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

2

SPU contact person :
 Mohd Zaidie Adilai (Senior Assistant Registrar) – ext. 611006
 Justina John (Assistant Registrar - Academic) – ext. 611022

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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.

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Sport injuries.stable and unstable fracture spine. Fracture in special age group.operative and non-operative treatment. Fracture complications. vi. v.early and late complications. Normal and abnormal fracture healing. nerve and tendon. Soft tissues injuries-muscle. iv. Traumatic dislocation-knee.ligament injuries. hip. 5 .elderly & children. vii. knee and shoulder. ix. xi. viii.iii. shoulder. General principles in fracture treatment . Spine fracture and spinal cord injury. Principles in management of open fracture. x.

Common benign soft tissue and bone tumour ii. Joint infection. Special type infection-TB Degenerative i. 6 . Ankylosing Spondylitis Tumour i.Spondylosis and spinal stenosis.cellulitis.CTEV. DDH. Metabolic disorder. Osteoporosis ii.Infection i.Osteomyelitis ii. Soft tissues infection.Septic arthritis iii. Principles in management of malignant musculoskeletal tumour. Common congenital disorder in paediatric. Osteogenesis imperfecta. necrotising fasciitis iv.Rickets. ii. Osteoarthritis-primary and secondary. Congenital i. Metabolism and Inflammatory i. Bone infection.pre-biopsy strategies. Spine. knee and hip. abscess.

iii. Avascular Necrosis. 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. Principles in rehabilitation iii. ii. Prolapse intervertebral disc. iv. Slipped capital Femoral Epiphysis and Perthes.femoral head Others i. Orthopaedic radiology. SKILL At the end of the posting the student should be able to acquire the following skills: 7 .ii. 3.

ii. Thoroughness. Able to communicate effectively with other health care providers.I. ethnic. x. iv. POP cast and other types of fracture immobilisation devices. ix. III. Work as a team and be a responsible person. II. Aware of own limitation and willing to seek help. Teaching Methods i. culture. religious and social diversities. iii. iii. vii. High professionalism and ethical standard. v. V. traction. ATTITUDE The student should develop and have the following attitude: i. Able to communicate effectively with patient and patient relatives. v. Lectures Demonstration Small group discussion Seminars Workshops Bedside teaching Ward round Outpatient clinic Observation in operating theatre Hand out & self guided learning packages 8 . ii. Perform wound dressing and practice aseptic technique. IV. iv. viii. Understand and respect community. 4. vi. Assisting close manipulative reduction of fracture and dislocation. Applying splint.

Distribution of teaching method TEACHING METHOD NUMBER HOURS 1 Lectures 13 13 2 SGD 5 10 3 Seminar 5 10 4 Workshop 3 6 5 Self guided learning packages 2 3week/package 6 Bedside teaching 15 30 7 Clinic session 10 20 8 OT session 5 15 9 Ward round session 30 1hr/round 9 .

Principles in musculoskeletal tumour. 13. 8.List of lectures 1. Osteoarthritis. 5. 6. Osteomyelitis and Septic arthritis. 10 . 10. 3. Avascular necrosis. Imaging in orthopaedic. Common congenital disorder in paediatric orthopaedic. 7. Sport injuries. 11.elderly and children. 2. Principles in physiotherapy and rehabilitation. Spine fracture and spinal cord injuries. 12. Fracture in special age group. Management of open fracture. 9. 4. Internal derangement of the knee. Poly-trauma and principles in management.

4. Common ortho-clinic disorder. Peripheral nerve injuries. Low back pain. 2.List of Other Activities SEMINAR 1. 3. Amputation. 1. 2. Traumatic dislocation.Pyogenic and 2. Normal and abnormal bone healing. 2. 3. 5. Spine infection. Metabolic bone disease & SMALL GROUP DISCUSSION SELF LEARNING PACKAGES 1. Diabetic foot ulcer. Plaster of Paris (POP) and splinting TB infection. Soft tissue infections. Wound dressing and traction. WORKSHOP musculoskeletal tumor 3. 5. 11 . Arthroscopy 4. Benign osteoporosis 1. Fracture complications.

Management of open fracture 12 .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.

 know the pre-hospital management consisting of immediate action and triage.  describe the secondary survey.  know the hospital management by assessment and management (ATLS concept).  Understand the sequels to open fractures and manage properly.  outline the systemic management of polytrauma.  cover the antibiotic prophylaxis. assessment and initial management. the students should be able to:  define poly-trauma.  perform definitive wound cover and aftercare.  perform urgent wound and fracture debridement in proper steps. L2.  describe the aetiology and mode of death in poly-trauma. Poly-trauma After the completion of this lecture. L3.  understand the stabilization of the fracture by using internal or external fixation devices. Fractures in special age group 13 . the students should be able to:  classify the open fracture by using Gustilo’s classification.After the completion of this lecture.  describe the primary survey and resuscitation.

outline the treatment of developmental dysplasia of hip and club foot . students should be able to:  understand the aetiology and pathogenesis of acute haematogenous osteomyelitis 14 .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. Osteomyelitis. L6. describe the diagnosis of developmental dysplasia of hip and club foot . 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. Common Congenital disorders After completion of this lecturer. describe the clinical features in developmental dysplasia of hip and club foot . Avascular necrosis After the completion of this lecture. L5. describe the methods used in the diagnosis and treatment of osteonecrosis of femoral head. Septic arthritis After completion of this lecturer. students should be able to:     describe the common congenital disorders.

identify the diagnostic criteria for osteoarthritis of knee. L8. L9. describe the pathogenesis of osteoarthritis. outline the conservative management of osteoarthritis.     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. describe WHO classification of musculoskeletal tumor. know the diagnostic principles in musculoskeletal tumor. students should be able to:    approach to suspected tumor patient. list the risk factors for development of osteoarthritis. Internal derangement of knee: After completion of this lecturer. identify the operative procedures used to manage osteoarthritis. manage the meniscus injuries. 15 . describe the cardinal radiographic changes in osteoarthritis. 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. Osteoarthritis After completion of this lecturer. students should be able to:        classify the osteoarthritis based on etiology and involvement. Principles in management of musculoskeletal tumors After completion of this lecturer.

Principles in Rehabilitation At the end of this lecture. L12. the students should be able to:  describe the types of spinal fractures. the students should be able to: list the orthoses . Spine fractures and spinal cord injury After the completion of this lecture. know interdisciplinary team approach in rehabilitation and Multidisciplinary practice Vs Interdisciplinary practice. know the crutch gait patterns and the gait patterns using other gait aids. impairment. rehabilitation.  Outline the treatment of the spine fractures and spinal cord injury. disability and handicap. the students should be able to     At the     define the terms. state the physical modalities. know rehabilitation principles. Sport injuries 16 . outline the therapeutic exercises. L11.  describe the clinical features and diagnosis. prescribe some commonly used orthoses and ambulation aids. end of this lecture II.  describe the pathophysiology and mechanism of injury.  know surgical principles of musculoskeletal tumor. L10. measure the length of axillary crutch and some ambulation aids. prostheses and ambulation aids.

know the common conditions associated with different joints. Imaging in Orthopaedics After the completion of this lecture. know the characteristics of ideal stump. describe the general and local complications of amputation. SGD (Small group discussion) 1. describe the indications of amputations.  acquire basic knowledge on imaging ( contrast media. 2. L13. describe the surgical principles of amputation.After the completion of this lecture. the students should be able to:     understand the common sports injuries. computed tomogram and magnetic resonance imaging). know the variants of amputations with the examples. Peripheral nerve injury After the discussion the student must be able to: 17 . know the treatment and rehabilitation plans in sports medicine.  acquire basic knowledge on bone mineral densitometry. Amputation After the discussion the student must be able to:       define the amputation. the students should be able to:  understand the radiographic interpretation in trauma and Orthopaedics. know the importance of rehabilitation.

(Wagner’s and University of texus) describe the principles in management of dfu.g ulcer examination. 3. Common Orthopaedic clinical problems 18 . describe the nerve structure and function. educate the do and don’t in patient with diabetic foot. Diabetic foot ulcer After the Discussion student must be able to:       approach to a patient with diabetic foot problems. 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. classification of diabetic foot ulcers.  classify the nerve injury by using Seddon and Sunderland classification.  know the assessment of nerve recovery and nerve function. history taking. physical examination and investigation in diabetic foot. educate the patient concerning about foot care. 4.  describe the clinical features in brachial plexus and lumbosacral plexus injury. assess the diabetic foot ulcers e.  Outline the principles of treatment in peripheral nerve injuries.  describe the pathophysiology of peripheral nerve injury.

Carpal tunnel syndrome After the discussion student must be able to:  define the carpal tunnel syndrome.  describe the causes of carpal tunnel syndrome. De Quervain tenosynovitis After the discussion student must be able to:  define the de Quervain’s disease or tenosynovitis.  approach to a patient with trigger finger or thumb.  describe the aetiology of the de Quervain’s disease.  describe the aetiology of trigger finger or thumb.  Outline the treatment of the carpal tunnel syndrome. history taking and physical examination.  Outline the treatment of trigger finger and thumb.  describe the clinical features and classification. B. C. Trigger finger After the discussion student must be able to:  define the trigger finger or digital tenovaginosis. 19 .A.  describe the clinical features and investigations for diagnosis. history taking and physical examination.  approach to a patient with CTS.

 Outline the treatment of frozen shoulder. approach a patient with de Quervain’s disease.  describe the pathology of the tennis elbow. Tennis elbow After the discussion student must be able to:  define the tennis elbow. diagnosis and differential diagnosis of frozen shoulder.  Outline the treatment of de Quervain’s disease. E.  Describe the aetiology of the frozen shoulder.  approach a patient with frozen shoulder. history taking and physical examination. Frozen shoulder After the discussion student must be able to:  define the frozen shoulder or adhesive capsulitis. approach a patient with tennis elbow.  describe the clinical features. history taking and physical examination. 20 . history taking and physical examination.  describe the clinical features diagnosis.  Outline the treatment of tennis elbow. D.   describe the clinical features and diagnosis.

 Describe the aetiology of subungual haematoma.  describe the clinical features. G. diagnosis and differential diagnosis of plantar fasciitis.  approach a patient with plantar fasciitis.  Outline the treatment of subungual haematoma. diagnosis of subungual haematoma.  approach a patient with subungual haematoma.  describe the clinical features. Subungual haematoma After the discussion student must be able to:  define subungual haematoma.  Describe the pathology of plantar fasciitis.F.  Describe the aetiology of plantar fasciitis. Plantar fasciitis After the discussion student must be able to:  define plantar fasciitis.  Outline the treatment of plantar fasciitis. history taking and physical examination. history taking and physical examination. Seminar 21 .

Explain how bones withstand tension and compression. 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. Describe the histology of compact and spongy bone. Norman & abnormal bone healing               Compare and contrast the two types of bone formation: intramembranous and endochondral ossification. Describe the structural components of bone tissue and the functions of its organic and inorganic parts.  Hormonal regulation of mineral balance depends primarily upon Diagram the expected changes PTH. Metabolic bone disorder Bone Turnover  Understand the difference between skeletal modeling and remodeling. Delayed union Describe the balance between mechanical and biological factors in fracture healing (Factor affecting bone healing) 2. 22 . bone densitometry and bone histomorphometry all can diagnose osteopenia. Describe the functions of the bony skeleton and of bone tissue. Appraise the relative merits and disadvantages of these three techniques in the clinical assessment of osteopenia.  Identify the major risk factors for osteoporosis.  Radiographs.25 (OH)2 (calcitriol). 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. Describe the gross anatomy of a typical long bone and a typical flat bone. Compare the structure.1. Osteoporosis  Know the clinical and laboratory definitions of osteoporosis. Describe the types of markings found on bones Differentiate the cells found in bone tissue and their functions.  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. functions.  Comprehend how changes in bone density (or mass) reflect the variations in modeling and remodeling. 1. and locations of the three kinds of cartilage tissue.

3.  describe the clinical features and outline the treatment of gas gangrene. gut and bone that may lead to a reduction in osteoporosis risk in a postmenopausal woman.  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.  describe the clinical features and outline the treatment of venous thrombosis and pulmonary embolism.  describe the clinical features and outline the treatment of fat embolism.  describe the clinical features and outline the treatment of compartment syndrome.  You have recently been elected health czar on your sole campaign promise to wipeout osteoporosis.  Disorders of skeletal mineralization are lumped into the general category of osteomalacia.  describe the clinical features and outline the treatment of crush syndrome.  describe the clinical features and outline the treatment of tetanus. calcium and phosphorus.  Normal skeletal mineralization relies on an adequate supply of vitamin D. What are the major public health recommendations of your platform? Justify each plank of your platform with your understanding of skeletal physiology.  Identify the principles of therapy in osteomalacia.  Describe the radiographic findings in osteomalacia. List two clinical situations in which deficiencies in each of these critical elements can develop. Describe the beneficial effects of estrogen at the level of the kidney.  list the local complications (early and late). Why?  Know the major causes of osteomalacia. rickets is a term reserved for a particular clinical situation. Fracture complications After the discussion student must be able to:  describe the general complications.  describe the clinical features and outline the treatment of gas gangrene. However. 23 . Osteomalacia  Characterize the clinical presentation of osteomalacia and differentiate it from that of osteoporosis.

 describe the clinical features and outline the treatment of non-union. morbid anatomy. 5. Dislocation and common soft tissue injury After the Discussion student must be able to:  define the dislocation and subluxation. clinical features. management and complications of acute traumatic dislocations of shoulder.  describe the clinical features and outline the treatment of mal-union. 24 .  describe the mechanism of injury.  describe the clinical features and outline the treatment of Volkmann’s contracture. 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. 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. 4.  classifiy based on etiology.  describe the clinical features and outline the treatment of algo-dystrophy.  describe the clinical features and outline the treatment of avascular necrosis. duration. describe the clinical features and outline the treatment of delayed union. abscess and necrotizing fasciitis Clinical features of cellulitis.

clinical features. morbid anatomy. 25 . diagnosis and management of acl tear.  describe the malignant soft tissue tumours. Each presentation takes ten minutes. After the presentation student must be able to:  classify the bone tumours according to WHO classification.  describe the staging in musculoskeletal tumours. management of tendo archille’s tear. Benign Musculoskeletal tumour In self-learning packages.  know the difference between benign and malignant tumours.  describe the tumour like conditions.  describe the giant cell tumour. all students must participate in each assignment.  describe the malignant bone tumours. SLP (Self learning packages) 1. demonstrate reduction technique in shoulder dislocation.  describe the malignant cartilage tumours. morbid anatomy.  describe the benign bone tumours. management and complications of acute traumatic dislocations of hip.  describe the benign cartilage tumours.  describe the benign soft tissue tumours.  describe the mechanism of injury. The assignments are delivered to students one week before the presentation.  describe mechanism of injury. clinical approach to knee injury.  describe the aetiology.  demonstrate reduction technique in hip dislocation.

After the presentation student must be able to  classify the low back pain based on duration.  identify the surgical management of low back pain. 26 . pathogenesis. The assignments are delivered to students one week before the presentation.  describe the etiology. Low back pain In self-learning packages.  describe principles of management in musculoskeletal tumours. investigations and management of prolapsed intervertebral disc. clinical features. investigations and management of spinal stenosis.  describe the history and physical examination in patient with low back pain.  describe the mechanical causes of low back pain. clinical features. pathogenesis. pathogenesis.  describe the etiology. 2.  educate the do and don’t in low back pain patient. clinical features.  identify the conservative management of low back pain. all students must participate in each assignment. investigations and management of spondylolisthesis.  describe the etiology. describe the epidemiology of low back pain. Each presentation takes ten minutes.  re-memorize the pathophysiology of pain and pain pathway.  describe role of radiotherapy in in musculoskeletal tumours.  educate the low back pain exercise.  describe the investigations in low back pain. describe the surgical margin in musculoskeletal tumours.  describe the low back pain in elderly.  describe the non-mechanical causes of low back pain.  know the theories of pain.

 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. Arthroscopy After the workshop the student must be able to: 27 .  Know the skin traction technique. Wound dressing.  Know how to apply POP.CSL POP Workshop After the workshop the student must be able to:  define Plaster of Paris. care and complications. its formula. technique and procedures. care and complications.  know the types of dressing. Traction and splintage After the workshop the student must be able to:  Describe the types of traction.  know the skeletal traction technique.

 identify the structures in knee joint. define the arthroscopy and arthroscope.  describe the instruments in knee arthroscopy. ASSESSMENT METHOD OF ASSESSMENT TIME 28 .

QUESTION TYPE NUMBER OF QUESTION PER Q TOTAL PER EXAM MARK (%) 1 Multiple Choice Questions 30 2 minutes 60 minutes 10 2 Modified Essay Questions 12 5 minutes 60 minutes 10 3 Essay 2 30 minutes 60 minutes 10 4 OSCE 6 Stations 10 minutes 60 minutes 15 5 Long Case Examination 1 Case 60minutes 100 minutes 15 (clerking 60 min) 6 Short Case SUBTOTAL END POSTING EXAMINATION MARK (%) 7 8 Handwritten Case Report Logbook(Logbook viva+10 hand written clerking cases) TOTAL 60 Case Report 1 5 Case Report 2 5 30 100 29 .

5. 3. Clinical Orthopaedic examination by Ronald Mc Rae (Churchill Livingstone 6 th. Apley’s System of Orthopaedics and fractures (9th edition) by Louis Solomon. 4. Miller. 2012. 6th. Review of Orthopaedics by Mark D. 2.REFERENCES: TEXT BOOK 1. ed. 2011. Principles of Orthopeadic Practice by Roger Dee. David Warwick and Selvadurai Nayagam. 30 . Wheeler’s textbook of orthopaedic. 2003 (2 nd Edition). edition). 2012. 2010.

YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 1 31 .

Thit Lwin AP Dr Kyaw Htay Gp A : M/Ward CSL .30 am 8.30 am 11. Thit Lwin CSL .30 am – 10.30 am – 9.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.30 am 9.thit Lwin APDr.SPU HQE CSL SPU HQE Gp A : M/Ward TUESDAY 18/03/2014 Clinical Demonstration APDr.DATE / TIME 7.KyawHtay Ward roundHQEII Shoulder & Elbow Examination Introduction to clinic/ward in HQEII Ward work AP Dr Kyaw Htay Dr.00 pm .00 pm .3.SPU HQE Ward roundHQEII Clinic QEH II Clinical demonstration Ankle & Foot Gp A : M/Ward THURSDAY 20/03/2014 AP Dr Kyaw Htay Dr. Iftika Wrist & Hand Spine Examination Gp B :F/ Ward Dr. Iftika AP Dr Iftika 32 .30 am 2.00 pm CSL MONDAY 17/03/2014 Briefing Overview of orthopaedic Dr.SPU HQE CSL .30 am 10.8.00 pm 3.30 am . Thit Lwin Ward roundHQEII WEDNESDAY 19/03/2014 Clinical exam practice session Ward work All Specialist & MO APDr. Thit Lwin AP Dr Khin Maung Ohn Dr. Thit Lwin CSL .5.

YEAR 4 ORTHOPAEDICS POSTING MM40508 SESSION 2013/2014 WEEK 2 33 .

3.Day HQE II Gp B : M/Ward Gp 1: OT am -----.Iftika Gp 2 : OT pm ----.30 am – 10.Thit Lwin Ward roundHQEII SGD:3 GpB: M/Ward THURSDAY 27/03/2014 BST QEH II Clinic QEH APDr.bedside teaching pm SMC Gp 2 : OT pm ----.5.00 pm .30 am 9.00 pm Ward roundHQEII Seminar1: Gp B : M/Ward MONDAY 24/03/2014 3.bedside teaching pm HQE II APDr.8.Thit Lwin Ward roundHQEII Gp B: M/Ward TUESDAY 25/03/2014 Clinic QEH APDr. KH APDr.KyawHtay All Specialist & MO Preoperative round QEHII AP Dr. Iftika Dr.00 pm .bedside teaching am SMC Bedside Teaching PM : Dr Thit Lwin Dr.KMO Ward roundHQEII OT.DATE / TIME 7.30 am .30 am 2.Day HQE II OT.30 am 10. KMO Gp A : F/Ward SGD2 Peripheral nerve injuries AP Dr.KyawHtay All Specialist Gp A : F/Ward Dr Nahulan Thevarajah Diabetic foot Dr Thit Lwin 34 .30 am 11.Thit Lwin Gp A : F/ Ward Dr Chuah Uei Chyi Metabolic bone diseases & osteoporosis APDr.bedside teaching am HQE II WEDNESDAY 26/03/2014 Gp A : F/ Ward Bedside Teaching AM : AP Dr Iftika Gp 1: OT am -----.Iftika Spine fracture & spinal cord injury Ward work Dr.30 am 8.30 am – 9.00 pm BST APDr.

00 pm .00 pm .30 am .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.bedside teaching pm SMC Gp 2 : OT pm ----.30 am 11.YEAR 4 DATE / TIME ORTHOPAEDICS POSTING MM40508 7.3.bedside teaching pm HQE II Gp 1: OT am -----.bedside teaching am SMC CPC Bedside Teaching AM : AP Dr Khin Maung Ohn Bedside Teaching PM : AP Dr Kyaw Htay 35 .30 am WEEK 3 2.30 am – 10.30 am 8.5.bedside teaching am HQE II Gp 2 : OT pm ----.30 am Ward round QEHII Gp A:F/Ward MONDAY 31/03/2014 SESSION 2013/2014 10.30 am 9.30 am – 9.8.Day HQE II Gp 1: OT am -----.Day HQE II WEDNESDAY 02/04/2014 OT.Iftika APDr.00 pm 3.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.

KMO 9.30 am Feedback Discussion & weekly submission of case report All Orthopedic Lecturers AP Dr.Ward roundHQEII Gp A : F/Ward THURSDAY 03/04/2014 BST Clinic QEH AP Dr Iftikal Dr.00 pm .30 am SESSION 2013/2014 10.30 am SGD4 Spine infection AP Dr.Likas AP Dr Iftikal YEAR 4 DATE / TIME Ward work BST H.30 am 11.5.Likas 8.00 pm 36 .8.3. Iftikal ORTHOPAEDICS POSTING MM40508 7.30 am .30 am – 9.00 pm .30 am – 10. Gerry Maximillan Pang All Specialists Gp B : M/Ward Ward work Dr Thit Lwin FRIDAY 04/04/2014 Ward Round H.30 am WEEK 4 2.00 pm 3.

Gerry Maximillan Pang AP Dr Kyaw Htay Dr Thit Lwin Seminar4 Soft tissue infection AP Dr.Day SMC Gp B : M/ Ward WEDNESDA Y 09/04/2014 AP Iftika Gp A : F/Ward Gp 1: OT am -----. KMO Ward work Ward roundHQEII Gp B : M/ Ward TUESDAY 08/04/2014 AP Dr Kyaw Htay Gp A : F/ Ward ArthroscopyDemonstration Leader – Dr.bedside pm SMC Gp 2 : OT pm ----.bedside teaching am SMC AP Dr Iftika Dr Thit Lwin 37 .bedside pm HQE II Gp 2 : OT pm ----.bedside teaching am HQE II Bedside Teaching : Dr Thit Lwin Gp 1: OT am -----.Thit Lwin Preoperative round SMC AP Dr Iftika AP Dr Khin Maung Ohn Ward roundHQEII OT.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.

Thit Lwin AP Dr.30 am 9.30 am 2.00 pm .00 pm Radiology ward round Principles in Rerabilitation II Gp A : M/ Ward 3.11. KH Dr. KNY AP Dr.30 am Ward work Ward work SESSION 2013/2014 AP Dr Kyaw Htay WEEK 5 10.8.00 pm .30 am MONDAY 14/04/2014 Ward round HQEII 8.30 am – 10.5.30 am .3.30 am .00 pm BST AP Dr.Iftika 38 .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 – 9.

bedside pm SMC Gp 2 : OT pm ----. KH Traumatic dislocation .bedside pm HQE II AP Dr Iftika Gp 2 : OT pm ----.Gp B : F Ward Dr Thit Lwin Ward round HQEII Seminar 5.Day HQEII WEDNESDA Y 16/04/2014 Gp A : Male Ward Gp 1: OT am -----.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 .KMO Ward roundHQEII OT.Day HQE II OT.bedside teaching am HQE II Gp B : F/ Ward Bedside Teaching :AP Dr KH Gp 1: OT am -----. Thit Lwin AP Dr. Gp A : M/ Ward TUESDAY 15/04/2014 Clinic QEH AP Dr Kyaw Htay All Speacialist Trauma radiology round AP Dr. soft tissue injury Gp B : F/Ward Dr.

Gp B : F/Ward AP Dr.30 am .8.30 am – 10.5. KMO WEEK 6 2.KMO FRIDAY 18/04/2014 YEAR 4 DATE / TIME HOLIDAY ORTHOPAEDICS POSTING MM40508 7.00 pm .30 am – 9.30 am 11.30 am MONDAY Ward round HQEII 21/04/2014 Gp A : F/ Ward 8.30 am SESSION 2013/2014 10.3.00 pm .30 am BST AP Dr.00 pm 3.30 am 9.00pm SLP 2 Discussion Benign Musculo skeletal tumours AP Dr Kyaw Htay Gp B : M/ Ward Ward work AP Dr Kyaw Htay 40 .

Thit Lwin Revision Revision Gp B : M/ Ward 41 . Thit Lwin AP Dr Khin Maung Ohn THURSDAY 24/04/2014 Ward round HQEII Gp A : F/ Ward BST AP Dr Iftika Dr.Iftika All Speacialist Dressing and traction All lecturers In charge AP Dr. Thit Lwin WEDNESDAY 23/04/2014 Ward round HQEII OT QEHII OT -QEHII Gp A : F/ Ward Gp 1-OT am. Arif Gp B: M/Ward Dr.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.AP Dr Khin Maung Ohn TUESDAY 22/04/2014 Ward round HQEII Workshop 2 Gp A: F/ward Clinic QEH II AP Dr.

Dr.30 am .Kyaw Htay Revision YEAR 4 DATE / TIME ORTHOPAEDICS POSTING MM40508 8.00 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 .00 pm .30 am – 10.8.30 am .5.30 am WEEK 7 2.30 SESSION 2013/2014 9.Thit Lwin Submission of case write-up FRIDAY 25/04/2014 Ward round.00 10.11.30 am – 9. Hospital Likas Log book viva AP DR.30 7.30 am am am 3.00 pm .3.

(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 .