Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 2: Module 10: Paediatric Fractures
Dr. Andrew Howard
Learning
CanMEDS
Learning
Source Doc(s)
Specific
Context
Role (s)
Outcomes:
Competencies
Goals/Objectives
Medical
Recommended Appropriately
This module
KNOW:
Expert
reading:
will take place
Demonstrate
manages (nonat Hospital for
knowledge of closed Source
operative and
Sick Children.
and open treatment
documents on
operative) patients
and complications of PORTAL
presenting with
The emphasis
common paediatric
common pediatric
will be on the
fractures: ankle,
Green &
fractures
care of
tibia, femur, hip,
Swiontkowski:
paediatric
proximal humerus,
fracture
fractures, and
supracondylar
chapters in
as such the
humerus, lateral
Skeletal
trainee will
condyle of humerus, Trauma in
attend fracture
Monteggia, forearm, Children, 3rd
clinics and
distal radius, and
Edition,
trauma ORs.
growth plate injuries Saunders 2003.
The team
environment
will provide the
opportunity of
learning and
being
evaluated on
all CanMEDS
roles.
Special focus
will be on the
learning of the
Medical
Expert, Health
Advocate, and
Scholar roles.
DO:
Able to carry out
closed reduction,
casting,
percutaneous
pinning techniques,
surgical approaches
and open reduction
techniques,
including intramedullary nailing,
ex-fix, ORIF of
fractures
Rockwood &
Wilkins
Fractures in
Children: Edited
by Beatty,
Kasser 2006.
Rang's
Children's
Fractures.
Mercer Rang,
Maya Pring &
Dennis Wenger,
Lippincott 2005.
Online
resources:
POSNA's
Pediatric
Orthopaedic
Core
Learning/Teaching
Strategies
Review of source
documents/literature
Surgical skills
session casting
models on simulated
arm, performance of
surgical procedures
on sawbones
models
Attendance and
performance of
surgical skills during
AO Pediatric
fracture course
Observation of
resident by clinical
supervisor with
ongoing summative
and feedback on
performance
Review of cases
with supervisor
weekly, with
opportunity to
discuss diagnosis,
formulation and
treatment plan
20Jan15Version
Evaluation Method or
Tools
Assessment of
performance on these
competencies will be a
continuous process over
the course of the rotation
with both summative and
formative feedback
coming from supervising
surgeons and allied
health professionals
Observed clinical history
and physical to give realtime assessment of
clinical skills (one per
month) with global ratings
(last week of module)
Mid-module assessment
will occur where resident
will be given an oral
examination, shortanswer questions. A
summative and formative
evaluation will then follow
Hx PE exam (oral) form
End-of-module
assessment will occur
where resident will be
given an oral
examination, shortanswer questions.
A summative and
formative evaluation will
then follow
1
Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 2: Module 10: Paediatric Fractures
Dr. Andrew Howard
Learning
CanMEDS
Learning
Source Doc(s)
Specific
Context
Role (s)
Outcomes:
Competencies
Goals/Objectives
Curriculum for
Orthopaedic
Residents
www.posna.org/
members/coreC
urr/coreCurricul
um.cfm
Learning/Teaching
Strategies
An ITER will be filled out
at the end of module at
the time of the exit
interview
Direct observation by the
supervisor and feedback
Casting
instructional
video (to be
obtained from
Lucas
Murnaghan)
Direct Documented
Observation of the
following:
 Closed reduction
forearm/wrist #
(surgeon)
 Closed reduction &
pinning FHSC
(surgeon)
 Intramedullary fixation
of a long bone (may be
functioning as
assistant)
 Arthrotomy/Arthroscopy
and irrigation of joint for
infection
 Open reduction and
internal fixation
Attendance at
AO Pediatric
Fracture course
Health
Advocate
Able to describe and
recognize child
abuse
CPSO
Legislation
Children’s Aid
Society
information
package
SCAN team
20Jan15Version
Evaluation Method or
Tools
Uses appropriate
communication with
patient, caregiver,
consultants – can
describe the
evaluation of
indicators of child
abuse and create a
plan for care and
Residents will
engage with all
caregivers
associated with
SCAN team, etc. in
cases where child
abuse is suspected
Observed interaction
with standardized
patient scenario –
scenario to be
developed – refer to
SCAN team
Residents will
2
Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 2: Module 10: Paediatric Fractures
Dr. Andrew Howard
Learning
CanMEDS
Learning
Source Doc(s)
Specific
Context
Role (s)
Outcomes:
Competencies
Goals/Objectives
information
protection of child
package/debrief
ing (to be
organized)
Scholar
Able to prepare a
journal club on a
specific topic
Demonstrate the
ability to do selfdirected learning
and perform a
critical appraisal of
the literature
University of
Toronto Library
presentation
and guides
(from A
Howard)
Search, retrieve,
screen, and
critically appraise
papers on a clinical
topic of choice
Organize, present,
and moderate a
journal club on a
topic of the
resident’s own
choosing
Learning/Teaching
Strategies
20Jan15Version
Evaluation Method or
Tools
identify 1 case and
describe a plan for
care/protection of
child
Review source
literature
One-on-one
teaching session
with A. Howard at
beginning of module
Direct Observation
Evaluation of resident’s
preparatory process
and presentation during
Journal Club
Present literature
search plan and
critical appraisal
process for journal
club to A. Howard at
the end of rotation
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