Topic outline
Course Description and Objectives
ORTHO 260 – Internship in Orthopedics
Course Coordinator: Nathaniel Orillaza Jr., MD
Co-coordinator: Bernardino Alpuerto II, MD
Resident Monitor (AY 2021-2022): Anton Valdecanas, MD
Resident Team: Anton Valdecanas, MD and Maria Patricia Valdez, MD
Course Description: This 2-week rotation will offer the UPCM LU7 (Track A) and Post-graduate interns a hands-on experience in managing emergency and elective Orthopedic cases seen in the clinics, wards and operating room. This will also provide resources to review basic knowledge as well as the advancements in managing the whole spectrum of musculoskeletal conditions.
Learning Objectives:
At the end of the rotation, the intern should be able to...
Knowledge
- accurately diagnose common acute and chronic MSK conditions based on concise evaluation
- integrate the natural history of conditions in prognosticating and providing advise on proper management of Orthopedic diseases
- understand the basic steps of an orthopedic surgical procedure
Skills
- perform concise physical examination to arrive at a diagnosis
- apply proper basic splints and casts in the management of extremity injuries
- assist orthopedic surgical procedures
- perform appropriate care for a variety of wounds in the spine and extremities
Attitude
- demonstrate empathy and compassion to patients with MSK conditions
- exhibit professionalism and team-work among colleagues
Orientation
There will be an orientation session for every block before or on on the first day of the rotation.
The specific time of orientation will be set by the block's liaison officer and the department's resident monitor.
The students may review the contents of the orientation presentation anytime and consult with the resident monitor or course coordinator if there are concerns.
PreRotation Review Course
This section is from the 2020-2021 internship that aims to help interns review the basic must-know principles before rotating in Orthopedics. The contents remain relevant for the current internship set-up and are available for self-directed learning.
Welcome to your PreRotation Review Course
Here's a preview of how things will be when you rotate with us.
Here you will find short concise lectures to help you prepare for your emergency room encounters.
If you have questions regarding the PreRotation review course, you may post them here.
Splinting and Casting Session
At the end of this activity, the students are expected to:
- Integrate the principles of immobilization with the indications for applying different types of limb splints and casts
- Watch the splinting videos prepared by Ortho PGH.
- Demonstrate the application of a long arm cast using plaster of Paris
Please watch splinting videos made specifically for interns/medical students in their preparation for face to face Orthopedic rotation.
Here are the 2 video links:
https://www.youtube.com/watch?v=NifzBiBn1IE
https://spark.adobe.com/video/By1AbB0WYQwKP
Community Orthopedics: Real World Stories
We are happy to share the experiences of some of our alumni who have given their lives serving the communities, outside the usual tertiary hospital setting. We hope that you will see inspiration and opportunities in their stories.
Case Discussion Assignment
At the end of this activity, the student is expected to integrate the core knowledge in Orthopedics and apply the principles in case-based discussions.
Please read cases and answer guide questions included in the "LU7 Orthopedic Triaging Assignment" pdf file.
Please submit written output the night before the scheduled SGD day.
There will be a small group discussion to summarize and assigned paper cases this assignment. This will be scheduled at the end of the first week in an online meeting platform.
The students are expected to:
1. Submit the responses 1 day before the SGD
2. Prepare to discuss the responses with appropriate references
3. Participate actively during the SGD
This will be graded with the following criteria:
Accuracy of response - 10%
Depth of explanation (on paper and during SGD) - 70%
Relevant references cited - 20%
Additional Review Resources
This section contains materials for review including resources intended for the lower learning units and more board-type questions.
This section will be updated regularly as new materials are added.
This links to the official website of the department.
The blogs section contains summarized learning modules for different learning units.
To help review the essential knowledge from Ortho rotation during clerkship, we are giving you access to the self-study modules for LU VI
This section is a collection of specialty lectures intended for general practitioners, delivered by specialists of the department who have the expertise and passion in managing these relevant conditions.
Surgery videos galllery
This section curates videos of common surgical procedures that interns assist during the rotation.
After going through the videos, the student is expected to:
- Be familiar with the steps in performing common Orthopedic procedures
- Describe relevant indications in doing Orthopedic surgery
Learning from this section will be evaluated through questions included in the end-of-rotation exam.
Points to focus on:
- Indications for surgery
- Steps in evaluating proper reduction and implant placement when the fracture is not visualized
- Post-operative plans
Points to focus on:
- Evaluation of ankle injury
- Indication to use an external fixator
- Planning and marking prior to cutting
- Safe placement of percutaneous pins
Points to focus on
- Options for managing a peritrochanteric fracture
- Approach to fractures around the hip
- Positioning of a hip prosthesis close to anatomic
Points to focus on
- Principles in performing fasciotomy
- Review of upper extremity anatomy
- Techniques in safe dissection around the forearm, wrist and hand
- Principles in managing deep space abscesses
Points to focus on:
- Indications for procedure
- Maneuver to perform reduction
- Splint options after reduction
- Predictors of DRF instability
Points to focus on:
- Indications to do surgery
- Careful soft-tissue dissection
- Indirect reduction (aided by implant)
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