Veidlapa Nr. M-3 (8)
Study Course Description

Traumatology, Orthopaedics V

Main Study Course Information

Course Code
RTO_019
Branch of Science
Clinical medicine; Orthopaedics
ECTS
48.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

The aim of the programme is to provide students with opportunities to acquire theoretical and practical knowledge in field of traumatology and orthopaedics, to prepare doctor for independent work and certification exam in specialty, according to knowledge required in normative acts of the Republic of Latvia.

Learning Outcomes

Knowledge

1.At the end of the studies, student will show knowledge and comprehension about children and adult musculoskeletal trauma and orthopedics problems, acute surgical and internal medicine conditions. Will be able to examine patient independently, critically evaluate their symptoms, define the diagnosis and substantiate it. Will explain chosen treatment methods and describe and explain principles of his action.

Skills

1.1. After gathering patients clinical and additional examination data, student will be able to make a proper diagnosis and choose treatment method: a) Get patient's medical history b) Make a plan for examinations needed c) Evaluate gained radiological and clinical data 2. Apply treatment methods: a) Use appropriate transport immobilization b) Do puncture of large joints and cavities; do closed fracture and dislocation reposition, apply adequate immobilization c) Define indications for applying external fixator and be able to apply it d) Do primary or secondary wound closure, skin flap plastic e) Do tendon suture or plastic f) Do debridement and amputation of extremity g) Choose adequate fixation (osteosynthesis) of fracture, and be able to perform it h) Choose adequate treatment method for treating pseudarthrosis. 2. Be able to diagnose infection of musculoskeletal system and joints (septic arthritis, osteomyelitis) and choose proper conservative or surgical treatment method. 3. Recognize different bone and soft tissue tumours, either benign or malignant. Make an examination plan for getting precise diagnosis and choose proper conservative or surgical treatment method. 4. Will be able to timely recognize systemic and local treatment complications and prevent them or choose proper treatment. 5. Will be able to predict outcome in patients with musculoskeletal trauma depending on its severity.

Competences

1.Will be able to analyze, see interrelationship, evaluate and solve problems in field of traumatology and orthopaedics, in highest professional level, by increasing knowledge in specific and related fields. a) Be able to make proper diagnosis in patients with musculoskeletal trauma and related diseases b) recognize different systemic and local complications of musculoskeletal trauma and diseases, c) evaluate gained examination data, d) do differential diagnosis between orthopaedic diseases, e) make proper treatment plan based on gained objective data, f) explain chosen treatment method, g) evaluate results of chosen treatment method.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Independently study newest materials and literature in field of traumatology and orthopedics and related fields. Participate in local and international conferences and forums. One to two times per year makes a clinical case presentation about actual topic in field of traumatology and presents it in hospital conference. Makes a scientific clinical case presentation and presents it in yearly conference of Latvian Traumatologists and Orthpaedic surgeons or Rīga Stradiņš university scientific conference.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Written test based on seminar topics
2.

Examination

-
-
Theoretical knowledge evaluation two times per year. Students gives written answers to questions, which are studied during course (analysis of clinical case, multiple choice test or detailed answer to theoretical question). The answers will be graded in 10 point system. Student needs to answer correctly 75% to get a positive grade. Excellent grade if 95-100% is answered correctly, very good – 85-90%, good – 80%, almost good – 75%. Practical skills test by patients’ bed side or doing certain manipulation or surgical procedure accordingly to gained practical skills. At the end of the course, student presents his scientific work in department meeting. Grading in 10 point system according to works conformity to research requirements given by Rīga Stradiņš university, its topicality, content compliance, substantiation, design, speech intelligibility, students ability to give proper answers to given questions and leading the discussion. State examination is united with certification examination in certain specialty. It consists of 150 multiple choice questions and from oral answers to 3-4 questions given by commission.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
-

Topics

Knee joint arhroscopy, suregery techniques, complications.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Hematogenous osteomyelitis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Posttraumatic osteomyelitis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Rear types of osteomyelitis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Intrahospital infection.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Benign bone tumours.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Soft tissue tumours.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Malign bone tumours.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Bone metastases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Tumour-like bone diseases.
  1. Seminar

Modality
Location
-
-

Topics

Pathological bone fractures.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Bone defects.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Amputation.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Osteoarthritis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Osteoarthritis of the hip joint.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Osteoarthritis of the knee joint.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Osteoarthritis of the shoulder joint.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Shoulder joint replacement.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Osteoarthritis of elbow, radiocarpal and finger joints.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Ankle and subtalar joint osteoarhritis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Ankle joint replacement.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Complications after joint replacement.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Periprosthetic bone fractures.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Deformities of the foot.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Arhropaties of the foot.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Foot and ankle soft tissue diseases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Soft tissue diseases of the palm.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Carpal tunnel disease.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Dipitrene contracture.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Idiopatic avascular bone necrosis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Posttraumatic avascular bone necrosis.
  1. Seminar

Modality
Location
On site
-

Topics

Resuscitation measures for injured patients.
  1. Seminar

Modality
Location
On site
-

Topics

Acute airway obstruction. Pleural space puncture in the case of pneumothorax and hydrothorax.
Total ECTS (Creditpoints):
48.00
Number of Residency Seminars:
33
Length (weeks):
44
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Outline of orthopaedics. John Crawford Adams, David I. Hamblen. 13th edition. London, 2006.

2.

Campbells operative orthopaedics. Edited by A.H. Crenshaw. Vol. 1,2,3,4, 12th edition, ST. Louis a.o.:Mosby, 2013.

3.

Orthopaedic physical assesment. David J. Magee. 3rd edition. Phyladelphia a.o.: W.B. Saunders Company, 2010.

4.

Master techniques in orthopaedic surgery: fractures. Wiss D.A. 2nd edition. Lipincott. Williams & Wilkins, 2006.

5.

Sport medicine. R. Arciero. US McGraw-Hill Inc., 2003.

6.

Slimību, sindromu, testa un muskuļskeletālu bpjājumu eponīmiskā vārdnīca. L. Ejubs, A.Peredistijs. Nacionālais apgāds, Rīga, 2006.

7.

Operative techniques in shoulder and elbow surgery. Williams, Ramcey, Wiesel. 2010.

8.

Hospital for special surgery orthopaedic manual. Th. P. Scolco et al. 2011. Lippincott, Williams et Wilkins, Philadephia. USA.

9.

Traumatoloģija un ortopēdija A.Jumtiņa redakcijā. RSU, 2016.

10.

Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction, 6th edition. Elsevier, 2020.

Additional Reading

1.

http:orthoinfo.aaos.org

3.

http://www thefreedictionary.com/arthroscopy