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Orthopaedics

Study Course Description

Course Description Statuss:Approved
Course Description Version:8.00
Study Course Accepted:22.06.2023
Study Course Information
Course Code:ORTK_001LQF level:Level 7
Credit Points:4.00ECTS:6.00
Branch of Science:Clinical Medicine; OrthopaedicsTarget Audience:Medicine; Medical Services
Study Course Supervisor
Course Supervisor:Andris Jumtiņš
Study Course Implementer
Structural Unit:Department of Orthopaedics
The Head of Structural Unit:Andris Jumtiņš
Contacts:Riga, 22 Duntes Street, Block No. 1, ortopedkatatrsu[pnkts]lv, +371 67399345, +371 67399353, +371 67399254
Study Course Planning
Full-Time - Semester No.1
Lectures (count)8Lecture Length (academic hours)2Total Contact Hours of Lectures16
Classes (count)16Class Length (academic hours)3Total Contact Hours of Classes48
Total Contact Hours64
Study course description
Preliminary Knowledge:
Normal and pathological human anatomy, physiology, aseptic and septic conditions, desmurgy, propaedeutic, pharmacology and microbiology.
Objective:
To provide students with opportunities to acquire knowledge and understanding of human musculoskeletal diseases, congenital and acquired deformities, injuries, their pathogenesis, causes, diagnosis, treatment and rehabilitation principles, as well as care in the context of individual, family and society health; as well as skills that will enable students to independently render first aid, diagnose musculoskeletal injuries and illnesses, be competent in treatment and rehabilitation principles and enable them to continue studies at a higher level.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Trauma as a social problem. History of traumatology and orthopaedics. Mechanical trauma. Closed and open fractures.Lectures1.00auditorium
2Polytrauma.Lectures1.00other
3Osteomyelitis (septic complications in orthopaedics).Lectures1.00other
4Benign and malignant tumors of the movement and support system.Lectures1.00other
5Osteoarthritis.Lectures1.00other
6Burns.Lectures1.00other
7Spinal injuries and illnesses.Lectures1.00other
8Radiological diagnosis of bone fractures. Visible and invisible. The most common diagnostic mistakes.Lectures1.00auditorium
9The examination of patients with musculoskeletal trauma and orthopaedic diseases.Classes1.00clinical base
10Conservative treatment methods of musculoskeletal trauma (transport immobilization, desmurgie (bandage technique), plaster casts).Classes1.00clinical base
11Fractures and dislocations of the upper extremity bones.Classes1.00clinical base
12Diseases of the upper extremity, ruptures of muscles and tendons.Classes1.00clinical base
13Traumatic injuries of muscles and tendons of the lower extremities. Foot injuries and orthopedic diseases.Classes1.00clinical base
14High energy trauma. Polytrauma. Traumatic injuries of pelvis.Classes1.00clinical base
15Diaphyseal fractures of the lower extremity bones, diagnostics and treatment, complications.Classes1.00clinical base
16Low energy trauma. Fractures of the proximal femur. Peculiarities of geriatric trauma.Classes1.00clinical base
17Soft tissue structures damage of the knee joint. Diagnostic and treatment options in traumatology and orthopedics.Classes1.00clinical base
18Intraarticular fractures and dislocations of the lower extremity bones.Classes1.00clinical base
19Osteoarthritis.Classes1.00clinical base
20Osteomyelitis and septic arthritis.Classes1.00clinical base
21Termic trauma.Classes1.00clinical base
22Spinal injuries and diseases.Classes1.00clinical base
23Workshop on interactive analysis of clinical casesClasses1.00E-Studies platform
24Colloquium (orthopedic tests, transport immobilisation, desmurgia).Classes1.00clinical base
Assessment
Unaided Work:
Independent work with literature, Internet resources and materials from e-studies (according to the lesson topics). At the end of the course, an evaluation of the course is provided by filling in a questionnaire.
Assessment Criteria:
Test in each class. In the end of course – the colloquium (practical skill assessment). Assessment criteria for the colloquium: Criteria for the colloquium assessment “pass”: 1. Knowledge and skills of the clinical tests in orthopaedics: 1.1. lecturer determines, which two clinical tests student shall demonstrate; 1.2. student shall perform these two clinical tests correctly and precisely; 1.3. if the two clinical tests are performed correctly and precisely, student gets the assessment “pass”; 1.4. if some of two clinical tests are not performed correctly and precisely, student gets the assessment “fail”. 2. Knowledge and skills of the transport immobilization and desmurgy: 2.1. lecturer determines, which localization shall be immobilized or bandaged; 2.2. student shall perform the transport immobilization or bandage correctly and precisely; 2.3. if the transport immobilization or bandage is performed correctly and precisely, student gets the assessment “pass”; 2.4. if the transport immobilization or bandage is not performed correctly and precisely, student gets the assessment “fail”. 3. Knowledge and skills of the evaluation of the movements in the joints, length and girth of the extremities: 3.1. lecturer determines the localization, in which movements in the joints, length or girth of the extremity shall be performed; 3.2. student shall perform the measurements correctly and precisely; 3.3. if the measurements are performed correctly and precisely, student gets the assessment “pass”; 3.4. if the measurements are not performed correctly and precisely, student gets the assessment “fail”. 4. Student gets the assessment for the colloquium in 10 point grading scale, where each part value is approximately one third. 5. If the final assessment for the colloquium is “fail”, student shall agree with lecturer about date and time for the colloquium repeatedly. At the end of Orthopaedics course – exam (OSCE) (10-point grading scale) Assessment criteria for the Objective structured clinical examination (OSCE): 1. In the Rīga Stradiņš University Department of Orthopaedics student is allowed to take the Objective structured clinical examination (OSCE), if student for the colloquium gets the assessment “pass” and no absence of practical classes or practical classes are worked off. 2. After completion of the study course “Orthopaedics” study group leader contacts with the Head of the Office of the RSU Department of Orthopaedics to get to know about possible date and time to take exam before session or during session. 3. To apply for the exam, student must sign in to the exam application platform opened in the department's e-studies. 4. If student applied for OSCE, but can not arrive because of the foregone reasons, student shall inform Head of the Office of the RSU Department of Orthopaedics in written form . 5. If the written application, that student will not take OSCE is not received, the assessment “fail” is considered and student shall to take OSCE in front of the Commission of lecturers established by the Head of the Department of Orthopaedics. 6. Student takes remote OSCE in five base stations, in which the assessment criteria are: 6.1. 0 (zero) points – assessment negative: student has not answered or answered incorrectly on the questions in the particular base station; 6.2. 1 (one) point – assessment positive: student has answered partially correctly on the questions in the particular base station. 6.2.3 two points - assessment positive: student has answered correctly on the all questions in the particular base station 7. If in nine base stations the assessment is 1 point, student gets 9 points and students has possibility to go to 10th base station and receive the question of increased difficulty: 7.1. 0 (zero) points – assessment negative: student has not answered or answered incorrectly on the questions in the particular base station; 7.2. 1 (one) point – assessment positive: student has answered correctly on the all questions in the particular base station. 8. Final assessment for OSCE is equal to the sum of points, which student gets in OSCE. A 10-point scale is used for the assessment of learning outcomes achieved by students: 8.1. with distinction (10) – knowledge, skills and competence exceed the requirements of the study programme, study module or the study course and they testify to the ability to carry out independent research and deep understanding of problems; 8.2. excellent (9) – knowledge, skills and competence fully comply with the requirements set for the study programme, study module or the study course; they possess the ability to use independently the knowledge acquired; 8.3. very good (8) – the requirements of the study programme, study module or the study course are completely met, though in certain issues they do not have understanding deep enough to use the knowledge independently for solving more complex problems; 8.4. good (7) – in general the requirements of the study programme, study module or the study course are met but sometimes the inability to use the acquired knowledge independently is detected; 8.5. almost good (6) – the requirements of the study programme, study module or the study course are met, but there is a lack of deep understanding of the problem and inability to use the acquired knowledge; 8.6. satisfactory (5) – in total, the study programme, the study module or the study course is acquired but there is insufficient knowledge of certain issues and inability to use the acquired knowledge; 8.7. almost satisfactory (4) – in total, the study programme, the study module or the study course is acquired, however, there is insufficient understanding of some basic concepts and there are considerable difficulties in practical application of the acquired knowledge; 8.8. weak (3) – the knowledge is superficial and incomplete; the student is unable to use it in specific situations; 8.9. poor (2) – there is superficial knowledge of only some issues; most of the study programme, study module and the study course is not acquired; 8.10. very poor (1) – there is no understanding of the fundamentals of the course and there is almost no knowledge of the study programme, study module or the study course. 9. The student is successful, if he/she gets the assessment “almost satisfactory” (4 points) or higher (at least in the four base stations student gets 1 point). 10. If student gets 3 points or less, the OSCE assesment is “fail”. 11. If the assessment for OSCE is “fail”, student agrees with the Head of Department of Orthopaedics about date and time for the repeated examination. 12. Student takes the exam repeatedly in in front of the Commission of lecturers of the Department of Orthopaedics: 12.1. in the repeated examination student draws three tickets, prepares answers in written form, then answers the questions orally. 12.2. If at least 55% of the amount of learning outcomes is acquired, student gets the assessment “almost satisfactory” (4 points) or higher 13. Cummulative final assessment of the course of Orthopaedics is made according the formula: (Grade of Colloquium+grade of OSCE):2=Final assessment of Orthopaedic course
Final Examination (Full-Time):Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Upon successful completion of the course, students will be able to: • recognise and describe bones, joints and soft tissues common illnesses and injuries, causes and aethiopathogenesis; • explain and ground the main principles of treatment; • explain side effects; • estimate prognosis.
Skills:Upon successful completion of the course, students will be able to: • collect patient’s anamnesis; • perform examination; • establish a diagnosis; • prepare an additional examination and treatment plan; • perform transport immobilization.
Competencies:Upon successful completion of the course, students will be able to carry out independent work with the injured and orthopaedic patients in general medical practice, and will able to continue further education.
Clinical Skills:
No.SkillLevel
1"8" Form BandageB1 - Basic level
2Anterior and posterior Drawer testB1 - Basic level
3Desault bandageB1 - Basic level
4Extremities length and girth measurementsB1 - Basic level
5Lachman testB1 - Basic level
6Neck trasport immobilizationB1 - Basic level
7Patellar tap testB1 - Basic level
8Piano key symptomB1 - Basic level
9ROM measurementB1 - Basic level
10Tompson testB1 - Basic level
11Transport immobilisationB1 - Basic level
12Transport immobilization of broken femorB1 - Basic level
13Transport imobilisation of lower legB1 - Basic level
Bibliography
No.Reference
Required Reading
1A. Jumtiņa redakcijā. “Traumatoloģija un ortopēdija”. Rīga. 2016. RSU
2Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th Edition. Elsevier, 2020.
3Ārvalstu studentiem/For international students:
4Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th Edition. Elsevier, 2020.
Additional Reading
1Ronald Mc Rae. „Pocketbook of Orthopaedics and Fractures”. Churchill Livingstone, 2006.
2Lācis A., Lācis G. Augšējās ekstremitātes un pleca joslas kaulu lūzumi. Jāņa Rozes apgāds. Rīga. 2007.
3Ejubs L., Peredistijs A. Slimību sindromu, testu un muskuloskeletālu bojājumu eponīmiskā vārdnīca. Rīga, 2006, Nacionālais apgāds.
4Jakušonoka R., Jodzeviča H., Gibners R. Transporta imobilizācija. Pārsēji. Rīga. 2008. Rīga. MULTINEO.
5Jumtiņš A. Kaulu lūzumi. Metodiskās rekomendācijas studentiem. Rīga, 2009, RSU.
6Savicka M. Apdeguma trauma Rīga. Nacionālais apgāds. 2004.
7David J. Dandy, Dennis J. Edwards. „Essential Orthopaedics and Trauma”. Churchill Livingstone, 2009.
8David J. Magee. „Orthopaedic Physical Assessment”. 4th Edition. Saunders, 2021
9Ārvalstu studentiem/For international students:
10Ronald Mc Rae. „Pocketbook of Orthopaedics and Fractures”. Churchill Livingstone, 2006.
11David J. Dandy, Dennis J. Edwards. „Essential Orthopaedics and Trauma”. Churchill Livingstone, 2009.
12David J. Magee. „Orthopaedic Physical Assessment”. 4th Edition. Saunders, 2021.
Other Information Sources
1Interneta resursi:
2AO Foundation Home
3American Academy of Orthopaedic Surgeons – AAOS
4The Journal of Bone & Joint Surgery | Home
5Mayo Clinic
6Osteoarthritis - Arthritis Foundation (Diseases)
7www.instantanatomy.net
8www.anatomyatlases.org/