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Orthopaedics

SEMESTER 7

DEPARTMENT OF ORTHOPAEDIC SURGERY, INTERNATIONAL MEDICAL UNIVERSITY


Coordinator: Dr Surinder
Students will be divided into:
1. Two groups (A, B, C, D) for teaching/learning activities at Hospital Tuanku Jaafar.
2. Each group shall have a group leader who will be responsible to ensure that the targets laid are met.
CSU ACTIVITIES (CSU will be opened from 8am - 7pm)
Practical Skills
1. Universal Precautions, OT etiquette, scrubbing, gowning and gloving.
2. Exposure to Basic POP and back slabs Materials and techniques.
3. exposure to POP cutter, splitter and POP Shears
4. Use of triangular bandage, collar and cuff for upper limb injuries.
5. Use of upper limb and lower limb splints and immobilizers.
6. Use of static and dynamic braces e.g. elbow strap for tennis elbow, wrist and foot drop splint, knee braces for ligament injuries.
7. Common orthopedic implants their indications and associated complications.
8. Proper use of cervical collar for C-Spine injuries
9. Proper systematic approach to read different musculoskeletal X-rays
Clinical Skills
1. Technique of shoulder examination pertaining to specific musculoskeletal problems and its applied anatomy.
2. Technique of elbow examination and common diagnostic clinical tests.
3. Technique of wrist and hand examination.
4. Technique of spine examination and applied anatomy.
5. Technique of hip and limb length discrepancy clinical examination.
6. Technique of knee examination (sports and degenerative knees)
7. Technique of foot and ankle clinical examination.
PROCEDURES IN OUT PATIENT DEPARTMENT
1.
Helps in removal of POP.
2.
Helps in back slabs application.
3.
Helps in serial casting for CTEV.
4.
Helps in percutaneous K-wire removal.
5.
Helps in external fixator removal.
6.
Helps in stitch removal.
7.
Dressing wounds

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SEMESTER 7

Orthopaedics

Muscoloskeletal Radiology

TASK BASED LEARNING


TBL 1
TBL 2
TBL 3
TBL 4
TBL 5
TBL 6
TBL 7
TBL 8
TBL 9
TBL 10

Acute back pain in a young man


Acute injury to the knee in young Athlete
Young paraplegic/quadriplegic
Shoulder pain in middle age patient
Painful knee in an elderly patient
Foot Ulcer In an elderly patient
Acute back pain in a patient with renal failure
Limping in a preschool child
Hard swelling around the knee in an adolescent
Orthopaedic infections and management

1.
2.
3.
4.

Xrays in Musculoskletal Radiology


Imaging in Musculoskeletal Radiology
Radiology in oncological problems
Radiology in pediatric problems

SELF DIRECTED LEARNING


SDL 1
SDL 2
SDL 3
SDL 4
SDL 5
SDL 6
SDL 7
SDL 8
SDL 9
SDL 10
SDL 11

Fractures and its complications


Treatment of fractures and orthopedic operations
Upper limb and hand injuries
Lower limb & spine injuries
Musculoskeletal infections
Degenerative and inflammatory arthritis
Traction and physiotherapy modalities
Patient Safety (E-Learning Portal)
Musculoskeletal tumours
Musculoskeletal problems in childhood
Metabolic bone disease

Rehabilitation Medicine
1.
2.
3.
4.
5.
6.
7.
8.

Different types of traction used in Orthopedics.


Physical modalities for treatment in Orthopedics i.e. heat, ultrasound, shortwave, wax treatment, etc.
Types of exercise i.e. ROM and Strengthening for different areas.
Occupational Therapies.
Types of Prosthesis & Orthosis in Orthopedics.
Sports Rehabilitation.
Spine Rehabilitation.
Amputee Rehabilitation.

******The portal will be block for submission on the date and time
****** Group leader must inform the respective lecturer/MA/Sisters for their sesion, 1 or 2 days before by sms or phone calls.

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SEMESTER 7

Orthopaedics

Week 1

8.00 am
to
10.30 am

10.30 am
to
12.30 pm

Mon

Tues

Wed

Thurs

Fri

23.11.15

24.11.15

25.11.15

26.11.15

27.11.15

Briefing

B - CPD

C - CPD

C & D -Implant Session

A & B - HPD

A/P Kareem

Amir

Nurhasyimah

Amir

Kareem

CR 2

A - Clinic

D - Clinic

Surinder

Surinder

C & D - Ward Work

A & B - Word Work

A & B - Ward Work

C & D - Ward Work


C & D - CPD

A - CPD

C - CPD

A - Ward Round

A & B -Implant Session

Shaidi

Amir

Kareem

Amir

Surinder

B - Clinic

D - Clinic

Ayu

Ayu

C & D - Ward Work

A & B - Ward Work

B & C & D - Ward Work

C & D - Ward Work

A & B - Ward Work

Spine
2.00 pm
to
3.30 pm

3.30 pm
to
5.00 pm

Kareem
Patient Safety
Kareem
A&B&C&D
JBLT

A&B&C&D
JBLT

Follow by Patient Demo

A & B - ViVa
Communication Skills : Speak
it Well !!
Self Development Unit Clinical
School
Attendance is Compulsary

A&B&C&D

Surinder
SR 9

IMS / Plenary

C & D - ViVa
Surinder
SR 9

8.00 pm
to
10.00 pm

A&E

A&E

A&E

A&E

A&E

Ward**

Ward**

Ward**

Ward**

Ward**

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

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SEMESTER 7

Orthopaedics

Week 2

8.00 am
to
10.30 am

10.30 am
to
12.30 pm

2.00 pm
to
3.30 pm

30.11.15

01.12.15

02.12.15

03.12.15

A - CPD

D - CPD

A & B - CPD

A - CPD

Shaidi

Eswaran

Nurhasyimah

Rozaiman

B - Clinic

C - Clinic

C - Clinic

B - Clinic

Surinder

Naik

Surinder

C & D - Ward Work

A & B - Ward Work

Amir

C - CPD

B - CPD

B - Ward Round

C - CPD

Johann

Amir

Surinder

Rozaiman

D - Clinic

A - Clinic

C & D - Ward Work

04.12.15

A & B - CPD
Naik
C & D - CPD
Johann

D - Clinic

Naik

Surinder

A & B - Ward Work

C & D - Ward Work

A & C & D - Ward Work

Amir

TBL - 1

Ankle & Foot

TBL - 9

Amir

Surinder

Surinder

A&B&C&D

A&B&C&D

A&B&C&D

A & B - Ward Work

CFCS

SR 5
3.30 pm
to
5.00 pm

TBL - 2

Follow by Patient Demo

TBL - 10

Amir

A&B&C&D

Surinder

A&B&C&D

IMS / Plenary
CFCS

A&B&C&D
SR 5
5.00 pm : A - Radiology Azlan

8.00 pm
to
10.00 pm

Dr

A&E

A&E

A&E

A&E

A&E

Ward**

Ward**

Ward**

Ward**

Ward**

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

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SEMESTER 7

Orthopaedics

Week 3

8.00 am
to
10.30 am

10.30 am
to
12.30 pm

2.00 pm
to
3.30 pm

3.30 pm
to
5.00 pm

07.12.15

08.12.15

09.12.15

10.12.15.

A - CPD

D - CPD

B - CPD

D - CPD

Johann

Surinder

Amir

Rozaiman

B - Clinic

C - Clinic

A - Clinic

B - Clinic

Surinder

Amir

Eswaran

C & D - Ward Work

A & B - Ward Work

C - CPD

A - CPD

C - Ward Round

Johann

Surinder

Amir

D - Clinic

D - Clinic

C & D - HPD

Amir

Amir

A & C - Ward Work

A & B - CPD

C - CPD

Kareem

Kareem
A - Clinic

Shaidi

Eswaran

A & B - Ward Work

C & D - Ward Work

A & B & D - Ward Work

B & D - Ward Work

Amir

Traction

Shoulder

Back Pain

HIP

Chou

Amir

Surinder

Amir

A&B&C&D

A&B&C&D

A&B&C&D

A&B&C&D

SR 5

JBLT

SR 4

SR 5

POP

Follow by Patient Demo

Knee Injury

Follow by Patient Demo

Chou

A&B&C&D

Amir

A&B&C&D

A&B&C&D

A&B&C&D

SR 5

SR 4

5.00 pm : B- Radiology Azlan


8.00 pm
to
10.00 pm

11.12.15

IMS / Plenary

Dr

A&E

A&E

A&E

A&E

A&E

Ward**

Ward**

Ward**

Ward**

Ward**

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

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SEMESTER 7

Orthopaedics

Week 4

8.00 am
to
10.30 am

10.30 am
to
12.30 pm

2.00 pm
to
3.30 pm

3.30 pm
to
5.00 pm

14.12.15

15.12.15

16.12.15

17.12.15

B - CPD

C - CPD

A & B - CPD

C - CPD

Amir

Amir

Nurhasyimah

Kareem

A - Clinic

D - Clinic

C - Clinic

D- Clinic

C & D - CPD

Surinder

Kareem

Surinder

Eswaran

Kareem

C & D - Ward Work

A & B - Ward Work

D - Ward Work

A & B - Ward Work

A & B - HPD

D - CPD

A - CPD

D - Ward Round

A - CPD

Amir

Amir

Surinder

Kareem

C - Clinic

B - Clinic

Surinder

Kareem

A & B - Ward Work

C & D - Ward Work

Knee

TBL 5

Kareem

Amir

A&B&C&D

A&B&C&D

SR 4

SR 4

Follow by Patient Demo

TBL 6

A&B&C&D

Amir

Amir
B - Clinic
Eswaran

A & B & C - Ward Work

3.00 pm - 5.00 pm
Case Discussion / CME Ortho
Ortho Department
OPD
Naik
A&B&C&D

C & D - Ward Work

Research Talk

IMS / Plenary

A&B&C&D

SR 4
8.00 pm
to
10.00 pm

18.12.15

5.00 pm : C- Radiology Dr Azlan

A&E

A&E

A&E

A&E

A&E

Ward**

Ward**

Ward**

Ward**

Ward**

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

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SEMESTER 7

Orthopaedics

Week 5

8.00 am
to
10.30 am

10.30 am
to
12.30 pm

21.12.15

22.12.15

23.12.15

B - CPD

C - CPD

A - CPD

Amir

Amir

Amir

A - Clinic

D - Clinic

B - Clinic
Surinder

Surinder

Kareem

C & D - Ward Work

A & B - Ward Work

D - CPD

A - CPD

Amir

Surinder

Amir

C - Clinic

B - Clinic

D - Clinic

Surinder

Kareem

Surinder

C & D - Ward Work

A & B & C - Ward Work

Elbow, Wrist, Hand

TBL - 7

Amir

Kareem

A&B&C&D

A&B&C&D

JBLT

JBLT

Follow by Patient Demo

TBL - 8

3.30 pm
to
5.00 pm

A&B&C&D

Kareem

5.00pm

5.00 pm - C & D

5.00 pm - A & B - Rehab

PH

PH

Spine Rehab

Amputee Rehab

Theva

Theva

3.00 pm - 5.00 pm
Case Discussion / CME Ortho
Ortho Department
OPD
Naik
A&B&C&D

PH

PH

A&B&C&D

JBLT

8.00 pm
to
10.00 pm

25.12.15

C - CPD

A & B - Ward Work

2.00 pm
to
3.30 pm

24.12.15

5.00 pm : D- Radiology Azlan

Dr

A&E

A&E

A&E

A&E

A&E

Ward**

Ward**

Ward**

Ward**

Ward**

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

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SEMESTER 7

Orthopaedics

Week 6

8.00 am
to
10.30 am

10.30 am
to
12.30 pm

2.00 pm
to
3.30 pm

28.12.15

29.12.15

30.12.15

31.12.15

B - CPD

C - CPD

B - CPD

EOP - Clinical

Kareem

Amir

Surinder

A - Clinic

D - Clinic

A - Clinic

Shaidi

Surinder

Kareem

Kareem

Surinder

C & D - Ward Work

A & B - Ward Work

C & D - Ward Work

Amir

D - CPD

A - CPD

D - CPD

Naik

Shaidi

Amir

Amir

C - Clinic

B - Clinic

C - Clinic

Surinder

Kareem

Kareem

A & B - Ward Work

C & D - Ward Work

A & B - Ward Work

A - CPD

C - CPD

Eswaran

Ayu

B - CPD

D - CPD

Shaidi

Naik

3.30 pm
to
5.00 pm

01.01.16

PH

TBL 3
Kareem
3.00 pm - 5.00 pm
Case Discussion / CME Ortho
Ortho Department
OPD
Naik
A&B&C&D

A&B&C&D
SR 4

PH

TBL 4
Kareem
A&B&C&D
SR 4

8.00 pm
to
10.00 pm

A&E

A&E

A&E

A&E

A&E

Ward**

Ward**

Ward**

Ward**

Ward**

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Trauma OT***

Page 8 of 9

SEMESTER 7

Orthopaedics

PLEASE READ THROUGH THESE INSTRUCTIONS


[WR = Ward rounds discussion] Students are required to know cases in the lecturer's ward before ward rounds.
[CPD = Case Presentation and Discussion] Students are required to choose 1-2 cases with good clinical findings for presentation and discussion.
[OPD = OutPatient specialist clinic Discussion] Group not rostered for OPD are required to be in the plaster and procedure room.
[Ward work] Students are required to be in their respective ward. Group A & B alternate between Ward 2B & 5A weekly.
Ward work includes clerking new cases, assisting HO & nurses in ward duties, preparing cases for CP/WRD etc.
[*Shoulder/Spine/*Hip/*Knee/Hand,Elbow,Foot&Ankle(HEFA) = Clinical examination & applied anatomy & common orthopaedic conditions] * Video available
[A&E, Ward, Trauma OT] Students to rotate everyday: 2-3 students in A&E, 4-5 students in wards, 2-3 students in Trauma OT.
**[Ward] Students to join night rounds at 8.00pm.
***[Trauma OT] Students to be in Trauma OT (Level 4) from 5.00pm to 9.00pm (NOT 8.00pm to 10.00pm).
[Census] Student attends census held by HTJ Orthopedic department
[GOT & TRAUMA OT] GOT on level 3. Room 4 & 5 runs on Tuesday & Thursday while room 2 on the rest of week days. Trauma OT is level 4 on Daily basis. 2 to 3 students each room only.
Please contact sister Rosalinsd IMU to arrange. Briefing & OT tour, Introduction to OT OT staff every second Monday 8-10 for the group going to follow OT for that 2 week.
Pre-Opp round is mondatory before going to see surgery, OT list read by 5 pm for the next day & can be access in every orthopeadic wad.
GOT : General Operation Theather
Group leader to spli and make 3 subgroups for OT each for 2 weeks (Monday - Friday) and stact of group Monday briefing by sister rosalind to arrange.
NOTE (Student leader):
Please contact teachers early to make necessary preparation.
If the teacher is unable to conduct the allocated class, please refer to appendix below.

Contacts:
A/Prof. Kareem: 016-6477501 - abdulkareem_bhurhanudeen@imu.edu.my
Dr. Surinder: 012-3013719 - surinder_singh@imu.edu.my
Dr Nisar : 011-26702239 - nisar_ahmed@imu.edu.my
Dr. Rauf: 019-2207727 - araufahmad@gmail.com
Dr. Nalini: 016-6241494 - nalini_somawera@imu.edu.my
Dr. Thevaraj: 017-6710811 - tpnik@hotmail.com
Dr. Naik Soo Hoo: 019-2567700 - blindjudge2@hotmail.com
Dr. Rozaiman: 019-6652511 - www.rozzal@yahoo.com
Dr. Shaidi: 013-3978874 - shaidi7977@yahoo.com
Dr. Ayu: 012-3311592
Dr. Azian: 012-2523815 - azian.kamisan@gmail.com
Dr Johann Johari: 016-2325600 - johannjohari@gmail.com
Dr Eswaran: 012-6741648 - eswarannads@yahoo.com
Dr. Nurhasyimah : 016-2025060
Dr Azlan (Radiology): 0192424666 - draz149@gmail.com
MA Chou: 017-2267302

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