Transcript Orthopaedic Emergencies

Orthopaedic Electives
Clerkship Coordinator:
Amanda Schwanz
[email protected]
Preceptorship in Orthopaedics
ORTHP 675
Local and away sites possible
Clerkship coordinator: Amanda Schwanz
[email protected]
Preceptorship in Orthopaedics
ORTHP 675
Objectives:
 Obtain a history and perform a physical examination
focusing on the musculoskeletal system
 Perform a screening musculoskeletal examination
 Perform a basic peripheral nerve exam for the upper and
lower extremities
 Summarize and present a patient’s chief complaint in an
ordered and succinct fashion
 Discuss diagnosis and management of musculoskeletal
problems
 Discuss basic principles of surgical management of common
musculoskeletal problems
Musculoskeletal Trauma
ORTHP 677
Harborview Medical Center
Clerkship Director - Lisa Taitsman, MD
Musculoskeletal Emergencies
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Fractures
Dislocations
Infections
Neurovascular
injuries
Compartment
syndrome
Objectives:
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Students will be able to:
Diagnosis and manage
musculoskeletal injuries.
Perform a musculoskeletal
evaluation including neurologic
function.
Interpret x-rays of the
musculoskeletal system including
fractures and dislocations.
List those traumatic musculoskeletal
emergencies requiring immediate
treatment
Describe the multi-organ
involvement typical of the
polytrauma patient
Musculoskeletal Trauma
ORTHP 677
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Multiple students per 4 week rotation
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Usually no more than two per team
Call encouraged
Frequent morning conferences
Multiple choice examination
Typical clerkship choice for those wanting
to go into orthopaedics
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Warning – this can resemble a one month
audition or interview
Pediatric Orthopaedics
ORTHP 676
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Clerkship Director:
Greg Schmale, MD
Pager 469-6595
Pediatric Orthopaedics
ORTHP 676
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Objectives: Students will be able to:
Make a reasonable and appropriate
differential diagnosis for the common
pediatric musculoskeletal conditions
Describe the pertinent diagnostic
categories and the likelihood of each.
Perform a basic but thorough evaluation,
including physical examination, imaging
studies, laboratories.
Provide the standard of care in the
community.
 Determine what you’re comfortable
treating, and what should be
referred.
Pediatric Orthopaedics
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One student per 4 week rotation
No call required
No pager required
One or two days per week in OR, the rest
in clinic
Daily morning conferences
Long answer final based on clinical
exposure
Optional presentation for honors
Great for primary care practitioners to be
ORTHP 680 P- General
Orthopædic Clerkship
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VA Hospital
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Dr. Sangeorzan
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Foot ankle conditions
Amputation service
Dr. Sack
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Hand service
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Degenerative and
traumatic conditions
of the hand
Dr. Chansky
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General orthopaedics
ORTHP 680 P- General
Orthopædic Clerkship
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Work-up for low back pain, appropriate
used of imaging, and non operative
treatment
Primary and secondary osteoarthritis of
the should, knee and hip
Learn to perform a focused history and
physical examination for osteoarthritis,
including determination of risk factors
Utilize medical evidence to devise treatment
plans for osteoarthritis, including the use
of medications and assistive devices
Demonstrate basic skills in suturing,
applying dressings/casts, and patient
positioning, prepping and draping
Musculoskeletal Oncology
ORTHP 678
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Clerkship Director
Jason Weisstein, MD
Musculoskeletal Oncology
Objectives:
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Identify characteristics of primary
sarcomas of bone and soft tissue
Describe the incidence of metastatic
disease involving the skeleton in
adults and children
Describe diagnostic characteristics of
each sarcoma subtype
Discuss principles of evaluation and
staging of musculoskeletal cancers
Describe typical treatments and their
complications
Musculoskeletal Oncology
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A broad exposure to the work-up, diagnosis
and treatment of bone and soft tissue
tumors
Up to 2 students
No required call
The student is not expected to carry a
pager
50/50 split between time devoted to
inpatient and outpatient care
Attend all morning rounds, clinics, tumor
conferences, and operative cases.
Outpatient Orthopaedics
ORTHP 682
Carol Teitz, MD, Clerkship Director
Objectives:
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Perform a focused evaluation of orthopaedic problems
presented in the outpatient setting, including physical
examination, the selection of imaging studies and
laboratory tests.
Develop a diagnosis, based on a careful consideration of
all aspects of the case.
Provide the standard of care in the community.
Determine what you’re comfortable treating, and what
should be referred.
Outpatient Orthopaedics
ORTHP 682
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1 student at a time
Attend didactics on Monday mornings
No call, no pager
All outpatient; duty hours 8-5
Final exam written multiple choice
Best for students interested in primary
care.
Sports Medicine - ORTHP 681
Objectives:
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Perform and present a history and directed physical exam of
patients presenting with sports related musculoskeletal
complaints.
Develop a differential diagnosis for knee pain in the active
patient (with and without a history of injury):
Develop a differential diagnosis for shoulder pain in the active
patient (with and without a history of injury).
Describe the differential diagnosis for post-traumatic
hemarthrosis of the knee.
Discuss the common treatment recommendations for a patient
with patellofemoral pain.
Describe the expected history and physical findings in a patient
with tendonitis, stress fracture, torn meniscus, ACL tear, rotator
cuff tear, shoulder dislocation, AC separation, ankle sprain.
Sports Medicine - ORTHP 681
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Trey Green, MD
Clerkship Director
1-2 students at a time
Attend didactics on Monday mornings
Outpatient and inpatient
Final exam - written multiple choice
Adult Reconstructive
Spine Surgery – ORTHP 684
Objectives:
 Perform a thorough history and physical
examination of a patient presenting
with a spine abnormality
 Determine appropriate diagnostic tests
based on a differential diagnosis
 Discuss differences between surgical &
nonsurgical disorders
Adult Reconstructive
Spine Surgery – ORTHP 684
Objectives –cont Identify disorders constituting a surgical emergency
 Determine problems that are appropriate for primary
care management and those spine problems that
require referral to a spine surgeon
 Describe the complete spectrum of nonsurgical
management of spine disorders
Adult Reconstructive
Surgery – ORTHP 685
Objectives
 Perform a thorough history and physical examination of
the older adult patient presenting with hip or knee
pain.
 Suggest appropriate diagnostic tests based on a
differential diagnosis
 Describe the basic anatomical and pathophysiological
aspects of hip and knee arthritis
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Suggest an appropriate course of non-surgical treatment
for a patient presenting with hip or knee arthritis
Adult Reconstructive
Surgery – ORTHP 685
Objectives –cont Discuss the selection of patients and the expected
outcomes of surgery for hip and knee arthritis.
 Identify patients for whom surgery would not be
appropriate
Shoulder and Elbow Orthopædics
Clerkship - ORTHP 687
Objectives
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Evaluate and develop management plans for
patients with shoulder and elbow problems by
conducting a thorough/efficient clinical history and
physical examination
Develop basic treatment options, including home
exercises, medications and surgery along with the
alternatives and risks of each.
Learn to diagnosis and plan treatment for a core
group of shoulder problems
Orthopædics External Elective ORTHP 697
Orthopædics WWAMI Special Electives – ORTHP 699
New Electives:
Spokane
Pediatric Orthopaedics at the Shriner’s Hospital for Children
Physician Contact: Paul Caskey, MD
General Orthopaedics: Orthopaedic Specialty Clinic of
Spokane
Physician Contact: Kurt Anderson, MD
Thank you for your attention!
Questions?
[email protected]
[email protected]