General Objectives
The aim of the Orthopaedic course in phase III is produce a graduate who will be able to:
- To fulfill and criteria listed in the introduction of phase III course
- Diagnose and plan a rational management for common clinical Orthopaedic problems (including trauma)
- Manage independently minor Orthoparedic problems and provide initial necessary management Orthopaedic emergencies
- Assist in the management (including surgery) of major Orthopaedic problems
- Provide good screening for Orthopaedic problems and appropriate referral
Methodology
Topics to be covered:
- Fracture and disclocation
- Infection
- Hand
- Degenerative
- Neurology
- Diabetic foot (GL)
- Inflammatory arthritis (IDA)
- Metabolic bone disease (GL)
- Musculoskeletal tumor (IDA - common MSK tumour)
- Sport - ligamentous injury (GL)
- Paediatric
- Basic principles of orthopaedic surgery
- Rehabilitation
- Miscellaneous
- Ethics - amputation and casts
Time Table
| Day | 8.00 AM - 9.30 AM | 9.30 AM - 12.30 PM | 2.00 PM - 4.00 PM |
| Sunday | Seminar | Outpatient Clinic / OT / Self Study | Clinic Teaching |
| Monday | Ward Round | ||
| Tuesday | |||
| Wednesday | X-Ray Conference / Ward Round | Co-Curriculum | |
| Thursday | CPC / HP Conference | Gen. Lecture / IDA | CFCS |
Clinical Teaching
The first 6 session will cover the examination of following region, given by senior members of the department
- Shoulder, arm and elbow
- Hand and peripheral nerve
- Spine
- Hip
- Knee
- Foot and ankle
The following clinical teachings will cover the specific in-patient
Problems (clinical approaches to diagnose and management)
- CMR - fracture and dislocation
- Nonunion and malunion
- Wound and ulcer
- Lumps and bumps
- Fixators - ext, internal, traction, POP
- Radiograph
- Neurological
Seminars
Students will present the following topics under lectures supervisor
- Classification, complication and management of fracture
- Osteomyelitis and septic arthritis of long bone and spine
- Degenerative osteoarthritis
- Peripheral nerve injury
- Classification and management principle of muskuloskeletal tumors
Ward Work
- Complete patient care from clerking, formulating investigation
- Treatment skill - communication with patients, relatives and other
- Colleagues - blood taking, POP and CMR, would dressing, suturing
Outpatient Clinic
- Expose to Othopaedic outpatient care
- Assessment of rehabilitation
- Clerking formulating investigation and treatment for new cases
- Simple treatment procedure like POP would suturing
Operation Theatre
- Sterile technique, prophylaxis antibiotic, basic OT set-up
- Bleeding control
- Suture material and suturing technique
On Call
Learn acute management in A&E ward character development
Skill Lab
- POP applications
- Closed manipulation and reduction
- Suturing
- Dressing
Self Study
- Museum anatomy
- Skill lab
- ICT/Library
Bioethic & Communication Skills
- Amputation - disposal of limp, patient feeling, coping with physical
- Disability - specific problems in diabetic amputeeand traumatic amputee
- Refusal of treatment
- Preparing patient to OT-prayers, fasting, expectation and hope, high risk patient: (will) issue