.
Orthopaedics
Study Course Description
Course Description Statuss:Approved
Course Description Version:8.00
Study Course Accepted:22.06.2023 10:50:28
Study Course Information | |||||||||
Course Code: | ORTK_001 | LQF level: | Level 7 | ||||||
Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
Branch of Science: | Clinical Medicine; Orthopaedics | Target Audience: | Medicine; Medical Services | ||||||
Study Course Supervisor | |||||||||
Course Supervisor: | Andris Jumtiņš | ||||||||
Study Course Implementer | |||||||||
Structural Unit: | Department of Orthopaedics | ||||||||
The Head of Structural Unit: | |||||||||
Contacts: | Riga, 22 Duntes Street, Block No. 1, ortopedkatrsu[pnkts]lv, +371 67399345, +371 67399353, +371 67399254 | ||||||||
Study Course Planning | |||||||||
Full-Time - Semester No.1 | |||||||||
Lectures (count) | 8 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 16 | ||||
Classes (count) | 16 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 48 | ||||
Total Contact Hours | 64 | ||||||||
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. | Topic | Type of Implementation | Number | Venue | |||||
1 | Trauma as a social problem. History of traumatology and orthopaedics. Mechanical trauma. Closed and open fractures. | Lectures | 1.00 | auditorium | |||||
2 | Polytrauma. | Lectures | 1.00 | other | |||||
3 | Osteomyelitis (septic complications in orthopaedics). | Lectures | 1.00 | other | |||||
4 | Benign and malignant tumors of the movement and support system. | Lectures | 1.00 | other | |||||
5 | Osteoarthritis. | Lectures | 1.00 | other | |||||
6 | Burns. | Lectures | 1.00 | other | |||||
7 | Spinal injuries and illnesses. | Lectures | 1.00 | other | |||||
8 | Radiological diagnosis of bone fractures. Visible and invisible. The most common diagnostic mistakes. | Lectures | 1.00 | auditorium | |||||
9 | The examination of patients with musculoskeletal trauma and orthopaedic diseases. | Classes | 1.00 | clinical base | |||||
10 | Conservative treatment methods of musculoskeletal trauma (transport immobilization, desmurgie (bandage technique), plaster casts). | Classes | 1.00 | clinical base | |||||
11 | Fractures and dislocations of the upper extremity bones. | Classes | 1.00 | clinical base | |||||
12 | Diseases of the upper extremity, ruptures of muscles and tendons. | Classes | 1.00 | clinical base | |||||
13 | Traumatic injuries of muscles and tendons of the lower extremities. Foot injuries and orthopedic diseases. | Classes | 1.00 | clinical base | |||||
14 | High energy trauma. Polytrauma. Traumatic injuries of pelvis. | Classes | 1.00 | clinical base | |||||
15 | Diaphyseal fractures of the lower extremity bones, diagnostics and treatment, complications. | Classes | 1.00 | clinical base | |||||
16 | Low energy trauma. Fractures of the proximal femur. Peculiarities of geriatric trauma. | Classes | 1.00 | clinical base | |||||
17 | Soft tissue structures damage of the knee joint. Diagnostic and treatment options in traumatology and orthopedics. | Classes | 1.00 | clinical base | |||||
18 | Intraarticular fractures and dislocations of the lower extremity bones. | Classes | 1.00 | clinical base | |||||
19 | Osteoarthritis. | Classes | 1.00 | clinical base | |||||
20 | Osteomyelitis and septic arthritis. | Classes | 1.00 | clinical base | |||||
21 | Termic trauma. | Classes | 1.00 | clinical base | |||||
22 | Spinal injuries and diseases. | Classes | 1.00 | clinical base | |||||
23 | Workshop on interactive analysis of clinical cases | Classes | 1.00 | E-Studies platform | |||||
24 | Colloquium (orthopedic tests, transport immobilisation, desmurgia). | Classes | 1.00 | clinical 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. | Skill | Level | |||||||
1 | "8" Form Bandage | B1 - Basic level | |||||||
2 | Anterior and posterior Drawer test | B1 - Basic level | |||||||
3 | Desault bandage | B1 - Basic level | |||||||
4 | Extremities length and girth measurements | B1 - Basic level | |||||||
5 | Lachman test | B1 - Basic level | |||||||
6 | Neck trasport immobilization | B1 - Basic level | |||||||
7 | Patellar tap test | B1 - Basic level | |||||||
8 | Piano key symptom | B1 - Basic level | |||||||
9 | ROM measurement | B1 - Basic level | |||||||
10 | Tompson test | B1 - Basic level | |||||||
11 | Transport immobilisation | B1 - Basic level | |||||||
12 | Transport immobilization of broken femor | B1 - Basic level | |||||||
13 | Transport imobilisation of lower leg | B1 - Basic level | |||||||
Bibliography | |||||||||
No. | Reference | ||||||||
Required Reading | |||||||||
1 | A. Jumtiņa redakcijā. “Traumatoloģija un ortopēdija”. Rīga. 2016. RSU | ||||||||
2 | Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th Edition. Elsevier, 2020. | ||||||||
3 | Ārvalstu studentiem/For international students: | ||||||||
4 | Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th Edition. Elsevier, 2020. | ||||||||
Additional Reading | |||||||||
1 | Ronald Mc Rae. „Pocketbook of Orthopaedics and Fractures”. Churchill Livingstone, 2006. | ||||||||
2 | Lācis A., Lācis G. Augšējās ekstremitātes un pleca joslas kaulu lūzumi. Jāņa Rozes apgāds. Rīga. 2007. | ||||||||
3 | Ejubs L., Peredistijs A. Slimību sindromu, testu un muskuloskeletālu bojājumu eponīmiskā vārdnīca. Rīga, 2006, Nacionālais apgāds. | ||||||||
4 | Jakušonoka R., Jodzeviča H., Gibners R. Transporta imobilizācija. Pārsēji. Rīga. 2008. Rīga. MULTINEO. | ||||||||
5 | Jumtiņš A. Kaulu lūzumi. Metodiskās rekomendācijas studentiem. Rīga, 2009, RSU. | ||||||||
6 | Savicka M. Apdeguma trauma Rīga. Nacionālais apgāds. 2004. | ||||||||
7 | David J. Dandy, Dennis J. Edwards. „Essential Orthopaedics and Trauma”. Churchill Livingstone, 2009. | ||||||||
8 | David J. Magee. „Orthopaedic Physical Assessment”. 4th Edition. Saunders, 2021 | ||||||||
9 | Ārvalstu studentiem/For international students: | ||||||||
10 | Ronald Mc Rae. „Pocketbook of Orthopaedics and Fractures”. Churchill Livingstone, 2006. | ||||||||
11 | David J. Dandy, Dennis J. Edwards. „Essential Orthopaedics and Trauma”. Churchill Livingstone, 2009. | ||||||||
12 | David J. Magee. „Orthopaedic Physical Assessment”. 4th Edition. Saunders, 2021. | ||||||||
Other Information Sources | |||||||||
1 | Interneta resursi: | ||||||||
2 | AO Foundation Home | ||||||||
3 | American Academy of Orthopaedic Surgeons – AAOS | ||||||||
4 | The Journal of Bone & Joint Surgery | Home | ||||||||
5 | Mayo Clinic | ||||||||
6 | Osteoarthritis - Arthritis Foundation (Diseases) | ||||||||
7 | www.instantanatomy.net | ||||||||
8 | www.anatomyatlases.org/ |