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De Al-az Program C M. D. degr epartment of Orthopedics Faculty of medicine, zhar University (males).Cair 2013-2014/2014-2015 Code: (07-700-ortho-DOC ree of Orthopedic Sur ro C) rgery

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Page 1: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Department of

Al-azhar University

Program Code: (07

M. D. degree of

Department of Orthopedics

Faculty of medicine,

azhar University (males).Cairo

2013-2014/2014-2015

Program Code: (07-700-ortho-DOC

M. D. degree of Orthopedic Surgery

(males).Cairo

DOC)

Orthopedic Surgery

Page 2: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

A. Basic Information � Program Title: Medical doctorate degree of Orthopedic

Surgery & Traumatology

� Nature of the program: Single.

� Responsible Department: Orthopedic & Trauma

� Program Director (Head of the Department ): Prof : Ahmed

abdelhameed shamma

� Coordinator (s):

� Principle coordinator: Prof Dr. Ahmed shamma

- Assistant coordinator (s) Prof Dr. Ahmed akar

B. Professional Information

1- Program aims

1/1 To enable candidates to keep with National standards of

Orthopedic patients’ care by teaching high level of clinical skills,

bedside care skills, in addition to update medical knowledge as

well as clinical, surgical experience and competence in the area of

Orthopedics and Traumatology `and their subspecialties.

1/2 Develop and improve the skills of scientific medical research.

1/3 To enable candidates to describe the basic ethical and

medicolegal principles relevant to Orthopedics and Traumatology. 1/4. To enable candidates to have professional careers as a

consultant in Egypt and recognized abroad.

1/5 To enable candidates to continue self learning in

subspecialties.

1/6 To enable candidates to master different research

methodology and do their own.

2-Intended learning outcomes (ILOs) for the whole program:

Page 3: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

2/1Knowledge and understanding:

A. Demonstrate in-depth knowledge and understanding of

theories, basics and updated biomedical, clinical epidemiological

and socio – behavioral science relevant to orthopedic surgery and

traumatology as well as the evidence – based application of this

knowledge to patient care.

B. Explain basics, methodology, tools and ethics of

scientificmedical, clinical research.

C. Mention ethical, medico logical principles and bylaws relevant

to his practice in the field of orthopedic surgery and

traumatology.

D. Mention principles and basics of quality assurance and quality

improvement in medical education and in clinical practice of

orthopedic surgery and traumatology.

E. Mention health care system, public health and health policy,

issues relevant to orthopedic surgery and traumatology and

principles and methods of system – based improvement of patient

care in common health problems of the field of orthopedic

surgery and traumatology.

2/2 Intellectual outcomes

A. Apply the basic and clinically supportive sciences which are

appropriate to orthopedic surgery and traumatology related

conditions / problem / topics.

B. Demonstrate an investigatory and analytic thinking “problem –

solving “approaches to clinical situation related to orthopedic

surgery and traumatology.

C. plan research projects.

D. Write scientific papers.

Page 4: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

E. Participate in clinical risk management as a part of clinical

governance.

F. Plan for quality improvement in the field of medical education

and clinical practice in orthopedic surgery and traumatology.

G. Create / innovate plans, systems, and other issues for

improvement of performance in his practice in orthopedic surgery

and traumatology.

H. Present and defend his / her data in front of a panel of experts.

I. Formulate management plans and alternative decisions in

different situations in the field of the Tropical Medicine

andGastroenterology.

2/3 Skills 2/3/1 Practical skills (Patient Care)

Students will be able to:

A. Provide extensive level of patient care that is compassionate,

appropriate, and effective for the treatment of health problems

and the promotion of health.

p.s. Extensive level means in-depth understanding from basic

science to evidence – based clinical application and possession of

skills to manage independently all problems in field of practice.

B. Provide extensive level of patient care for patients with all

common diagnoses and for uncomplicated procedures related to

orthopedic surgery and traumatology.

C. Provide extensive level of patient care for non-routine,

complicated patients and under increasingly difficult

circumstances, while demonstrating compassionate, appropriate

and effective care.

Page 5: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D. Perform diagnostic and therapeutic procedures considered

essential in the field of orthopedic surgery and traumatology.

E. Handles unexpected complications, while

demonstratingcompassion and sensitivity to patient needs and

concerns.

F. Communicate effectively and demonstrate caring and

respectful behaviors when interacting with patients and their

families in orthopedic surgery and traumatology related

situations.

G, Gather essential and accurate information about patients of

orthopedic surgery and traumatology related conditions.

H. Make informed decisions about diagnostic and therapeutic

interventions based on patient information and preferences,

upto- date scientific evidence and clinical judgment for orthopedic

surgery and traumatology related conditions.

I. Develop and carry out patient management plans for orthopedic

surgery and traumatology related conditions.

J. Counsel and educate patients and their families about

orthopedic surgery and traumatology related conditions.

K. Use information technology to support patient care decisions

and patient education in all orthopedic surgery and traumatology

related clinical situations.

L. Perform competently all medical and invasive procedures

considered essential for orthopedic surgery and traumatology

related conditions / area of practices.

Page 6: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

M. Provide health care services aimed at preventing orthopedic

surgery and traumatology related health problems.

N. Lead health care professionals, including those from other

disciplines, to provide patient-focused care in orthopedic surgery

and traumatology related conditions.

O-Write competently all forms of patient charts and sheets

including reports evaluating these charts and sheets (Write and

evaluate a consultation note, Inform patients of a diagnosis and

herapeutic plan, completing and evaluating comprehensive,

timely and legible medical records)

2/3/2 General skills

Including:

•Practice-based Learning and Improvement

•Interpersonal and Communication Skills

•Professionalism

•Systems-based Practice

Practice-Based Learning and Improvement

A. Demonstrate the competency of care provision to patients in

the different area of orthopedic surgery and traumatology.

B. Appraise scientific evidence.

C. Continuously improve patient care based on constant

selfevaluation and life-long learning.

D. Participate in clinical audit and research projects.

E. Practice skills of evidence-based Medicine (EBM).

F. Educate and evaluate students, residents and other health

professionals.

G. Design logbooks.

H. Design clinical guidelines and standard protocols of

management.

I. Appraise evidence from scientific studies related to the

patients’ health problems.

Page 7: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

J. Apply knowledge of study designs and statistical methods to

the appraisal of clinical studies.

K. Use information technology to manage information, access

on-line medical information; for the important topics.

Interpersonal and Communication Skills

L. Master interpersonal and communication skills that result in

the effective exchange of information and collaboration with

patients, their families, and health professionals, including:-

� Present a case.

� Write a consultation note.

� Inform patients of a diagnosis and therapeutic plan

completing and maintaining comprehensive.

� Timely and legible medical records.

� Teamwork skills.

M. Create and sustain a therapeutic and ethically sound

relationship with patients.

N. Elicit and provide information using effective nonverbal,

explanatory, questioning, and writing skills.

O. Work effectively with others as a member or leader of a

health care team or other professional group.

Professionalism

P. Demonstrate respect, compassion, and integrity; a

responsiveness to the needs of patients and society.

Q. Demonstrate a commitment to ethical principles including

provision or withholding of clinical care, confidentiality of

patient information, informed consent, and business practices.

R. Demonstrate sensitivity and responsiveness to patients’

culture, age, gender, and disabilities.

Page 8: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

S. Work effectively in health care delivery settings and

systems related to orthopedic surgery and traumatology.

T. Practice cost-effective health care and resource allocation

that does not compromise quality of care.

U. Advocate for quality patient care and assist patients in

dealing with system complexities.

V. Design, monitor and evaluate specification of under and

post graduate course and programs.

W. Act as a chair man for scientific meetings including time

management.

3- Program Academic Reference Standards (ARS)

Academic standards for Medical Doctorate (MD) degree in

orthopaedic surgery

Al-azhar Faculty of Medicine,Cairo developed MD degree

programs’ academic standards for different clinical specialties. In

preparing these standards, the General Academic Reference

Standards for post graduate programs (GARS) were adopted.

These standards set out the graduate attributes and academic

characteristics that are expected to be achieved by the end of the

program.

4- Program External References (Benchmarks)

1. ACGME (Accreditation Council for Graduate Medical

Education).

http://www.acgme.org/acWebsite/navPages/nav_Public.a sp

Page 9: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

2. SICOT training manual

www.sicot.org/resources/File/pdf/Training%20Manual%20

Comparison between program and external reference

Item Orthopedic and trauma program

SICOT training manual

Goals Matched Matched

ILOS

Matched Matched

Duration 2 years

N/A

Program structure

Different Different

5- Program Structure

A. Duration of program: 2 years

B. Structure of the program:

No. of hours per week

• Lectures:12 hrs

• Lab. / Exercise: 24 hr ( 18 practical + 6 seminar)

• Total: 36hrs

* Curriculum Structure: (Courses):

i)Unit 1: Trauma ii) Unit 2: General orthopedics

iii)Unit 3: Spine

iv) Unit 4: Sports medicine,

arthroscopy

v) Unit 5: Arthroplasty

Page 10: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

vi)Unit 6: Paediatrics &

Deformities

vii) Unit 7: Hand,

microsurgery and

orthopaedic oncology

viii) Unit 8: Surgical anatomy and pathology

ix)Unit 9 Surgical pathology

6. Courses Contents

The competency based objectives for each

course/module/rotation are specified in conjunction with

teaching/training methods, requirements for achieving these

objectives and assessment methods.

See Annex 1 for detailed specifications for each course/ module

Annex 6 II: Program Matrix

7-Admission requirements

Admission Requirements (prerequisites) if any:

I. General Requirements:

- Master degree in the specialty.

II. Specific Requirements:

- Fluent in English (study language)

8-Progression and completion requirements

The maximum duration of the program is 4 years could be extend

to 5 in certain conditions.

Page 11: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

The students are offered the degree when:

1. Passing the exams of all essential and specialized courses of this

program as regulated by the post graduates approved rules by the

faculty council.

2. Discussion and acceptance of the MD thesis and publication of

at least one scientific paper from the thesis in preferably

specialized medical journals.

9-Program assessment methods and rules

Method ILOs measured

Written examinations:

Structured essay questions

Objective questions

MCQ

Problem solving

K & I

Clinical:

Long/short cases

OSCE

K ,I, P &G skills

Structured oral K ,I &G skills

Logbook assessment All

Research assignment I &G skills

10-Declaration

We certify that all of the information required to deliver this

program is contained in the above specification and will be

implemented.

Contributor Name Signature Date

Program Principle

Coordinator:

Page 12: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Head of the Responsible

Department (Program

Academic Director):

-Prof. dr Ahmed

shamma

- ass. Prof dr Ahmed

Akar

Weighting of assessments:

Written(44%) oral clinical total

Paper 1 100 Oral 100 200(100

for long

case &100

for 2 short

cases)

Paper 2 100 Operative 100

commentary 100

Surgical anatomy

and pathology

100(50 for

each)

Oral for

pathology and

anatomy 100

total 400 500 900

specifications for courses

Course 1 - Orthopaedic Surgery � Name of department: Orthopedic surgery

Page 13: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

� Faculty of medicine

� Alazhar University

� 2014-2015

1. Course data � Course Title: Orthopaedic Surgery

� Specialty: Orthopaedics & Traumatology

� Department (s) delivering the course: Orthopaedics

&Traumatology

� Coordinator (s):

� Course coordinator: Prof .Dr Ahmed shamma

� Assistant coordinator (s) Prof .Dr Ahmed Akar

� Date last reviewed:

� Requirements (prerequisites) if any:

III.General Requirements:

• Master degree in the specialty.

IV.Specific Requirements:

• Fluent in English (study language)

� Requirements from the students to achieve course ILOs

are clarified in the joining log book.

2. Course Aims 1/1 To enable candidates to keep with National standards of

Orthopedic patients’ care by teaching high level of clinical skills,

bedside care skills, in addition to update medical knowledge as

well as clinical, surgical experience and competence in the area of

Orthopedics and Traumatology `and their subspecialties.

1/2 Develop and improve the skills of scientific medical research.

1/3 To enable candidates to describe the basic ethical and

medicolegal principles relevant to Orthopedics and Traumatology. 1/4. To enable candidates to have professional careers as a

consultant in Egypt and recognized abroad.

Page 14: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

3. Course intended learning outcomes (ILOs

UNIT 1 Trauma

A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

1. Polytrauma patient: including ATLS

Protocol

2. Spine Trauma:

• Fractures and dislocations of lower

c.spine

• Fractures of the dorso-lumbar spine

• Spinal cord injuries and Neurological

examination

3. Trauma of the Upper limbs:

• Brachial plexus injuries

• Glenohumeral joint dislocations

• Fracture scapula

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

Page 15: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

• Fracture clavicle

• Fracture proximal humerus

• Fractures of the shaft of the

humerus

• Fractures of the distal humerus

• Dislocations of the elbow

• Fractures of the radius and ulna

shaft

• Fractures of the distal radius

• Fractures and dislocations of the

wrist

• Fractures and dislocations of the

hand

bones

• Soft tissues injuries of the hand

4. Trauma of the Lower Limbs:

• Hip dislocation

• Fractures of the femoral neck

• Intertrochanteric fracture

• Subtrochanteric fractures

• Fractures of the shaft of the femur

• Fractures of the distal femur

• Fractures of the patella

• Knee injuries

• Fractures of the tibial plateau

• Fractures of the shaft of the tibia

and fibula

• Fracture dislocation ankle

• Fractures of the calcaneous

• Fractures and dislocations of the

mid and fore foot

5. Pelvic and acetabular Fractures:

Page 16: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

• Fractures of the pelvic ring

• Fractures of the acetabulum

6. Open Fracture

B. Mention the principles of:

• Diagnostic radiology including X-ray,

CT & MRI

related to traumatic conditions

• Casting & splinting

• Internal Fixation

• External Fixation

• Fasciotomy

• Tendon & nerve repair

C. Mention briefly state of art of the

following rare diseases and conditions

• Fractures of upper cervical spine

• Sternoclavicular joint injuires

• Acromioclavicular joint injuries

• Fractures of the femoral head

• Fractures of the talus

D. Explain the facts and principles of

the relevant basic and clinically

supportive sciences related to Trauma

E. Describe the basic ethical and

medicolegal principles revenant to

the Trauma.

F. describe the basics of quality

assurance to ensure good clinical care

in his field.

G. Explain the ethical and scientific

principles of medical research

H. Explains the impact of common

Page 17: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

health problems in the field of

Trauma on the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Design / present case in common

problem related to Trauma

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

B. Apply the basic and clinically

supportive sciences which are

appropriate to trauma related

conditions / problem / topics.

C. Demonstrate an investigatory and

analytic thinking “problem – solving

“approaches to clinical situation

related to Trauma

D. Plain research projects. E. Write scientific papers. F. Lead risk management activities as

a part of clinical governs

• The polytrauma patient

• Open fractures

Page 18: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

G. Plan quality improvement activities

in the field of medical education and

clinical practice in trauma.

H. Create and innovate plans,

systems, and other issues for

improvement of performance in his

practice.

I. Present and defend his / her data in

front of a panel of expert

J. Formulate management plans and

alternative decisions in different

situations in the field of Trauma.

Page 19: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions

related to Trauma

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

B. Order the following non

invasive/invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT & MRI related to traumatic

conditions

Page 20: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C. Interpret the following non

invasive/invasive diagnostic

procedures

• Diagnostic radiology including X-

ray,CT & MRI related to

traumaticconditions

D. Prescribe& perform the following

non invasive/invasive therapeutic

procedures:

• Primary emergency management

according to ATLS protocols for

Polytrauma patients

• Primary and Surgical management of

open fractures

• mentioned Fractures of the Upper

Limb and Lower Limb &in Fractures of

the Pelvis and Acetabulum

• Manage and Assist and

Perform emergency

managements in mentioned Fr

Spine

• Manage Paediatric Fractures.

E. Develop and carry out patient

management plans for the

following problems

Page 21: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

E. Develop and carry out patient

management plans for the

following problems

• Decision making in polytrauma

patients

• Priorities in management of

polytrauma patients

• Trauma in critically ill patients

• Limb salvage versus amputations

F. Counsel and educate patients and

their family about

•Inform patient about sequelae of

operative and non-operative

management.

•Explain perioperative process, likely

outcome and time to recovery

topatients, and checkunderstanding.

G. Use information technology to

support patient care decisions and

patient education for Trauma related

conditions.

H. Provide health care services aimed

at preventing the following conditions

• Complications of fractures including

Fracture disease and recumbence

complications

Page 22: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D-General Skills

Practice-Based Learning and Improvement

I. Work with health care professionals,

including those from other disciplines,

to provide patient focused care.

J-Write competently all forms of

patient charts and sheets including

reports evaluating these charts and

sheets ( Write and evaluate a

consultation note, Inform patients of a

diagnosis and therapeutic plan,

completing and evaluating

comprehensive, timely and legible

medical records)

Clinical round

with senior

staff

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

Page 23: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

E. Lead the learning of students and

other health care professionals.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

Page 24: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

G. Perform the following oral

communications:

• History Taking

• Peri-operative counseling &

rehabilitation

H. Fill the following reports:

• Admission sheet

• Post-operative notes

• Medico legal reports (primary&

final)

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

supersedes self-interest.

1. Objective

structured

clinical

examination

2. Patient

survey

K. Demonstrate a commitment to

ethical

principles pertaining to provision or

withholding of clinical care,

confidentiality of patient information,

1. 360o

global rating

Page 25: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

informed consent, and business

practices.

L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

N. Practice cost-effective health care

and resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance

O. Advocate for quality patient care

and assist patients in dealing with

system complexities

1. 360o global

rating

2. Patient survey

P. Partner with health care managers

and health care providers to assess,

coordinate, and improve health care

and predict how these activities can

affect system performance

Page 26: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

UNIT 2 General Orthopaedics A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

1. Metabolic bone diseases

-Hyperparathyroidism

-Rickets

-Osteomalacia

-Scurvy

-Gout

-Osteoporosis

2. Skeletal Infections

-Osteomyelitis

-Septic arthritis

-Septic epiphysitis

-TB of the Bone and joints

-Hand Infections

3. Delayed and Non Unions of

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

Page 27: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Fractures

4. Rheumatological and joint Diseases

-Osteoarthritis

-Rheumatic arthritis

-Rheumatoid arthritis

-Charcot joints

5. neurological Disorders

-Peripheral Neuropathy

-Poliomyelitis

-Cerebral palsy

-Myopathy

-Carpal tunnel syndrome

-Tarsal tunnel syndrome

B. Mention the principles of:

• Diagnostic radiology including X-ray,

CT & MRI

related to general orthopaedics

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Other blood tests related to joint

diseases

• Nerve conduction velocity

• Electromyography

• Orthopaedic surgical approaches to

bones &

joints

C. Mention briefly state of art of the

following rare

diseases and conditions

• Scurvy

Page 28: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

• Ochronosis

• Brucella spondylitis

• Salmonella Osteomyelitis

• Haemophilic arthritis

• Psoriatic arthritis

• Pigmented villonodular synovitis

• Thoracic Outlet syndrome D. Explain the facts and principles of

the relevant

basic and clinically supportive

sciences related to

General orthopaedics

E. Describe the basic ethical and

medicolegal

principles relevant ant to the General

orthopaedics.

F. describe the basics of quality

assurance to ensure good clinical care

in his field.

G. Explain the ethical and scientific

principles of medical research

H. Explains the impact of common

health problems in the field of

Trauma on the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

Page 29: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

A. Design / present case in common

problem related to General

orthopaedics.

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

B. Apply the basic and clinically

supportive sciences which are

appropriate to trauma related

conditions / problem / topics.

C. Demonstrate an investigatory and

analytic thinking “problem – solving

“approaches to clinical situation

related to General orthopaedics.

D. Plain research projects. E. Write scientific papers. F. Lead risk management activities as

a part of

clinical governs.

• Bone & joint infections

• Bone softening diseases

• Autoimmune joint diseases

G. Plan quality improvement activities

in the field of medical education and

clinical practice General

orthopaedics..

H. Create and innovate plans,

systems, and other issues for

improvement of performance in his

practice.

Page 30: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

I. Present and defend his / her data in

front of a panel of expert

J. Formulate management plans and

alternative decisions in different

situations in the field of General

orthopaedics..

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions

related to General orthopaedics.

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

Page 31: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B. Order the following non

invasive/invasive

diagnostic procedures

• Diagnostic radiology including X-

ray, CT &

MRI related to general orthopaedics

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Other blood tests related to joint

diseases

C. Interpret the following non

invasive/invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT &

MRI related to general orthopaedics

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Other blood tests related to joint

Page 32: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D. Prescribe and perform the

following non invasive and invasive

therapeutic procedures.

• Orthopedic prescriptions for

medical bone disease

• Arthrodesis of different joints

• Amputations at different levels

• Surgical management of orthopedic

infections and wound management

• Different local injections

E. Develop and carry out patient

management plans for the following

problems

• Surgical wound infections

• Osteoporosis

• Generalized bone pains

F. Counsel and educate patients and

their family about

•Inform patient about sequelae of

operative and non-operative

management

Page 33: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

.

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Lifestyle modification in certain

orthopedic diseases

G. Use information technology to

support

patient care decisions and patient

education for General Orthopaedic

related conditions.

H. Provide health care services aimed

at preventing the following conditions

• Falls in the elderly

• Surgical infections

I. Work with health care

professionals, including those from

other disciplines, to provide patient-

focused care.

J-Write competently all forms of

patient charts and sheets including

reports evaluating these charts and

sheets ( Write and evaluate a

consultation note, Inform patients of

a diagnosis and therapeutic plan,

completing and evaluating

comprehensive, timely and legible

medical records)

Clinical round

with senior

staff

Page 34: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D-General Skills Practice-Based Learning and Improvement

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

E. Lead the learning of students and

other health care professionals.

Page 35: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

G. Perform the following oral

communications:

•Inform patient about sequelae of

operative and non-operative

management .

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Interpretation of results of different

investigations related to the

conditions

H. Fill the following reports:

• Admission sheet

• Post-operative notes

• Medico legal reports (primary&

Page 36: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

final)

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

supersedes self-interest.

1. Objective

structured

clinical

examination

2. Patient

survey

K. Demonstrate a commitment to

ethical principles pertaining to

provision or withholding of clinical

care, confidentiality of patient

information, informed consent, and

business practices.

1. 360o

global rating

L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

Page 37: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

UNIT 3 Spine

A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

N. Practice cost-effective health care

and resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance O. Advocate for quality patient care

and assist patients in dealing with

system complexities

1. 360o global

rating

2. Patient

survey P. Partner with health care managers

and health care providers to assess,

coordinate, and improve health care

and predict how these activities can

affect system performance

Page 38: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

• Degenerative cervical spine

disorders & CDP

• Rheumatoid arthritis of the spine

• Torticollis

• Tumors of the spine

• Lumbar disc diseases

• Lumbar canal stenosis

• Spondylolisthesis

• Spinal infections specially Pott’s

disease

• Kyphosis & Scoliosis

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

B. Mention the principles of :

• Diagnostic radiology including X-ray,

CT & MRI

related to the spine

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Histopathological examination

Page 39: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

• Orthopaedic surgical approaches to

the spine

• Spinal instrumentation

C. Mention briefly state of art of the

following rare

diseases and conditions

• Ankylosing spondylitis

D. Explain the facts and principles of

the relevant

basic and clinically supportive

sciences related to the spine

E. Describe the basic ethical and

medicolegal principles revenant to

the Trauma.

E. Describe the basic ethical and

medicolegal

principles relevant to the spine..

F. describe the basics of quality

assurance to ensure

good clinical care in his field.

G. Explain the ethical and scientific

principles of medical research

H. Explains the impact of common

health problems in the field of

Trauma on the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

Page 40: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

A. Design / present case in common

problem

related to the spine

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

B. Apply the basic and clinically

supportive

sciences which are appropriate to

spine related

conditions / problem / topics.

C. Demonstrate an investigatory and

analytic

thinking “problem – solving

“approaches to clinical

situation related to the spine

D. Plain research projects. E. Write scientific papers. F. Lead risk management activities as

a part of clinical governs.

• Emergency neural element

compression

• Cervical degenerative diseases

• Lumbar degenerative diseases

• Spinal infections

G. Plan quality improvement activities

in the field

of medical education and clinical

practice in his

specialty.

Page 41: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

H. Create and innovate plans,

systems, and other issues for

improvement of performance in his

practice.

I. Present and defend his / her data in

front of a panel of expert

J. Formulate management plans and

alternative decisions in different

situations in the field of spine

Page 42: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions

related to spine

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

B. Order& interpret the following non

invasive and invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT

& MRI related to spine

Page 43: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C. Perform the following non invasive

and invasive diagnostic procedures

• Biopsy

D. Prescribe& perform the following

non

invasive/invasive therapeutic

procedures.

• Surgical approaches to the spine

• Instrumentation of the spine &

fusion

• Spinal decompression & exploration

of

the spinal canal

• Spinal injections

Page 44: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

E. Develop patient management plans

for the following problems

• All previously mentioned spine

diseases

F. Develop and carry out patient

management plans for :

• All previously mentioned spine

diseases

except for spinal deformities

(kyphosis

& scoliosis)& advanced spinal

infections

G. Counsel and educate patients and

their

family about

•Inform patient about sequelae of

operative and non-operative

management .

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Lifestyle modification in certain

orthopedic diseases.

H. Use information technology to

support

patient care decisions and patient

Page 45: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D-General Skills

Practice-Based Learning and Improvement

education for spine related

conditions.

I. Provide health care services aimed

at preventing the following

conditions:

• Advanced spine tumors and

deformities

through early detection

• Infections of the spine

J. Work with health care

professionals,

including those from other disciplines,

to provide patient-focused care.

K-Write competently all forms of

patient

charts and sheets including reports

evaluating these charts and sheets (

Write

and evaluate a consultation note,

Inform

patients of a diagnosis and

therapeutic plan,

completing and evaluating

comprehensive,

timely and legible medical records)

Clinical round

with senior

staff

Page 46: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

E. Lead the learning of students and

other health care professionals.

Page 47: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

G. Perform the following oral

communications:

•Inform patient about sequelae of

operative and non-operative

management .

•Explain perioperative process,

likely outcome and time to

recovery to

patients, and check understanding.

•Interpretation of results of

different investigations related to

the conditions mentioned

previously and discussion of

different therapeutic options

H. Fill the following reports:

• Admission sheet

• Post-operative notes

• Medico legal reports (primary&

final)

Page 48: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

supersedes self-interest.

1. Objec ve

structured

clinical

examination

2. Pa ent

survey

K. Demonstrate a commitment to

ethical

principles pertaining to provision or

withholding of clinical care,

confidentiality of patient information,

informed consent, and business

practices.

1. 360o

global rating

L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

Page 49: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

UNIT 4 Arthroscopy and Sports Medicine

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

N. Practice cost-effective health care

and

resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance O. Advocate for quality patient care

and

assist patients in dealing with system

complexities

1. 360o global

rating

2. Patient

survey P. Partner with health care managers

and

health care providers to assess,

coordinate, and improve health care

and predict how these activities can

affect system performance

Page 50: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

1. Congenital discoid meniscus

2. Knee deformities

3. Osteoarthritis of the Knee

4. Meniscal injuries

5. Knee Ligament injuries

6. Rotator cuff tears

7. Biceps tendon lesions

8. Shoulder instability

9. Frozen shoulder

10. Femoro-acetabular impingement

syndrome

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

B. Mention the principles of:

• Diagnostic radiology including X-ray,

CT & MRI

related to Arthroscopy & sports

medicine

• Arthrography

• CBC

Page 51: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Histopathological examination

• Joint aspirations & injections

• Arthroscopic approaches to various

joints

• Basic diagnostic & therapeutic

arthroscopy

C. Mention briefly state of art of the

following rare diseases and conditions

1. Chondromalacia patellae

2. Osteochondritis dissecans

3. Osgood-shlatter disease

4. Femro-acetabular impingement

syndrome

D. Explain the facts and principles of

the relevant

basic and clinically supportive

sciences related to

arthroscopy & sports medicine

E. Describe the basic ethical and

medicolegal

principles revenant to the

arthroscopy & sports

medicine.

F. describe the basics of quality

assurance to ensure

good clinical care in his field.

G. Explain the ethical and scientific

principles of medical research

H. Explains the impact of common

health problems in the field of

Page 52: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

Trauma on the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Design / present case in common

problem

related to arthroscopy & sports

medicine

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

B. Apply the basic and clinically

supportive

sciences which are appropriate to the

specialty

related conditions / problem / topics.

C. Demonstrate an investigatory and

analytic

thinking “problem – solving

“approaches to

clinical situation related to

arthroscopy & sports

medicine

D. Plain research projects. E. Write scientific papers.

Page 53: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

F. Lead risk management activities as

a part of

clinical governs

• Acute ligamentous injuries of

the knee

G. Plan quality improvement activities

in the

field of medical education and clinical

practice in

arthroscopy & sports medicine.

H. Create and innovate plans,

systems, and other issues for

improvement of performance in his

practice.

I. Present and defend his / her data in

front of a panel of expert

J. Formulate management plans and

alternative decisions in different

situations in the field of spine

Page 54: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions related

to

arthroscopy & sports medicine

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

Page 55: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B. Order and interpret the following

non

invasive and invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT

& MRI related to Arthroscopy &

sports

medicine

• Arthrography

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Histopathological examination

• Joint aspirations

• Basic diagnostic arthroscopy

C. Perform the following non invasive

and

invasive diagnostic procedures

• Arthrography

• Biopsy

• Joint aspirations

• Basic diagnostic arthroscopy

Page 56: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D. Prescribe the following non

invasive and

invasive therapeutic procedures.

• Medical & surgical treatment of all

of the previously mentioned

conditions

E. Perform the following non invasive

and

invasive therapeutic procedures.

• Medical treatment of the previous

conditions

• Joint injections

• Basic therapeutic arthroscopy

F. Develop and carry out patient

management plans for the following

problems

• all of the previously mentioned

conditions

G. Develop and carry out patient

Page 57: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

management plans for the following

problems

• Knee deformities & osteoarthritis

of the knee

• Frozen shoulder

H. Counsel and educate patients and

their

family about

•Inform patient about sequelae of

operative and non-operative

management .

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Lifestyle modification in certain

orthopedic diseases.

I. Use information technology to

support

patient care decisions and patient

education for arthroscopy & sports

medicine related conditions.

J. Provide health care services aimed

at

preventing the following conditions

• Postoperative stiffness and wasting

around joints

• Advanced arthritis through early

minimally invasive interventions

K. Work with health care

professionals,

including those from other disciplines,

to provide patient-focused care.

Clinical round

with senior

staff

Page 58: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D-General Skills

Practice-Based Learning and Improvement

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

Page 59: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

E. Lead the learning of students and

other health care professionals.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

G. Perform the following oral

communications:

•Inform patient about sequelae of

operative and non-operative

management .

•Explain perioperative process,

likely outcome and time to

recovery to

patients, and check understanding.

•Interpretation of results of

different investigations related to

the conditions mentioned

Page 60: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

previously and discussion of

different therapeutic options

H. Fill the following reports:

• Admission sheet

• Post-operative notes

• Medico legal reports (primary&

final)

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

supersedes self-interest.

1. Objec ve

structured

clinical

examination

2. Pa ent

survey

K. Demonstrate a commitment to

ethical

1. 360o

global rating

Page 61: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

principles pertaining to provision or

withholding of clinical care,

confidentiality of patient information,

informed consent, and business

practices. L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

N. Practice cost-effective health care

and

resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance O. Advocate for quality patient care

and

1. 360o global

rating

Page 62: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

UNIT 5 Arthroplasty

A-Knowledge and understanding

assist patients in dealing with system

complexities 2. Patient

survey P. Partner with health care managers

and

health care providers to assess,

coordinate, and improve health care

and predict how these activities can

affect system performance

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

• Osteoarthritis and degenerative

diseases of

the joints

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

Page 63: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B. Mention the principles of :

• Diagnostic radiology including X-ray,

CT & MRI

related to Arthroplasty

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Histopathological examination

• Surgical approaches to various

joints

• Joint replacement surgery

C. Mention briefly state of art of the

following rare

diseases and conditions

• Seronegative arthritis &

monoarticular joint

diseases

• Ankylosing spondylitis

D. Explain the facts and principles of

the relevant

basic and clinically supportive

sciences related to

arthroplasty

E. Describe the basic ethical and

medicolegal

principles relevant to the

arthroplasty.

F. describe the basics of quality

assurance to ensure

good clinical care in his field

G. Explain the ethical and scientific

principles of medical research

Page 64: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

H. Explains the impact of common

health problems in the field of

Trauma on the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Design / present case in common

problem

related to arthroplasty

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

B. Apply the basic and clinically

supportive

sciences which are appropriate to

arthroplasty

related conditions / problem / topics..

C. Demonstrate an investigatory and

analytic

thinking “problem – solving

“approaches to

clinical situation related to

arthroplasty

D. Plain research projects. E. Write scientific papers.

Page 65: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

F. Lead risk management activities as

a part of

clinical governs.

• Dislocated arthroplasty

• Infections in joint replacement

G. Plan quality improvement activities

in the field

of medical education and clinical

practice in

arthroplasty.

H. Create and innovate plans,

systems, and other

issues for improvement of

performance in his

practice.

I. Present and defend his / her data in

front of a

panel of experts

Page 66: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions related

to

arthroplasty

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

Page 67: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B. Order & Interpret the following

non

invasive and invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT &

MRI related to arthroplasty

• Arthrography

• CBC

• Inflammatory markers (ESR + CRP)

• Culture & sensitivity

• Histopathological examination

• Joint aspirations

C. Perform the following non invasive

and

invasive diagnostic procedures

• Arthrography ٨٠

• Biopsy

• Joint aspirations

Page 68: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D. Prescribe the following non

invasive and

invasive therapeutic procedures.

• Joint injections

• High tibial osteotomy

• Primary arthroplasty (hemi & total)

• Revision arthroplasty

• Closed reduction & open reduction

of dislocated arthroplasty

• Management of infected

arthroplasty

E. Perform the following non invasive

and

invasive therapeutic procedures.

• Joint injections

• High tibial osteotomy

• Primary hemi-arthroplasty of the

hip

• Closed reduction & open reduction

of dislocated arthroplasty

• Debridment & first stage revision of

infected arthroplasty

F. Develop patient management plans

for

the following problems

• Osteoarthritis & other degenerative

arthritis

• Arthrodesed & ankylotic hips

• Haemophilia & sickle cell disease

• Dislocated arthroplasty

Page 69: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

• Infected arthroplasty

• The painful arthroplasty

G. Develop and carry out patient

management plans for the following

problems

• Mild & moderate osteoarthritis of

the hip

• Medical treatment of degenerative

arthritis

• Dislocated arthroplasty

• First stage revision for infected

arthroplasty

H. Counsel and educate patients and

their

family about

•Inform patient about sequelae of

operative and non-operative

management

.

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Lifestyle modification in certain

orthopedic diseases

I. Use information technology to

support

patient care decisions and patient

education for arthroplasty related

conditions.

J. Provide health care services aimed

at

preventing the following conditions

Page 70: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D-General Skills

Practice-Based Learning and Improvement

• Dislocation and infection of

replaced joints

K. Work with health care

professionals,

including those from other disciplines,

to provide patient-focused care.

Clinical round

with senior

staff

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

Page 71: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

E. Lead the learning of students and

other health care professionals.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

G. Perform the following oral

communications:

•Inform patient about sequelae of

operative and non-operative

management

.

Page 72: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Interpretation of results of different

investigations related to the

conditions mentioned in A.A and

discussion of different therapeutic

options

H. Fill the following reports:

• Admission sheet

• Post-operative notes

• Medico legal reports (primary&

final)

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

1. Objec ve

structured

clinical

Page 73: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

supersedes self-interest. examination

2. Pa ent

survey

K. Demonstrate a commitment to

ethical

principles pertaining to provision or

withholding of clinical care,

confidentiality of patient information,

informed consent, and business

practices.

1. 360o

global rating

L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

Page 74: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

N. Practice cost-effective health care

and

resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance O. Advocate for quality patient care

and

assist patients in dealing with system

complexities

1. 360o global

rating

2. Patient

survey P. Partner with health care managers

and

health care providers to assess,

coordinate, and improve health care

and predict how these activities can

affect system performance

Page 75: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

UNIT 6 Paediatric Orthopaedics and Deformities

A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

1. Skeletal Deformities

-congenital anomalies of the hand

-medlung’s deformity

-congenital dislocation of the hip

-Congenital Talipes Equinivarus

-metatarsus adductus

-Hallux valgus

-congenital coxa vara

-Congenital vertical talus

-polydactly

-congenital hyperlaxity syndromes

-arthrogryposis Multiplex congenita

2. Developmental disorder:

-osteogenesis imperfecta

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

Page 76: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

-chondro-osteodystrophy

-osteopetrosis

-multiple exostosis

-achondroplasia

-Rickets

3. Leg Length Discripancy

4. Malunion

5. Non union

B. Mention the principles of :

• Diagnostic radiology including X-ray,

CT & MRI

related to paediatric orthopaedics &

deformities

• Arthrography

• Paediatric surgical approaches

• Osteotomies

• Bone lengthening procedures

• Ilizarov & other types of external

fixators

C. Mention briefly state of art of the

following rare

diseases and conditions

• congenital high scapula

• congenital absent radius

• congenital radioulnar synostosis

• Congenital pseudoarthrosis tibia

• congenital abscent tibia

• congenital dislocation patella

• klippel Feil syndrome

D. Explain the facts and principles of

the relevant

basic and clinically supportive

Page 77: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

sciences related to

Paediatric orthopaedics &deformities

E. Describe the basic ethical and

medicolegal

principles revenant to the Paediatric

orthopaedics

& deformities..

F. describe the basics of quality

assurance to ensure

good clinical care in his field

G. Explain the ethical and scientific

principles of

medical research

H. Explains the impact of common

health problems in the field of

Trauma on the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Design / present case in common

problem

related to Paediatric orthopaedics &

deformities

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

Page 78: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B. Apply the basic and clinically

supportive

sciences which are appropriate to

Paediatric

orthopaedics & deformities related

conditions /

problem / topics...

C. Demonstrate an investigatory and

analytic

thinking “problem – solving

“approaches to clinical

situation related to Paediatric

orthopaedics &

deformities

D. Plain research projects. E. Write scientific papers. F. Lead risk management activities as

a part of

clinical governs.

• Rickets & associated deformities

• Early management of congenital hip

dislocation

• Congenital Talipes equinivarus

G. Plan quality improvement activities

in the field

of medical education and clinical

practice in his

specialty.

H. Create / innovate plans, systems,

and other

issues for improvement of

performance in his

Page 79: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

practice.

I. Present and defend his / her data in

front of a

panel of experts

Page 80: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions related

to

paediatric orthopaedics & deformities

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

Page 81: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B. Order & Interpret the following

non

invasive and invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT &

MRI related to paediatric

orthopaedics &

deformities

• Joint Ultrasound

• Arthrography

C. Perform the following non invasive

and

invasive diagnostic procedures

• Arthrography

Page 82: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D. Prescribe & perform the following

non

invasive and invasive

therapeuticprocedures.

• Osteotomies for correction of

deformities

• Osteotomies of the hip

• Application of Ilizarov & other

external fixators

• Closed & open reduction of

congenital dislocations

• Serial casting for gradual correction

of deformities

E. Develop patient management plans

for

the following problems

• All previously mentioned diseases

F. Develop and carry out patient

management plans for the following

problems

• Common congenital deformities as

CTEV & CDH

Page 83: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

• Rickets

• Bone deformities

• Malunion

• Nonunion

G. Counsel and educate patients and

their

family about

•Inform patient about sequelae of

operative

and non-operative management .

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Lifestyle modification in certain

orthopedic

diseases

H. Use information technology to

support

patient care decisions and patient

education for to paediatric

orthopaedics &

deformities related conditions.

I. Provide health care services aimed

at

preventing the following conditions

• Progression of deformities through

early correction

J. Work with health care

professionals,

including those from other disciplines,

to

provide patient-focused care.

Page 84: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

D-General Skills

Practice-Based Learning and Improvement

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

Page 85: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

E. Lead the learning of students and

other health care professionals.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

G. Perform the following oral

communications:

•Inform patient about sequelae of

operative and non-operative

management

.

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Interpretation of results of different

investigations related to the

conditions mentioned in A.A and

Page 86: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

discussion of different therapeutic

options

H. Fill the following reports:

• Admission sheet

• Post-operative notes

• Medico legal reports (primary&

final)

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

supersedes self-interest.

1. Objec ve

structured

clinical

examination

2. Pa ent

survey

K. Demonstrate a commitment to

ethical

1. 360o

global rating

Page 87: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

principles pertaining to provision or

withholding of clinical care,

confidentiality of patient information,

informed consent, and business

practices. L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

N. Practice cost-effective health care

and

resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance O. Advocate for quality patient care

and

1. 360o global

rating

Page 88: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

assist patients in dealing with system

complexities 2. Patient

survey P. Partner with health care managers

and

health care providers to assess,

coordinate, and improve health care

and predict how these activities can

affect system performance

Page 89: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

UNIT 7 Hand, Microsurgery and Oncology

A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Explain update and evidence based

etiology,

clinical picture, diagnosis and

management of

the following common diseases and

clinical

conditions:

1. Tumors

-Benign Bone Tumors

-Malignant primary Bone Tumors

Secondary bone Tumors

2. Trauma

-Brachial plexus injuries

-Nerve injuries

-Tendon injuries

-Traumatic Amputation

3. Vascular: principles of Vascular

repair

4. Principles of Coverage for Soft

tissue defects

and Flaps

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

B. Mention the principles of :

• Diagnostic radiology including X-ray,

CT & MRI

Page 90: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

related to hand, microsurgery

&oncology

• Bone scan

• CBC

• Other oncology related blood tests

• Local flaps

• Distant vascularized flaps

• Vascularized bone grafts

• Chemoth

C. Mention briefly state of art of the

following rare

diseases and conditions

• Replantation of amputated limbs or

parts of

limbs

D. Explain the facts and principles of

the relevant

basic and clinically supportive

sciences related to

hand, microsurgery &oncology

E. Describe the basic ethical and

medicolegal

principles revenant to the hand,

microsurgery&

oncology.

F. describe the basics of quality

assurance to ensure

good clinical care in his field

G. Explain the ethical and scientific

principles of

medical research

H. Explains the impact of common

Page 91: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

B-Intellectual outcomes

health problems

in the field of hand, microsurgery

&oncology on

the society.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Design / present case in common

problem

related to hand, microsurgery

&oncology on the

society

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

K. Apply the basic and clinically

supportive

sciences which are appropriate to the

specialty

related conditions / problem / topics.

L. Demonstrate an investigatory and

analytic

thinking “problem – solving

“approaches to clinical

situation related to hand,

microsurgery&

oncology on the society

M.Plain research projects. N. Write scientific papers.

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C-Practical skills (Patient Care)

O. Lead risk management activities as

a part of

clinical governs.

• Acute tendon & nerve injuries

• Hand injuries

P. Plan quality improvement activities

in the field

of medical education and clinical

practice in hand,

microsurgery & oncology.

Q. Create and innovate plans,

systems, and other

issues for improvement of

performance in his

practice.

R. Present and defend his / her data

in front of a

panel of experts

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ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Take history, examine and clinically

diagnose different conditions related

to

hand, microsurgery&oncology

Lectures

Clinical

rounds

Seminars

Clinical round

with senior

staff

Observation

Hands on

workshops

Case

Presentations

Written and

oral

examination

-Check list

-log book &

portfolio

Procedure/case

presentation

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B. Order & Interpret the following

non

invasive and invasive diagnostic

procedures

• Diagnostic radiology including X-ray,

CT&

MRI related to hand, microsurgery &

oncology

• Bone scan

• CBC

• Other oncology related blood tests

• Biopsy

• Histopathological examination

C. Perform the following non

invasive/invasive diagnostic

procedures

• Biopsy

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D. Prescribe the following non

invasive and

invasive therapeutic procedures.

• Tumour excision with safety margin

• Reconstructive procedures for bone

• Chemotherapy & radiotherapy

• Soft tissue coverage of defects

• Repair of tendon & nerve injuries

• Replantation

E. Perform the following non invasive

and

invasive therapeutic procedures.

• Tumour excision with safety margin

• Repair of tendon & nerve injuries

F. Develop patient management plans

for the

following problems

• Benign & malignant tumors

• Bone & soft tissue defects

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D-General Skills

• Nerve & tendon injuries

G. Develop and carry out patient

management

plans for the following problems

• Benign tumors

• Nerve & tendon injuries

H. Counsel and educate patients and

their

family about

• Inform patient about sequelae of

operative and non-operative

management.

• Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

• Lifestyle modification in certain

orthopedic diseases

I. Use information technology to

support

patient care decisions and patient

education for hand, microsurgery &

oncology related conditions.

J. Work with health care

professionals,

including those from other disciplines,

to

provide patient-focused care.

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Practice-Based Learning and Improvement

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Perform practice-based

improvement activities using a

systematic methodology in the

common problems (plain and

conduct audit cycles)

Simulations

Clinical round

Seminars

Lectures

Case

presentation

Hand on

workshop

Global rating

Portfolios

Procedure/case

presentation

Log book

Chick list

B. Locate, appraises, and assimilates

evidence from scientific studies

related to patients’ health

problems.

C. Apply knowledge of study designs

and statistical methods to the

appraisal of clinical studies and

other information on diagnostic and

therapeutic effectiveness

D. Use information technology to

manage information, access on-line

medical information; and support

their own education

E. Lead the learning of students and

other health care professionals.

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Interpersonal and Communication Skills

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

F. Create and sustain a therapeutic

and

ethically sound relationship with

patients

Simulations

-Clinical

round

-Seminars

-Lectures

-Case

presentation

-Global rating

-Procedure/case

presentation

-Log book and

Portfolios

-Chick list

G. Perform the following oral

communications:

•Inform patient about sequelae of

operative and non-operative

management

.

•Explain perioperative process, likely

outcome and time to recovery to

patients, and check understanding.

•Interpretation of results of different

investigations related to the

conditions mentioned in A.A and

discussion of different therapeutic

options

H. Fill the following reports:

• Admission sheet

• Post-operative notes

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Professionalism

• Medico legal reports (primary&

final)

I. Work effectively with others as a

member or leader of a health care

team e.g. in operative ward.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

J. Demonstrate respect, compassion,

and integrity; a responsiveness to the

needs of patients and society that

supersedes self-interest.

1. Objec ve

structured

clinical

examination

2. Pa ent

survey

K. Demonstrate a commitment to

ethical

principles pertaining to provision or

withholding of clinical care,

confidentiality of patient information,

informed consent, and business

practices.

1. 360o

global rating

Page 100: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

L. Demonstrate sensitivity and

responsiveness to patients’ culture,

age, gender, and disabilitie

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

M.Work effectively in different health

care delivery settings and systems.

1. 360o global

rating

N. Practice cost-effective health care

and

resource allocation that does not

compromise quality of care

1. Check list

evaluation of

live or

recorded

performance O. Advocate for quality patient care

and

assist patients in dealing with system

complexities

1. 360o global

rating

2. Patient

survey P. Partner with health care managers

and

health care providers to assess,

Page 101: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

UNIT 8 Surgical Anatomy

A-Knowledge and understanding

coordinate, and improve health care

and predict how these activities can

affect system performance

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Illustrate Principles of Anatomy of:

- Upper limb

- Lower limb

- Spine

- Shoulder, elbow, wrist, hip, knee

and

ankle joints

Didactic;

Lectures

Clinical rounds

Seminars

Clinical

rotations

(service

teaching)

-Written Exam

-Oral exam

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B-Intellectual outcomes

B-Describe anatomic Details of:

• The musculo-skeletal system

• The vascular tree in upper & lower

limbs

• The spinal cord

• The peripheral nervous system to

the upper&

lower limbs

• Blood supply to specific regions &

bones

• The orthopaedic surgical approaches

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Correlates the facts of anatomy

with clinical

reasoning, diagnosis and

management of common

diseases related to orthopaedics &

traumatology.

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

B. Demonstrate an investigatory and

analytic

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C-Practical skills (Patient Care)

Practical: 0 hours

D-General Skills

Practice-Based Learning and Improvement

Interpersonal and Communication Skills

thinking (problem solving)

approaches to common

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Use information technology to

manage

information, access on-line medical

information; and support their own

education)

-Observation

and

supervision

-Written and

oral

communication

Log book

Page 104: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Professionalism

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

B. Write a report in common

condition

mentioned in A.A.

Simulations

-Clinical

round

-Seminars

-Lectures

-Global rating

-Log book and

Portfolios

-Chick list

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

C. Demonstrate respect, compassion,

and

integrity; a responsiveness to the

needs of

patients and society that supersedes

selfinterest.

Observation

Senior staff

experience

Case taking

1. Objec ve

structured

clinical

examination

2. Pa ent survey

Page 105: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

UNIT 9 Surgical Pathology

A-Knowledge and understanding

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

D. Work effectively in different health

care

delivery settings and systems.

Observation

-Senior staff

experience

1. 360o global

rating

E. Partner with health care managers

and

health care providers to assess,

coordinate, and improve health care

and

predict how these activities can affect

system performance

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B-Intellectual outcomes

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Illustrate Principles of General

Pathology of:

- Fractures & fracture healing

- Soft tissue infections

- Bone infections

- Joint infections

- Special infections as TB

- Tumors

Lectures

-Written and

oral

examination

- Log book

B-Describe Pathologic Details of:

- All previously mentioned diseases of

the course

units 1-7

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Correlates the facts of pathology

with clinical

reasoning, diagnosis and

management of common

diseases related to orthopaedics &

traumatology

Clinical

rounds

Senior staff

experience

Procedure/case

presentation

Log book and

Portfolios

Page 107: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

C-Practical skills (Patient Care)

Practical: 0 hours

D-General Skills

Practice-Based Learning and Improvement

B. Demonstrate an investigatory and

analytic

thinking (problem solving)

approaches to common

clinical situations related to

orthopaedics &

traumatology.

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

A. Use information technology to

manage

information, access on-line medical

information; and support their own

education)

-Observation

and

supervision

-Written and

oral

communication

Log book

Page 108: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Interpersonal and Communication Skills

Professionalism

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

B. Write a report in common

condition

mentioned in A.A.

Simulations

-Clinical

round

-Seminars

-Lectures

-Global rating

-Log book and

Portfolios

-Chick list

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

C. Demonstrate respect, compassion,

and

integrity; a responsiveness to the

needs of

patients and society that supersedes

selfinterest.

Observation

Senior staff

experience

Case taking

1. Objec ve

structured

clinical

examination

2. Pa ent survey

Page 109: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Systems-Based Practice

5. Course Methods of teaching/learning: 1. Didactic (lectures, seminars, tutorial)

2. Case presentation

3. Direct observation

4. journal club,

5. Clinical rounds

6. Senior staff experience

7. Case log

ILOs

Methods of

teaching/

learning

Methods of

Evaluation

D. Work effectively in different health

care

delivery settings and systems.

Observation

-Senior staff

experience

1. 360o global

rating

E. Partner with health care managers

and

health care providers to assess,

coordinate, and improve health care

and

predict how these activities can affect

system performance

Page 110: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

8. Observation and supervision

9. Hand on workshop

10. Simulations

6. Course Methods of teaching/learning: for students with poor achievements

1. Extra lectures

2. Extra training

7. Course assessment methods: i. Assessment tools:

1. Clinical examination

2. oral examination

3. Written examination

4. Objective structure clinical examination (OSCE)

5. Portfolios

6. Procedure/case Log book

7. Simulation

8. Record review (report) ١٢٣

9. Patient survey

10. 360o global ra ng

11. Check list evaluation of live or recorded performance ii. Time schedule: At the end of second part iii. Marks: 1000

8. List of references i. Lectures notes

• Course notes

• Staff members print out of lectures and/or CD copies

ii. Essential books

Chapman's orthopedic surgery

iii. Recommended book

Campbell's operative orthopedics

Roger Dee Orthopaedics and Trauma

iv. Periodicals,Web sites, … etc

Wheeless Text of Orthopedics

Page 111: Al-azhar University (males)medicineazhar.edu.eg/images/courses/course_ortho_md.pdf · Department of Al-azhar University Program Code: (07 M. D. degree of Orthopedics Faculty of medicine,

Orthopedics Hyperguide

Orthoteers

Online Jounrals

Pubmed

v. Others : None