Postgraduate Diploma in Minor Surgery

Outline: 

The Postgraduate Diploma Minor Surgery programme is designed specifically for clinicians to build on your existing knowledge, skills and experience and develop mastery in the clinical and service aspects of Minor Surgery.

  1. The Rila Institute of Health Sciences administers the programme, which is validated by University of Plymouth
  2. This means that when you successfully complete all parts of the programme, you will receive the University of Plymouth qualification of a Postgraduate Diploma in Minor Surgery, and may, if you wish, attend the graduation ceremony.
  3. You will enrol as a student of the Rila Institute of Health Sciences and will be registered with the University.
  4. Should you not complete the full programme, then you will be provided with a transcript recording the individual elements of the programme successfully completed.

General information – Postgraduate Diploma Minor Surgery:

Rila Institute of Health Sciences has developed a Postgraduate Diploma in Minor Surgery to be offered to students from UK and overseas.

  1. The programme has been designed specifically for  physicians either already employed or wishing to work in Minor Surgery.
  2. The Diploma course runs over a year. For exact course dates and locations please check website.
  3. The course integrates several components of learning. There are reading topics . Understanding of these core topics is assessed through a series of online Higher Order Thinking Questions.
  4. The reading topics i.e. resource learning material, which are specifically commissioned by Rila Institute of Health Sciences, cover the essential elements in developing core knowledge and skills in Minor Surgery.
  5. Workshop/lectures is held at the start of the course in the international regional centre, but usually in the UK. This is structured to include lectures and a one day workshop relevant to developing a sound basis for Minor Surgery.
  6. Workshop/lectures will also be held during the course.
  7. The student must identify a suitable specialist e.g. in dermatology, plastic surgery, general surgery or a GP with a Special Interest in Minor Surgery, who will be prepared to act as a clinical supervisor and provider access to clinical sessions of a diagnostic and surgical skills focus.
  8. The student will be required to record all such activity in a skills booklet and get it countersigned by the supervisor.
  9. Situational Judgement Tests and Learning will provide experience in core domains for a clinician e.g. Professionalism, Patient Focus, Effective communication, Working under pressure, Working within a Team
  10. Assessment is partly by continuous assessment of the reading topics and mini-tests, both carried out on line. There will also be a final examination held in the international regional centre or UK.

Structure of the Postgraduate Diploma:

  1. There are 3 modules in the Postgraduate Diploma level award.
  2. In each period of 5-7 days a particular topic (detailed in the programme calendar) is studied by way of a specially written article. Each topic is assessed by way of Higher Order Thinking Questions, for which there is a deadline date. A number of timed mini-exams are conducted online, and the student is strongly recommended to participate in this activity.
  3. Workshop/lecture, held in the international regional centre at the start of the each programme. This will provide tutorials, lectures and practical demonstrations.
  4. You will also have an opportunity to meet other doctors on the course and medical staff from the UK and overseas.
  5. There are usually workshops and interactive webinars during the course, depending on your programme of study and a final examination held at the international center or in UK.
  6. You will also need to have completed the Practical skills activities as indicated in the “Skills Booklet” and which needs to be signed off by your clinical supervisor.

Course Syllabus

Postgraduate Diploma comprises Modules 1, 2 and 3

Module 1: Core generic knowledge & skills

  • Determinants of health
  • Lifestyle factors in health
  • Identification of risk factors
  • Nutrition and health
  • Breaking bad news.

Module 2: Advances in Minor Surgery

Topics include:

  • Anatomy & Physiology of skin; healing & scarring; anaesthetic agents and injections; skin incisions, suture material and closure techniques; skin lesions(recognition and diagnosis of a wide range of skin lesions, including: non -malignant, NMSC, malignant melanoma); medico-legal aspects; cautery & curettage, cyro & electro and chemical);equipment; sterilisation; health & Safety; lumps and bumps: histopathology, pre & postop care; advanced excision techniques; complications of minor surgery; toenail surgery; skin ulcers; vasectomy; bartholin cysts, keloid; xanthelasma; ganglia; nerve blocks; audit; minor wounds; burns; abscesses

Module 3: Clinical Practice in Minor Surgery

Clinical skills including the following amongst others:

  • Describe skin lesions
  • Identify benign naevi
  • Identify benign skin tumours( e.g. epidermoid and pilar cysts, milia; mucous cysts; seborrhoeic keratosis; achrocrdons, hypertrophic scars and keloid; dermatofibromas; lipomas; neurofibromas; leiomyomas; pyogenic granulomas; chondrodermatitis nodularis helicis; cutaneous horn)
  • Identify pre-malignant lesions (actinic keratosis; Bowens diseases; keratoacanthoma)
  • Identify malignant conditions (BCC, SCC, malignant melanoma, dysplastic naevus)
  • Anaesthetic agents (types, volumes, delivery, use of adrenaline, ring and nerve block)
  • Simple excision techniques (ellipse, crescent, incisional biopsy, curettage, shave excision, deal with dog ears)
  • In relation to suturing and skin closure (interrupted, continuous, mattress, glue and dressing)
  • Effective haemostasis (vessel ligation, cautery, diathermy, topical like silver nitrate)
  • Use of electrocautery, cryotherapy and diathermy.
  • Able to take patient consent and provide follow up advice
  • Manage with peri-operative complications (needle stick injury; faints/fits; resuscitation)Use of Take scrapings for mycology
  • Manage post-operative complications (bleeding; infection; dehiscence; poor scarring)

Minimum Requirements for the web learning aspects:

  1. A specific area of the Rila Institute of Health Sciences website is dedicated to the Postgraduate Diploma in Minor Surgery.
  2. You will be issued with a user name and password.
  3. You MUST have computer access to the internet and it will be your responsibility to ensure that this is the case.
  4. The website will provide facilities such as Forums, a Bulletin Board, online Chat Room etc.
  5. You will be provided with information on how to use the web site.

Admission criteria:

Participants admitted to this programme will need to meet following criteria:

Provide a satisfactory reference from a senior health care practitioner or line manager with knowledge of your work and experience, and who is able to support your suitability to participate in the programme.

Plus, fulfil the following criteria:

  • Be in possession of an MBBS (Bachelor of Medicine, Bachelor of Surgery) or
  • an equivalent medical degree from a World Health Organization recognised institution.

Note that if the medical degree or other qualification was not taught in the English language a score of 5.5, in all elements, in the British Council IELTS test, or equivalent (e.g. Test of English as a Foreign Language) will usually be required.

Award of the Postgraduate Diploma:

  1. You are strongly recommended to complete the formative assessments related to each topic and the mini exams. Try and attain at least 50% marks.
  2. The final examination, to be held in the central location, is mandatory for all students.
  3. The final examination MUST be passed, for the Diploma (Modules 1, 2 and 3) to be awarded.
  4. The final examination consists of a paper based format of Higher Order Thinking Assessments (Single Best Option, Extended Matching Questions, and Clinical Quiz).
  5. The examiners are consultants and an external examiner(s) are appointed by University of Plymouth.

Accreditation

The Postgraduate Diploma is accredited/validated as follows:

Organisations involved

  1. University of Plymouth with whom the candidates are registered and who control the quality assurance and the award of the final diploma.
  2. UK and overseas based specialists in Minor Surgery, provide the content, curriculum and clinical guidance, and host the final examination.
  3. Rila Institute of Health Sciences, London, which is a collaborative organisation of the University, provides all administrative and logistical support to the course.

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