Egyptian Board General Surgery study plan
Egyptian Board General Surgery · Give each week a clear focus.
8 weeks · About 7 hours per week
Gastrointestinal and Hepatobiliary-Pancreatic Surgery (esophagus, stomach, small and large bowel, liver, biliary tree, pancreas, spleen) & Basic Sciences Applied to Surgery (anatomy, physiology, pathology, microbiology, pharmacology)
Map the surgical anatomy of the biliary tree, liver segments (Couinaud), and pancreas, then draw them from memory twice without reference
Explain the pathophysiology of obstructive jaundice, portal hypertension, and acute pancreatitis, and state the physiological rationale for each key management step
Compare the diagnostic accuracy of ultrasound, CT, MRCP, and ERCP for choledocholithiasis and pancreaticobiliary malignancy, and justify first-line imaging in three clinical scenarios
Outline the operative steps and complication profile of laparoscopic cholecystectomy and pancreaticoduodenectomy, and predict which complications each step risks
Your checkpoint
A one-page hand-drawn hepatobiliary-pancreatic anatomy and complication map, plus 20 self-written single-best-answer questions on domain 4 with explained answers
Gastrointestinal and Hepatobiliary-Pancreatic Surgery (esophagus, stomach, small and large bowel, liver, biliary tree, pancreas, spleen) & Clinical Assessment and Evidence-Based Practice (history taking, examination, imaging interpretation, guideline-based decision-making)
Work through the acute abdomen and upper GI bleeding as decision trees, stating the next investigation and next intervention at each branch point
Derive the management of small bowel obstruction, large bowel obstruction, and perforated viscus from pathophysiology to operative indication
Interpret abdominal CT and erect chest radiograph findings described in text for free air, obstruction, and ischemia, and state the discriminating feature for each
Apply a recognized scoring or guideline pathway (for example Tokyo guidelines for cholecystitis or Atlanta classification for pancreatitis) to three written vignettes
Your checkpoint
Three timed 15-question vignette sets on GI and HPB emergencies, each scored with a written error log naming the reasoning gap behind every wrong answer
Trauma and Emergency Surgery (including damage control, resuscitation, burns, and critical care) & Surgical Principles and Perioperative Care (asepsis, wound healing, hemostasis, fluid and electrolyte management, nutrition, transfusion, anesthesia basics)
Sequence primary and secondary survey priorities and justify each intervention by the physiological threat it addresses
Calculate fluid resuscitation, blood product ratios, and burn surface area and fluid requirements from written patient data, showing the arithmetic
Explain the lethal triad, damage control laparotomy indications, and the physiology of abdominal compartment syndrome
Describe wound healing phases and the local and systemic factors that cause dehiscence or chronic wounds, and match suture and drain choices to tissue
State transfusion indications, compatibility principles, and management of acute hemolytic and febrile reactions
Your checkpoint
A one-page trauma resuscitation algorithm with worked calculations for two burn and two hemorrhage cases, plus a 10-item wound care and transfusion checklist
Breast and Soft Tissue Surgery (including surgical oncology principles) & Endocrine Surgery (thyroid, parathyroid, adrenal, and neuroendocrine disease)
Apply TNM staging and receptor status to written breast cancer cases and state the multidisciplinary sequence of surgery, systemic therapy, and radiotherapy
Explain sentinel node biopsy technique and indications, and the oncological principles governing margins and axillary management
Distinguish benign from malignant breast disease by history, examination, and triple assessment findings in written vignettes
Interpret thyroid function tests, ultrasound features, and fine needle aspiration cytology categories, and select the operative extent for differentiated thyroid cancer
Explain calcium and parathyroid hormone interpretation in primary hyperparathyroidism and the workup of an adrenal incidentaloma
Your checkpoint
A comparative table of breast and endocrine malignancy workups (staging, cytology or histology categories, operative options) plus 25 mixed questions with a written justification for each answer
Surgical Oncology and Transplant Surgery (tumor biology, staging, multidisciplinary management, renal and hepatic transplantation) & Vascular and Thoracic Surgery (peripheral arterial and venous disease, thoracic outlet, lung and chest wall basics)
Explain tumor biology concepts (angiogenesis, metastasis, oncogenes, tumor markers) and link each to a clinical decision
Apply staging systems and multidisciplinary team principles to colorectal, gastric, and lung cancer vignettes
Compare renal and hepatic transplant immunosuppression, rejection types, and graft complications, and identify the cause of early versus late graft dysfunction from written data
Evaluate peripheral arterial disease and critical limb ischemia using ankle-brachial index and imaging findings, and state revascularization options
Explain venous thromboembolism prophylaxis, varicose vein management, and thoracic outlet syndrome presentation and testing
Your checkpoint
A 20-question oncology and transplant set plus a 15-question vascular and thoracic set, each with a one-line evidence-based rationale per answer and a list of three knowledge gaps to revisit
Pediatric Surgery and Urology (congenital anomalies, pediatric abdominal emergencies, common urologic procedures) & Minimally Invasive and Operative Technique (laparoscopy, robotic principles, instrument handling, operative decision-making)
Differentiate the common congenital anomalies (intestinal atresia, Hirschsprung disease, anorectal malformation, congenital diaphragmatic hernia) by presentation timing and initial stabilization
Explain pediatric abdominal emergencies including intussusception, pyloric stenosis, and appendicitis, and state the reduction or operative criteria for each
Outline common urologic procedures (catheterization, circumcision, ureteroscopy, TURP, nephrectomy) with indications and complications
Describe laparoscopic access techniques, pneumoperitoneum physiology, and the conversion decision, and list energy device and instrument handling safety rules
Justify operative approach choices for three written cases where open and minimally invasive options are both plausible
Your checkpoint
A two-column pediatric versus adult comparison sheet for five acute abdominal conditions and a 15-item laparoscopic safety and troubleshooting checklist
Ethics, Professionalism, Patient Safety, and Surgical Education (consent, communication, quality improvement, research methodology, statistics) & Surgical Principles and Perioperative Care (asepsis, wound healing, hemostasis, fluid and electrolyte management, nutrition, transfusion, anesthesia basics)
Apply consent, capacity, and confidentiality principles to written scenarios, and state what must be disclosed for informed refusal
Explain WHO surgical safety checklist use, root cause analysis, and audit cycle steps, and design a small quality improvement measure for a named complication
Identify bias, confounding, and the correct statistical test for described study designs, and interpret p values, confidence intervals, and numbers needed to treat
Distinguish error types and human factors contributing to adverse events, and describe a just-culture response
Summarize perioperative nutrition, enhanced recovery principles, and prophylaxis (antibiotic, thromboprophylaxis) indications
Your checkpoint
A 15-question ethics, safety, and statistics set plus a one-page quality improvement proposal with a measurable outcome, denominator, and review interval
Basic Sciences Applied to Surgery (anatomy, physiology, pathology, microbiology, pharmacology) & Surgical Principles and Perioperative Care (asepsis, wound healing, hemostasis, fluid and electrolyte management, nutrition, transfusion, anesthesia basics) & Trauma and Emergency Surgery (including damage control, resuscitation, burns, and critical care) & Gastrointestinal and Hepatobiliary-Pancreatic Surgery (esophagus, stomach, small and large bowel, liver, biliary tree, pancreas, spleen) & Endocrine Surgery (thyroid, parathyroid, adrenal, and neuroendocrine disease) & Breast and Soft Tissue Surgery (including surgical oncology principles) & Vascular and Thoracic Surgery (peripheral arterial and venous disease, thoracic outlet, lung and chest wall basics) & Pediatric Surgery and Urology (congenital anomalies, pediatric abdominal emergencies, common urologic procedures) & Surgical Oncology and Transplant Surgery (tumor biology, staging, multidisciplinary management, renal and hepatic transplantation) & Minimally Invasive and Operative Technique (laparoscopy, robotic principles, instrument handling, operative decision-making) & Ethics, Professionalism, Patient Safety, and Surgical Education (consent, communication, quality improvement, research methodology, statistics) & Clinical Assessment and Evidence-Based Practice (history taking, examination, imaging interpretation, guideline-based decision-making)
Complete two full-length timed mock examinations under exam conditions and record domain-level scores
Rank the three weakest domains by score and re-study each with focused notes and 20 targeted questions
Rehearse a structured history and examination script for the ten highest-yield presentations and state the discriminating finding for each
Review every item in the error log from weeks 1 to 7 and confirm each gap is closed or explicitly deprioritized
Your checkpoint
A final score report across all 12 domains with a written remediation plan naming three weak areas, the resources to use, and a two-week post-plan schedule
Milestones
Week 2: Score at least 70% on the GI and HPB vignette sets and show a written error log in which every wrong answer is traced to a named knowledge or reasoning gap
Week 4: Reproduce the breast and endocrine workup table from memory with staging, cytology categories, and operative options correct for at least 80% of entries, and score at least 65% on the 25 mixed questions
Week 6: Complete the pediatric versus adult comparison sheet and the laparoscopic safety checklist unaided, and score at least 70% on both week 5 and week 6 question sets combined
Week 8: Achieve at least 65% overall on both timed mock examinations with no single domain below 50%, and submit a remediation plan naming the three weakest domains