Orthopaedic Trauma Rotation Objectives
This document is intended to augment but not replace the “Objectives of Training and Specialty Training Requirements in Orthopaedic Surgery” and the “Specific Standards of Accreditation for Residency Program in Orthopaedic Surgery”. A copy of these documents is supplied in your residency handbook and is also available on the Royal College website.
The resident is expected to be able to describe the rotation specific objectives prior to or at the commencement of the rotation.
PG Y1
Medical Expert:
Basic scientific knowledge:
a) Understanding of pathophysiology of trauma.
b) Anatomical landmarks for ATLS and ACLS
c) Cursory knowledge of life threatening traumatic injuries in keeping with ATLS requirements
Basic clinical knowledge:
a) Trainee correctly applies the facts, theories and present-day concepts of trauma care.
b) Trainee must possess knowledge of trauma situations and apply this knowledge to case presentation and daily patient management.
History & physical examination:
a) Proficiency in ATLS protocol
b) Proficiency in cursory MSK exam.
Interpretation and utilization of information:
a) Ability to order the appropriate and necessary blood tests as it pertains to the above conditions.
b) Ability to interpret standard radiographs and blood work as it pertains to the above conditions.
Clinical judgment & decision-making:
Ability to demonstrate knowledge of potential treatment options for the above mentioned conditions.Competence in non-operative management of major intra-abdominal injuries, assessment of major blood loss, renal failure, metabolic and electrolyte imbalance should be attained. Non-surgical management of ileus, bowel obstruction, diaphragmatic hernia and haemoperitoneum are also important skills.
Technical skills required in the specialty:
a) Demonstrate knowledge of and familiarity with common surgical procedures used to treat the above conditions.
b) Demonstrate proficiency :
- upper airway obstruction/ cricothyroidectomy
- endotracheal intubation
- needle and chest tube insertion
- peripheral venous cut down
- subclavian and internal jugular puncture
- central venous monitoring
Communicator:
a) Able to effectively demonstrate skills as a communicator and work and communicate effectively with other physicians, allied health professionals, patients and families.
b) History, physical, diagnostic formulation, progress notes, plans, discharge summaries and consultation reports are complete and accurate with satisfactory organization and assessment.
Collaborator:
a) Awareness of a team approach to the management of traumatic problems involving physician, surgeon, therapist and other allied health professionals.
b) Interacts and consults effectively with all allied health professionals and acknowledges their roles and expertise.
c) Able to delegate appropriately and effectively to other members of the healthcare team.
Manager:
a) Shows ability to incorporate the use of current information technology into the practice of medicine (eg.: use of PACS, internet, digital imaging)
b) Shows an ability to use healthcare resources in a cost-effective and patient sensitive manner.
c) Exhibits an ability to effectively organize his/her work and work effectively as part of a team to ensure total and continuing care of his/her patients.
Health Advocate:
Shows an ability to act as an effective healthcare advocate for the patient, society, and the community.
Scholar:
a) The trainee exhibits a familiarity with textbook knowledge as it pertains to traumatology.
b) Exhibits an ability to critically evaluate and appraise treatment options.
c) Shows ability and interacts in teaching medical students and allied healthcare workers and patients.
d) Able to organize and successfully complete a research project.
Professional:
a) Displays dependability, reliability, honesty and is forthright with patients and colleagues.
b) Displays an understanding and sensitivity to age, gender, culture and ethnicity issues.
c) Displays responsibility and self-discipline and punctuality.
d) Communicates with patients with compassion and empathy.
e) Recognizes his/her own limitations and is able to seek and give advice/assistance when necessary.
f) Understands the principles and practice of biomedical ethics as it relates to traumatology.
PG Y2
Medical Expert:
Basic scientific knowledge:
a) Understanding of pathophysiology of acute and chronic injuries in the soft and hard tissues for acute and trauma.
b) Anatomical planes and relation to surgical exposures.
c) In depth knowledge of simple fractures, hip fractures, long bone fractures, MSK soft tissue injuries.
Basic clinical knowledge:
a) Trainee correctly applies the facts, theories and present-day concepts of trauma care.
b) Trainee must possess a knowledge of current scientific literature and apply this knowledge to case presentation and daily patient management.
History & physical examination:
a) Proficiency in ATLS protocol
b) Proficiency in MSK exam.
Interpretation and utilization of information:
a) Ability to order the appropriate and necessary blood tests as it pertains to the above conditions.
b) Ability to interpret standard radiographs and blood work as it pertains to the above conditions.
c) Definition and classification of fractures, joint injuries, muscle/tendon injuries, vascular and neurological injuries.
d) Understand:
- Biomechanics and mechanisms of injuries.
- Appendicular and axial musculoskeletal anatomy.
- Fracture healing (basic knowledge clinical and radiological assessment.)
- Complications of fractures/dislocations.
Clinical judgment & decision-making:
Ability to demonstrate knowledge of potential treatment options for the above mentioned conditions.
Able to understand:
1 Indications and principles of management of closed reduction of fractures and dislocations.
2 Indications for open reduction of fractures and dislocations.
Technical skills required in the specialty:
a) Demonstrate knowledge of and familiarity with common surgical procedures used to treat the above conditions.
b) Demonstrate proficiency with minor procedure setup and accomplishment.
c) Act as second assistant on open fracture reductions.
d) Show competence in closed reduction techniques of long bone and intra-articular fractures.
Communicator:
a) Able to effectively demonstrate skills as a communicator and work and communicate effectively with other physicians, allied health professionals, patients and families.
b) History, physical, diagnostic formulation, progress notes, plans, discharge summaries and consultation reports are complete and accurate with satisfactory organization and assessment.
Collaborator:
a) Awareness of a team approach to the management of traumatic problems involving physician, surgeon, therapist and other allied health professionals.
b) Interacts and consults effectively with all allied health professionals and acknowledges their roles and expertise.
c) Able to delegate appropriately and effectively to other members of the healthcare team.
Manager:
a) Shows ability to incorporate the use of current information technology into the practice of medicine (eg.: use of PACS, internet, digital imaging...).
b) Shows an ability to use healthcare resources in a cost-effective and patient sensitive manner.
c) Exhibits an ability to effectively organize his/her work and work effectively as part of a team to ensure total and continuing care of his/her patients.
Health Advocate:
Shows an ability to act as an effective healthcare advocate for the patient, society, and the community.
Scholar:
a) The trainee exhibits a familiarity with sources of current scientific literature as it pertains to traumatology.
b) Exhibits an ability to critically evaluate and appraise medical literature.
c) Shows ability and interacts in teaching medical students and allied healthcare workers and patients.
d) Able to organize and successfully complete a research project.
Professional:
a) Displays dependability, reliability, honesty and is forthright with patients and colleagues.
b) Displays an understanding and sensitivity to age, gender, culture and ethnicity issues.
c) Displays responsibility and self-discipline and punctuality.
d) Communicates with patients with compassion and empathy.
e) Recognizes his/her own limitations and is able to seek and give advice/assistance when necessary.
f) Understands the principles and practice of biomedical ethics as it relates to traumatology.
PG Y3
Medical Expert:
Basic scientific knowledge:
a) Understanding of pathophysiology of acute and chronic injuries in the soft and hard tissues for acute and trauma.
b) Anatomical planes and relation to surgical exposures.
c) In depth knowledge of simple fractures, hip fractures, long bone fractures, MSK soft tissue injuries.
Basic clinical knowledge:
a) Trainee correctly applies the facts, theories and present-day concepts of trauma care.
b) Trainee must possess a knowledge of current scientific literature and apply this knowledge to case presentation and daily patient management.
History & physical examination:
a) Proficiency in ATLS protocol
b) Proficiency in MSK exam.
Interpretation and utilization of information:
a) Ability to order the appropriate and necessary blood tests as it pertains to the above conditions.
b) Ability to interpret standard radiographs and blood work as it pertains to the above conditions.
Clinical judgment & decision-making:
Ability to demonstrate knowledge of potential treatment options for the above mentioned conditions.
Technical skills required in the specialty:
a) Demonstrate knowledge of and familiarity with common surgical procedures used to treat the above conditions.
b) Demonstrate proficiency with minor procedure setup and accomplishment.
Communicator:
a) Able to effectively demonstrate skills as a communicator and work and communicate effectively with other physicians, allied health professionals, patients and families.
b) History, physical, diagnostic formulation, progress notes, plans, discharge summaries and consultation reports are complete and accurate with satisfactory organization and assessment.
Collaborator:
a) Awareness of a team approach to the management of traumatic problems involving physician, surgeon, therapist and other allied health professionals.
b) Interacts and consults effectively with all allied health professionals and acknowledges their roles and expertise.
c) Able to delegate appropriately and effectively to other members of the healthcare team.
Manager:
a) Shows ability to incorporate the use of current information technology into the practice of medicine (eg.: use of PACS, internet, digital imaging...).
b) Shows an ability to use healthcare resources in a cost-effective and patient sensitive manner.
c) Exhibits an ability to effectively organize his/her work and work effectively as part of a team to ensure total and continuing care of his/her patients.
Health Advocate:
Shows an ability to act as an effective healthcare advocate for the patient, society, and the community.
Scholar:
a) The trainee exhibits a familiarity with sources of current scientific literature as it pertains to traumatology.
b) Exhibits an ability to critically evaluate and appraise medical literature.
c) Shows ability and interacts in teaching medical students and allied healthcare workers and patients.
d) Able to organize and successfully complete a research project.
Professional:
a) Displays dependability, reliability, honesty and is forthright with patients and colleagues.
b) Displays an understanding and sensitivity to age, gender, culture and ethnicity issues.
c) Displays responsibility and self-discipline and punctuality.
d) Communicates with patients with compassion and empathy.
e) Recognizes his/her own limitations and is able to seek and give advice/assistance when necessary.
f) Understands the principles and practice of biomedical ethics as it relates to traumatology.
PG Y4
Medical Expert:
Basic scientific knowledge:
a) Knowledge of biomechanics, pharmaceutical therapy and basic metallurgy as it applies to fracture care and implant design.
b) Detailed understanding of pathophysiology of acute and chronic injuries in the soft and hard tissues for both acute and chronic traumatic diagnoses.
c) Detailed knowledge of anatomical planes and relation to surgical exposures.
d) In depth knowledge of simple intra-articular fractures, long bone fractures, polytrauma, wrist and ankle fractures as well as simple spine fractures and dislocations.
Basic clinical knowledge:
a) Trainee correctly applies the facts, theories and present-day concepts of trauma care.
b) Trainee must possess knowledge of current scientific literature and apply this knowledge to case presentation and daily patient management.
History & physical examination:
a) Proficiency in ATLS protocol
b) Proficiency in MSK exam including nerve exam.
Interpretation and utilization of information:
a) Ability to order the appropriate and necessary blood tests as it pertains to the above conditions.
b) Ability to interpret all radiographs and blood work as it pertains to the above conditions.
Clinical judgment & decision-making:
Ability to demonstrate knowledge of potential treatment options for the above mentioned conditions.
Technical skills required in the specialty:
a) Demonstrate knowledge of and familiarity with common surgical procedures used to treat the above conditions.
b) Demonstrate proficiency with operative setup and accomplishment with minor staff supervision
Communicator:
a) Able to effectively demonstrate skills as a communicator and work and communicate effectively with other physicians, allied health professionals, patients and families.
b) History, physical, diagnostic formulation, progress notes, plans, discharge summaries and consultation reports are complete and accurate with satisfactory organization and assessment.
Collaborator:
a) Awareness of a team approach to the management of traumatic problems involving physician, surgeon, therapist and other allied health professionals.
b) Interacts and consults effectively with all allied health professionals and acknowledges their roles and expertise.
c) Able to delegate appropriately and effectively to other members of the healthcare team.
Manager:
a) Shows ability to incorporate the use of current information technology into the practice of medicine (e.g. use of PACS, internet, digital imaging).
b) Shows an ability to use healthcare resources in a cost-effective and patient sensitive manner.
c) Exhibits an ability to effectively organize his/her work and work effectively as part of a team to ensure total and continuing care of his/her patients.
Health Advocate:
Shows an ability to act as an effective healthcare advocate for the patient, society, and the community.
Scholar:
a) The trainee exhibits a familiarity with sources of current scientific literature as it pertains to traumatology.
b) Exhibits an ability to critically evaluate and appraise medical literature.
c) Shows ability and interacts in teaching medical students and allied healthcare workers and patients.
d) Able to organize and successfully complete a research project.
Professional:
a) Displays dependability, reliability, honesty and is forthright with patients and colleagues.
b) Displays an understanding and sensitivity to age, gender, culture and ethnicity issues.
c) Displays responsibility and self-discipline and punctuality.
d) Communicates with patients with compassion and empathy.
e) Recognizes his/her own limitations and is able to seek and give advice/assistance when necessary.
f) Understands the principles and practice of biomedical ethics as it relates to traumatology.
PG Y5
Medical Expert
Basic scientific knowledge:
a) Knowledge of biomechanics, pharmaceutical therapy and basic metallurgy as it applies to fracture care an implant design.
b) Detailed understanding of pathophysiology of acute and chronic injuries in the soft and hard tissues for both acute and chronic traumatic diagnoses.
c) Detailed knowledge of anatomical planes and relation to surgical exposures.
d) In depth knowledge of complex intra-articular fractures, polytrauma, complex wrist and ankle fractures, associated soft tissue and skeletal trauma, flat bone fractures as well as non operative management of complex spine fractures and dislocations.
Basic clinical knowledge:
a) Trainee correctly applies the facts, theories and present-day concepts of trauma care.
b) Trainee must possess knowledge of current scientific literature and apply this knowledge to case presentation and daily patient management.
History & physical examination:
A Proficiency in MSK exam including all provocative and standard tests for all areas..
Interpretation and utilization of information:
a) Ability to order the appropriate and necessary tests as it pertains to the above conditions
b) Ability to interpret all tests (MRI CT etc) as it pertains to the above conditions.
Clinical judgment & decision-making:
Ability to demonstrate knowledge of potential treatment options for the above mentioned conditions.
Technical skills required in the specialty:
a) Demonstrate knowledge of and familiarity with all surgical procedures used to treat the above conditions.
b) Demonstrate proficiency with operative setup and accomplishment without staff supervision.
Communicator:
a) Able to effectively demonstrate skills as a communicator and work and communicate effectively with other physicians, allied health professionals, patients and families.
b) History, physical, diagnostic formulation, progress notes, plans, discharge summaries and consultation reports are complete and accurate with satisfactory organization and assessment.
Collaborator:
a) Awareness of a team approach to the management of traumatic problems involving physician, surgeon, therapist and other allied health professionals.
b) Interacts and consults effectively with all allied health professionals and acknowledges their role and expertise.
c) Able to delegate appropriately and effectively to other members of the healthcare team
Manage
a) Shows ability to incorporate the use of current information technology into the practice of medicine (e.g. use of PACS, internet, digital imaging).
b) Shows an ability to use healthcare resources in a cost-effective and patients sensitive manner.
c) Exhibits an ability to effectively organize his/her work effectively as part of a team to ensure total and continuing care of his/her patients.
Health Advocate:
Shows an ability to act as an effective healthcare advocate for the patient, society, and the community.
Scholar:
a) The trainee exhibits a familiarity with sources of current scientific literature as it pertains to traumatology.
b) Exhibits an ability to critically evaluate and appraise medical literature.
c) Shows ability and interacts in teaching medical students and allied healthcare workers and patients.
d) Able to organize and successfully complete a research project.
Professional:
a) Displays dependability, reliability, honesty and is forthright with patients and colleagues.
b) Displays an understanding and sensitivity to age, gender, culture and ethnicity issues.
c) Displays responsibility and self-discipline and punctuality.
d) Communicates with patients with compassion and empathy.
e) Recognizes his/her own limitations and is able to seek and give advice/assistance when necessary.
f) Understands the principles and practice of biomedical ethics as it relates to traumatology.
JGH Trauma: jgh_trauma_general_goals.docx, jgh_trauma_rotation_goals_2014-2015.docx, jgh_trauma_rotation_goals.docx