DOCTOR OF MEDICINE PROGRAMYEAR 4

ORTHOPAEDIC POSTING MM40508ROTATION 2

27 NOVEMBER 2014 TO 14 DECEMBER 2014SESSION 2014/2015

School of

PHASE TWO COORDINATOR: AR DR ASMIATIYEAR 4 COORDINATOR : AP DR. NAING OO THA

POSTING COORDINATOR :

POSTING COORDINATOR NAME TELMM40508 Posting Coordinator Dr Thit Lwin 0162740611

Deputy Posting Coordinator AP Dr Hamed Sayed 0165825010

SPU contact person : Mohd Zaidie Adilai (Senior Assistant Registrar) – ext. 611006 Awang Jamaludin (Assistant Registrar - Academic) – ext. 611022

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ORTHOPAEDIC POSTING Introduction to orthopaedic musculoskeletal examination is made at the second year of the ‘preclinical year’. The students already have the basic knowledge of history taking and will be able to do general physical examination. Since orthopaedics is considered as a speciality posting, the students are only expected to know the general principles involving the management of common orthopaedic problems. The first week of the posting will be focusing on techniques of orthopaedic examination and history taking. The core knowledge is divided into 7 parts: TRAUMA, INFECTION, METABOLISM & INFLAMMATORY, DEGENERATIVE, TUMOUR and CONGENITAL.

COURSE DESCRIPTION1. MODULE OUTCOMES

At the end of the posting, the students should be able to:1. Take a comprehensive history in relation with orthopaedic practice.2. Perform relevant orthopaedic examinations.3. Able to identify and understand the principles involved in the management of orthopaedic emergency cases.4. Plan relevant investigations required in orthopaedic practice.5. Outline principles of management in common orthopaedic problems (emphasize will be on trauma).

2. KNOWLEDGEThe student should master the knowledge of:Trauma i. Poly-trauma - principles in management.ii. Classification of fracture - open and close; characteristic classification.iii. Normal and abnormal fracture healing.iv. Fracture complications- early and late complications.v. General principles in fracture treatment - operative and non-operative treatment.vi. Principles in management of open fracture.vii. Traumatic dislocation-knee, hip, shoulder.viii. Fracture in special age group- elderly & children.ix. Spine fracture and spinal cord injury- stable and unstable fracture spine.x. Sport injuries- ligament injuries; knee and shoulder.xi. Soft tissues injuries-muscle, nerve and tendon.

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Infectioni. Bone infection- Osteomyelitisii. Joint infection- Septic arthritisiii. Soft tissues infection- cellulitis, abscess, necrotising fasciitisiv. Special type infection-TB Degenerativei. Osteoarthritis-primary and secondary; knee and hip.ii. Spine- Spondylosis and spinal stenosis.Metabolism and Inflammatoryi. Osteoporosis ii. Metabolic disorder- Rickets, Osteogenesis imperfecta, Ankylosing SpondylitisTumouri. Common benign soft tissue and bone tumourii. Principles in management of malignant musculoskeletal tumour- pre-biopsy strategies.Congenital i. Common congenital disorder in paediatric- CTEV, DDH.ii. Slipped capital Femoral Epiphysis and Perthes.iii. Avascular Necrosis- femoral headOthersi. Common ortho-clinic disorder:

a) Carpal tunnel syndromeb) Trigger fingerc) De Quervain tenosynovitisd) Tennis elbowe) Frozen shoulderf) Plantar fasciitisg) Sub-ungual haematoma.

ii. Principles in rehabilitationiii. Orthopaedic radiology.iv. Prolapse intervertebral disc.

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3. SKILL

At the end of the posting the student should be able to acquire the following skills: I. Perform wound dressing and practice aseptic technique.II. Assisting close manipulative reduction of fracture and dislocation.III. Applying splint, traction, POP cast and other types of fracture immobilisation devices.IV. Able to communicate effectively with patient and patient relatives.V. Able to communicate effectively with other health care providers.

4. ATTITUDE

The student should develop and have the following attitude:

i. Understand and respect community, culture, ethnic, religious and social diversities.ii. Work as a team and be a responsible person.iii. Aware of own limitation and willing to seek help.iv. Thoroughness. v. High professionalism and ethical standard.

Teaching Methods

i. Lecturesii. Demonstration iii. Small group discussioniv. Seminarsv. Workshopsvi. Bedside teachingvii. Ward round viii. Outpatient clinicix. Observation in operating theatrex. Hand out & self guided learning packages

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Distribution of teaching method

List of lectures

1. Poly-trauma and principles in management.2. Management of open fracture.3. Fracture in special age group- elderly and children.4. Spine fracture and spinal cord injuries.5. Internal derangement of the knee.6. Principles in musculoskeletal tumour.7. Osteoarthritis.8. Osteomyelitis and Septic arthritis.9. Imaging in orthopaedic.10.Principles in physiotherapy and rehabilitation.11.Avascular necrosis.12.Common congenital disorder in paediatric orthopaedic.13.Sport injuries.

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TEACHING METHOD NUMBER HOURS1 Lectures 13 132 SGD 5 103 Seminar 5 104 Workshop 3 65 Self guided learning packages 2 3week/package6 Bedside teaching 15 307 Clinic session 10 208 OT session 5 159 Ward round session 30 1hr/round

List of Other Activities

SEMINAR SMALL GROUP DISCUSSION

SELF LEARNING PACKAGES

WORKSHOP

1. Metabolic bone disease & osteoporosis

2. Normal and abnormal bone healing.

3. Traumatic dislocation.4. Fracture complications.5. Soft tissue infections.

1. Amputation.2. Peripheral nerve injuries.3. Spine infection- Pyogenic

and TB infection.4. Diabetic foot ulcer.5. Common ortho-clinic

disorder.

1. Low back pain.2. Benign

musculoskeletal tumor

1. Wound dressing and traction.

2. Plaster of Paris (POP) and splinting

3. Arthroscopy

List of activity on first week of posting (basic clinical week)

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DAY/TIME MORNING AFTERNOONMonday Briefing / Introduction to history taking & physical examination

pertinent to orthopaedic practice

Bed side teaching/practice

Tuesday Knee examination/Demonstration Bed side teaching/practice

Wednesday Hip examination/ Demonstration Bed side teaching/practice

Thursday Spine examination/ Demonstration Bed side teaching/practice

Friday Hand & Shoulder examination /Demonstration Bed side teaching/practice

Learning Objectives

Lectures

L1. Management of open fractureAfter the completion of this lecture, the students should be able to:

classify the open fracture by using Gustilo’s classification. cover the antibiotic prophylaxis. perform urgent wound and fracture debridement in proper steps. understand the stabilization of the fracture by using internal or external fixation devices. perform definitive wound cover and aftercare. Understand the sequels to open fractures and manage properly.

L2. Poly-traumaAfter the completion of this lecture, the students should be able to:

define poly-trauma. describe the aetiology and mode of death in poly-trauma. know the pre-hospital management consisting of immediate action and triage, assessment and initial management. know the hospital management by assessment and management (ATLS concept). describe the primary survey and resuscitation. describe the secondary survey. outline the systemic management of polytrauma.

L3. Fractures in special age groupAfter 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

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describe the principles of common adult fracture evaluation and management

L4. Avascular necrosisAfter the completion of this lecture, the students should be able to:

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.

L5. Common Congenital disordersAfter completion of this lecturer, students should be able to:

describe the common congenital disorders. describe the clinical features in developmental dysplasia of hip and club foot . describe the diagnosis of developmental dysplasia of hip and club foot . outline the treatment of developmental dysplasia of hip and club foot .

L6. Osteomyelitis, Septic arthritisAfter completion of this lecturer, students should be able to:

understand the aetiology and pathogenesis of acute haematogenous osteomyelitis know the common clinical features of acute haematogenous osteomyelitis manage the acute haematogenous osteomyelitis understand the aetiology and pathogenesis of septic arthritis know the common clinical features of septic arthritis manage the septic arthritis of hip joint

L7. Internal derangement of knee:After completion of this lecturer, students should be able to:

define the IDK understand the brief anatomy of knee joint know the mechanism of knee injuries manage the ACL and PCL injuries. manage the meniscus injuries.

L8. OsteoarthritisAfter completion of this lecturer, students should be able to:

classify the osteoarthritis based on etiology and involvement.

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describe the pathogenesis of osteoarthritis. list the risk factors for development of osteoarthritis. identify the diagnostic criteria for osteoarthritis of knee. describe the cardinal radiographic changes in osteoarthritis. outline the conservative management of osteoarthritis. identify the operative procedures used to manage osteoarthritis.

L9. Principles in management of musculoskeletal tumorsAfter completion of this lecturer, students should be able to:

approach to suspected tumor patient. describe WHO classification of musculoskeletal tumor. know the diagnostic principles in musculoskeletal tumor. know surgical principles of musculoskeletal tumor. know rehabilitation principles.

L10. Principles in Rehabilitation At the end of this lecture, the students should be able to

define the terms; rehabilitation, impairment, disability and handicap. know interdisciplinary team approach in rehabilitation and Multidisciplinary practice Vs Interdisciplinary practice. state the physical modalities. outline the therapeutic exercises.

At the end of this lecture II, the students should be able to: list the orthoses , prostheses and ambulation aids. prescribe some commonly used orthoses and ambulation aids. measure the length of axillary crutch and some ambulation aids. know the crutch gait patterns and the gait patterns using other gait aids.

L11. Spine fractures and spinal cord injuryAfter the completion of this lecture, the students should be able to:

describe the types of spinal fractures. describe the pathophysiology and mechanism of injury. describe the clinical features and diagnosis. Outline the treatment of the spine fractures and spinal cord injury.

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L12. Sport injuriesAfter the completion of this lecture, the students should be able to:

understand the common sports injuries. know the treatment and rehabilitation plans in sports medicine. know the common conditions associated with different joints. know the importance of rehabilitation.

L13. Imaging in OrthopaedicsAfter the completion of this lecture, the students should be able to:

understand the radiographic interpretation in trauma and Orthopaedics. acquire basic knowledge on imaging ( contrast media, computed tomogram and magnetic resonance imaging). acquire basic knowledge on bone mineral densitometry.

SGD (Small group discussion)

1. Amputation After the discussion the student must be able to:

define the amputation. describe the indications of amputations. know the variants of amputations with the examples. know the characteristics of ideal stump. describe the surgical principles of amputation. describe the general and local complications of amputation.

2. Peripheral nerve injuryAfter the discussion the student must be able to: describe the nerve structure and function. describe the pathophysiology of peripheral nerve injury. classify the nerve injury by using Seddon and Sunderland classification. describe the clinical features in brachial plexus and lumbosacral plexus injury. know the assessment of nerve recovery and nerve function. Outline the principles of treatment in peripheral nerve injuries.

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3. Diabetic foot ulcerAfter the Discussion student must be able to:

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. (Wagner’s and University of texus) describe the principles in management of dfu. educate the patient concerning about foot care. educate the do and don’t in patient with diabetic foot.

4. Spine infectionAfter the Discussion the student should be able to:

Aetiology of spine infection Pathogenesis of TB spine and pyogenic spine infection Clinical features of TB spine and pyogenic spine infection Management of TB spine and pyogenic spine infection

5. Common Orthopaedic clinical problemsA. Carpal tunnel syndrome

After the discussion student must be able to: define the carpal tunnel syndrome. describe the causes of carpal tunnel syndrome.

approach to a patient with CTS, history taking and physical examination. describe the clinical features and investigations for diagnosis. Outline the treatment of the carpal tunnel syndrome.

B. Trigger finger After the discussion student must be able to:

define the trigger finger or digital tenovaginosis. describe the aetiology of trigger finger or thumb.

approach to a patient with trigger finger or thumb, history taking and physical examination. describe the clinical features and classification. Outline the treatment of trigger finger and thumb.

C. De Quervain tenosynovitis After the discussion student must be able to: define the de Quervain’s disease or tenosynovitis.

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describe the aetiology of the de Quervain’s disease. approach a patient with de Quervain’s disease, history taking and physical examination. describe the clinical features diagnosis. Outline the treatment of de Quervain’s disease.

D. Tennis elbow After the discussion student must be able to:

define the tennis elbow. describe the pathology of the tennis elbow.

approach a patient with tennis elbow, history taking and physical examination. describe the clinical features and diagnosis. Outline the treatment of tennis elbow.

E. Frozen shoulder After the discussion student must be able to:

define the frozen shoulder or adhesive capsulitis. Describe the aetiology of the frozen shoulder.

approach a patient with frozen shoulder, history taking and physical examination. describe the clinical features, diagnosis and differential diagnosis of frozen shoulder. Outline the treatment of frozen shoulder.

F. Plantar fasciitis After the discussion student must be able to:

define plantar fasciitis. Describe the aetiology of plantar fasciitis. Describe the pathology of plantar fasciitis.

approach a patient with plantar fasciitis, history taking and physical examination. describe the clinical features, diagnosis and differential diagnosis of plantar fasciitis. Outline the treatment of plantar fasciitis.

G. Subungual haematoma After the discussion student must be able to:

define subungual haematoma. Describe the aetiology of subungual haematoma.

approach a patient with subungual haematoma, history taking and physical examination. describe the clinical features, diagnosis of subungual haematoma. Outline the treatment of subungual haematoma.

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Seminar

1. Norman & abnormal bone healing 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)

2. Metabolic bone disorder

Bone Turnover Understand the difference between skeletal modeling and remodeling. 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

Know the clinical and laboratory definitions of 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. Identify the major risk factors for osteoporosis.

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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 5Defend the following statement: Criticize the following statement: Relate the major available treatments for osteoporosis to their effects on the remodeling process. 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? Know the major causes of osteomalacia. Describe the radiographic findings in osteomalacia. Identify the principles of therapy in osteomalacia. 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 After the discussion student must be able to: describe the general 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 tetanus. describe the clinical features and outline the treatment of gas gangrene. describe the clinical features and outline the treatment of fat embolism. list the local complications (early and late). describe the clinical features and outline the treatment of compartment syndrome. describe the clinical features and outline the treatment of gas gangrene. describe the clinical features and outline the treatment of delayed union. describe the clinical features and outline the treatment of mal-union. describe the clinical features and outline the treatment of non-union.

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describe the clinical features and outline the treatment of avascular necrosis. describe the clinical features and outline the treatment of Volkmann’s contracture. describe the clinical features and outline the treatment of algo-dystrophy.

4. Soft tissue infections After the discussion student must be able to:

After the seminar student should be able to: Classify the soft tissue infection Understand the causal organisms of soft tissue infections Define the cellulitis, abscess and necrotizing fasciitis Clinical features of cellulitis, abscess and necrotizing fasciitis Investigate the soft tissue infections Manage the soft tissue infection Understand the complications of necrotizing fasciitis Know the diagnosis parameters of SIR (Systemic inflammatory Response) Manage the SIR.

5. Dislocation and common soft tissue injury

After the Discussion student must be able to: define the dislocation and subluxation. classifiy based on etiology, duration. describe the mechanism of injury, clinical features, morbid anatomy, management and complications of acute traumatic dislocations of shoulder. demonstrate reduction technique in shoulder dislocation. describe the mechanism of injury, clinical features, morbid anatomy, management and complications of acute traumatic dislocations of hip. demonstrate reduction technique in hip dislocation. describe mechanism of injury, clinical approach to knee injury, diagnosis and management of acl tear. describe the aetiology, morbid anatomy, management of tendo archille’s tear.

SLP (Self learning packages)

1. Benign Musculoskeletal tumourIn 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 bone tumours according to WHO classification.

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know the difference between benign and malignant tumours. describe the benign cartilage tumours. describe the benign soft tissue tumours. describe the benign bone tumours. describe the tumour like conditions. describe the giant cell tumour. describe the malignant cartilage tumours. describe the malignant soft tissue tumours. describe the malignant bone tumours. describe the staging in musculoskeletal tumours. describe the surgical margin in musculoskeletal tumours. describe role of radiotherapy in in musculoskeletal tumours. describe principles of management in musculoskeletal tumours.

2. Low back painIn 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. re-memorize the pathophysiology of pain and pain pathway. know the theories of pain. describe the non-mechanical causes of low back pain. describe the mechanical causes of low back pain. describe the history and physical examination in patient with low back pain. describe the investigations in low back pain. describe the low back pain in elderly. 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. identify the conservative management of low back pain. identify the surgical management of low back pain. educate the low back pain exercise.

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educate the do and don’t in low back pain patient.

CSL

POP WorkshopAfter the workshop the student must be able to:

define Plaster of Paris, its formula. Know how to apply POP. Know plaster care of the patient to prevent complications Tell the instructions (for care of POP) to patient. Know when and how to remove POP using proper instrments.

Wound dressing, Traction and splintageAfter the workshop the student must be able to:

Describe the types of traction. Know the skin traction technique, care and complications. know the skeletal traction technique, care and complications. know the types of dressing, technique and procedures.

ArthroscopyAfter the workshop the student must be able to:

define the arthroscopy and arthroscope. identify the structures in knee joint. describe the instruments in knee arthroscopy.

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ASSESSMENT

METHOD OF ASSESSMENT

QUESTION TYPE NUMBER OF

QUESTION

TIME

MARK (%)PER Q TOTAL PER EXAM

1 Multiple Choice Questions 30 2 minutes 60 minutes 10

2 Modified Essay Questions 12 5 minutes 60 minutes 10

3 Essay 2 30 minutes 60 minutes 10

4 OSCE 6 Stations 10 minutes 60 minutes 15

5 Long Case Examination 1 Case 60minutes

(clerking 60

min)

100 minutes 15

6 Short Case

SUBTOTAL END POSTING EXAMINATION MARK (%) 60

7 Handwritten Case Report Case Report 1 5

Case Report 2 5

8 Logbook(Logbook viva+10 hand written clerking cases) 30

TOTAL 100

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REFERENCES: TEXT BOOK

1. Apley’s 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 6th. edition), 2012.3. Review of Orthopaedics by Mark D. Miller, 6th. ed, 2012.4. Wheeler’s textbook of orthopaedic, 2011.5. Principles of Orthopeadic Practice by Roger Dee, 2003 (2nd Edition).

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YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014WEEK

1

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

MONDAY27/10/2014

BriefingOverview of orthopaedic

Dr Thit Lwin

Introduction to clinic/ward in HQEII

Dr Thit LwinAP Dr Hamed Sayed

Ward workCSL

Shoulder & Elbow ExaminationAP Dr Hamed Sayed

TUESDAY28/10/2014

Ward roundHQEIIGp A : F/WardAPDr. IftikharGp B :M/ WardDr. Thit Lwin

CSL - SPU HQEClinical Demonstration

Spine ExaminationDr. Thit Lwin

Ward workCSL SPU HQE

Wrist & HandAP Dr Hamed

Sayed

Clinical exam practice sessionAP Dr Hamed

Sayed

WEDNESDAY

29/10/2014

Ward roundHQEII

Gp A : M/WardAP Dr Hamed SayedGp B : F/WardAP Dr Arif

CSL - SPU HQEKnee Examination AP Dr.Arif Ward work

CSL - SPU HQEClinical

DemonstrationHip ExaminationDr. Thit Lwin

Clinical examination practice sessionHip examinationDr. Thit Lwin

THURSDAY30/10/2014

Ward roundHQEIIGp A : F/WardAPDr. IftikharGp B :M/ WardDr. Thit Lwin

Clinic QEH IIAll Specialist & MO

CSL - SPU HQEClinical demonstration Ankle & Foot

AP Dr Iftikhar

FRIDAY31/10/2014

Ward roundHQEII

Gp A : M/WardAP Dr Hamed Sayed

BSTAP Dr. ftika

Ward work SGD1Amputation

Dr. Thit Lwin

Ward work

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Gp B : F/WardAP Dr Arif

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YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 2

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

MONDAY 03/11/2014

Ward roundHQEII

Gp A : F/WardAPDr.IftikharGp B : M/ WardDr.Thit Lwin

Ward workBST

AP Dr Hamed Sayed

Spine fracture & spinal cord

injuryDr Chuah Uei

Chyi

Seminar1:Metabolic bone

diseases & osteoporosis

APDr. Iftikhar

TUESDAY 04/11/2014

Ward roundHQEIIGpA: F/Ward AAP Dr Hamed SayedGp B : M/WardAPDr.Arif

Clinic QEHAll Specialist & MO

Preoperative round QEHIIAP Dr. Arif

SGD2 Peripheral nerve injuries

AP Dr Hamed Sayed

WEDNESDAY

05/11/2014

Ward roundHQEII

Gp A : F/WardAPDr.IftikharGp B : M/ WardDr.Thit Lwin

OT- Day HQE IIGp 1: OT am ------ bedside teaching pm HQE IIGp 2 : OT pm ----- bedside teaching am HQE II

Bedside Teaching AM : AP Dr Iftika

OT- Day HQE IIGp 1: OT am ------ bedside teaching pm

SMCGp 2 : OT pm ----- bedside teaching am

SMCBedside Teaching PM : Dr Thit Lwin

THURSDAY 06/11/2014

Ward roundHQEIIGpA: F/Ward AAP Dr Hamed SayedGp B : M/WardAPDr.Arif

Clinic QEHAll Specialist

BST QEH IIDr Nahulan Thevarajah

SGD:3Diabetic foot

Dr Thit Lwin

FRIDAY07/11/2014

Ward Round H.Likas

AP Dr Hamed Sayed

BST H.LikasAP Dr Hamed Sayed

Ward work BSTAP Dr. Arif SLP 1

Low Back PainDr Thit Lwin

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YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 3

DATE / TIME 7.30 am - 8.30 am 8.30 am – 9.30

am9.30 am – 10.30

am10.30 am - 11.30 am

2.00 pm - 3.00 pm 3.00 pm - 5.00 pm

MONDAY 10/11/2014

Ward round QEHII Gp A:M WardAP Dr Hamed SayedGpB:F/WardAPDr.Arif

Ward work

Seminar 2Normal &

abnormal bone healing

AP Dr.Iftikhar

Trauma radiology

roundAP Dr Hamed Sayed

BSTAP Dr. Iftikhar

TUESDAY 11/11/2014

Ward roundHQEII

Gp A : M/WardAP Dr IftikharGp B : F/Ward Dr Thit Lwin

OPDClinic QEH II All Specialist

Workshop 1:Plaster of Paris (POP) & Splinting

All Lecturers – In Charge AP Dr Itikhar

WEDNESDAY

12/11/2014

Ward roundHQEII

Gp A : M/WardAP Dr Hamed Sayed

Gp B : F/WardAP Dr Arif

OT- Day HQE IIGp 1: OT am ------ bedside teaching pm HQE IIGp 2 : OT pm ----- bedside teaching am HQE II

Bedside Teaching AM : AP Dr Arif

OT- Day HQE IIGp 1: OT am ------ bedside teaching pm SMCGp 2 : OT pm ----- bedside teaching am SMCBedside Teaching PM : AP Dr Hamed Sayed

THURSDAY 13/11/2014

Ward roundHQEII

Gp A : M/WardAP Dr IftikharGp B : F/Ward Dr Thit Lwin

Clinic QEHAll Specialists

Post-operative round

Dr Thit LwinWard work

FRIDAY Ward Round BST SGD4 Feedback Discussion

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14/11/2014 H.LikasAP Dr Iftikhar

H.LikasAP Dr. Iftikhar

Ward work Spine infection

AP Dr. Arif

& weekly submission of case report

All Orthopedic Lecturers

YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 4

DATE / TIME 7.30 am - 8.30 am 8.30 am –

9.30 am9.30 am – 10.30

am10.30 am - 11.30

am 2.00 pm - 3.00 pm 3.00 pm - 5.00 pm

MONDAY 17/11/2014

Ward roundHQEII

Gp A : M/ WardAP Iftikhar

Gp B : F/WardDr Thit Lwin

Clinic QEHAll Specialist Ward work

BST

Dr. Thit Lwin

Seminar3Fracture complicationsAP Dr Hamed Sayed

TUESDAY18/11/2014

Ward roundHQEII

Gp A : M/ WardAP Dr Hamed SayedGp B : F/ Ward

AP Dr Arif

Arthroscopy- Demonstration

Leader – Dr.Thit Lwin

Ward work Preoperative round SMC

AP Dr Iftika

Seminar4

Soft tissue infection

AP Dr.Arif

WEDNESDAY

19/11/2014

Ward round HQEII

Gp A : M/ WardAP Dr H. Sayed

Gp B : F/Ward

Gp 1: OT am ------ bedside pm HQE IIGp 2 : OT pm ----- bedside teaching am HQE II

Bedside Teaching : Dr Thit Lwin

OT- Day SMCGp 1: OT am ------ bedside pm SMC

Gp 2 : OT pm ----- bedside teaching am SMC

AP Dr Iftikhar

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AP Dr.Arif

THURSDAY 20/11/2014

Ward roundHQEII

Gp A : M/ WardAP Iftikhar

Gp B : F/WardDr Thit Lwin

Clinic QEHAll Specialist

SGD 5Common Ortho-clinic disorders

AP Dr Hamed Sayed

Ward Work

FRIDAY21/11/2014

Ward Round H Likas

AP Dr Arif

BST H Likas

AP Dr ArifWard work

SLP 2Low Back PainDr Thit Lwin

YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 5

DATE / TIME 7.30 am - 8.30 am 8.30 am – 9.30

am9.30 am – 10.30

am10.30 am - 11.30

am2.00 pm - 3.00

pm 3.00 pm - 5.00 pm

MONDAY24/11/2014

Ward round HQEII

Gp A : F/ WardAP Dr.Iftikhar

Gp B : Male Ward

Dr Thit Lwin

Ward workRadiology ward

roundDr. Thit Lwin

Principles in Rerabilitation IIAP Dr. KN Yin

BS TDr Chuah Uei Chyi

TUESDAY 25/11/2014

Ward round HQEII

Gp A : M/ WardAP Dr H. Sayed

Gp B : F/WardAP Dr.Arif

Clinic QEHAll Speacialist

BSTAP Dr Hamed Sayed

Seminar 5.Traumatic dislocation , soft tissue injuryDr. Thit Lwin

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WEDNESDAY

26/11/2014

Ward roundHQEIIGp A : Male

WardAP Dr IftikharGp B : F/ Ward

Dr Thit Lwin

OT- Day HQE IIGp 1: OT am ------ bedside pm HQE II

Gp 2 : OT pm ----- bedside teaching am HQE IIBedside Teaching : AP Dr Hamed Sayed

OT- Day HQEIIGp 1: OT am ------ bedside pm SMC

Gp 2 : OT pm ----- bedside teaching am SMC

AP Dr Arif

THURSDAY 27/11/2014

Ward round HQEII

Gp A : M/ WardAP Dr Hamed Sayed

Gp B : F/WardAP Dr.Arif

Clinic QEH

All Specialist

BSTDr Nahulan Thevarajah

Ward work

FRIDAY 28/11/2014

Ward round H Likas

Dr.Thit Lwin

BST H Likas

Dr Thit LwinWard work

SLP 2 DiscussionBenign Musculo skeletal tumours

AP Dr Hamed Sayed

YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 6DATE / TIME 7.30 am - 8.30 am 8.30 am – 9.30

am9.30 am – 10.30 am

10.30 am - 11.30 am

2.00 pm - 3.00 pm 3.00 pm - 5.00pm

MONDAY01/12/2014

Ward round HQEII

Gp A : M/ WardAP Dr H.Sayed

Gp B : F/ WardAP Dr Arif

Ward Work

BSTDr Chuah Uei

Chyi

BST

Dr Thit Lwin Ward Work

TUESDAY 02/12/2014

Ward round HQEIIGp A: F/wardAP Dr.Iftikhar

Clinic QEH IIAll Speacialist&MO

Workshop 2Dressing and traction

All lecturers

28

Gp B: M/WardDr. Thit Lwin

In charge AP Dr. Arif

WEDNESDAY 03/12/2014

Ward round HQEIIGp A : M/ Ward

AP Dr H.SayedGp B : F/ Ward

AP Dr Arif

OT QEHIIGp 1-OT am- bedside pm, Gp 2-OT pm-bedside

amBST – AP Dr Iftika

OT -QEHIIGp 1-OT am-bedside pmGp 2-OT pm-bedside am

BST Dr. Thit Lwin

THURSDAY 04/12/2014

Ward round HQEIIGp A : M/ WardAP Dr IftikharGp B : F/ WardDr.Thit Lwin

BSTDr. Thit Lwin Revision Revision

FRIDAY 05/12/2014

Ward round, Hospital LikasDr Thit Lwin Revision

Submission of case write up

Log book viva

YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 7

DATE /

TIME7.30 am - 8.30 am

8.30 am – 9.30

am

9.30 am – 10.30

am10.30 am - 11.30 am

2.00 pm - 3.00

pm3.00 pm - 5.00 pm

08/12/2014Theory examination

(All Lecturer from UMS are compulsory to invigilate this section)

29

TUESDAY

09/12/2014

Long case examination

(All Lecturers from UMS are compulsory to conduct the clinical

exam)

OSCE

(All Lecturers from UMS are

compulsory to conduct the

OSCE)

WEDNESD

AY

10/12/2014

THURSDAY

11/12/2014

FRIDAY

12/12/2014

30