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Supervisor
Andris Jumtiņš

Study Course Description

Course Description Statuss:Under Review
Course Description Version:3.00
Study Course Accepted:06.12.2019
Study Course Information
Course Code:ORTK_001LQF level:Level 6
Credit Points:4.00ECTS:6.00
Branch of Science:Medicine; OrthopaedicsTarget Audience: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:Rīga, Duntes iela 22, 1. korpuss, ortopedkatatrsu[pnkts]lv, ortopedkatatrsu[pnkts]lv, +371 67399345, +371 67399353, +371 67399254
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)9Lecture Length (academic hours)2Total Contact Hours of Lectures18
Classes (number)16Class Length (academic hours)4Total Contact Hours of Classes64
Total Contact Hours82
Study course description
Preliminary Knowledge:
Normal and pathological human anatomy, physiology, aseptic and septic conditions, desmurgy, propaedeutic, pharmacology and microbiology.
Objective:
The aim of the programme is 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 fracturesLectures1.00auditorium
2Bone healing. Delayed union. Pseudarthroses.Lectures1.00other
3Complications after musculoskeletal trauma and orthopaedic diseases.Lectures1.00other
4Spinal injuries and illnesses.Lectures1.00other
5Burns.Lectures1.00other
6Polytrauma.Lectures1.00other
7Osteoarthritis.Lectures1.00other
8Osteomyelitis (septic complications in orthopaedics).Lectures1.00other
9The examination of patients with musculoskeletal trauma and orthopaedic diseases.Classes1.00clinical base
10Conservative treatment methods of musculoskeletal trauma (transport immobilization).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
13Injuries of the spine.Classes1.00clinical base
14Colloquium.Classes1.00clinical base
15Diaphyseal fractures of the lower extremity bones. Ruptures of muscles and tendons.Classes1.00clinical base
16Low energy trauma. Fractures of proximal femor. Geriatric trauma.Classes1.00clinical base
17Fractures of bones around the knee joint. The lesions of meniscus and ligaments.Classes1.00clinical base
18Intraarticular fractures of the lower extremity bones. Orthopaedic diseases of foot.Classes1.00clinical base
19Osteoarthritis.Classes1.00clinical base
20Osteomyelitis and purulent arthritis.Classes1.00clinical base
21Thermic trauma.Classes1.00clinical base
22Spine diseases.Classes1.00clinical base
23Test.Classes1.00clinical base
24Colloquium.Classes1.00clinical base
25Most common trauma and orthopaedic disease radiological diagnostics.Lectures1.00auditorium
Assessment
Unaided Work:
- Independent work with literature, Internet resources and materials from e-studies (according to the lesson topics).
Assessment Criteria:
Test in each class. During the 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 “pass”, if in two of three tasks student gets the assessment “pass”. 5. If the final assessment for the colloquium is “fail”, student shall agree with lecturer about date and time for the colloquium repeatedly. and the test lesson (Patient interpretation,an assessment of knowledge - pass / fail); Assessment criteria for the semester test Taking the semester test takes place in the wards of the Hospital of Traumatology and Orthopaedics. During the semester test each student examines one patient who undergoes treatment in the clinic of traumatology or orthopaedics. Criteria: 1. Student has filled in the all parts of the test form precisely un understandably. 2. Student is able to present the patient orally and answer to the lecturer's questions. 3. Student passes the clinical tests in the orthopaedics – for particular patient and specific pathaology. 4. The final assessment for the semester test is “pass”, if at least 59% of the amount of semester test are acquired and is sufficient understanding of the basic concepts. 5. If the final assessment for the semester test is “fail”, student shall agree with lecturer about date and time for the semester test 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 and semester test 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 OSCE, study group leader applies the list of students (with student's signatures) to the Head of the Office of the RSU Department of Orthopaedics, which confirms students desire to take OSKE in the particular date and time. 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 at leasts 5 days before OSCE. 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 OSCE in nine base stadions, 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 correctly on the all questions in the particular base station. 7. If in nine base stadions the assessment is 1 point, student gets 9 points and students has possibility to go to 10th base station and receive the queation of incrised 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 equial 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 stadions 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 11.1. form, orally answers on the mentioned questions and additional questions of the Commision; 11.2. assessment “almost satisfactory” (4 points) shall be given when at least 55% of the amount of learning outcomes is acquired - student gets the assessment “almost satisfactory” (4 points) or higher. 12. Orthopaedics about date and time for the exam repeatedly. 13. Exam repeatedly student takes in in front of the Commission of lecturers of the Department of Orthopaedics, established by the Head of the Department of Orthopaedics: in the exam repeatedly student draws lots of three tickets, prepares answers in the written.
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 - Pre-clinical (training equipment)
2Anterior and posterior Drawer testB1 - Pre-clinical (training equipment)
3Desault bandageB1 - Pre-clinical (training equipment)
4Extremities length and girth measurementsB1 - Pre-clinical (training equipment)
5Lachman testB1 - Pre-clinical (training equipment)
6Neck trasport immobilizationB1 - Pre-clinical (training equipment)
7Patellar tap testB1 - Pre-clinical (training equipment)
8Piano key symptomB1 - Pre-clinical (training equipment)
9ROM measurementB1 - Pre-clinical (training equipment)
10Tompson testB1 - Pre-clinical (training equipment)
11Transport immobilisationB1 - Pre-clinical (training equipment)
12Transport immobilization of broken femorB1 - Pre-clinical (training equipment)
13Transport imobilisation of lower legB1 - Pre-clinical (training equipment)
Bibliography
No.Reference
1A.Jumtiņa redakcijā “Traumatoloģija un ortopēdija”. Rīga. 2016. RSU
1Lācis A., Lācis G. Augšējās ekstremitātes un pleca joslas kaulu lūzumi. Jāņa Rozes apgāds. Rīga. 2007.
2Ejubs L., Peredistijs A. Slimību sindromu, testu un muskuloskeletālu bojājumu eponīmiskā vārdnīca. Rīga, 2006, Nacionālais apgāds.
3Jakušonoka R., Jodzeviča H., Gibners R. Transporta imobilizācija. Pārsēji. Rīga. 2008. Rīga. MULTINEO.
4Jumtiņš A. Kaulu lūzumi. Metodiskās rekomendācijas studentiem. Rīga, 2009, RSU.
5Savicka M. Apdeguma trauma Rīga. Nacionālais apgāds. 2004.
6David J. Dandy, Dennis J. Edwards „Essential Orthopaedics and Trauma”, Churchill Livingstone, 2009.
7David J. Magee „Orthopaedic Physical Assessment” Fourth edition. Saunders, 2006.
8Ronald Mc Rae „Pocketbook of Orthopaedics and Fractures” Churchill Livingstone, 2006.
1Interneta resursi:
2AO Foundation Home www.aofoundation.org/
3American Academy of Orthopaedic Surgeons – AAOS www.aaos.org/
4The Journal of Bone & Joint Surgery | Home jbjs.org/
5Mayo Clinic www.mayoclinic.com/
6Osteoarthritis - Arthritis Foundation www.arthritis.org › Diseases
7www.instantanatomy.net
8www.anatomyatlases.org/