medportal CDB | Taxonomy | Discipline / Orthopedics

Taxonomies

Discipline

Orthopedics

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Activities

Bone Health (Archived)
Large Group Session

Part 2 / Medical Foundation 2

Shane Mosley MF2 Hematology
Tutorial

Part 2 / Medical Foundation 2 / Hematology / Week 2

Julian Knight MF3 Endocrinology
Tutorial

Part 3 / Medical Foundation 3 / Endocrinology / Week 3

MSK Introduction (Archived)
Large Group Session

Part 4 / Musculoskeletal Medicine

Intro to MSK Clinical Skills and Patient Partners (Archived)
Large Group Session

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Physical Medicine and Rehabilitation - Physiatry (Archived)
Large Group Session

Part 4 / Musculoskeletal Medicine

Orthopedics (Adult) (Archived)
Large Group Session

Part 4 / Musculoskeletal Medicine

Metabolic Bone Disease (Archived)
Large Group Session

Part 4 / Musculoskeletal Medicine

Topics in Sport Medicine (Archived)
Large Group Session

Musculoskeletal Medicine

Orthopedics (Peds) (Archived)
Large Group Session

Part 4 / Musculoskeletal Medicine

GALS (Gait, Arms, Legs, Spine)
Watching a Video

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Integrated Radiology - Anatomy - Musculoskeletal System
Active Large Group Session

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

MSK History-Taking (Archived)
Large Group Session

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Ryan Smith MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Gayle Parker MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Joshua Song MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Brock Martel MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Mike Chiasson MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

MF5 MSK Anatomy: A Primer (Archived)
Large Group Session

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Ronnie Olchuk MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Hip and Knee Pain
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

Daniel Gatto MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Ann Green MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Bella Sharapova MF5 MSK (Archived)
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Diane Bainbridge MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Amy Field MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Shoulder and Elbow Pain
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Introduction to Adult and Pediatric Orthopedics
Active Large Group Session

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 2

Richard Strang MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Joseph Collins MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Cindy Edsworth MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Joan Spaulding MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Carlos Sepos MF5 MSK (Archived)
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Wrist, Hand and Ankle, Foot Pain
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 3

Jake Gamble MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 4

Fred Newman MF4 MSK
Tutorial

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 4

MSK Radiology
Active Large Group Session

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 4

Back Pain, GALS Exam
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 4

David Beatty MF4 Neurology
Tutorial

Part 4 / Medical Foundation 4 / Neuroscience / Week 2

Ethel MacConkey IF Host Defence and Neoplasia
Tutorial

Integration Foundation / Host Defense and Neoplasia / Week 1

Knee Pain in the ER
Clinical Skills Sessions

Part 5 / Integration Foundation / Host Defense and Neoplasia / Week 1

Henry Baker IF Chronicity and Complexity
Tutorial

Part 5 / Integration Foundation / Complexity and Chronicity / Week 1

Clerkship Hands-On Practical Skills
Clinical Skills Practice Sessions

Transition to Clerkship / Week 1

Musculoskeletal Presentations
Clinical Exposure

Clerkship / Family Medicine Rotation

Musculoskeletal presentations
Tutorial

Clerkship / Family Medicine Rotation

Arthritis
Essential Clinical Experience

Orthopedic Surgery Rotation

Extremity Pain, Lower
Essential Clinical Experience

Orthopedic Surgery Rotation

Fracture, lower extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Fracture, upper extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Neck/Back Pain (Incl. Disease)
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Orthopedic Surgery Rotation

Closed reduction of fracture or dislocation
Essential Clinical Experience

Orthopedic Surgery Rotation

Closure of wound (skin)
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Hematoma block
Essential Clinical Experience

Orthopedic Surgery Rotation

Joint aspiration or injection
Essential Clinical Experience

Orthopedic Surgery Rotation

OR sterile technique/Assisting
Essential Clinical Experience

Surgery Rotation / Orthopedic Surgery Rotation

Splint/Cast extremity
Essential Clinical Experience

Emergency Medicine Rotation / Orthopedic Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Obtain informed consent for a procedure or treatment.
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Access evidence-based information/resources relevant to a clinical problem and discuss with supervisor or team.
Essential Clinical Experience

Anesthesia Rotation / Emergency Medicine Rotation / Internal Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Apply evidence-based information to inform decision making and share with patient or family.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Extremity pain, Upper
Essential Clinical Experience

Orthopedic Surgery Rotation

Pre-operative Surgical Safety checklist
Essential Clinical Experience

Surgery Rotation / Orthopedic Surgery Rotation

Orthopedic Surgery Clerkship
Clinical Exposure

Clerkship / Orthopedic Surgery Rotation

Orthopedic LGS 1
Large Group Session

Clerkship / Orthopedic Surgery Rotation

Orthopedic Surgery
Grand Rounds (Clerkship)

Clerkship / Orthopedic Surgery Rotation

Orthopedic LGS 2
Large Group Session

Clerkship / Orthopedic Surgery Rotation

Distal neurovascular examination of the lower extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Distal neurovascular examination of the upper extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Assessments

MF4 MSK Clinical Skills
End-Unit Clinical Skills Assessment

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

OSCE #2
Objectives Structured Clinical Examination

Part 5 / Integration Foundation

Musculoskeletal Presentations
Clerkship Key Feature Exam

Clerkship / Family Medicine Rotation

Musculoskeletal presentations
Clerkship Tutorial Evaluation

Clerkship / Family Medicine Rotation

Musculoskeletal presentations
Final Rotation Assessment

Clerkship / Family Medicine Rotation

Orthopedic Surgery Clerkship
Essential Clinical Experience Completion

Orthopedic Surgery Rotation

Orthopedic Surgery
Clerkship Multiple Choice Question Exam

Clerkship / Orthopedic Surgery Rotation

Orthopedic Surgery Clerkship
Final Rotation Assessment

Clerkship / Orthopedic Surgery Rotation

Orthopedic Surgery
Mid-Rotation Assessment

Clerkship / Orthopedic Surgery Rotation

Objectives

Explain the interplay among the major systems involved in maintaining calcium homeostasis including the parathyroid glands, the kidneys, the digestive system and the bony skeleton.
General Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Define osteoporosis and list secondary causes for this condition.
General Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Upon completion of this problem, students will outline the key hormones and organs or tissues involved in calcium homeostasis, as well as the causes and consequences of hypercalcemia. Students will also be able to describe the histological structure of bone, the physiology of bone formation and remodeling and the pathophysiology of osteoporosis.
Global Objectives

Part 3 / Medical Foundation 3 / Endocrinology

Describe the histology of bone and the hormonal regulation of its cellular components.
General Objectives

Part 3 / Medical Foundation 3 / Endocrinology

MF4 is the study of the nervous and locomotor systems particularly, remembering the whole person and the whole environment. The Foundation organizes this task into three subunits: Musculoskeletal Medicine, Neuroscience, and Brain & Behaviour.
Block Objectives

Part 4 / Medical Foundation 4

Musculoskeletal System
General Objectives

Part 4 / Medical Foundation 4

Discuss common developmental abnormalities of the musculoskeletal system in a child.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe how these disorders (developmental abnormalities of the musculoskeletal system) may affect the child through all stages of life.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain the structure and development of bone, particularly the concept of the epiphyseal plate.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe fractures in children and contrast these to fractures in adults.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Identify basic musculoskeletal and neurological anatomical structures in the limbs.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the anatomy associated with common soft tissue injuries and how abnormalities result in musculoskeletal problems.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Identify the facets which make up a joint and specifically what is synovial fluid and what role does it play in the joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain the homeostatic mechanisms which maintain the joint and the joint capsule.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the concept of tendons vs. ligaments and how their structures and roles differ.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the constituency of cartilage and how it interacts with synovial fluid.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain how mechanical abnormalities affect function.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Discuss degenerative musculoskeletal diseases.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Discuss bone’s role in homeostasis in conjunction with other organ systems.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe concepts of bone quantity and bone quality and how these are measured.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe common metabolic bone diseases such as osteoporosis and its important societal implications.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe less common metabolic bone diseases which help one learn about normal bone.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain how bone repairs.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Review the role of allied musculoskeletal health professionals.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe how the immune system is closely tied in with many disease entities affecting the musculoskeletal system. Central concepts include inflammation, the adaptive and innate immunities and Th1 and Th2 factors.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Identify that there are many triggers to inflammation and factors that mediate it.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the scope and multi-system nature of many autoimmune musculoskeletal diseases.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the clinical difference and approach to monoarthritis and polyarthritis.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Identify diagnostic tests and measurement tools classically used to evaluate inflammatory disease.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Review recent developments in immunotherapy.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Differentiate between inflammatory and mechanical back pain.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Develop a basic approach to low back pain and explain its common causes and its investigation and management.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Differentiate between the role of opioid use in acute pain versus chronic pain and discuss the efficacy, limitations and adverse consequences.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Understand common pain syndromes including an understanding of social and other factors that contribute to the complexity of these disorders.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Discuss rheumatic disorders, including vascultis and myopathies, that present with overlapping neurological symptoms.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe musculoskeletal embryology and normal limb development, and explain the assessment and management of congenital foot abnormalities in children.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will be able to describe spinal deformities and their implications in children.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will be able to describe the basic anatomical structures of the lower limbs.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will have gained insight into the role of mechanical dysfunction as a cause of pain in a young adult.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to explain shoulder biomechanics and the etiology of chronic tendon disorders. They should explore how to individualize a treatment plan.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will understand the anatomy and biomechanics of the knee, and explore the mechanisms and pathology of lesions affecting the components.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, students will appreciate that joint pain can arise from a number of different etiologies, and explore osteonecrosis as one of these etiologies.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will understand vitamin D physiology, consequences of deficiency, and osteomalacia.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe an approach to osteoporosis.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe a basic approach to low back pain and identify its common causes and its investigation and management.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to explain the difference between inflammatory and mechanical back pain, and will have explored ankylosing spondylitis as the prototypical inflammatory spine disease.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be familiar with reactive arthritis and recognize that environmental and genetic factors have a significant role in the pathophysiology of rheumatic diseases.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this problem, students will be able to describe the assessment and management of fractures in children.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Upon completion of this case, the student will have become familiar with septic arthritis and osteomyelitis, and understand differences between pediatric and adult disease.
Global Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect the difference between bony and soft tissue swelling.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Elicit tenderness around a joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Elicit temperature around a joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect synovitis.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Have an awareness of the difference between active and passive movements.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform passive and active movements at all relevant joints.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect a loss of full extension and a loss of full flexion.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess gait.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Correctly use the terms varus and valgus.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess limb reflexes routinely when examining the spine and in other relevant circumstances.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Have an understanding of the term subluxation.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Where appropriate examine neurological and vascular systems when assessing a problematic joint (check for intact sensation and peripheral pulses).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess leg length with a tape measure when assessing for a real leg length discrepancy.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Make qualitative assessment of movement (not joint end feel but features such as cog-wheeling).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess the median and ulnar nerves.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Be able to localize tenderness within the joints of the hand (palpate each small joint of the hand if necessary).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess power grip.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess pincer grip in the hand.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Make a functional assessment of the hand such as holding a cup.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Correctly use the term "Heberden's nodes".
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform Phalen's test.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect a painful arc* and frozen shoulder*
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Make a functional assessment of the shoulder (can they put their hands behind their head and back?).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform external/internal rotation of the shoulder with the elbow flexed to 90 degrees and held in against the patient's side.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Examine a patient's shoulder from behind for scapular movement.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess the acromio-clavicular joint (by palpation alone).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Palpate for tenderness over the epicondyles of the elbow.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Palpate for tenderness over the greater trochanter of the hip.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform internal and external rotation of the hip with it flexed to 90 degrees.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform Trendelenberg's test.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform Thomas' test.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Detect an effusion at the knee.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform a patellar tap.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Demonstrate cross fluctuation or the bulge sign when looking for a knee effusion.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Test for collateral ligament stability in the knee.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Use the anterior draw test to assess anterior cruciate ligament stability in the knee.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Examine the sole of a patient's feet.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Recognise hallux valgus, claw and hammer toes.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess a patient's feet with them standing.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess for flat feet (including the patient standing on tip toes).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Recognize hind foot/heel pathologies.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess plantar and dorsi-flexion of the ankle.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess movements of inversion and eversion of the foot.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess the sub-talar joint.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Perform a lateral squeeze across the metatarsophalangeal joints.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess flexion/extension of the big toe.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Examine a patient's footwear.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Palpate the spinous processes.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess lateral and forward flexion of the lumbar spine (using fingers not tape measure).
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Assess thoracic rotation with the patient sitting.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain bone physiology and histology and its role as a structural frame.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Summarize the basics in immunity, inflammation and the concept of autoimmunity.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the mechanism of action, the efficacy and adverse effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and acetaminophen particularly with respect to their role in managing osteoarthritis.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Develop an overall approach to weakness, leading into the neuroscience subunit.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Differentiate between back pain, spine pain and radicular pain.
General Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe the unique components of an orthopedic history (compared to other system-related histories).
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe an approach to the orthopedic physical examination.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Compare and contrast fractures in adults and children.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain the principles of fracture management.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Explain potential complications of fractures.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Review cases of common orthopedic injuries with rationalization for methods of diagnosis and management.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Discuss the microscopic structure of muscle and the process of muscle contraction/relaxation.
General Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Upon completion of this problem, students should be able to describe normal muscle function.
Global Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Upon completion of this problem, the student should be able to describe chronic pain in a biopsychosocial framework which recognizes nociceptive, neuropathic, cognitive-perceptual, brain and behaviour and socio-environmental factors.
Global Objectives

Part 5 / Integration Foundation / Complexity and Chronicity

Discuss the diagnosis and treatment of compartment syndrome.
Clerkship Objectives

Clerkship

Minor trauma / MSK injuries (including fracture / dislocation/ sprain). Explain the ABCDE approach to major and minor trauma, identify resuscitative priorities and recognize injuries which require acute management.
Clerkship Objectives

Emergency Medicine Rotation

Limp / Extremity Pain: Bone tumor, Growing pains, Juvenile idiopathic arthritis, Legg Calve Perthes disease, Osgood Schlatter disease, Osteomyelitis, Post-infectious, Reactive arthritis, Rheumatic fever, Septic arthritis, Slipped capital femoral epiphysis, Transient synovitis, Trauma / injury
Clerkship Objectives

Clerkship / Pediatrics Rotation

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.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Fractures (Growth plate fractures).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Axial and soft tissue joint disorders: neck and back pain; Myelopathy/claudication; Disc herniation; Scoliosis; Spondylolisthesis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Club Foot.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Flat feet (Tarsal coalition).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Bone and soft tissue tumours: Benign (osteochondromas); Malignant (osteosarcoma); Metastatic (breast cancer).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Patellofemoral disorders
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Lower extremity malalignment (in-toeing).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Understand new history and physical examination techniques to formulate a differential diagnosis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Understand the judicious use of laboratory, radiographic, and other investigations to rule in and rule out each diagnosis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Compartment Syndrome, Cauda equina syndrome, Limb Ischemia
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Interpret the information provided and synthesize an appropriate basic management plan including:
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Rehabilitation prescription (physiotherapy, massage therapy, etc.)
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will be able to explain the techniques of joint aspiration and joint injections.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will understand the principles and techniques of antisepsis in the operating room.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Brace, walking aid, and orthotic prescription.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Communicate in an appropriate fashion to colleagues, other heath care professionals, patients, and family members.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Demonstrate respect and appreciate the roles of other health care professionals.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Practice appropriate medical resource management.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Always behave as a professional with honesty, integrity, commitment, compassion, efficiency, competency, and altruism.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Arthritis
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Extremity Pain, Lower
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Fracture, lower extremity
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Fracture, upper extremity
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Neck/Back Pain (Incl. Disease)
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Orthopedic Surgery Rotation

Closed reduction of fracture or dislocation
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Closure of wound (skin)
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Hematoma block
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Joint aspiration or injection
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

OR sterile technique/Assisting
Essential Clinical Experience

Clerkship / Surgery Rotation / Orthopedic Surgery Rotation

Splint/Cast extremity
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Orthopedic Surgery Rotation

Participate in a discussion in which "bad news" is communicated to a patient or family.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Obtain informed consent for a procedure or treatment.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Access evidence-based information/resources relevant to a clinical problem and discuss with supervisor or team.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Emergency Medicine Rotation / Internal Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Apply evidence-based information to inform decision making and share with patient or family.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Extremity pain, Upper
Essential Clinical Experience

Clerkship / Orthopedic Surgery Rotation

Pre-operative Surgical Safety checklist
Essential Clinical Experience

Clerkship / Surgery Rotation / Orthopedic Surgery Rotation

Distal neurovascular examination of the lower extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

Distal neurovascular examination of the upper extremity
Essential Clinical Experience

Orthopedic Surgery Rotation

The student will learn the relevant surgical anatomy for a variety of musculoskeletal conditions.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Indications for surgery and general surgical principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Return to activity.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Referral to other specialists when appropriate.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

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.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

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.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Forearm and Elbow: Epicondylitis (tennis elbow - lateral, golfer’s elbow - medial); Olecranon bursitis; Biceps tendon injury.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Shoulder and Upper Arm: Rotator cuff tear; Joint instability; Superior labral tear
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Foot and Ankle: Ankle sprains; Achilles Tendon Injury; Bunions; Diabetic foot.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Knee and Lower Leg: Meniscal tears; Osteochondritis dissecans/loose bodies; Cruciate and collateral ligament injuries (ACL, PCL, MCL, LCL).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Hip and Upper Leg: Labral tears; FAI; Osteoarthritis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will differentiate physiologic from pathological growth.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Identify non-accidental trauma and understand the urgency of immediate referral.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

For the following disorders the student will interpret the information provided and synthesize an appropriate basic management plan including:
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Rehabilitation prescription (physiotherapy, massage therapy, etc.).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Brace, walking aid, and orthotic prescription.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Indications for surgery and general surgical principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Return to activity.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Referral to other specialists when appropriate.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

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.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Limping child (Developmental Dysplasia of the Hip (DDH), Perthes, Slipped Capital Femoral Epiphysis (SCFE))
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Apophyseal conditions (Osgood Schlatter Disease)
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will identify the major sensory and motor nerves in the extremity and apply this knowledge to examination of the extremities.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will recognize the importance of compound fractures and their management.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Describe the radiographic findings (of fractures).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Outline potential complications of the (fracture) injury.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

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.).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

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.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Hand and wrist (5th metacarpal fracture (boxer’s), Scaphoid fractures, Distal radius fractures).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Forearm and elbow (Monteggia fracture)
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Humerus (Supracondylar humerus fracture)
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Foot and Ankle (Lisfranc fracture, 5th Metatarsal fracture (acute and stress), Ankle fracture).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Lower extremity (Tibia fracture, Femoral neck fracture).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

For the following problems, the student will: Diagnose and recognize their importance. Analyze the situation and determine the urgency. Outline the management principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Infection: Osteomyelitis; Joint sepsis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Acute Trauma
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

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