Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 1 (early) - MODULE 1: Prep Camp
Dr. Oleg Safir
Learning
CanMEDs Role (s)
Learning
Source
Context
Outcomes:
Doc(s)
Goals/Objectives
Medical Expert
The first module
Types of suture
Powerpoint lecture
in the new
material, needles,
by NMTF
curriculum will
skin clips,
commence with
indications/contrain
an orientation to
dications
the new
curriculum
including
interviews with
the “New Model
Teaching Faculty”
(NMTF), visits to
main teaching
centers, operating
rooms, clinic
environments,
emergency
Medical Expert
KNOW - Types of
Powerpoint lecture
rooms, and an
power saws
by NMTF
outline of various
(oscillating, sagittal,
teaching rounds
reciprocating) and
and educational
indications for use
opportunities
The module will
continue with an
intensive basic
technical skills
course at the
surgical skills
centre and a
basic anatomy
course taught at
the U of T
anatomy
laboratory.
Medical Expert
Medical Expert
KNOW- AO
techniques for
drilling, tapping,
screw insertion,
plate insertion
(cortical,
cancellous,
interfragmentary
compression,
LCDCP, etc.)
KNOW – common
orthopaedic
AO Manual,
second edition,
chapter 3.2.1
Powerpoint lecture
by NMTF on
Specific
Competencies
DO: Ability to
use various
suture
techniques
(simple,
horizontal
mattress,
vertical
mattress,
corner, slipknot,
subcuticular) for
skin,
subcutaneous,
fascia, tendon,
ligament
DO: Ability to
safely and
accurately use
various power
saws on
cadaver and
sawbones
materials
DO: Ability to
drill precisely
with correct
orientation, use
of taps,
insertion of
screws and
plates
DO: Ability to
dissect
15Jan20 Version
Learning/Teaching Evaluation Method or
Strategies
Tools
Practice on silicone
pads, animal tissue
and cadavers will be
used during the
module.
Observation by
clinical supervisor
with ongoing
feedback around
assessment and
formulation skills
Formative and
summative Feedback:
faculty assessment
using Global Rating
Scales and checklists
to assess the ability to
use various suturing
techniques, power
saws and plating of
long bones using
silicone pads and
sawbones materials.
Product analysis will be
reviewed by a panel of
faculty or fellows
Practice on artificial
and cadaver bone
throughout module
Observation by
clinical supervisor
with ongoing
feedback around
assessment and
formulation skills
Practice on artificial
and cadaver bone
throughout module
Observation by
clinical supervisor
with ongoing
feedback around
assessment and
formulation skills
Practice surgical
exposure and
The faculty will
evaluate the ability to
properly apply casts.
The residents will be
asked to complete a
reflective selfevaluation after the
completion of each
task (Prep tool sample)
End of rotation MCQ
exam on orthopaedic
Learning
Context
CanMEDs Role (s)
These courses
will be taught by
the NMTU faculty
making use of
models,
cadavers,
prosected
specimens and
virtual reality
trainers to master
various objectives
Medical Expert
Learning
Outcomes:
Goals/Objectives
surgical exposures
of the upper and
lower extremity
KNOW – basic
principles and
application of upper
and lower extremity
casts/splints
KNOW –
interpretation and
diagnosis of
fractures using
plain film
radiographs
Professional
Knowledge of:
 Appropriate
Behaviours in
clinical setting
Source
Doc(s)
Specific
Competencies
Learning/Teaching
Strategies
Evaluation Method or
Tools
anatomy and
surgical exposure
of each body part
(e.g. shoulder,
elbow etc)
cadavers using
surgical
instruments for
surgical
exposures.
identifying important
anatomical
structures during the
dissection (e.g.
vessels and nerves)
anatomy and surgical
exposures
Orthopaedic
surgical exposure
textbook by S.
Hoppenfeld
Know relevant
exposure and
key anatomical
structures for
specific fracture
fixation cases
Observation by
clinical supervisor
with ongoing
feedback during
anatomy session
DO: Ability to
apply different
types of casts
and splints for
fractures.
Residents will
practice on each
other using several
common casting
and splinting
techniques with the
supervision of a cast
tech and an
orthopaedic surgeon
Powerpoint lecture
on the application
of casts/splints
MSK radiology
staff or fellow to
provide lecture on
the approach,
interpretation and
analysis of
common
orthopaedic
fractures using
plain film
radiographs
1. PGCorEd
Professional
Module
Demonstration
of the correct
reduction
maneuver and
molding
technique for
specific
fractures
The faculty will
evaluate the ability to
properly apply casts
and to interpret
fractures from plain film
radiographs. (Using
GRS and checklists)
Observation by staff
while reviewing a
library of MSK
radiology films
DO: Ability to
accurately
diagnose and
interpret
common
fractures using
plain film
radiographs
 Exhibit
professional
behaviors in
practice,
On-line computer
simulated module
with interactive
video and quizzes
Completion of Module
by end of module –
pass/fail
Learning
Context
CanMEDs Role (s)
Learning
Outcomes:
Goals/Objectives
 Appropriate
relations with
patients
 The legal and
regulatory
frameworkavoiding trouble
Source
Doc(s)
2. CanMEDS
Framework
http://rcpsc.medica
l.org/canmeds/bes
tpractices/framew
ork_e.pdf
Specific
Competencies
including
honesty,
integrity,
commitment,
compassion,
respect and
altruism
3. Lecture notes on
 Demonstrate a
Professionalism /
commitment to
Surgical
delivering the
Planning
 Work/life balance
highest quality
to maintain health
care
 Recognize and
appropriately
respond to
ethical issues
encountered in
orthopedic
practice
 Appropriately
manage
conflicts of
interest with
colleagues/pati
ents/clerks
Learning/Teaching
Strategies
Evaluation Method or
Tools
On-going review/self
study
Formative feedback
from supervising
surgeon
Observation by
supervisors, peers
on interaction with
team members,
patients and interprofessional staff;
Observation of
resident’s ability to
pose an appropriate
learning questions in
the proper
environment and
context
Final summative skills
test using cadavers