Orthopedic Surgery
Assessment
Mid-Rotation Assessment
Mid-Rotation Assessment
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
Curriculum Block
Clerkship / Orthopedic Surgery Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- The student will identify the major sensory and motor nerves in the extremity and apply this knowledge to examination of the extremities.
- Knee and Lower Leg: Meniscal tears; Osteochondritis dissecans/loose bodies; Cruciate and collateral ligament injuries (ACL, PCL, MCL, LCL).
- Hip and Upper Leg: Labral tears; FAI; Osteoarthritis.
- The student will differentiate physiologic from pathological growth.
- Identify non-accidental trauma and understand the urgency of immediate referral.
- For the following disorders the student will interpret the information provided and synthesize an appropriate basic management plan including:
- Rehabilitation prescription (physiotherapy, massage therapy, etc.).
- Brace, walking aid, and orthotic prescription.
- Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
- Indications for surgery and general surgical principles.
- Return to activity.
- Referral to other specialists when appropriate.
- Recognize the impact of the condition on the child and their parents regarding impairment of function, limitation of activities, and the potential of life with chronic pain requiring social and psychological support.
- Limping child (Developmental Dysplasia of the Hip (DDH), Perthes, Slipped Capital Femoral Epiphysis (SCFE))
- Apophyseal conditions (Osgood Schlatter Disease)
- Foot and Ankle: Ankle sprains; Achilles Tendon Injury; Bunions; Diabetic foot.
- The student will recognize the importance of compound fractures and their management.
- Describe the radiographic findings (of fractures).
- Outline potential complications of the (fracture) injury.
- Formulate an immediate and long-term management plan for the injury (fracture) including brace or cast; Indications for surgery and the general surgical principles; Rehabilitation prescription (physiotherapy, massage therapy, etc.).
- Recognize the impact of the condition on the individual regarding impairment of function, limitation of activities, and the possibility for chronic pain requiring social and psychological support.
- Hand and wrist (5th metacarpal fracture (boxer’s), Scaphoid fractures, Distal radius fractures).
- Forearm and elbow (Monteggia fracture)
- Humerus (Supracondylar humerus fracture)
- Foot and Ankle (Lisfranc fracture, 5th Metatarsal fracture (acute and stress), Ankle fracture).
- Lower extremity (Tibia fracture, Femoral neck fracture).
- For the following problems, the student will: Diagnose and recognize their importance. Analyze the situation and determine the urgency. Outline the management principles.
- Infection: Osteomyelitis; Joint sepsis.
- Acute Trauma
- The student will understand the principles and techniques of antisepsis in the operating room.
- Fractures (Growth plate fractures).
- Axial and soft tissue joint disorders: neck and back pain; Myelopathy/claudication; Disc herniation; Scoliosis; Spondylolisthesis.
- Club Foot.
- Flat feet (Tarsal coalition).
- Bone and soft tissue tumours: Benign (osteochondromas); Malignant (osteosarcoma); Metastatic (breast cancer).
- Patellofemoral disorders
- Lower extremity malalignment (in-toeing).
- Understand new history and physical examination techniques to formulate a differential diagnosis.
- Understand the judicious use of laboratory, radiographic, and other investigations to rule in and rule out each diagnosis.
- Compartment Syndrome, Cauda equina syndrome, Limb Ischemia
- Interpret the information provided and synthesize an appropriate basic management plan including:
- Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
- Rehabilitation prescription (physiotherapy, massage therapy, etc.)
- The student will be able to explain the techniques of joint aspiration and joint injections.
- The student will build on their basic science, physiology, and clinical examination skills as it pertains to the structure and function the bones, joints, muscle, and connective tissues.
- Brace, walking aid, and orthotic prescription.
- Communicate in an appropriate fashion to colleagues, other heath care professionals, patients, and family members.
- Demonstrate respect and appreciate the roles of other health care professionals.
- Practice appropriate medical resource management.
- Always behave as a professional with honesty, integrity, commitment, compassion, efficiency, competency, and altruism.
- The student will learn the relevant surgical anatomy for a variety of musculoskeletal conditions.
- Indications for surgery and general surgical principles.
- Return to activity.
- Referral to other specialists when appropriate.
- Recognize the impact of the condition on the individual regarding impairment of function, limitation of activities, and the potential of life with chronic pain requiring social and psychological support.
- Hand and Wrist: Tendon injury (Jersey finger, mallet finger, boutonniere deformity); Ulnar Collateral Ligament injury (Game keeper or skier’s thumb); Carpal Tunnel Syndrome; Dupuytren’s disease.
- Forearm and Elbow: Epicondylitis (tennis elbow - lateral, golfer’s elbow - medial); Olecranon bursitis; Biceps tendon injury.
- Shoulder and Upper Arm: Rotator cuff tear; Joint instability; Superior labral tear
Activities
Clinical Exposure
Tags
Curriculum Block
Clerkship
Orthopedic Surgery Rotation
Discipline
Orthopedics
McMaster Program Competencies
3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours
3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours
3.3 Set learning and improvement goals
8.2 Practice flexibility and maturity in adjusting to change with the capacity to alter one’s behaviour
8.3 Develop the ability to use self-awareness of knowledge, skills, and emotional limitation to seek help appropriately
8.4 Demonstrate awareness and acceptance of different points of view
