Utbildningsboken revision 120808.pdf - Svensk Kirurgisk Förening

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Utbildningsbok – Kirurgi
Primary care Medical Centre medical centre with out-patient clinical activities in a
primary care centre
care-team work work where the Resident under supervision participates
and sometimes leads a group of collaborative health care
personnel with different skills aiming to care for
individuals or a group of patients
Overall competence definition
Definition of terms
The specialty of surgery includes injury and illness in the gastrointestinal
organs, the breasts, the skin and subcutaneous tissue as well as the endocrine glands in the
neck and the abdomen in patients of all ages who may need treatment with surgical methods.
Assessment of symptoms and knowledge of the pathophysiology, diagnosis and pre- and
postoperative assessment also play a central role, as does the acute treatment of multi-trauma.
Multidisciplinary collaboration is a prerequisite for acquiring these skills.
Surgery is the base speciality for the branch specialties of urology, paediatric
surgery, plastic surgery and vascular surgery.
Qualifications
Medical skills
For specialist competence in surgery a mastery of surgical pathophysiology,
basic surgical techniques, initial trauma management, acute surgical diseases of adults and
children, basal nutrition, basal pain management, basic knowledge of surgical intensive care
and the effects of anaesthesia are required. This constitutes the common knowledge base with
the branch specialties (aims 1-4).
As a specialist in general surgery it is also necessary to master the diagnostic
and surgical techniques for patients with hernias, and to be able to handle patients with
diseases of the upper and lower gastrointestinal tract. It also includes having knowledge of the
assessment, diagnosis and treatment of surgical conditions of the endocrine glands and breast,
and to initially handle injuries and diseases in the peripheral vasculature and urinary tract.
Qualification criteria for communicative competence, leadership skills and
expertise in medical science and quality work
Communicative competence
The equitable and responsible patient
The surgical specialist should have the capacity for dialogue and an open
contact with the patient and his/her family. This should be characterized by empathy and trust
as well as respect for patients' rights to information, influence and participation in decisions.