Egyptian Board Plastic Surgery study plan
Egyptian Board Plastic Surgery · Give each week a clear focus.
8 weeks · About 7 hours per week
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
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
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
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
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
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
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
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