Beruflich Dokumente
Kultur Dokumente
SEMINAR
SMALL GROUP
DISCUSSION
SELF LEARNING
PACKAGES
1. Amputation.
2. Benign
osteoporosis
WORKSHOP
musculoskeletal tumor
3. Spine infection- Pyogenic and
TB infection.
3. Traumatic dislocation.
3. Arthroscopy
4. Diabetic foot ulcer.
4. Fracture complications.
5. Common ortho-clinic disorder.
5. Soft tissue infections.
DAY/TIME
MORNING
AFTERNOON
Monday
to orthopaedic practice
Tuesday
Knee examination/Demonstration
Wednesday
Thursday
Friday
Learning Objectives
Lectures
L1. Management of open fracture
After the completion of this lecture, the students should be able to:
understand the stabilization of the fracture by using internal or external fixation devices.
L2. Poly-trauma
After the completion of this lecture, the students should be able to:
define poly-trauma.
know the pre-hospital management consisting of immediate action and triage, assessment and initial management.
After the completion of this lecture, the students should be able to:
discuss the anatomical and biomechanical differences between the paediatric and adult bone
discuss common paediatric fracture types
describe the Salter-Harris classification of physeal injuries
understand the importance of assessment of ossification centres around joints
describe the principles of paediatric fracture evaluation and management
describe the principles of common adult fracture evaluation and management
define osteonecrosis.
describe the various site of avascular necrosis
discuss the incidence of osteonecrosis and identify the four most common causes
describe the pathophysiology of avascular necrosis.
describe the methods used in the diagnosis and treatment of osteonecrosis of femoral head.
L8. Osteoarthritis
After completion of this lecturer, students should be able to:
At the
Outline the treatment of the spine fractures and spinal cord injury.
After the completion of this lecture, the students should be able to:
acquire basic knowledge on imaging ( contrast media, computed tomogram and magnetic resonance imaging).
describe the clinical features in brachial plexus and lumbosacral plexus injury.
approach to a patient with diabetic foot problems, history taking, physical examination and investigation in diabetic foot.
assess the diabetic foot ulcers e.g ulcer examination.
classification of diabetic foot ulcers. (Wagners and University of texus)
describe the principles in management of dfu.
educate the patient concerning about foot care.
educate the do and dont in patient with diabetic foot.
4. Spine infection
After the Discussion the student should be able to:
A.
B.
Trigger finger
After the discussion student must be able to:
approach to a patient with trigger finger or thumb, history taking and physical examination.
C.
De Quervain tenosynovitis
After the discussion student must be able to:
approach a patient with de Quervains disease, history taking and physical examination.
D.
Tennis elbow
After the discussion student must be able to:
E.
Frozen shoulder
After the discussion student must be able to:
approach a patient with frozen shoulder, history taking and physical examination.
describe the clinical features, diagnosis and differential diagnosis of frozen shoulder.
10
F.
Plantar fasciitis
After the discussion student must be able to:
approach a patient with plantar fasciitis, history taking and physical examination.
describe the clinical features, diagnosis and differential diagnosis of plantar fasciitis.
G.
Subungual haematoma
After the discussion student must be able to:
approach a patient with subungual haematoma, history taking and physical examination.
Seminar
11
Compare and contrast the two types of bone formation: intramembranous and endochondral ossification.
Compare the structure, functions, and locations of the three kinds of cartilage tissue.
Describe the functions of the bony skeleton and of bone tissue.
Describe the gross anatomy of a typical long bone and a typical flat bone.
Describe the histology of compact and spongy bone.
Describe the structural components of bone tissue and the functions of its organic and inorganic parts.
Describe the types of markings found on bones
Differentiate the cells found in bone tissue and their functions.
Explain how bones withstand tension and compression.
Stages of bone healing
Normal & abnormal bone healing
Types of bone healing (primary & secondary intention)
Radiographic Determinants of Healing: Non-union (atrophic & hypertrophic) Mal-union, Delayed union
Describe the balance between mechanical and biological factors in fracture healing (Factor affecting bone healing)
Bone Turnover
Able to describe how modeling & remodeling contribute to the phases of skeletal development & maintenance
Understand how metabolic bone disease is a result of uncoupling of the normal remodeling process.
Comprehend how changes in bone density (or mass) reflect the variations in modeling and remodeling.
Osteoporosis
Radiographs, bone densitometry and bone histomorphometry all can diagnose osteopenia. Appraise the relative merits and
disadvantages of these three techniques in the clinical assessment of osteopenia.
Hormonal regulation of mineral balance depends primarily upon Diagram the expected changes PTH, 1,25 (OH)2 (calcitriol),
vitamin D3 (cholecalciferol) and calcitonin and resultant effects on skeletal Ca balance in
Relate the major available treatments for osteoporosis to their effects on the remodeling process.
12
Describe the beneficial effects of estrogen at the level of the kidney, gut and bone that may lead to a reduction in osteoporosis
risk in a postmenopausal woman.
You have recently been elected health czar on your sole campaign promise to wipeout osteoporosis. What are the major public
health recommendations of your platform? Justify each plank of your platform with your understanding of skeletal physiology.
Osteomalacia
Characterize the clinical presentation of osteomalacia and differentiate it from that of osteoporosis.
Disorders of skeletal mineralization are lumped into the general category of osteomalacia. However, rickets is a term reserved for
a particular clinical situation. Why?
Normal skeletal mineralization relies on an adequate supply of vitamin D, calcium and phosphorus. List two clinical situations in
which deficiencies in each of these critical elements can develop.
Provide a clinical situation for the use of each form of vitamin D and explain why the use of the other two forms of vitamin D
would be inappropriate in the given setting.
3. Fracture complications
describe the clinical features and outline the treatment of crush syndrome.
describe the clinical features and outline the treatment of venous thrombosis and pulmonary embolism.
describe the clinical features and outline the treatment of gas gangrene.
describe the clinical features and outline the treatment of fat embolism.
describe the clinical features and outline the treatment of compartment syndrome.
describe the clinical features and outline the treatment of gas gangrene.
13
describe the clinical features and outline the treatment of delayed union.
describe the clinical features and outline the treatment of avascular necrosis.
describe the clinical features and outline the treatment of Volkmanns contracture.
describe the mechanism of injury, clinical features, morbid anatomy, management and complications of acute traumatic
dislocations of shoulder.
14
demonstrate reduction technique in shoulder dislocation.
describe the mechanism of injury, clinical features, morbid anatomy, management and complications of acute traumatic
dislocations of hip.
describe mechanism of injury, clinical approach to knee injury, diagnosis and management of acl tear.
15
In self-learning packages, all students must participate in each assignment. The assignments are delivered to students
one week before the presentation. Each presentation takes ten minutes.
After the presentation student must be able to
classify the low back pain based on duration. describe the epidemiology of low back pain.
describe the history and physical examination in patient with low back pain.
describe the etiology, pathogenesis, clinical features, investigations and management of prolapsed
intervertebral disc.
describe the etiology, pathogenesis, clinical features, investigations and management of spinal stenosis.
describe the etiology, pathogenesis, clinical features, investigations and management of spondylolisthesis.
16
CSL
POP Workshop
Arthroscopy
17
ASSESSMENT
METHOD OF ASSESSMENT
TIME
18
QUESTION TYPE
NUMBER OF QUESTION
PER Q
MARK (%)
30
2 minutes
60 minutes
10
12
5 minutes
60 minutes
10
Essay
30 minutes
60 minutes
10
OSCE
6 Stations
10 minutes
60 minutes
15
1 Case
60minutes
100 minutes
15
(clerking 60 min)
Short Case
TOTAL
60
Case Report 1
Case Report 2
30
100
19
1. Apleys System of Orthopaedics and fractures (9th edition) by Louis Solomon, David Warwick and Selvadurai Nayagam, 2010.
2. Clinical Orthopaedic examination by Ronald Mc Rae (Churchill Livingstone 6 th. edition), 2012.
3. Review of Orthopaedics by Mark D. Miller, 6th. ed, 2012.
4. Wheelers textbook of orthopaedic, 2011.
5. Principles of Orthopeadic Practice by Roger Dee, 2003 (2 nd Edition).
20
YEAR 4
SESSION 2013/2014
WEEK 1
21
DATE / TIME
7.30 am - 8.30
am
8.30 am 9.30
am
9.30 am 10.30
am
10.30 am 11.30 am
2.00 pm - 3.00 pm
3.00 pm - 5.00 pm
CSL
MONDAY
25/11/13
Briefing
Overview of
orthopaedic
APDr.KyawHtay
Ward roundHQEII
Ward work
AP Dr Kyaw Htay
Gp A : F/Ward
TUESDAY
26/11/2013
Clinical Demonstration
APDr. KMO
Gp B :M/ Ward
Dr. Thit Lwin
AP Dr Kyaw Htay
Gp A : M/Ward
APDrKyaw Htay
Gp B : F/Ward
Ward work
Clinical
Demonstration
Clinical examination
practice session
Hip examination
Hip Examination
Dr. Thit Lwin
Dr. Thit Lwin
Dr.Thit Lwin
Ward roundHQEII
Clinic QEH II
Gp A : F/Ward
THURSDAY
28/11/2013
AP Dr Kyaw Htay
Ward roundHQEII
WEDNESDAY
27/11/2013
Ward work
AP Dr KMO
22
YEAR 4
SESSION 2013/2014
WEEK 2
23
DATE / TIME
7.30 am - 8.30
am
8.30 am 9.30
am
9.30 am 10.30
am
10.30 am 11.30 am
2.00 pm - 3.00
pm
3.00 pm - 5.00 pm
Ward roundHQEII
Seminar1:
Gp A : F/Ward
MONDAY
02/12/2013
BST
APDr.Kyaw
Htay
Ward work
Dr. Thit Lwin
Gp B : M/ Ward
Dr Chuah Uei
Chyi
Metabolic bone
diseases &
osteoporosis
Dr. Thit Lwin
APDr.KMO
Ward roundHQEII
GpA: F/Ward A
TUESDAY
03/12/2013
Clinic QEH
APDr.KyawHtay
Preoperative
round QEHII
AP Dr. KMO
Gp B : M/Ward
SGD2 Peripheral
nerve injuries
AP Dr. KH
APDr.Thit Lwin
04/12/2013
Bedside Teaching AM : AP Dr KMO
Ward roundHQEII
SGD:3
GpA: F/Ward A
THURSDAY
05/12/2013
BST QEH II
Clinic QEH
APDr.KMO
All Specialist
Gp B : M/Ward
Dr Nahulan
Thevarajah
Diabetic foot
Dr Thit Lwin
24
YEAR 4
DATE / TIME
7.30 am - 8.30 am
8.30 am 9.30
am
9.30 am
10.30 am
SESSION 2013/2014
10.30 am 11.30 am
WEEK 3
2.00 pm - 3.00
pm
3.00 pm - 5.00 pm
Trauma
radiology round
AP Dr. KH
Ward work
Seminar 2
APDrKyawHtay
Ward work
GpB:F/Ward
Normal &
abnormal bone
healing
AP Dr.KMO
APDr.KMO
Ward roundHQEII
Gp A : M/Ward
TUESDAY
10/12/2013
Workshop 1:
Clinic QEH
AP Dr Kyaw
Htay
All Specialists
Gp B : F/Ward
Dr Thit Lwin
WEDNESDAY
11/12/2013
Ward roundHQEII
Gp A : M/Ward
AP Dr Kyaw
Htay
25
Gp B : F/Ward
AP Dr Khin
Maung Ohn
Ward roundHQEII
Gp A : M/Ward
THURSDAY
12/12/2013
BST
Clinic QEH
AP Dr KMO
All Specialists
Gp B : F/Ward
AP Dr. Kyaw
Htay
SLP 1
Low Back Pain
Dr Thit Lwin
Dr Thit Lwin
FRIDAY
13/12/2013
Ward Round
H.Likas
Dr Thit Lwinl
YEAR 4
BST
H.Likas
Ward work
SGD4
Spine
infection
AP Dr. KMO
SESSION 2013/2014
WEEK 4
26
DATE / TIME
7.30 am - 8.30 am
8.30 am
9.30 am
9.30 am 10.30
am
10.30 am - 11.30
am
2.00 pm - 3.00
pm
BST
Dr. Thit Lwin
Ward roundHQEII
3.00 pm - 5.00 pm
Seminar3
Gp A : M/ Ward
MONDAY
16/12/2013
Clinic QEH
Fracture complications
AP Kyaw Htay
Ward work
All Specialist
AP Dr Kyaw Htay
Gp B : F/Ward
Dr Thit Lwin
Seminar4
Soft tissue infection
AP Dr. KMO
Ward work
Ward roundHQEII
Gp A : M/ Ward
TUESDAY
17/12/2013
AP Dr Kyaw
Htay
Arthroscopy- Demonstration
Leader Dr.Thit Lwin
Preoperative
round SMC
AP Dr KH
Gp B : F/ Ward
AP Dr. KMO
WEDNESDAY
18/12/2013
Ward roundHQEII
Gp A : M/ Ward
AP Dr.Kyaw Htay
Gp B : F/Ward
AP Dr Kyaw Htay
27
Dr Thit Lwin
Ward roundHQEII
SGD 5
Gp A : M/ Ward
THURSDAY
19/12/2013
BST
Clinic QEH
AP Dr. KMO
Dr Chuah Uei
Chyi
All Specialist
Gp B : F/Ward
Dr Thit Lwin
Ward Round H
Likas
FRIDAY
20/12/2013
YEAR 4
DATE / TIME
AP Dr.Kyaw Htay
BST
H Likas
Ward work
7.30 am - 8.30 am
Ward work
AP Dr Kyaw Htay
8.30 am 9.30
9.30 am
SESSION 2013/2014
10.30 am - 11.30
AP Dr Kyaw Htay
GAP WEEK
2.00 pm - 3.00
3.00 pm - 5.00 pm
28
am
MONDAY
23/12/2013
TUESDAY
24/12/2013
10.30 am
am
pm
HOLIDAY
HOLIDAY
WEDNESDA
Y
25/12/2013
HOLIDAY
29
THURSDAY
26/12/2013
HOLIDAY
HOLIDAY
FRIDAY
27/12/2013
YEAR 4
SESSION 2013/2014
WEEK 5
30
DATE / TIME
7.30 am - 8.30 am
8.30 am 9.30
am
9.30 am
10.30 am
10.30 am - 11.30
am
2.00 pm - 3.00
pm
3.00 pm - 5.00 pm
Radiology ward
round
Principles in
Rerabilitation II
BS T
AP Dr. KNY
AP Dr.Kyaw Htay
Ward work
Gp B : Male Ward
Dr Thit Lwin
AP Dr Kyaw
Htay
Clinic QEH
BST
All Speacialist
Ward work
AP Dr KH
Gp B : F/Ward
AP Dr.KMO
WEDNESDA
Y
01/01/2014
THURSDAY
02/01/2014
HOLIDAY
BST
Clinic QEH
Ward work
Dr Nahulan
31
AP Dr Kyaw
Htay
All Specialist
Thevarajah
Gp B : F/Ward
AP Dr.KMO
Ward work
SLP 2 Discussion
Benign Musculo skeletal tumours
FRIDAY
03/01/2014
Ward round H
Likas
Dr.Thit Lwin
YEAR 4
DATE / TIME
BST
H Likas
Dr Thit Lwin
7.30 am - 8.30 am
MONDAY
06/01/2014
Gp A : M/ Ward
AP Dr Kyaw Htay
SESSION 2013/2014
10.30 am 11.30 am
WEEK 6
8.30 am 9.30
am
9.30 am
10.30 am
2.00 pm - 3.00
pm
Ward work
Seminar 5.
BST
AP Dr. KMO
3.00 pm - 5.00pm
Ward work
32
AP Dr KMO
tissue injury
Gp B : F/Ward
Dr. Thit Lwin
Dr. Thit Lwin
TUESDAY
07/01/2014
Workshop 2
Gp A: F/ward
Clinic QEH II
AP Dr.Kyaw Htay
All Speacialist
Gp B: M/Ward
AP Dr.KMO
WEDNESDAY
08/01/2014
OT QEHII
OT -QEHII
Gp A : M/ Ward
Gp 1-OT am-bedside pm
AP Dr Kyaw Htay
Gp 2-OT pm-bedside am
Gp B : F/ Ward
THURSDAY
09/01/2014
BST
AP Dr.KMO
Revision
Revision
33
Gp B : F/ Ward
Dr.Thit Lwin
FRIDAY
10/01/2014
Ward round,
Hospital Likas
Submission of case write up
AP DR. KH
Revision
YEAR 4
DATE / TIME
8.30 am 9.30
SESSION 2013/2014
9.30 am 10.30
7.30 am - 8.30 am
WEEK 7
2.00 pm - 3.00
10.30 am - 11.30 am
am
am
3.00 pm - 5.00 pm
pm
Theory examination
13/01/2014
34
TUESDAY
HOLIDAY
14/01/2014
WEDNESDA
OSCE
Long case examination
Y
15/01/2014
THURSDAY
16/01/2014
FRIDAY
17/01/2014
35