College of Medicine MD Curriculum

Practical Orthopaedics – TTH

Title of Clerkship: Practical Orthopaedics – TTH

Elective Year(s): Fourth Year

Department: Orthopaedic Surgery

Type of Elective: Clinical

Clerkship Site: The Toledo Hospital

Course Number:  ORTH 706

Blocks Available:  All

Number of Students/ Block: 1 [cross-listed with ORTH 707]

Faculty: Various Preceptors

Elective Description/ Requirements:
Clinical and operating room experiences for students are structured to provide exposure to a wide range of orthopaedic conditions in trauma, pediatrics, and general orthopedics.  The rotation is based in the hospital-based orthopaedic clinic, the operating room, and the inpatient hospital. This elective is structured to provide students with exposure to general orthopaedics, orthopaedic trauma, and pediatric orthopaedics. 

Length of Clerkship: 4 weeks

Educational Course Objectives and Links to EPOs:

1. Demonstrate the ability to summarize and interpret results of history, physical examination, laboratory, and imaging to form differential diagnoses. (EPOs: MK4, PC6, SBP3)
2. Develop and implement an appropriate workup and/or treatment plan for common orthopaedic conditions encountered in clinic and inpatient settings. (EPOs: MK3, MK4, MK6, MK7, PC3, PC7, PC8, PBL2)
3. Describe the pathophysiology, evaluation, and management of common orthopaedic emergencies in the emergency and inpatient settings. (EPOs: MK1, MK4, PC8)
4. Write complete and accurate daily progress and clinic notes, including interpretation of clinical, laboratory, and radiographic findings, as well as current treatment plan. (EPOs: PC1, PC6, IPC2, SBP5)
5. Practice postoperative patient management by monitoring their status, recommending treatment plans, and coordinating with other health professionals involved in the patient’s care. (EPOs: MK4, MK7, PC2, PC4, PC6, PC7, PC9, PB1, PB3, IPC1-3, SBP1, SBP5)
6. Describe and/or perform basic outpatient injection procedures of the shoulder, hand, and knee. (EPOs: PC6, PC8)
7. Describe and/or perform basic immobilization procedures such as applying a splint, cast, or sling. (EPOs: PC6, PC8)
8. Demonstrate the ability to participate in surgical procedures as a first assistant respecting sterile technique / universal precautions. (EPOs: PC5, PC6, PC9, PB1, IPC2, SBP5)
9. Perform basic and advanced suture techniques and identify appropriate indications for each. (EPOs: PC5, PC6)
10. Explain and assist in the pre-operative patient optimization and scheduling processes for elective and emergent procedures. (EPOs: MK2, MK3, MK5, PC2, PC4, PB3, SBP1, SBP2, SBP3, SBP4)

Professionalism:
UT-COMLS students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department

Instructional Methods:

1. Ambulatory Care Experience
2. Clinical case presentations/discussions
3. Teaching rounds
4. Independent study
5. Didactic lecture
6. Mentored clinical practice
7. Mentored technical skills practice
8. Residency program/department conferences and grand rounds
9. Direct patient interaction under faculty and/or resident supervision

Evaluation Methods:

1. Attendance
2. Clinical competency evaluation
3. Faculty observation of behavior in small groups
4. Faculty/Resident observation and assessment of clinical skills.

Prerequisites: Successful completion of ORTH 710, or 701

Special Requirements: This clerkship has no on-call requirement. However, an on-call schedule can be arranged for those students who may be interested in orthopaedic surgery as a career. 

Clerkship Director:  Abdul A. Mustapha M.D.

Clerkship Coordinator: Kelly Kovacs
Phone Number: 419.383.6236
Email: kelly.kovacs@utoledo.edu

ECC Approved
April 2023