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