General Surgery Board-Promotion Exam Blueprint 2023

SAUDI BOARD RESIDENCY TRAINING PROGRAM
GENERAL SURGERY
Promotion Examination
Written Examination Format:
• A written examination shall consist of one paper with not less than 100 MCQs with a
single best answer (one correct answer out of four options). Up to 10% unscored items
can be added for pretesting purposes.
• The examination shall contain type K2 questions (interpretation, analysis,
reasoning and decision making) and type K1 questions (recall and comprehension).
• The examination shall include basic concepts and clinical topics relevant to the
specialty.
• Clinical presentation questions include history, clinical finding and patient
approach. Diagnosis and investigation questions; include the possible diagnosis
and diagnostic methods. Management questions; including treatment and clinical
management, either therapeutic or nontherapeutic, and complications of
management. Materials and Instruments questions; including material properties,
usage, and selection of instruments and equipment used. Health maintenance
questions; include health promotion, disease prevention, risk factors assessment,
and prognosis.
Saudi Board Promotion Examination; General Surgery – 2023 – v.1

Passing Score:
The trainee's performance is assessed in each of the evaluation formulas according to the
following scoring system:
Score Less than 50% 50% – 59.4% 60% - 69.4% More than 70%
Description Clear Fail Borderline Fail Borderline Pass Clear Pass
1. To upgrade the trainee from a training level to the next level, she/he must obtain at
least a Borderline Pass in each evaluation form.
2. The program director may recommend to the local supervision
committee to request the promotion of the trainee who did not meet the
previous promotion requirement according to the following:
A. In case that the trainee gets a Borderline Fail result in one of
the evaluation forms, the remaining evaluation forms must be
passed with Clear Pass in at least one of them.
B. In case that the trainee gets a Borderline Fail result in two of the
evaluation forms to a maximum, provided they do not fall under
the same theme (Knowledge, Attitude, Skills). The remaining
evaluation forms must be passed with Clear Pass in at least two of
them.
C. The promotion must be approved in this case by the scientific
council for the specialization.

Blueprint Outlines:
No. R1 to R5 Section Percentage
1 Fluid and electrolytes, Shock, Hemostasis 15%
2 Gastrointestinal Bleeding and Acute Abdomen 9%
3 Hepatobiliary 12%
4 Hernias, Abdominal Wall and Soft Tissue Tumours 5%
5 Nutrition/TPN 5%
Pre-operative assessment, Anesthesia and pain
6 6%
management
7 Surgical Complication 7%
8 Surgical Infection and Antibiotics 5%
9 Surgical management of Obesity 5%
10 Surgical Oncology/Transplant 5%
11 The breast and Endocrine 8%
12 Trauma and Critical Care 5%
13 Upper GIT and Lower GIT 13%
Total 100%
Notes:
• Blueprint distributions of the examination may differ up to +/-5% in each category.
• Percentages and content are subject to change at any time. See the SCFHS website
for the most up-to-date information.
• Research, Ethics, Professionalism, and Patient Safety are incorporated within

various domains.

Suggested References:
1. Sabiston Textbook of Surgery, 20th Edition, 2016. Courtney

Townsendet al.
2. Schwartz’s Principles of Surgery, Tenth Edition, 2014. F. Charles
Brunicardi et al.
3. Current Surgical Therapy, 12th Edition, 2017, John L. Cameron
andAndrew M Cameron.
4. Greenfield's Surgery Scientific Principles & Practice, Fifth
Edition,2011. Michael W. Mulholland et al.
5. Fischer's Mastery of Surgery, Sixth Edition. 2011, Josef E. Fischer.
6. Professionalism and Ethics, Handbook for Residents, Practical

guide,Prof. James Ware, Dr. Abdulaziz Fahad Alkaabba, Dr.
Ghaiath MA Hussein, Prof. Omar Hasan Kasule, SCFHS, Latest
Edition.
7. Essentials of Patient Safety, SCHS, Latest Edition.
Crash Courses:
Outline of each course including suggested reading references given by the
provider.
Note:
This list is intended for use as a study aid only. SCFHS does not intend
the list to imply endorsement of these specific references, nor are the
exam questions necessarily taken solely from these sources.

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SAUDI BOARD RESIDENCY TRAINING PROGRAM

Written Examination Format:

Saudi Board Promotion Examination; General Surgery – 2023 – v.1

Saudi Board Promotion Examination; General Surgery – 2023 – v.1

No. R1 to R5 Section Percentage

1 Fluid and electrolytes, Shock, Hemostasis 15%

2 Gastrointestinal Bleeding and Acute Abdomen 9%

4 Hernias, Abdominal Wall and Soft Tissue Tumours 5%

8 Surgical Infection and Antibiotics 5%

9 Surgical management of Obesity 5%

11 The breast and Endocrine 8%

12 Trauma and Critical Care 5%

13 Upper GIT and Lower GIT 13%

• Blueprint distributions of the examination may differ up to +/-5% in each category.

• Research, Ethics, Professionalism, and Patient Safety are incorporated within

Saudi Board Promotion Examination; General Surgery – 2023 – v.1

1. Sabiston Textbook of Surgery, 20th Edition, 2016. Courtney

6. Professionalism and Ethics, Handbook for Residents, Practical

7. Essentials of Patient Safety, SCHS, Latest Edition.

Saudi Board Promotion Examination; General Surgery – 2023 – v.1

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