Veidlapa Nr. M-3 (8)

Study Course Description

Traumatology, Orthopaedics V

Main Study Course Information

Course Code

RTO_037

Branch of Science

Clinical medicine; Orthopaedics

ECTS

54.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Andrejs Finogejevs

Residency Speciality

Speciality

Trauma Doctor, Orthopaedist

Supervisor of Medical Speciality

Andrejs Finogejevs

Contacts

About Study Course

Objective

The aim of the programme is to ensure the acquisition and improvement of theoretical knowledge and practical skills in accordance with the requirements for the specialty of Traumatologist – orthopaedist in order to prepare the doctor for independent work and certification in the specialty of orthopaedist in accordance with the laws and regulations of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Upon completion of studies, the student will demonstrate thorough knowledge and understanding of children and adult musculoskeletal trauma and orthopaedic problems, acute surgical and internal medicine conditions. The student will be able to examine patient independently, critically evaluate the symptoms, give the diagnosis and justify it. The student will be able to explain the chosen treatment methods and describe and explain principles of his action.

Skills

1.1. After gathering patients clinical and additional examination data, the student will be able to give a proper diagnosis and choose the appropriate method of treatment: a) take the patient's medical history b) draw up a plan for examinations needed c) interpret the results of radiological and clinical examinations 2. Apply treatment methods: a) use appropriate transport immobilisation b) perform: - puncture of large joints and cavities, - closed reposition of various bone fractures and dislocations and apply adequate immobilization, c) define indications for applying external fixator and 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 the extremity g) choose adequate fixation (osteosynthesis) of fracture, and be able to perform it h) choose adequate treatment method for treating pseudarthrosis. 2. Able to diagnose infection of musculoskeletal system and joints (septic arthritis, osteomyelitis) and choose the most appropriate conservative or surgical treatment method. 3. Recognise different benign and malignant tumours of the musculoskeletal system. Draw up an examination plan for getting precise diagnosis and choose the appropriate conservative or surgical treatment method. 4. Able to recognise complications of systemic and local surgical or conservative treatment and prevent them or choose appropriate treatment. 5. Able to predict the outcome in patients with musculoskeletal trauma depending on its severity.

Competences

1.The student will be able to analyse, see interrelationship, evaluate and solve problems in the field of traumatology and orthopaedics, at the highest professional level, while continuously improving their knowledge in specific and related fields. The student will be able to: a) correctly diagnose patients with musculoskeletal trauma and related diseases b) recognise different systemic and local complications of musculoskeletal trauma and diseases, c) interpret data obtained by different examination methods, d) give a differential diagnosis of orthopaedic diseases, e) draw up a proper treatment plan based on the objective examination data gained, f) explain the need for the chosen treatment method, g) evaluate the results of the chosen treatment method.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Independently study the latest materials and literature in the field of traumatology and orthopaedics and related fields. Participate in local and international conferences and forums. Once or twice a year, present the latest findings on the current topic in the field of traumatology at a hospital conference. Conduct in-depth clinical case studies and present it at the annual conference of Latvian Traumatologists and Orthopaedic 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 is tested twice a year. Students answer theoretical questions, studied during course (clinical case analysis, multiple-choice test or detailed answer to a theoretical question). The answers are assessed according to a 10-point grading system. The student has to answer correctly 75% to get a positive assessment. 95-100% of the answers are correct to get an excellent mark; 85-90% for a very good mark and 75% for almost good assessment. Practical skills are tested at the bedside or by the student performing a specific manipulation or surgical procedure according to the specified clinical skills. At the end of the course, the student prepares and defends his/her research work at a meeting of the Department of Orthopaedics. The work is assessed according to a 10-point grading system in compliance with the requirements for the research work set by Rīga Stradiņš University, its topicality, completeness of the collected material in accordance with the objectives of the research, the compliance of the content with the research objectives, validity of conclusions, technical design, clarity of the presentation, student’s ability to answer questions and discuss in an appropriate manner. The National Degree Examination is combined with a certification examination in the specialty. It consists of 150 multiple-choice questions in writing and to 3-4 questions from the Examination Board are answered orally.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	-

Topics

Knee joint arhroscopy, suregery techniques, complications.

Seminar

Modality	Location
On site	Auditorium

Topics

Hematogenous osteomyelitis.

Seminar

Modality	Location
On site	Auditorium

Topics

Posttraumatic osteomyelitis.

Seminar

Modality	Location
On site	Auditorium

Topics

Rear types of osteomyelitis.

Seminar

Modality	Location
On site	Auditorium

Topics

Hospital-acquired infection.

Seminar

Modality	Location
On site	Auditorium

Topics

Benign bone tumours.

Seminar

Modality	Location
On site	Auditorium

Topics

Soft tissue tumours.

Seminar

Modality	Location
On site	Auditorium

Topics

Malignant bone tumours.

Seminar

Modality	Location
On site	Auditorium

Topics

Metastatic tumours of bone.

Seminar

Modality	Location
On site	Auditorium

Topics

Tumour-like bone diseases.

Seminar

Modality	Location
-	-

Topics

Pathological bone fractures.

Seminar

Modality	Location
On site	Auditorium

Topics

Bone defects.

Seminar

Modality	Location
On site	Auditorium

Topics

Amputation.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteoarthritis.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteoarthritis of the hip joint.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteoarthritis of the knee joint.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteoarthritis of the shoulder joint.

Seminar

Modality	Location
On site	Auditorium

Topics

Shoulder joint replacement.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteoarthritis of elbow, radiocarpal and finger joints.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteoarthritis of the foot and subtalar joint.

Seminar

Modality	Location
On site	Auditorium

Topics

Ankle joint replacement.

Seminar

Modality	Location
On site	Auditorium

Topics

Complications after joint replacement.

Seminar

Modality	Location
On site	Auditorium

Topics

Periprosthetic bone fractures.

Seminar

Modality	Location
On site	Auditorium

Topics

Deformities of the foot.

Seminar

Modality	Location
On site	Auditorium

Topics

Arhropaties of the foot.

Seminar

Modality	Location
On site	Auditorium

Topics

Foot and ankle soft tissue diseases.

Seminar

Modality	Location
On site	Auditorium

Topics

Diseases of the joints and soft tissues of the hand.

Seminar

Modality	Location
On site	Auditorium

Topics

Carpal tunnel disease.

Seminar

Modality	Location
On site	Auditorium

Topics

Dipitrene contracture.

Seminar

Modality	Location
On site	Auditorium

Topics

Idiopathic avascular necrosis of bone.

Seminar

Modality	Location
On site	Auditorium

Topics

Posttraumatic avascular bone necrosis.

Seminar

Modality	Location
On site	-

Topics

Resuscitation measures for injured patients.

Seminar

Modality	Location
On site	-

Topics

Acute airway obstruction. Pleural space puncture in the case of pneumothorax and hydrothorax.

Total ECTS (Creditpoints):

54.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

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

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

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

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

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

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

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

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

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

http:orthoinfo.aaos.org

http://eu.wicipedia.org./wiki/......

http://www thefreedictionary.com/arthroscopy