SAUDI BOARD OF GENERAL SURGERY
WHERE WE STAND?
Dr. Suleiman Jastaniah, FRCS (Ed), FACS, Trauma
Fellowship (Toronto University)
Associated Prof. Faculty of Medicine, Umm Al-Qura University,
Consultant General Surgery Al-Noor Specialist Hospital,
Head of Western region committee of surgical training
The objectives:
The begging of Saudi board of surgery
The Progress
Now How is the program
The role of :
The Saudi commission
The scientific council
The regional committee
The program director
The training center
The first scientific council was formed in 1996, the head of
that council was Dr. Adnan Mofti.
They recognized the centers for training the same centers
recognized for Arab board.
The first patch of G.S graduated in 1998, and they were 10
graduates
The training centers were in central region, western region,
Assir region and eastern region.
In each region there was regional committee supervised the
training, recognized the centers, and do evaluation of the
candidates.
At the end of the year they promoted the candidates .
They distributed the candidates between the different
training centers
For the final year the scientific council conducted written
and clinical examinations.
They call experts external and local examiners to do the
clinical examinations as long and short cases .
The Progress:
There were 13 centers in western region in 2000 and now 24
centers
IN Assir region there were 2 centers and now 6 centers
The central region there were 5 centers and now 15 centers
The eastern region there were 2 centers and now 13 centers
The total number of recognized training centers 58 centers in
addition to 3 centers in Kingdom of Al Bahrain
The total number of graduates up to 2016- 848
The total number of candidates in training till now 690
There is change in the acceptance of the candidate from
regional acceptance to central and matching system
The evaluation of the candidates become more CAN MED
oriented
The recognition of training center becomes excellent and
CAN MED oriented
Junior level (R1, R2, and R3)
Rotation in general surgery (24 months)
Rotation outside general surgery (12 months)
Intensive care unit (12 weeks)
Emergency department (12 weeks)
Vascular surgery (6 weeks)
Pediatric surgery (6 weeks)
Plastic surgery (6 weeks)
Elective rotation (6 weeks)
Vacation (4 week)
Senior level (R4 and R5)
Rotation in general surgery (24 months)
Candidates shall spend the final two years of training (R4, R5)
as senior resident s in general surgery units
where they will be responsible for managing emergency and
elective admissions, organizing educational activities, and
supervision of junior colleagues.
Senior residents shall acquire gradual independence during this
period of training..
Research activity
The trainee shall be encouraged to participate in research
activities during the training program under the guidance and
supervision of the trainers.
At least one research project should be published before
taking the final examination.
(Ref. training Program Book lit)
FORMAL TEACHING AND ACADEMIC ACTIVITIES
1. A half day is reserved weekly as an academic day for
surgical residents. All residents are free from their clinical duties
to attend the academic activity, which is planned in terms of
the assigned tutor, time slots, and venue.
2. A monthly regional academic activity is also planned in
terms of an assigned tutor, time slots, and venue.
Residents from all hospitals in the region will gather for this
activity.
3. Other academic activities include:
a. Daily morning report
b. Weekly evidence-based review in surgical practice
c. Weekly morbidity and mortality meeting
d. Weekly radiology, pathology, or tumor board meeting
ASSESSMENT
Residents' evaluation and assessment throughout the
program is carried out in accordance with the Commission's
training and examination rules and regulations.
This includes the following:
A. Annual Assessment:
Formative Continuous Evaluation:
To fulfill the CanMEDS competencies based on the end-of-
rotation evaluation
Summative Continuous Evaluation:
This is a summative continuous evaluation report prepared
for each resident at the end of each academic year.
End-of-Year Examination
The end-of-year examination will be limited to R1, R2, R3, and
R4.
Saudi Board Examination: Part I
This written examination is conducted in an MCQ format
and held at least once a year.
Final General Surgery Board Examination (Saudi Board
Examination: Part II)
The final Saudi Board Examination comprises two parts:
1. Written Examination:
It is delivered in an MCQ format and held at least once a
year.
2. Clinical Examination:
The examination is held at least once a year, in an OSCE
format in the form of PMPs (Patient Management Problems).
The role of SCFHS in surgical training:
- It controls the recognition of training center.
-It controls the examination through examination
committee.
-It chooses the candidates and do the matching system,
distribute them to the centers according to the posts available
in each center.
- It forms the scientific council which masters and follows the
training in each center.
The scientific council:
IT supervises the training, approves the list of accepted
candidates every year, transfer the candidate from region to
region, discuss the problems of the candidates and sorted out,
allows for sitting examination, and approves the promotion of
the candidates etc.
The regional committee:
we have 4 regional committees. The committee forms from
program directors of each recognized center in the region.
They have roles in accepting the candidates, supervise the
training in the region, evaluate the candidates, and follow the
academic activities in each center.
The program director:
He has a major role in the training center, supervise the
trainees, meets with them regularly, sort out their problems as
early as possible, follows their evaluation, distribute them in the
center or arrange for them training post in other center(master
plan) and prepare them to pass the examinations.