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Medic 3

The Orthopaedics input in the medical program curriculum begins in the second year and continues on until the final year.

 Jump to  OBJECTIVES/SKILLS/ATTITUDES: [Year 2] [Year 3] [Year 4] [Year 5]

OBJECTIVES OF YEAR 2

  • Study the basic sciences necessary for the understanding of orthopaedics conditions
  • Main emphasis is on the anatomy of the limbs and spine
  • Use of orthopaedic triggers are mainly to drive the learning of the basic sciences.
  • Clinical sessions are again to provide the real life scenario to integrate the study of the basic sciences with clinical conditions.

SKILLS OF YEAR 2

  • General approach to patients with fractures and orthopaedics conditions.
  • Importance of taking a complete history

ATTITUDES OF YEAR 2

  • Realise the importance of basic sciences in the practice of clinical orthopaedics

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OBJECTIVES OF YEAR 3

  • Take a complete history for trauma and orthopaedics patients.
  • Carry out a thorough physical examination.
  • Arrive at a provisional diagnosis based on the signs and symptoms elicited.
  • List the possible differential diagnosis and discuss the pros and cons of each.
  • Select the relevant investigations.
  • Formulate a plan of management and discuss the rationale.

SKILLS OF YEAR 3

  • History taking with ability to ask pertinent and leading questions to arrive at a diagnosis.
  • Ability to sieve out unimportant details
  • Systematic approach to physical examination of different joints.
  • Presentation of a summary of the patient’s problems
  • Reading of related plain x-rays.
  • Application of plaster casts and traction apparatus.
  • Wound dressing techniques.

ATTITUDES OF YEAR 3

  • Respect for patients as individuals
  • Politeness and kindness in clearking patients.
  • Confidentiality of information gained from patients
  • Punctuality in attending teaching sessions
  • Importance of seeing assigned patients regularly to see progress.

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OBJECTIVES OF YEAR 4

  • Consolidation of Year 3 objectives
  • Greater emphasis on management
  • Understand the limitations of working in a district hospital
  • Known when to refer an orthopaedics patient to a secondary care centre

SKILLS OF YEAR 4

  • Application of plaster casts, Bandages and dressings.
  • Preparation of patients for transfer to a secondary care centre
  • Resuscitation of traumatic patients
  • Splintage and immobolization techniques of fracture

ATTITUDES OF YEAR 4

  • Reinforce care for patients as human and individuals
  • Preparedness to refer a patient when faced with a problem outside one’s ability

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OBJECTIVES OF YEAR 5

  • Be able to function as an orthopaedics house officer at the end of the posting.
  • Know the first line investigations and management when seeing a patient for the first time.
  • Recognize orthopeadics emergencies and know priorities in the treatment.

SKILLS OF YEAR 5

  • Closed manipulative reduction of fracture and application of casts under sedation
  • Simple debridement of wound in the ward
  • Toilet and suture procedure under local anaesthesia.

ATTITUDES OF YEAR 5

  • Importance of carrying out orders.
  • Importance of seeing to the urgent needs of patients
  • Availability and quick response when on call.

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