Egyptian Board General Surgery study materials
Egyptian Board General Surgery study resources

Egyptian Board General Surgery study plan

Egyptian Board General Surgery · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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