Benghazi University

Faculty of Medicine

Department of

ORTHOPAEDIC SURGERY

Master of Science in Orthopedic

Surgery

Academic year 2018 - 2019

Basic information Course title: MSc Orthopedic and Traumatology.

Course code: ORTHO - 0218

Course duration: Two years.

Department offering the course: Orthopedic and Traumatology

Program on which this course is given: Master in Orthopedic and

Traumatology

Total credit points: 59 1 credit hour = 15 hours theoretical, 1 credit hour = 30 hours practical

1 credit hour = 30 hours thesis

Taught hours and credit points

Academic year: 2018 - 2019

Date of specifications /revision: 2017.

Date of approval by departmental/faculty council: 31/10 /2017

language: English

Program coordinator:

Hassan Mohamed Nouh ( Assistant professor )

I. Program aims

Provide candidates with knowledge and practical skills in basic

science that help him/her to understand the orthopedic diseases and

trauma of musculoskeletal system ; regarding diagnosis and

management.

Enable the candidate to perfect clinical skills that allow him/her to

interpret diagnostic investigations properly.

Enable the candidate to perfect technical skills to solve clinical

problems and suggests logic benefit solutions

Enable the candidate to address, demonstrate, and practice positive

attitudes that will help him/her to achieve long life continuous

medical education, and share in community health education.

The program also aims to introduce the candidates to the basics of

scientific medical research.

II. Intended learning outcomes of program (ILOs)

A. Knowledge and understanding :

By the end of the program the candidate should:

1) Recognize the basic sciences required for understanding of the

orthopedic diseases and trauma of musculoskeletal system

2) Identify and discuss common problems related to orthopedic

diseases and trauma of musculoskeletal system .

3) Distinguish the basic pathology underlying different disorders.

4) Describe different management modalities for common

Orthopedic problems

5) Recognize the basic principles of surgical procedures that enable

the candidate to perform surgeries of Orthopedic and Traumatology

6) List the ethical and legal principles of medical practice

B. Intellectual skills :

By the end of the program the candidate should be able to:

1) Detect, analyze, and Prioritize the medical problems

2) Analyze symptoms & signs and construct a differential diagnosis of

common complaints.

3) Design an appropriate diagnostic plan for evaluation of common

complaints taking into consideration the nature of the clinical situation

and the risks, benefits and costs to the patient.

4) Interpret the results of different investigations related to orthopedic

problems

5) Design treatment plans for common and rare orthopedic problems

taking into account the cultural and individual needs.

6) Use evidence-based knowledge to solve clinical problems.

C. Professional and practical skills :

By the end of the program the candidate should be able to:

1) Collect clinical data specially the history taking.

2) Examine and identify signs of common and rare orthopedic disorders.

3) Offer patient care preoperatively.

4) Offer proper medical treatment for orthopedic problems

5) Perform basic surgical skills and manage common surgical

complications related to orthopedic and traumatology independently.

6) Offer surgical interventions whenever indicated.

7) Achieve a simple research study and present the results

D. General and transferable skills :

By the end of the program the candidate should be able to:

1) Communicate with the patients to gain their confidence to explain the

surgical problem, complications and obtaining consent.

2) Manage time and practice team working through collaboration with

other specialties to get proper diagnosis of a given case.

3) Communicate with other health care providers.

4) Appreciate team working.

5) Achieve computer skills necessary to make use of medical data bases

and use the internet for communication.

6) Demonstrate leadership skills that enable him to organize work and

lead the juniors and paramedical staff.

7) practice presentation skills ,and evidence based scientific discussion.

8) Write scientific article according to the basics of scientific research.

III. Academic standards External references for standards:

The curriculum offered by the Cambridge University for otolaryngology

Head and Neck surgery-UK, Cairo University-Egypt, Ain Shams

University-Egypt and Tanta University-Egypt.

IV. Program admission requirements

According to the Faculty of Medicine, Benghazi University By laws for

Post Graduate Programs , applicants should have M.B.B.Ch. degree

according to Benghazi University requirements. Regulations of admission

to the postgraduate study are mentioned in the Article number (117) of

the Decision number 501 in The Libyan Postgraduate Specification

program delivered in the year of 2010. Departmental evaluation is a

required condition to join the program.

V. Program structure and contents

Program duration: two years.

Program structure: Total Credit points 60

Postgraduate training is skills oriented and is originating from clinical and

ld be posted in one of the Orthopedic academic work. The candidate shou

departments affiliated to Benghazi University under raumatologyand T

supervision of a postgraduate teacher.

arranged as follows: 2 yearsProgram duration is

Study plan

Study plan

Total Credit

hrs

Credit

hrs

practical

Credit hrs

theoretical

Code Course

1

1

1

1

1

1

1

1

ORTHO

02181-1

ORTHO

O2181-2

ORTHO

O2181-3

ORTHO

O2181-4

Anatomy

Pathology

Pharmacology

physiology

First parts

0.5

2

5.0

2

0.5

5.0

ORTHO

O2181-5

ORTHO

02181-6

ORTHO

02181-7

Basic surgical

skills

Specialty rotation

Medical ethics

Communication

skills

6 Thesis

17 7 15 ORTHO

O2182-1

Orthopedic and

Traumatology

Second

part

1 1 ORTHO

02182-2

Medical statistics

Research

methodology

Elective

courses

4 Log book

30 Total credit

hours

Course description :

Curriculum of master degree in orthopaedic and

traumatology

1. Anatomy for Orthopaedic

2. Physiology for Orthopaedic

3. General pathology.

4. pharmacology for Orthopaedic

5. Radiology of musculoskeletal system

6. Emergency general surgical topics

7. General orthopaedics and traumatology

8. Upper limb injuries (fractures, dislocation and soft tissues injuries)

9. lower limb injuries (fractures, dislocation and soft tissues injuries)

10. pelvic and acetabular injuries

11. Paediatric orthopaedic and traumatology

12. Hand surgery

13. Arthroplasty

14. Arthroscopy

15. Musculoskeletal tumours

16. Infection of musculoskeletal system

17. Metabolic disorders of musculoskeletal system

18. Inflammatory arthritis

19. Sport injuries

First Part master degree

Courses titles in first part ( one year ) : code 0218-1

through the first one year after registering to the degree, for 13 credit

hours , its passage is a must for administration to second part.

Assessment by MCQ in Basic science and principle of specialty

Candidate should fulfill the following:

Residency training program : rotation program:

A- General surgery and vascular surgery for 1 month

B- anesthesia and intensive care unit for 1 month

C- plastic surgery department for 1 month

D- Neurosurgery department for 1 month

E- Orthopedic and Traumatology 8 months

Curriculum of anatomy :

A- General anatomy:

1. Embryology of musculoskeletal system

2. General Anatomy

3. Brachial plexus anatomy

4. Upper limb

5. Lower limb

6. Pelvis and acetabulum

Curriculum of pathology:

1. cell injury.

2. acute and chronic inflammation.

3. Tissue repair.

4. Disorders of immune system.

5. Neoplasia.

6. granulomatous disease.

Curriculum of biostatics:

1. Types of data and methods of data collection.

2. Methods of data presentation ( tabular-graphical-mathematical)

3. Measures of central tendency.

4. Measures of dispersion.

5. Hypothesis testing.

6. samples.

Curriculum of surgery:

1. Preoperative assessment.

2. Electrolyte and acid base balance.

3. shock and blood transfusion.

4. Wound repair and wound healing.

5. Thyroid and parathyroid diseases.

Curriculum of anaesthesia:

1. Preoperative and oxygen therapy.

2. Air way management.

3. Blood transfusion.

4. Local anaesthesia.

5. Shock and fluid therapy.

6. cardiopulmonary resuscitation.

7. Entral and parental nutrition.

8. Electrolyte and acid base balance.

Curriculum of pharmacology:

1. Antimicrobial therapy.

2. Analgesics and antipyretics (NSAI- narcotic)

3. Antiviral and antifungal drugs.

4. Drugs used in Diabetes Mellitus and hypertension

5. Antihistamines.

6. Thyroid gland hormones and antithyroid drugs.

7. Non steroidal anti-inflammatory drugs

8. Cancer chemotherapy

Curriculum of physiology:

1. Shock.

2. Anaemia.

3. Haemostasis

4. Endocrine system

5. Arterial blood pressure

6. autonomic nervous system

7. acid base balance

8. physiology of bone and calcium regulation

Curriculum of musculoskeletal radiology :

1. X-ray views of different types of fractures and joints

2. CT scan in orthopaedics

3. MRI imaging in musculoskeletal injuries and disorders

BASIS OF MEDICAL RESEARCH

1. Library and computer search.

2. Medical audit.

3. Planning for medical research.

4. Data collection.

5. Data analysis (Basic testes for medical statistics).

6. Writing a thesis or scientific article.

7. Assessing a scientific paper.

8. Medical ethics.

9. Research ethics.

Second part master degree

General Orthopaedic:

1. Basic surgical orthopaedic techniques

2. Surgical approaches

3. Metabolic disorders of musculoskeletal system .

4. Infection of musculoskeletal system .

5. Musculoskeletal presentation of haematological disorders

6. Musculoskeletal tumours

7. Inflammatory arthritis

8. Skeletal dysplasia

9. Spinal deformities and disorders

Traumatology:

1. Basic fracture classification and treatment.

2. Specific fracture management

3. Dislocation of joints

4. Soft tissue injuries of musculoskeletal system

5. Non union of fractures

6. Emergency in orthopaedic patients

7. Nerve injuries

Paediatric orthopaedics :

1. Paediatric orthopaedics and congenital anomalies

a- Upper extremity disorders

b- Lower extremity disorders

c- Length limb discrepancy

2. Paediatric musculoskeletal injuries

a- Upper limb injuries

b- Lower limb injuries

3. Paediatric infections

4. Haematological disorders

5. Arthritis

6. Tumours

7. Paediatric spine problems

Hand surgery :

1- Hand surgical approaches

2- Fractures and dislocation

3- Tendon and soft tissue injuries

4- Carpal injuries and instability

5- Infection of the hand

6- Tendon transfer in paralytic hand

7- Non union and avascular necrosis of carpal bones

Arthroplasty:

1. Preoperative planning of primary total hip and knee prosthesis

2. Surgical procedures

3. Complication of primary hip and knee arthroplasty

Arthroscopy:

1. Basic principles of arthroscopy

2. Knee arthroscopy

3. Complication of knee arthroscopy

Clinical and operative skills:

The following section describes what the post graduate student should do

and what skills he should have before acquiring the degree. Our purpose

is to provide a recommendation for minimal requisite learning and to

offer a current compendium of categories knowledge, skills and attitudes

appropriate to our discipline, The optimum fulfilment of this program

requires the commitment and collaboration of the instructors and

candidates for implementing the program structure.

The Basic Required Clinical And Operative skills:

1. Clinical Orthopedic Examination.

2. Pre- & postoperative patient care.

3. Management of orthopaedic Emergencies.

4. Performed surgical procedures. External fixation and management of open reduction

Compartment syndrome management

Open reduction and plate fixation of different fracture

Intra-medullary nailing

Management of osteomyelitis and septic arthritis

Hand and wrist emergencies

Gyps and traction techniques

Pediatric hip and foot surgeries

Basic arthroscopic procedures : diagnostic and meniscus injuires

Primary hip and knee arthroplasty

Tendon transfer

Foot arthrodesis

Corrective osteotomies

Nerve repair

Educational and academic activities:

The following section refers to the factual knowledge that a post

graduate student must acquire during the training program to enable

him to accomplish the skills needed to make diagnosis, important

treatment plans and acquire his manual skills successfully, During the

program , the student must attend , at least .the following :

A. Round & Lectures:

1. clinical rounds .

2. case presentation .

3. speciality clinic

4. journal clubs.

5. lectures

6. thesis discussions.

7. National or international conferences or meetings

B. Special courses:

1. Basic fracture fixation course

2. External fixation course

3. Arthroscopy of knee course

4. Knee and Hip arthroplasty coures

5. Pediateric club foot treatment with cast

Evaluation of Program’s intended learning outcomes (ILOs):

Assessment methods:

1. MCQ exam for continuous assessment of knowledge and intellectual

skills.

2. Clinical exam for assessment of intellectual and practical skills

3. Oral exam for assessment of knowledge and intellectual skills

Weighting of assessments

First part examination MCQ

Second part examination

Final written examination 40%

Oral examination 20%

Practical examination 40%

Total 100%

The success rating for any course is calculated according to

the following table

GRADE MARK Excellent 85-100%

Very good 75-84%

Good 65-74%

Poor Less than 65%

Very poor Less than 50%

Thesis

Every student registered as post graduate shall carry out work on an

assigned research project under the guidance of a recognized post

graduate teacher, the result of which shall be written up and submitted in

the form of a thesis. The department and the ethical committees must

approve the protocol of the research.

The thesis is supervised by one or more senior staff members and

may include other specialties according to the nature of the research