School of

DOCTOR OF MEDICINE PROGRAM

YEAR 4
ORTHOPAEDIC POSTING
MM40508
ROTATION 2

PHASE TWO COORDINATOR: AR DR ASMIATI

YEAR 4 COORDINATOR : AP DR. NAING OO THA

POSTING COORDINATOR :

POSTING

COORDINATOR

NAME

TEL

MM40508

Posting Coordinator

Dr Thit Lwin

0162740611

Deputy Posting Coordinator

AP Dr Hamed Sayed

0165825010

SPU contact person :

Mohd Zaidie Adilai (Senior Assistant Registrar) ext. 611006
Awang Jamaludin (Assistant Registrar - Academic) ext. 611022

ORTHOPAEDIC POSTING

Introduction to orthopaedic musculoskeletal examination is made at the second year of the preclinical year. The students already have the
basic knowledge of history taking and will be able to do general physical examination. Since orthopaedics is considered as a speciality posting,
the students are only expected to know the general principles involving the management of common orthopaedic problems. The first week of
the posting will be focusing on techniques of orthopaedic examination and history taking. The core knowledge is divided into 7 parts: TRAUMA,
INFECTION, METABOLISM & INFLAMMATORY, DEGENERATIVE, TUMOUR and CONGENITAL.

COURSE DESCRIPTION
1. MODULE OUTCOMES

At the end of the posting, the students should be able to:

1.
2.
3.
4.
5.

Take a comprehensive history in relation with orthopaedic practice.

Perform relevant orthopaedic examinations.
Able to identify and understand the principles involved in the management of orthopaedic emergency cases.
Plan relevant investigations required in orthopaedic practice.
Outline principles of management in common orthopaedic problems (emphasize will be on trauma).

2. KNOWLEDGE
The student should master the knowledge of:
Trauma
i.

Poly-trauma - principles in management.

ii.

Classification of fracture - open and close; characteristic classification.

iii.

Normal and abnormal fracture healing.

iv.

Fracture complications- early and late complications.

v.

General principles in fracture treatment - operative and non-operative treatment.

vi.

Principles in management of open fracture.

vii.

Traumatic dislocation-knee, hip, shoulder.

viii.

Fracture in special age group- elderly & children.

ix.

Spine fracture and spinal cord injury- stable and unstable fracture spine.

x.

Sport injuries- ligament injuries; knee and shoulder.

xi.

Soft tissues injuries-muscle, nerve and tendon.

Infection
i.

Bone infection- Osteomyelitis

ii.

Joint infection- Septic arthritis

iii.

Soft tissues infection- cellulitis, abscess, necrotising fasciitis

iv.

Special type infection-TB

Degenerative
i.

Osteoarthritis-primary and secondary; knee and hip.

ii.

Spine- Spondylosis and spinal stenosis.

Metabolism and Inflammatory

i.

Osteoporosis

ii.

Metabolic disorder- Rickets, Osteogenesis imperfecta, Ankylosing Spondylitis

Tumour
i.

Common benign soft tissue and bone tumour

ii.

Principles in management of malignant musculoskeletal tumour- pre-biopsy strategies.

Congenital
i.

Common congenital disorder in paediatric- CTEV, DDH.

ii.

Slipped capital Femoral Epiphysis and Perthes.

iii.

Avascular Necrosis- femoral head

Others
i.
a)
b)
c)
d)
e)

Common ortho-clinic disorder:

Carpal tunnel syndrome
Trigger finger
De Quervain tenosynovitis
Tennis elbow
Frozen shoulder

f)

Plantar fasciitis

g) Sub-ungual haematoma.
ii.

Principles in rehabilitation

iii.

Orthopaedic radiology.

iv.

Prolapse intervertebral disc.

3. SKILL

At the end of the posting the student should be able to acquire the following skills:

I.
II.
III.
IV.
V.

Perform wound dressing and practice aseptic technique.

Assisting close manipulative reduction of fracture and dislocation.
Applying splint, traction, POP cast and other types of fracture immobilisation devices.
Able to communicate effectively with patient and patient relatives.
Able to communicate effectively with other health care providers.

4. ATTITUDE

The student should develop and have the following attitude:

i.
ii.
iii.
iv.
v.

Understand and respect community, culture, ethnic, religious and social diversities.
Work as a team and be a responsible person.
Aware of own limitation and willing to seek help.
Thoroughness.
High professionalism and ethical standard.

Teaching Methods

i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
x.

Lectures
Demonstration
Small group discussion
Seminars
Workshops
Bedside teaching
Ward round
Outpatient clinic
Observation in operating theatre
Hand out & self guided learning packages

Distribution of teaching method

TEACHING METHOD

NUMBER

HOURS

Lectures

13

13

SGD

10

Seminar

10

Workshop

Self guided learning packages

3week/package

Bedside teaching

15

30

Clinic session

10

20

OT session

15

Ward round session

30

1hr/round

List of lectures

1. Poly-trauma and principles in management.

2. Management of open fracture.
3. Fracture in special age group- elderly and children.
4. Spine fracture and spinal cord injuries.
5. Internal derangement of the knee.
6. Principles in musculoskeletal tumour.
7. Osteoarthritis.
8. Osteomyelitis and Septic arthritis.
9. Imaging in orthopaedic.
10. Principles in physiotherapy and rehabilitation.
11. Avascular necrosis.
12. Common congenital disorder in paediatric orthopaedic.
13. Sport injuries.

10

List of Other Activities

SEMINAR

1. Metabolic bone disease &

SMALL GROUP
DISCUSSION

SELF LEARNING
PACKAGES

1. Amputation.

1. Low back pain.

2. Peripheral nerve injuries.

2. Benign

osteoporosis

1. Wound dressing and

traction.

2. Normal and abnormal bone

healing.

WORKSHOP

musculoskeletal tumor
3. Spine infection- Pyogenic and

2. Plaster of Paris (POP) and

splinting

TB infection.
3. Traumatic dislocation.

3. Arthroscopy
4. Diabetic foot ulcer.

4. Fracture complications.
5. Common ortho-clinic disorder.
5. Soft tissue infections.

11

List of activity on first week of posting (basic clinical week)

DAY/TIME

MORNING

AFTERNOON

Monday

Briefing / Introduction to history taking & physical examination pertinent

Bed side teaching/practice

to orthopaedic practice

Tuesday

Knee examination/Demonstration

Bed side teaching/practice

Wednesday

Hip examination/ Demonstration

Bed side teaching/practice

Thursday

Spine examination/ Demonstration

Bed side teaching/practice

Friday

Hand & Shoulder examination /Demonstration

Bed side teaching/practice

Learning Objectives
Lectures
L1. Management of open fracture

12

After the completion of this lecture, the students should be able to:

classify the open fracture by using Gustilos classification.

cover the antibiotic prophylaxis.

perform urgent wound and fracture debridement in proper steps.

understand the stabilization of the fracture by using internal or external fixation devices.

perform definitive wound cover and aftercare.

Understand the sequels to open fractures and manage properly.

L2. Poly-trauma

After the completion of this lecture, the students should be able to:

define poly-trauma.

describe the aetiology and mode of death in poly-trauma.

know the pre-hospital management consisting of immediate action and triage, assessment and initial management.

know the hospital management by assessment and management (ATLS concept).

describe the primary survey and resuscitation.

describe the secondary survey.

outline the systemic management of polytrauma.

L3. Fractures in special age group

13

After the completion of this lecture, the students should be able to:

discuss the anatomical and biomechanical differences between the paediatric and adult bone
discuss common paediatric fracture types
describe the Salter-Harris classification of physeal injuries
understand the importance of assessment of ossification centres around joints
describe the principles of paediatric fracture evaluation and management
describe the principles of common adult fracture evaluation and management

L4. Avascular necrosis

After the completion of this lecture, the students should be able to:

define osteonecrosis.
describe the various site of avascular necrosis
discuss the incidence of osteonecrosis and identify the four most common causes
describe the pathophysiology of avascular necrosis.
describe the methods used in the diagnosis and treatment of osteonecrosis of femoral head.

L5. Common Congenital disorders

After completion of this lecturer, students should be able to:

describe the common congenital disorders.

describe the clinical features in developmental dysplasia of hip and club foot .
describe the diagnosis of developmental dysplasia of hip and club foot .
outline the treatment of developmental dysplasia of hip and club foot .

L6. Osteomyelitis, Septic arthritis

After completion of this lecturer, students should be able to:

understand the aetiology and pathogenesis of acute haematogenous osteomyelitis

14

know the common clinical features of acute haematogenous osteomyelitis

manage the acute haematogenous osteomyelitis
understand the aetiology and pathogenesis of septic arthritis
know the common clinical features of septic arthritis
manage the septic arthritis of hip joint

L7. Internal derangement of knee:

After completion of this lecturer, students should be able to:

define the IDK

understand the brief anatomy of knee joint
know the mechanism of knee injuries
manage the ACL and PCL injuries.
manage the meniscus injuries.

L8. Osteoarthritis
After completion of this lecturer, students should be able to:

classify the osteoarthritis based on etiology and involvement.

describe the pathogenesis of osteoarthritis.
list the risk factors for development of osteoarthritis.
identify the diagnostic criteria for osteoarthritis of knee.
describe the cardinal radiographic changes in osteoarthritis.
outline the conservative management of osteoarthritis.
identify the operative procedures used to manage osteoarthritis.

L9. Principles in management of musculoskeletal tumors

After completion of this lecturer, students should be able to:

approach to suspected tumor patient.

describe WHO classification of musculoskeletal tumor.
know the diagnostic principles in musculoskeletal tumor.
15

know surgical principles of musculoskeletal tumor.

know rehabilitation principles.

L10. Principles in Rehabilitation

At the end of this lecture, the students should be able to

At the

define the terms; rehabilitation, impairment, disability and handicap.

know interdisciplinary team approach in rehabilitation and Multidisciplinary practice Vs Interdisciplinary practice.
state the physical modalities.
outline the therapeutic exercises.
end of this lecture II, the students should be able to:
list the orthoses , prostheses and ambulation aids.
prescribe some commonly used orthoses and ambulation aids.
measure the length of axillary crutch and some ambulation aids.
know the crutch gait patterns and the gait patterns using other gait aids.

L11. Spine fractures and spinal cord injury

After the completion of this lecture, the students should be able to:

describe the types of spinal fractures.

describe the pathophysiology and mechanism of injury.

describe the clinical features and diagnosis.

Outline the treatment of the spine fractures and spinal cord injury.

L12. Sport injuries

16

After the completion of this lecture, the students should be able to:

understand the common sports injuries.

know the treatment and rehabilitation plans in sports medicine.
know the common conditions associated with different joints.
know the importance of rehabilitation.

L13. Imaging in Orthopaedics

After the completion of this lecture, the students should be able to:

understand the radiographic interpretation in trauma and Orthopaedics.

acquire basic knowledge on imaging ( contrast media, computed tomogram and magnetic resonance imaging).

acquire basic knowledge on bone mineral densitometry.

SGD (Small group discussion)

1. Amputation
After the discussion the student must be able to:

define the amputation.

describe the indications of amputations.
know the variants of amputations with the examples.
know the characteristics of ideal stump.
describe the surgical principles of amputation.
describe the general and local complications of amputation.

2. Peripheral nerve injury

After the discussion the student must be able to:

17

describe the nerve structure and function.

describe the pathophysiology of peripheral nerve injury.

classify the nerve injury by using Seddon and Sunderland classification.

describe the clinical features in brachial plexus and lumbosacral plexus injury.

know the assessment of nerve recovery and nerve function.

Outline the principles of treatment in peripheral nerve injuries.

3. Diabetic foot ulcer

After the Discussion student must be able to:

approach to a patient with diabetic foot problems, history taking, physical examination and investigation in diabetic foot.
assess the diabetic foot ulcers e.g ulcer examination.
classification of diabetic foot ulcers. (Wagners and University of texus)
describe the principles in management of dfu.
educate the patient concerning about foot care.
educate the do and dont in patient with diabetic foot.

4. Spine infection
After the Discussion the student should be able to:

Aetiology of spine infection

Pathogenesis of TB spine and pyogenic spine infection
Clinical features of TB spine and pyogenic spine infection
Management of TB spine and pyogenic spine infection

5. Common Orthopaedic clinical problems

18

A.

Carpal tunnel syndrome

After the discussion student must be able to:

define the carpal tunnel syndrome.

describe the causes of carpal tunnel syndrome.

approach to a patient with CTS, history taking and physical examination.

describe the clinical features and investigations for diagnosis.

Outline the treatment of the carpal tunnel syndrome.

B.

Trigger finger
After the discussion student must be able to:

define the trigger finger or digital tenovaginosis.

describe the aetiology of trigger finger or thumb.

approach to a patient with trigger finger or thumb, history taking and physical examination.

describe the clinical features and classification.

Outline the treatment of trigger finger and thumb.

C.

De Quervain tenosynovitis
After the discussion student must be able to:

define the de Quervains disease or tenosynovitis.

describe the aetiology of the de Quervains disease.

19

approach a patient with de Quervains disease, history taking and physical examination.

describe the clinical features diagnosis.

Outline the treatment of de Quervains disease.

D.

Tennis elbow
After the discussion student must be able to:

define the tennis elbow.

describe the pathology of the tennis elbow.

approach a patient with tennis elbow, history taking and physical examination.

describe the clinical features and diagnosis.

Outline the treatment of tennis elbow.

E.

Frozen shoulder
After the discussion student must be able to:

define the frozen shoulder or adhesive capsulitis.

Describe the aetiology of the frozen shoulder.

approach a patient with frozen shoulder, history taking and physical examination.

describe the clinical features, diagnosis and differential diagnosis of frozen shoulder.

Outline the treatment of frozen shoulder.

20

F.

Plantar fasciitis
After the discussion student must be able to:

define plantar fasciitis.

Describe the aetiology of plantar fasciitis.

Describe the pathology of plantar fasciitis.

approach a patient with plantar fasciitis, history taking and physical examination.

describe the clinical features, diagnosis and differential diagnosis of plantar fasciitis.

Outline the treatment of plantar fasciitis.

G.

Subungual haematoma
After the discussion student must be able to:

define subungual haematoma.

Describe the aetiology of subungual haematoma.

approach a patient with subungual haematoma, history taking and physical examination.

describe the clinical features, diagnosis of subungual haematoma.

Outline the treatment of subungual haematoma.

Seminar

21

1. Norman & abnormal bone healing

Compare and contrast the two types of bone formation: intramembranous and endochondral ossification.
Compare the structure, functions, and locations of the three kinds of cartilage tissue.
Describe the functions of the bony skeleton and of bone tissue.
Describe the gross anatomy of a typical long bone and a typical flat bone.
Describe the histology of compact and spongy bone.
Describe the structural components of bone tissue and the functions of its organic and inorganic parts.
Describe the types of markings found on bones
Differentiate the cells found in bone tissue and their functions.
Explain how bones withstand tension and compression.
Stages of bone healing
Normal & abnormal bone healing
Types of bone healing (primary & secondary intention)
Radiographic Determinants of Healing: Non-union (atrophic & hypertrophic) Mal-union, Delayed union
Describe the balance between mechanical and biological factors in fracture healing (Factor affecting bone healing)

2. Metabolic bone disorder

Bone Turnover

Understand the difference between skeletal modeling and remodeling.

Able to describe how modeling & remodeling contribute to the phases of skeletal development & maintenance

Understand how metabolic bone disease is a result of uncoupling of the normal remodeling process.

Comprehend how changes in bone density (or mass) reflect the variations in modeling and remodeling.
Osteoporosis

Know the clinical and laboratory definitions of osteoporosis.

Radiographs, bone densitometry and bone histomorphometry all can diagnose osteopenia. Appraise the relative merits and
disadvantages of these three techniques in the clinical assessment of osteopenia.

Identify the major risk factors for osteoporosis.

Hormonal regulation of mineral balance depends primarily upon Diagram the expected changes PTH, 1,25 (OH)2 (calcitriol),
vitamin D3 (cholecalciferol) and calcitonin and resultant effects on skeletal Ca balance in

5Defend the following statement:

Criticize the following statement:

Relate the major available treatments for osteoporosis to their effects on the remodeling process.
22


Describe the beneficial effects of estrogen at the level of the kidney, gut and bone that may lead to a reduction in osteoporosis
risk in a postmenopausal woman.

You have recently been elected health czar on your sole campaign promise to wipeout osteoporosis. What are the major public
health recommendations of your platform? Justify each plank of your platform with your understanding of skeletal physiology.
Osteomalacia

Characterize the clinical presentation of osteomalacia and differentiate it from that of osteoporosis.

Disorders of skeletal mineralization are lumped into the general category of osteomalacia. However, rickets is a term reserved for
a particular clinical situation. Why?

Know the major causes of osteomalacia.

Describe the radiographic findings in osteomalacia.

Identify the principles of therapy in osteomalacia.

Normal skeletal mineralization relies on an adequate supply of vitamin D, calcium and phosphorus. List two clinical situations in
which deficiencies in each of these critical elements can develop.

Provide a clinical situation for the use of each form of vitamin D and explain why the use of the other two forms of vitamin D
would be inappropriate in the given setting.
3. Fracture complications

After the discussion student must be able to:

describe the general complications.

describe the clinical features and outline the treatment of crush syndrome.

describe the clinical features and outline the treatment of venous thrombosis and pulmonary embolism.

describe the clinical features and outline the treatment of tetanus.

describe the clinical features and outline the treatment of gas gangrene.

describe the clinical features and outline the treatment of fat embolism.

list the local complications (early and late).

describe the clinical features and outline the treatment of compartment syndrome.

describe the clinical features and outline the treatment of gas gangrene.

23

describe the clinical features and outline the treatment of delayed union.

describe the clinical features and outline the treatment of mal-union.

describe the clinical features and outline the treatment of non-union.

describe the clinical features and outline the treatment of avascular necrosis.

describe the clinical features and outline the treatment of Volkmanns contracture.

describe the clinical features and outline the treatment of algo-dystrophy.

4. Soft tissue infections

After the discussion student must be able to:

After the seminar student should be able to:

Classify the soft tissue infection
Understand the causal organisms of soft tissue infections
Define the cellulitis, abscess and necrotizing fasciitis
Clinical features of cellulitis, abscess and necrotizing fasciitis
Investigate the soft tissue infections
Manage the soft tissue infection
Understand the complications of necrotizing fasciitis
Know the diagnosis parameters of SIR (Systemic inflammatory Response)
Manage the SIR.

5. Dislocation and common soft tissue injury

After the Discussion student must be able to:

define the dislocation and subluxation.

classifiy based on etiology, duration.

describe the mechanism of injury, clinical features, morbid anatomy, management and complications of acute traumatic
dislocations of shoulder.
24


demonstrate reduction technique in shoulder dislocation.

describe the mechanism of injury, clinical features, morbid anatomy, management and complications of acute traumatic
dislocations of hip.

demonstrate reduction technique in hip dislocation.

describe mechanism of injury, clinical approach to knee injury, diagnosis and management of acl tear.

describe the aetiology, morbid anatomy, management of tendo archilles tear.

SLP (Self learning packages)
1. Benign Musculoskeletal tumour
In self-learning packages, all students must participate in each assignment. The assignments are delivered to students one week before the
presentation. Each presentation takes ten minutes.
After the presentation student must be able to:

classify the bone tumours according to WHO classification.

know the difference between benign and malignant tumours.

describe the benign cartilage tumours.

describe the benign soft tissue tumours.

describe the benign bone tumours.

describe the tumour like conditions.

describe the giant cell tumour.

describe the malignant cartilage tumours.

describe the malignant soft tissue tumours.

describe the malignant bone tumours.

describe the staging in musculoskeletal tumours.

25

describe the surgical margin in musculoskeletal tumours.

describe role of radiotherapy in in musculoskeletal tumours.

describe principles of management in musculoskeletal tumours.

2. Low back pain

In self-learning packages, all students must participate in each assignment. The assignments are delivered to students
one week before the presentation. Each presentation takes ten minutes.
After the presentation student must be able to

classify the low back pain based on duration. describe the epidemiology of low back pain.

re-memorize the pathophysiology of pain and pain pathway.

know the theories of pain.

describe the non-mechanical causes of low back pain.

describe the mechanical causes of low back pain.

describe the history and physical examination in patient with low back pain.

describe the investigations in low back pain.

describe the low back pain in elderly.

describe the etiology, pathogenesis, clinical features, investigations and management of prolapsed
intervertebral disc.

describe the etiology, pathogenesis, clinical features, investigations and management of spinal stenosis.

describe the etiology, pathogenesis, clinical features, investigations and management of spondylolisthesis.

identify the conservative management of low back pain.

identify the surgical management of low back pain.

educate the low back pain exercise.

educate the do and dont in low back pain patient.

26

CSL

POP Workshop

After the workshop the student must be able to:

define Plaster of Paris, its formula.

Know how to apply POP.

Know plaster care of the patient to prevent complications

Tell the instructions (for care of POP) to patient.

Know when and how to remove POP using proper instrments.

Wound dressing, Traction and splintage

After the workshop the student must be able to:

Describe the types of traction.

Know the skin traction technique, care and complications.

know the skeletal traction technique, care and complications.

know the types of dressing, technique and procedures.

Arthroscopy

After the workshop the student must be able to:

27

define the arthroscopy and arthroscope.

identify the structures in knee joint.

describe the instruments in knee arthroscopy.

ASSESSMENT
METHOD OF ASSESSMENT

TIME

28

QUESTION TYPE

NUMBER OF QUESTION

PER Q

TOTAL PER EXAM

MARK (%)

Multiple Choice Questions

30

2 minutes

60 minutes

10

Modified Essay Questions

12

5 minutes

60 minutes

10

Essay

30 minutes

60 minutes

10

OSCE

6 Stations

10 minutes

60 minutes

15

Long Case Examination

1 Case

60minutes

100 minutes

15

(clerking 60 min)

Short Case

SUBTOTAL END POSTING EXAMINATION MARK (%)

Handwritten Case Report

Logbook(Logbook viva+10 hand written clerking cases)

TOTAL

60

Case Report 1

Case Report 2

30

100
29

REFERENCES: TEXT BOOK

1. Apleys System of Orthopaedics and fractures (9th edition) by Louis Solomon, David Warwick and Selvadurai Nayagam, 2010.
2. Clinical Orthopaedic examination by Ronald Mc Rae (Churchill Livingstone 6 th. edition), 2012.
3. Review of Orthopaedics by Mark D. Miller, 6th. ed, 2012.
4. Wheelers textbook of orthopaedic, 2011.
5. Principles of Orthopeadic Practice by Roger Dee, 2003 (2 nd Edition).

30

YEAR 4

ORTHOPAEDICS POSTING MM40508

SESSION 2013/2014

WEEK 1

31

DATE / TIME

7.30 am - 8.30
am

8.30 am 9.30
am

9.30 am 10.30
am

10.30 am 11.30 am

Introduction to clinic/ward in HQEII

MONDAY
27/10/2014

Briefing
Overview of
orthopaedic
Dr Thit Lwin

Ward roundHQEII

Dr Thit Lwin

Ward work

AP Dr Hamed Sayed

Shoulder & Elbow Examination

AP Dr Hamed Sayed

CSL SPU HQE

CSL - SPU HQE

Clinical Demonstration

Ward work

APDr. Iftikhar

Wrist & Hand

AP Dr Hamed
Sayed

Spine Examination
Gp B :M/ Ward
Dr. Thit Lwin

CSL - SPU HQE

Ward work
Knee Examination AP Dr.Arif

Clinical
Demonstration

Clinical examination
practice session
Hip examination

Hip Examination

Gp B : F/Ward

Dr. Thit Lwin

Dr. Thit Lwin

AP Dr Arif

CSL - SPU HQE

Ward roundHQEII
Clinic QEH II

Clinical demonstration Ankle & Foot

Gp A : F/Ward
THURSDAY
30/10/2014

AP Dr Hamed Sayed

CSL - SPU HQE

Gp A : M/Ward
AP Dr Hamed
Sayed

Clinical exam practice

session

Dr. Thit Lwin

Ward roundHQEII

WEDNESDAY
29/10/2014

3.00 pm - 5.00 pm

CSL

Gp A : F/Ward
TUESDAY
28/10/2014

2.00 pm - 3.00 pm

All Specialist & MO

APDr. Iftikhar
Gp B :M/ Ward

AP Dr Iftikhar
32

YEAR 4

ORTHOPAEDICS POSTING MM40508

SESSION 2013/2014

WEEK 2

33

DATE / TIME

7.30 am - 8.30
am

8.30 am 9.30
am

9.30 am 10.30
am

10.30 am 11.30 am

2.00 pm - 3.00
pm

Ward roundHQEII

Seminar1:

Gp A : F/Ward
MONDAY
03/11/2014

3.00 pm - 5.00 pm

BST

APDr.Iftikhar

Ward work

Gp B : M/ Ward

AP Dr Hamed
Sayed

Spine fracture &

spinal cord injury
Dr Chuah Uei
Chyi

Metabolic bone
diseases &
osteoporosis
APDr. Iftikhar

Dr.Thit Lwin

Ward roundHQEII
GpA: F/Ward A
TUESDAY
04/11/2014

Clinic QEH

AP Dr Hamed
Sayed

All Specialist & MO

Preoperative
round QEHII

SGD2 Peripheral
nerve injuries
AP Dr Hamed Sayed

AP Dr. Arif
Gp B : M/Ward
APDr.Arif

Ward roundHQEII

OT- Day HQE II

OT- Day HQE II

Gp A : F/Ward

Gp 1: OT am ------ bedside teaching pm HQE II

APDr.Iftikhar

Gp 2 : OT pm ----- bedside teaching am HQE II

WEDNESDAY
05/11/2014
Gp B : M/ Ward

Bedside Teaching AM : AP Dr Iftika

Gp 1: OT am ------ bedside teaching pm

SMC
Gp 2 : OT pm ----- bedside teaching am
SMC
Bedside Teaching PM : Dr Thit Lwin

Dr.Thit Lwin

Ward roundHQEII

SGD:3

GpA: F/Ward A
THURSDAY
06/11/2014

AP Dr Hamed
Sayed

Diabetic foot
BST QEH II

Clinic QEH
All Specialist

Dr Nahulan
Thevarajah

Dr Thit Lwin

34

YEAR 4

DATE / TIME

ORTHOPAEDICS POSTING MM40508

7.30 am - 8.30 am

8.30 am 9.30
am

9.30 am
10.30 am

Ward round QEHII

Gp A:M Ward
MONDAY
10/11/2014

SESSION 2013/2014

10.30 am 11.30 am

Seminar 2

AP Dr Hamed
Sayed

Ward work

GpB:F/Ward

Normal &
abnormal bone
healing

WEEK 3

2.00 pm - 3.00
pm

3.00 pm - 5.00 pm

Trauma
radiology round
BST
AP Dr Hamed
Sayed

AP Dr. Iftikhar

AP Dr.Iftikhar

APDr.Arif

Ward roundHQEII

TUESDAY
11/11/2014

Gp A : M/Ward

OPD

AP Dr Iftikhar

Clinic QEH II

Gp B : F/Ward

Workshop 1:
Plaster of Paris (POP) & Splinting
All Specialist

All Lecturers In Charge AP Dr Itikhar

Dr Thit Lwin

WEDNESDAY
12/11/2014

Ward roundHQEII
Gp A : M/Ward
AP Dr Hamed
Sayed

OT- Day HQE II

OT- Day HQE II

Gp 1: OT am ------ bedside teaching pm HQE II

Gp 1: OT am ------ bedside teaching pm SMC

Gp 2 : OT pm ----- bedside teaching am HQE II

Gp 2 : OT pm ----- bedside teaching am SMC

Bedside Teaching PM : AP Dr Hamed
35

Gp B : F/Ward

Sayed
Bedside Teaching AM : AP Dr Arif

AP Dr Arif

Ward roundHQEII
Post-operative
round

Gp A : M/Ward
THURSDAY
13/11/2014

Clinic QEH
AP Dr Iftikhar

Ward work
All Specialists

Gp B : F/Ward

Dr Thit Lwin

Dr Thit Lwin

FRIDAY
14/11/2014

Ward Round
H.Likas
AP Dr Iftikhar

YEAR 4

BST
H.Likas

Ward work

Feedback Discussion &

weekly submission of
case report
All Orthopedic
Lecturers

AP Dr. Iftikhar

ORTHOPAEDICS POSTING MM40508

SGD4
Spine
infection
AP Dr. Arif

SESSION 2013/2014

WEEK 4

36

DATE / TIME

7.30 am - 8.30 am

8.30 am
9.30 am

9.30 am 10.30
am

10.30 am - 11.30
am

2.00 pm - 3.00 pm

BST

Ward roundHQEII

Dr. Thit Lwin

Gp A : M/ Ward
MONDAY
17/11/2014

3.00 pm - 5.00 pm

Seminar3
Fracture
complications

Clinic QEH
AP Iftikhar

Ward work
All Specialist

AP Dr Hamed
Sayed

Gp B : F/Ward
Dr Thit Lwin

Seminar4
Soft tissue
infection

Ward work

Ward roundHQEII
Gp A : M/ Ward
TUESDAY
18/11/2014

AP Dr Hamed
Sayed

AP Dr.Arif

Arthroscopy- Demonstration

Preoperative round
SMC

Leader Dr.Thit Lwin

AP Dr Iftika

Gp B : F/ Ward
AP Dr Arif

WEDNESDAY
19/11/2014

Ward round HQEII

Gp 1: OT am ------ bedside pm HQE II

Gp A : M/ Ward

Gp 2 : OT pm ----- bedside teaching am HQE II

Gp 1: OT am ------ bedside pm SMC

Bedside Teaching : Dr Thit Lwin

Gp 2 : OT pm ----- bedside teaching am SMC

AP Dr H. Sayed
Gp B : F/Ward

OT- Day SMC

AP Dr Iftikhar

37

AP Dr.Arif

Ward roundHQEII

SGD 5

Gp A : M/ Ward
THURSDAY
20/11/2014

Common Orthoclinic disorders

Clinic QEH
AP Iftikhar
All Specialist

Ward Work

AP Dr Hamed Sayed

Gp B : F/Ward
Dr Thit Lwin

SLP 2

FRIDAY
21/11/2014

Ward Round H
Likas
AP Dr Arif

YEAR 4

BST
Likas

Low Back Pain

H
Ward work

Dr Thit Lwin

AP Dr Arif

ORTHOPAEDICS POSTING MM40508

SESSION 2013/2014

WEEK 5

38

DATE / TIME

7.30 am - 8.30 am

8.30 am 9.30
am

9.30 am
10.30 am

10.30 am - 11.30
am

2.00 pm - 3.00
pm

3.00 pm - 5.00 pm

Radiology ward
round

Principles in
Rerabilitation II

BS T

Dr. Thit Lwin

AP Dr. KN Yin

Ward round HQEII

Gp A : F/ Ward
MONDAY
24/11/2014

AP Dr.Iftikhar

Ward work

Gp B : Male Ward

Dr Chuah Uei Chyi

Dr Thit Lwin

Ward round HQEII

Gp A : M/ Ward
TUESDAY
25/11/2014

Clinic QEH

AP Dr H. Sayed

All Speacialist

Seminar 5.

BST
AP Dr Hamed
Sayed

Gp B : F/Ward

Dr. Thit Lwin

AP Dr.Arif

WEDNESDA
Y
26/11/2014

Ward roundHQEII

Traumatic
dislocation , soft
tissue injury

OT- Day HQE II

OT- Day HQEII

Gp A : Male Ward

Gp 1: OT am ------ bedside pm HQE II

Gp 1: OT am ------ bedside pm SMC

AP Dr Iftikhar

Gp 2 : OT pm ----- bedside teaching am HQE II

Gp 2 : OT pm ----- bedside teaching am SMC

Gp B : F/ Ward

Bedside Teaching : AP Dr Hamed Sayed

AP Dr Arif

Dr Thit Lwin

39

Ward round HQEII

Clinic QEH

Gp A : M/ Ward

BST
THURSDAY
27/11/2014

AP Dr Hamed
Sayed

Dr Nahulan
Thevarajah

All Specialist

Ward work

Gp B : F/Ward
AP Dr.Arif

SLP 2 Discussion
FRIDAY
28/11/2014

Ward round H
Likas
Dr.Thit Lwin

YEAR 4

DATE / TIME

BST

H
Likas

AP Dr Hamed Sayed

Dr Thit Lwin

ORTHOPAEDICS POSTING MM40508

7.30 am - 8.30 am

Benign Musculo skeletal tumours

Ward work

8.30 am 9.30
am

9.30 am
10.30 am

SESSION 2013/2014

10.30 am 11.30 am

WEEK 6

2.00 pm - 3.00
pm

3.00 pm - 5.00pm

40

MONDAY
01/12/2014

Ward round HQEII

BST

Gp A : M/ Ward
AP Dr H.Sayed

BST

Dr Chuah Uei
Chyi
Ward Work

Dr Thit Lwin

Ward Work

Gp B : F/ Ward
AP Dr Arif

TUESDAY
02/12/2014

Ward round HQEII

Workshop 2

Gp A: F/ward
AP Dr.Iftikhar

Clinic QEH II
All Speacialist&MO

Dressing and traction

All lecturers
In charge AP Dr. Arif

Gp B: M/Ward
Dr. Thit Lwin

WEDNESDAY
03/12/2014

Ward round HQEII

OT QEHII

OT -QEHII

Gp A : M/ Ward

Gp 1-OT am- bedside pm, Gp 2-OT pm-bedside am

Gp 1-OT am-bedside pm

AP Dr H.Sayed
Gp B : F/ Ward

BST AP Dr Iftika

Gp 2-OT pm-bedside am
BST Dr. Thit Lwin

AP Dr Arif

41

THURSDAY
04/12/2014

Ward round HQEII

Gp A : M/ Ward

BST

AP Dr Iftikhar

Dr. Thit Lwin

Revision

Revision

Gp B : F/ Ward
Dr.Thit Lwin

FRIDAY
05/12/2014

Ward round,
Hospital Likas

Submission of case write up

Dr Thit Lwin
Revision

YEAR 4

DATE / TIME

ORTHOPAEDICS POSTING MM40508

8.30 am 9.30

Log book viva

SESSION 2013/2014

9.30 am 10.30

7.30 am - 8.30 am

WEEK 7

2.00 pm - 3.00
10.30 am - 11.30 am

am

am

3.00 pm - 5.00 pm
pm

42

Theory examination

08/12/2014

(All Lecturer from UMS are compulsory to invigilate this section)

OSCE
TUESDAY
09/12/2014

Long case examination

(All Lecturers from UMS are
(All Lecturers from UMS are compulsory to conduct the clinical exam)

compulsory to conduct the OSCE)

WEDNESDA
Y
10/12/2014

THURSDAY
11/12/2014

FRIDAY
12/12/2014

43

44