Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 3: Module 19: Paediatric Orthopaedics
Dr. Unni Narayanan
Learning
Context
In this
module, the
trainee will
be exposed
to the full
spectrum of
Paediatric
Orthopaedics
building on
the
knowledge
and skills
learned in
the paediatric
fracture
module.
CanMEDS
Role (s)
Medical
Expert
Learning Outcomes:
Goals/Objectives
Source
Doc(s)
KNOW:
Demonstrate an
understanding of normal
musculoskeletal
anatomy, growth, and
development in the child
including common
angular and torsional
variants
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s?
KNOW:
Demonstrate an
understanding of the
anatomy and pathologic
basis of the disorders
leading to a limp
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chaps?
KNOW:
Demonstrate knowledge
of specific surgical
approaches as relates to
the paediatric population
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s?
 Regular
supervision time
with supervising
surgeon with
opportunity to
discuss
diagnosis and
treatment plans
KNOW:
Demonstrate an
understanding of the
mechanisms, patterns,
assessment,
management, and
potential complications
related to osteomyelitis
and septic arthritis.
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s?
 Case
presentations
and review
during
multidisciplinary
team rounds
PPT
Specific
Competencies
Learning/
Teaching
Strategies
 Direct
observation of
supervising
surgeon
modeling
competencies
 Observation by
clinical
supervisor with
ongoing
feedback around
assessment and
formulation of
skills
 Ongoing self-
14Aug18
Evaluation Method or Tools
1) Written Mid-term exam and
final exam
2) Paediatric – self
assessment exam
3) STACERs
Medical Expert: technical
i.Pavlik harness
ii.Ponseti casting
iii.Pre-operative planning:
analysis of malalignment
& leg length inequality
iv.Growth plate arrest
Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 3: Module 19: Paediatric Orthopaedics
Dr. Unni Narayanan
Learning
CanMEDS
Learning Outcomes:
Source
Specific
Context
Role (s)
Goals/Objectives
Doc(s)
Competencies
Medical
Expert
KNOW:
Demonstrate an
understanding of the
principles of
management of common
and uncommon pediatric
musculoskeletal
conditions
Medical
Expert
Demonstrate an
understanding of the
principles of diagnosis
and assessment of
paediatric neoplasia and
Interpretation of imaging
and other diagnostic
tools specific to the
pediatric population
Learning/
Teaching
Strategies
study
Lowell &
Provide specific
Winter's
management in
Paediatric
following areas:  Preparation of
Orthopaedics,  Common hip
consultation
6th Edition.
disorders
notes with
Chap’s ?
feedback from
 Common foot
supervisor
disorders
 Angular and
torsional
deformities
 Limb length
discrepancy
• Complex
neuromuscular
disease
• Congenital
musculoskeletal
deformities
• Spinal
deformities
• Metabolic
bone
disease/skeletal
dysplasia
• Paediatric
neoplasia – in
the oncology
module?
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s ?
14Aug18
Evaluation Method or Tools
Oral examination assessment
Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 3: Module 19: Paediatric Orthopaedics
Dr. Unni Narayanan
Learning
CanMEDS
Learning Outcomes:
Source
Specific
Context
Role (s)
Goals/Objectives
Doc(s)
Competencies
Medical
Expert
Demonstrate an
understanding of the
anatomy, pathology,
assessment, and
management complex
hip disorders
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s ?
Medical
Expert
Demonstrate an
understanding of the
principles of
management of
paediatric polytrauma
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s ?
Medical
Expert
Demonstrate an
understanding of the
principles of operative
management of common
and uncommon
paediatric
musculoskeletal
conditions
Lowell &
Winter's
Paediatric
Orthopaedics,
6th Edition.
Chap’s ?
Manager
KNOW:
Demonstrate the ability
to lead an inter
professional health care
team as chief resident
PGME Chief
Resident
Workshop
Develop a care plan,
PAIRO Call
Schedule
Guidelines
Learning/
Teaching
Strategies
14Aug18
Evaluation Method or Tools
Recognize nonaccidental
trauma and
pathologic
fractures
Recognize and
manage
common
overuse
syndromes
Provide
appropriate
operative
management
of:
• hip dysplasia
in normal and
neuromuscular
patients
• clubfeet
• spinal
deformity
Be able to
organize a call
schedule for coresidents and
staff
Be able to
Attendance at
PGME chief
resident
workshop
Meetings with
supervisor for
- 360 evaluation: residents,
fellows, and site
directors at the end of
rotation
- Self-Evaluation
Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 3: Module 19: Paediatric Orthopaedics
Dr. Unni Narayanan
Learning
CanMEDS
Learning Outcomes:
Source
Specific
Context
Role (s)
Goals/Objectives
Doc(s)
Competencies
integrate all members of
the team needed, and
follow the plan to
completion in regards to
medical or nonmedical
issues around the care of
the pediatric orthopedic
patient
Professional
KNOW:
Provide efficient,
authoritative consultation
to the referring source
Demonstrate ability to
identify and remediate
weakness in her/his
managerial,
administrative or
education skills
Meeting with
site
supervisor on
how to
organize
teaching
rounds for coresidents on
rotation
Orientation
package
from
Paediatrics
site director
which goes
over the
rules and
recommenda
tions for
performing a
timely
consultation
and an
example of
an
appropriate
consultation
note,
operative
note, and
outpatient
clinic note
Document
devise and
assign trainees
to present at
teaching rounds
Act as a
responsible
liaison between
the resident,
fellow and staff
bodies
Timely
completion of
inpatient
consults
Demonstrate
appropriate
interaction with
patients and the
allied health
care team in a
clinical setting
Be able to
document clear
and concise
clinic, consult,
and operative
notes
Learning/
Teaching
Strategies
instruction
14Aug18
Evaluation Method or Tools
Review of source
documents
Resident to
submit consult
note, operative
note, and
outpatient clinic
notes to
supervisor for
review
Observation and
opportunity for
questions and
feedback
Supervisor review
quality of patient
care notes and
provide
assistance and
instruction where
needed
Meeting with
supervisor to
audit randomlyreviewed
- Audit of resident note taking
Orthopaedic Surgery Residency Program: COMPETENCY BASED STREAM
Phase 3: Module 19: Paediatric Orthopaedics
Dr. Unni Narayanan
Learning
CanMEDS
Learning Outcomes:
Source
Specific
Context
Role (s)
Goals/Objectives
Doc(s)
Competencies
from Adele
Atlin???
Learning/
Teaching
Strategies
operative,
outpatient, and
inpatient consult
notes
14Aug18
Evaluation Method or Tools
Blank
Consult
Sheet
Lowell & Winter's Paediatric Orthopaedics, 6th Edition. Edited by R. T.
Morrissey, S. L. Weinstein. Pp. 1545. Philadelphia: Lippincott Williams and Wilkins, 2006.
Rang & Wenger: The Art and Practice of Children's Orthopaedics; Lippincott Williams & Wilkins,US; 1992) 3.
Paediatric Orthopaedic Secrets. Edited by Lynn Staheli & Kit Song. Elsevier Science Health Science Division. June 2007
Tachdjian MO: Atlas of Paediatric Orthopaedic Surgery . 2 volumes