Egyptian Board Plastic Surgery study materials
Egyptian Board Plastic Surgery study resources

Egyptian Board Plastic Surgery study plan

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

8 weeks · About 7 hours per week

Week 1

Reconstructive Surgery (flaps, grafts, microsurgery) & Basic Sciences Relevant to Plastic Surgery (anatomy, physiology, wound healing, pathology)

  • Map the vascular territories of the 12 most examinable flaps (ALT, fibula, radial forearm, latissimus, TRAM/DIEP, scapular, gracilis, rectus abdominis, pectoralis major, deltopectoral, supraclavicular, temporoparietal fascia) onto a self-drawn body diagram with named pedicles and perforators

  • Explain the intrinsic and extrinsic coagulation, platelet plug, and fibrinolysis phases and predict which phase is impaired by warfarin, heparin, aspirin, and von Willebrand disease

  • Distinguish the three phases of wound healing with their dominant cell types and collagen types, and list four local and four systemic factors that delay healing

  • Compare skin graft take physiology (imbibition, inosculation, revascularization) with flap survival physiology, and state why a haematoma under a graft is more dangerous than under a flap

  • Classify flaps by blood supply (random, axial, perforator, pedicled, free) and by composition, and justify one flap choice for a given defect in two different body regions

Your checkpoint

A one-page hand-drawn vascular territory map of the 12 flaps, each labelled with pedicle, perforator source, and one clinical indication, self-quizzed to 90% recall

Week 2

Reconstructive Surgery (flaps, grafts, microsurgery) & Basic Sciences Relevant to Plastic Surgery (anatomy, physiology, wound healing, pathology)

  • Sequence the microsurgical anastomosis steps and explain the mechanical and physiological rationale for each step, including vessel preparation, adventitial stripping, suturing technique, and leak testing

  • Analyse the causes of free flap failure by timing (arterial vs venous, early vs late) and match each to the clinical signs and the correct first-line intervention

  • Describe the pharmacologic and mechanical options for thrombosis prophylaxis in microsurgery and state the evidence limitations of each

  • Explain the physiology of the no-reflow phenomenon, ischaemia-reperfusion injury, and the role of free radicals and leukocyte adhesion

  • Compare pedicled and free flap reconstruction for a head and neck defect and defend the choice using defect, patient, and resource factors

Your checkpoint

A written 10-point free flap monitoring and salvage protocol with a decision tree for a dusky flap at 6 hours and at 48 hours postoperatively

Week 3

Aesthetic Surgery (face, breast, body contouring) & Principles of Plastic Surgery and Surgical Techniques

  • Describe the surgical anatomy of the face relevant to rhytidectomy, including the SMAS, platysma, facial nerve branches, and the danger zones, and mark them on a self-drawn diagram

  • Compare the main face-lift planes and techniques and state which patient and which complication profile each suits

  • Outline breast augmentation planning: implant plane, incision, sizing, pocket selection, and the key consent points including BIA-ALCL and anaplastic large-cell lymphoma risk discussion

  • Explain reduction mammaplasty pedicle options and the blood supply rationale for each, and predict which sensation or lactation risk changes with each

  • Apply the principles of scar management, suture selection, and tension-relieving closure to a planned elective facial incision

  • Describe the principles of liposuction and abdominoplasty including patient selection, anaesthetic options, and the main preventable complications

Your checkpoint

A two-page aesthetic case log: three hypothetical patients (face, breast, body) each with a chosen technique, two alternatives rejected with reasons, and a written consent summary

Week 4

Burn Management and Burn Reconstruction & Patient Safety, Ethics, and Professionalism

  • Classify burn depth by clinical signs and explain the histological basis of each depth category

  • Calculate fluid resuscitation using a recognized formula for a given adult and paediatric burn and identify the endpoints of resuscitation

  • Outline the criteria for burn centre referral and the initial management sequence for inhalation injury and circumferential burns

  • Explain the pathophysiology of burn shock, hypermetabolic response, and wound conversion, and link each to a management decision

  • Describe burn wound excision and grafting timing options and the rationale for early excision

  • Apply the four principles of biomedical ethics to two burn scenarios: resource allocation during a mass casualty and consent in an incompetent patient

Your checkpoint

A completed burn resuscitation worksheet for three worked cases (adult, child, inhalational injury) with fluid volumes, endpoints, and referral decisions justified in writing

Week 5

Head and Neck Reconstruction and Oncology & Craniofacial Surgery and Congenital Anomalies

  • Describe the blood supply and lymphatic drainage of the head and neck and predict nodal spread patterns for oral cavity, larynx, and cutaneous malignancy

  • Outline the levels of neck dissection and state which levels are addressed for each primary site and why

  • Compare reconstructive options for mandibular, maxillary, and pharyngeal defects and match each to a defect classification

  • Explain the timing and principles of cleft lip and palate repair and the anatomical rationale for each repair step

  • Describe the classification and management principles of craniosynostosis and the timing rationale for vault expansion

  • Outline the genetics and multidisciplinary management of common craniofacial syndromes

Your checkpoint

A head and neck defect-to-flap decision table covering six defect types, each with first-line and backup reconstruction and the neck dissection levels indicated

Week 6

Hand Surgery and Upper Extremity & Basic Sciences Relevant to Plastic Surgery (anatomy, physiology, wound healing, pathology)

  • Map the intrinsic and extrinsic flexor and extensor tendon zones and predict the functional deficit of a laceration at each zone

  • Describe the anatomy and clinical tests for the median, ulnar, and radial nerves and localize a lesion from a described sensory and motor pattern

  • Explain the principles of tendon repair and rehabilitation and the rationale for early controlled mobilization

  • Outline the management of common hand fractures and dislocations and the indications for operative fixation

  • Describe the vascular anatomy of the hand and the principles of replantation including indications, contraindications, and ischaemia time limits

  • Explain the pathophysiology and staging of Dupuytren disease and the options for treatment with their recurrence profiles

Your checkpoint

A hand examination checklist with 15 named tests, each with the nerve or tendon tested and the positive finding, self-tested on a volunteer or model

Week 7

Principles of Plastic Surgery and Surgical Techniques & Basic Sciences Relevant to Plastic Surgery (anatomy, physiology, wound healing, pathology) & Research, Evidence-Based Practice, and Quality Improvement

  • Explain the biology of grafts and biomaterials used in plastic surgery and state the selection criteria for each material class

  • Describe the principles of tissue expansion, including fill volumes, timing, and complication prevention

  • Apply the principles of local anaesthesia including maximum safe doses, vasoconstrictor use, and toxicity recognition and management

  • Interpret the key statistical concepts tested in plastic surgery literature: sensitivity, specificity, likelihood ratios, confidence intervals, p-values, and number needed to treat

  • Appraise a randomized controlled trial and a systematic review using a structured critical appraisal checklist

  • Explain the components of a quality improvement cycle and apply them to a surgical site infection reduction project

Your checkpoint

A structured critical appraisal of one published plastic surgery randomized trial, 400 to 500 words, with a verdict on internal validity and applicability

Week 8

Patient Safety, Ethics, and Professionalism & Research, Evidence-Based Practice, and Quality Improvement & Aesthetic Surgery (face, breast, body contouring) & Head and Neck Reconstruction and Oncology

  • Consolidate and self-test the highest-yield facts across all ten domains using spaced repetition and flag any domain below 70% recall

  • Explain the professional and legal duties around informed consent, capacity, confidentiality, and disclosure of complications in surgical practice

  • Describe the principles of surgical safety including the WHO checklist, wrong-site surgery prevention, and team communication

  • Complete two timed mock examinations under exam conditions and analyse every error by domain and by error type (knowledge, misreading, reasoning)

  • Build a personal one-page summary sheet of the 30 facts most likely to be tested and most often forgotten

Your checkpoint

Two completed timed mock exams with a written error analysis and a final one-page high-yield summary sheet covering all ten domains

Milestones

Week 2: Can draw the vascular territory map and the free flap salvage decision tree from memory in under 15 minutes, scoring at least 90% on a self-made 20-item quiz on flaps and microsurgery

Week 4: Scores at least 75% on a self-made 30-item mixed quiz covering domains 1, 2, 3, 4, and 9, and correctly calculates fluid resuscitation for three unseen cases without reference material

Week 6: Scores at least 75% on a self-made 30-item quiz covering domains 5, 6, 7, and 8, and performs the 15-test hand examination checklist from memory with correct positive findings

Week 8: Scores at least 70% on both timed mock exams and identifies no domain below 70% recall on the final spaced-repetition review