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Preceptorship in OrthopaedicsORTHP 675Local and away sites possible
Clerkship coordinator: Amanda [email protected]
Preceptorship in OrthopaedicsORTHP 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 Emergencies Fractures Dislocations Infections Neurovascular
injuries Compartment
syndrome
Objectives: 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 TraumaORTHP 677 Multiple students per 4 week rotation
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 Warning – this can resemble a one month
audition or interview
Pediatric OrthopaedicsORTHP 676
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 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 VA Hospital
Dr. Sangeorzan Foot ankle conditions Amputation service
Dr. Sack Hand service
Degenerative and traumatic conditions of the hand
Dr. Chansky General orthopaedics
ORTHP 680 P- General Orthopædic Clerkship
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 OncologyObjectives:
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 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 OrthopaedicsORTHP 682
Carol Teitz, MD, Clerkship DirectorObjectives:
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 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:
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
Trey Green, MDClerkship 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
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 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, MDGeneral Orthopaedics: Orthopaedic Specialty Clinic of Spokane
Physician Contact: Kurt Anderson, MD