and assessment of abnormalities of secretion, absorption and motility.

·      Endocrine functions of the gastrointestinal tract.

·      Functions of the hepatobiliary system and pancreas and their assessment.

·    Jaundice and hepatic failure.
VI. Blood and Reticuloendothelial System :

·      Functions of the hemopoietic and reticuloendothelial system.

·      Blood groups and the transfusion of blood and blood products.

·      Hazards of transfusion.

·      Hemostasis and fibrinolysis.

·      Hemorrhage and its control.

·      Bleeding disorders.

·      Functions of plasma proteins.

VII. Renal System :

·      Functions of the urinary tract and its assessment.

·      Control of water balance and osmoregulation.

·      Anuria, oliguria and renal failure.

VIII. Endocrine System

·      Secretion, functions and control of hormones and their assessment.

·      Functions of the endocrine organs.

IX. Musculoskeletal System :

·      Physiology of muscles.

·      Calcium metabolism.

B. Pharmacology :

Actions, interactions, complications,       indications                   and

contraindications of the drugs commonly used in the treatment of surgical disorders, trauma and the common medical diseases which may co-exist with surgical diseases and drugs used for anesthesia and analgesia.

C. Biostatistics:

·        Basic concepts of biostatistics, definitions, importance, use and limitations

·        Definitions and concepts, important terms and rates used in medical statistics (standard death ratio and concise life tables).

·        Methods of data collection.

·        Concepts of sampling.

·        Basic concepts of probability.

·        Frequency and probability distribution concept and application in medicine.

·        Methods of displaying and projecting data.

·       Correlation and regression.

·        Measures of variability.

·       Basic concepts of experimental designs relevant to medical science, clinical trial.

·       Test of significance.

Methods and principles of recording and maintenance of information (Requirements of health information system).

FCPS part 1 surgery syllabus PAPER
PAPER -III

Paper 3 contain only pathology or microbiology
PATHOLOGY / MICROBIOLOGY