School of

DOCTOR OF MEDICINE PROGRAM

YEAR 4
ORTHOPAEDIC POSTING
MM40508
ROTATION 5

PHASE TWO COORDINATOR: PROF. DR. MD. ABDUL JALIL ANSARI

YEAR 4 COORDINATOR : AP DR. NAING OO THA

POSTING COORDINATOR :

POSTING

COORDINATOR

NAME

TEL

MM40508

Posting Coordinator

AP Dr Kyaw Htay

0168045294

Deputy Posting Coordinator

Dr. Thit Lwin

0162740611

SPU contact person :

Mohd Zaidie Adilai (Senior Assistant Registrar) ext. 611006
Justina John (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

2.00 pm - 3.00 pm

3.00 pm - 5.00 pm

CSL

MONDAY
17/03/2014

Briefing
Overview of
orthopaedic
Dr.thit Lwin
APDr.KyawHtay

Ward roundHQEII

Shoulder & Elbow Examination

Introduction to clinic/ward in HQEII

Ward work
AP Dr Kyaw Htay

Dr. Thit Lwin

CSL - SPU HQE

CSL SPU HQE

Gp A : M/Ward
TUESDAY
18/03/2014

Clinical Demonstration
APDr. Iftika

Wrist & Hand

Spine Examination

Gp B :F/ Ward
Dr. Thit Lwin

AP Dr Kyaw Htay

Gp A : M/Ward

CSL - SPU HQE

CSL - SPU HQE

APDrKyaw Htay
Gp B : F/Ward

Knee Examination AP Dr.Khin

Maung Ohn

Ward work

Clinical
Demonstration

Clinical examination
practice session
Hip examination

Hip Examination
Dr. Thit Lwin

AP Dr Khin
Maung Ohn

Dr. Thit Lwin

CSL - SPU HQE

Ward roundHQEII
Clinic QEH II

Clinical demonstration Ankle & Foot

Gp A : M/Ward
THURSDAY
20/03/2014

AP Dr Kyaw Htay

Dr. Thit Lwin

Ward roundHQEII

WEDNESDAY
19/03/2014

Clinical exam practice

session

Ward work

All Specialist & MO

APDr. Iftika

AP Dr Iftika

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 B : M/Ward
MONDAY
24/03/2014

3.00 pm - 5.00 pm

BST
APDr.Iftika

Spine fracture &

spinal cord injury

Ward work
Dr.Thit Lwin

Gp A : F/ Ward

Dr Chuah Uei
Chyi

Metabolic bone
diseases &
osteoporosis
APDr. Iftika

Dr.Thit Lwin

Ward roundHQEII
Gp B: M/Ward
TUESDAY
25/03/2014

Clinic QEH

APDr.KyawHtay

All Specialist & MO

Preoperative
round QEHII
AP Dr. KMO

Gp A : F/Ward

SGD2 Peripheral
nerve injuries
AP Dr. KH

APDr.KMO

Ward roundHQEII

OT- Day HQE II

OT- Day HQE II

Gp B : M/Ward

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

APDr.Iftika

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

WEDNESDAY
26/03/2014
Gp A : F/ 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

GpB: M/Ward
THURSDAY
27/03/2014

BST QEH II

Clinic QEH
APDr.KyawHtay
All Specialist
Gp A : F/Ward

Dr Nahulan
Thevarajah

Diabetic foot
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:F/Ward
MONDAY
31/03/2014

SESSION 2013/2014

10.30 am 11.30 am

WEEK 3

2.00 pm - 3.00
pm

3.00 pm - 5.00 pm

Seminar 2
SLP 1

APDrKyawHtay

Ward work

GpB:M/Ward

Normal &
abnormal bone
healing

BST
Dr Chuah Uei
Chyi

Dr Thit Lwin

AP Dr.Iftika

APDr.KMO

Low Back Pain

Ward roundHQEII
Gp A : F/Ward
TUESDAY
01/04/2014

Workshop 1:

Clinic QEH

AP Dr Iftika

All Specialists

Plaster of Paris (POP) & Splinting

All Lecturers In Charge AP Dr Kyaw
Htay

Gp B : M/Ward
Dr Thit Lwin

OT- Day HQE II

WEDNESDAY
02/04/2014

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

CPC

Bedside Teaching AM : AP Dr Khin Maung Ohn

Bedside Teaching PM : AP Dr Kyaw Htay

35

Ward roundHQEII
Gp A : F/Ward
THURSDAY
03/04/2014

BST
Clinic QEH

AP Dr Iftikal

Dr. Gerry
Maximillan
Pang

All Specialists
Gp B : M/Ward

Ward work

Dr Thit Lwin

FRIDAY
04/04/2014

Ward Round
H.Likas
AP Dr Iftikal

YEAR 4

DATE / TIME

Ward work

BST
H.Likas

8.30 am 9.30
am

Feedback Discussion &

weekly submission of
case report
All Orthopedic
Lecturers

AP Dr. Iftikal

ORTHOPAEDICS POSTING MM40508

7.30 am - 8.30 am

SGD4
Spine
infection
AP Dr. KMO

9.30 am
10.30 am

SESSION 2013/2014

10.30 am 11.30 am

WEEK 4

2.00 pm - 3.00
pm

3.00 pm - 5.00 pm

36

Ward roundHQEII
Seminar3
Gp B : M/ Ward
MONDAY
07/04/2014

BST
Clinic QEH

AP Iftika

Fracture complications
Ward work

All Specialist
Gp A : F/Ward

Dr. Gerry
Maximillan
Pang

AP Dr Kyaw Htay

Dr Thit Lwin

Seminar4
Soft tissue infection
AP Dr. KMO

Ward work

Ward roundHQEII
Gp B : M/ Ward
TUESDAY
08/04/2014

AP Dr Kyaw Htay
Gp A : F/ Ward

ArthroscopyDemonstration
Leader Dr.Thit Lwin

Preoperative
round SMC
AP Dr Iftika

AP Dr Khin
Maung Ohn

Ward roundHQEII
OT- Day SMC
Gp B : M/ Ward
WEDNESDA
Y
09/04/2014

AP Iftika
Gp A : F/Ward

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

Gp 2 : OT pm ----- bedside teaching am HQE II
Bedside Teaching : Dr Thit Lwin

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

Gp 2 : OT pm ----- bedside teaching am SMC
AP Dr Iftika

Dr Thit Lwin

37

Ward roundHQEII

SGD 5

Gp B : M/ Ward
THURSDAY
10/04/2014

AP Dr Kyaw Htay

BST

Clinic QEH

Dr Chuah Uei
Chyi

All Specialist

Gp A : F/ Ward

Common Ortho-clinic
disorders
AP Dr Kyaw Htay

AP Dr Khin
Maung Ohn

Ward Round H Likas

FRIDAY
11/04/2014

YEAR 4

AP Dr Khin
Maung Ohn

BST

SLP 2 Benign Musculo

skeletal tumours

H Likas
Ward work

AP Dr KMO

ORTHOPAEDICS POSTING MM40508

DATE / TIME

7.30 am - 8.30 am

MONDAY
14/04/2014

Ward round HQEII

8.30 am 9.30
am

9.30 am
10.30 am

Ward work

Ward work

SESSION 2013/2014

AP Dr Kyaw Htay

WEEK 5

10.30 am - 11.30
am

2.00 pm - 3.00
pm

Radiology ward
round

Principles in
Rerabilitation II

Gp A : M/ Ward

3.00 pm - 5.00 pm

BST
AP Dr. KH

Dr. Thit Lwin

AP Dr. KNY

AP Dr.Iftika

38

Gp B : F Ward
Dr Thit Lwin

Ward round HQEII

Seminar 5.

Gp A : M/ Ward
TUESDAY
15/04/2014

Clinic QEH

AP Dr Kyaw
Htay

All Speacialist

Trauma
radiology round
AP Dr. KH

Traumatic
dislocation , soft
tissue injury

Gp B : F/Ward
Dr. Thit Lwin
AP Dr.KMO

Ward roundHQEII

OT- Day HQE II

OT- Day HQEII

WEDNESDA
Y
16/04/2014

Gp A : Male Ward

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

AP Dr Iftika

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

Gp B : F/ Ward

Bedside Teaching :AP Dr KH

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

Gp 2 : OT pm ----- bedside teaching am SMC
AP Dr KMO
Dr Thit Lwin

THURSDAY
17/04/2014

Ward round HQEII

Gp A : M/ Ward

BST
Clinic QEH

Ward work

Dr Nahulan
Thevarajah

AP Dr Kyaw
Htay
All Specialist

39

Gp B : F/Ward
AP Dr.KMO

FRIDAY
18/04/2014

YEAR 4

DATE / TIME

HOLIDAY

ORTHOPAEDICS POSTING MM40508

7.30 am - 8.30 am

MONDAY

Ward round HQEII

21/04/2014

Gp A : F/ Ward

8.30 am 9.30
am

9.30 am
10.30 am

SESSION 2013/2014

10.30 am 11.30 am

BST
AP Dr. KMO

WEEK 6

2.00 pm - 3.00
pm

3.00 pm - 5.00pm

SLP 2 Discussion
Benign Musculo skeletal tumours

AP Dr Kyaw Htay
Gp B : M/ Ward

Ward work

AP Dr Kyaw Htay

40

AP Dr Khin Maung
Ohn

TUESDAY
22/04/2014

Ward round HQEII

Workshop 2

Gp A: F/ward

Clinic QEH II

AP Dr.Iftika

All Speacialist

Dressing and traction

All lecturers
In charge AP Dr. Arif

Gp B: M/Ward
Dr. Thit Lwin

WEDNESDAY
23/04/2014

Ward round HQEII

OT QEHII

OT -QEHII

Gp A : F/ Ward

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

Gp 1-OT am-bedside pm

AP Dr Kyaw Htay

BST AP Dr Iftika

Gp 2-OT pm-bedside am

Gp B : M/ Ward

BST Dr. Thit Lwin

AP Dr Khin Maung
Ohn

THURSDAY
24/04/2014

Ward round HQEII

Gp A : F/ Ward

BST

AP Dr Iftika

Dr. Thit Lwin

Revision

Revision

Gp B : M/ Ward

41

Dr.Thit Lwin

Submission of case write-up

FRIDAY
25/04/2014

Ward round,
Hospital Likas

Log book viva

AP DR.Kyaw Htay
Revision

YEAR 4

DATE / TIME

ORTHOPAEDICS POSTING MM40508

8.30 am 9.30

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

Theory examination

28/04/2014

(Orthopaedic Lecturers from UMS are compulsory to invigilate this section)

TUESDAY

Long case examination

OSCE

29/04/2014

42

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

(Orthopaedic Lecturers from UMS are

compulsory to conduct the OSCE)

WEDNESDA
Y
30/04/2014

THURSDAY
01/05/2014

HOLIDAY

FRIDAY
02/05/2014

43