About:

This series of 15 succinct structured webinars conducted between November 2022 – May 2023 is intended to provide foundation year and core trainees in surgery a comprehensive overview of orthopaedic conditions and emergencies that are relevant at that stage of training. In addition to providing the knowledge required for clinical practice, the teaching sessions will also be useful for those appearing for MRCS A and MRCS OSCE exams in 2023. All sessions have CPD points (one point per session), and will be based on the current practice guidelines including ATLS, NICE and BOAST, as well as the CST curriculum.

One can register for the full series or the individual sessions.

Cost: Free
(Supported by the Higher Educational Division of Doctors Academy)

Aimed at:

• Foundation Year 1
  
• Foundation Year 2
  
• Core Surgical Trainee 1
  
• Core Surgical Trainee 2
  
• (Clinical Year Medical Students keen on pursing a career in surgery or orthopaedics are also encouraged to attend)

Programme for the Series:

Session 1: Orthopaedic Emergencies (Thursday, 17^th November 2022: 1800 - 1900 hours.)

• Cauda equina, conus medullaris syndrome
• Compartment syndrome
• Necrotising fasciitis
• Gas gangrene
• Septic arthritis

Session 2: Trauma Basics - 1 (Thursday, 1^st December 2022: 1800 - 1900 hours.)

• Basics of fracture healing, relevant anatomy and physiology of bony injury
• Common fractures and dislocations
• Closed reduction techniques (including Charnley’s)
• Casting principles and techniques
• Acceptability of angulation vs need for further interventions
• When to slab, when to cast, when not to manipulate

Session 3: Trauma Basics – 2 (Thursday, 15^th December 2022: 1800 - 1900 hours.)

• Commonly used metalwork in orthopaedics: drills, K-wires, plates, screws, nails
• Techniques of employment: lag screw, dynamic hip screw, bridge plating, compression plating, tension band wiring

Session 4: Trauma Management (In Jan 2023 – Date TBC: 1800 - 1900 hours.)

• Open fractures
• Polytrauma
• Mangled trauma
• Trauma scoring systems
• Consequences and complications of acute trauma: early recognition and management
• Vascular injuries
• Amputations

Session 5: Trauma By Region – 1 (In Jan 2023 – Date TBC: 1800 - 1900 hours.)

• Hip fractures
• Femur shaft fractures
• Distal femur fractures
• Proximal tibial fractures
• Tibial shaft fractures
• Ankle fractures

Session 6: Trauma by Region – 2 (In Feb 2023 – Date TBC: 1800 - 1900 hours.)

• Clavicle fractures
• Proximal humerus fractures
• Humeral shaft fractures
• Distal humerus fractures
• Elbow fractures
• Forearm fractures
• Distal radius fractures

Session 7: Trauma by Region – 3 (In Feb 2023 – Date TBC: 1800 - 1900 hours.)

• Pelvic trauma
• Foot injuries
• Hand trauma
• Peripheral nerve injuries

Session 8: Injuries in Children (In Feb 2023 – Date TBC: 1800 - 1900 hours.)

• Basics including anatomy and physiology: children are not small adults
• Conservative and surgical options: supracondylar fractures, forearm and wrist fractures, ankle fractures. Others: femoral, tibial, clavicle, humeral fractures

Session 9: Perioperative Care, Safe and Effective Operating (In March 2023 – Date TBC: 1800 - 1900 hours.)

• Theatre discipline
• Anaesthesia options
• Regional blocks including advantages and drawbacks
• Ring blocks
• Familiarisation with common theatre practices
  • C-arm
  • Tourniquet
  • Patient positioning
  • Fracture table, sandbags, bolsters, supports, pressure point care
  • Sharps including sutures and blades
  • Diathermy
  • Cell salvage

Session 10: Special Topics – 1 (In March 2023 – Date TBC: 1800 - 1900 hours.)

• Joint replacement and elective orthopaedics
• Arthroscopic surgery
• Hand electives
  • Dupuytren’s
  • Trigger finger
  • Ganglion
  • Rheumatoid hand

Session 11: Special Topics – 2 (In March 2023 – Date TBC: 1800 - 1900 hours.)

• VTE prophylaxis
• Mechanical and pharmacological
• What is the latest?
• When to prescribe?
• When not to prescribe?
• For how long to prescribe?
• How to be “safe”?
• Antibiotic prophylaxis and microbiological perspectives
• Trauma in pregnancy
• Fracture clinics:
  o Common encounters, planning investigations admissions, re-admissions, theatres, follow-ups and discharges. Osteoarthritis and “degenerative joint disease”

Session 12: Infections and Tumours (In March 2023 – Date TBC: 1800 - 1900 hours.)

Session 13: Patient Safety and Communication Skills in T&O, Rehabilitation (In April 2023 – Date TBC: 1800 - 1900 hours.)

• WHO checklist, time out and sign out
• Communication with patients: capacity assessment, POA, consenting
• Communication with anaesthetic staff and scrub teams
• Communication throughout procedure: dynamics of theatre
• When something goes wrong on the floor and/or in theatre. Crisis management
• Care of frail/ older trauma patient. Rehabilitation of trauma patients
• Prostheses and orthotics

Session 14: Spine: Traumatic and Degenerative Conditions (In April 2023 – Date TBC: 1800 - 1900 hours.)

• Clearance of spine in trauma
• Common injuries, red flags
• Investigation options
• Acceptability criteria
• Surgical indications
• Degenerative spine conditions

Session 15: Ligament and Tendon Injuries (In May 2023 – Date TBC: 1800 - 1900 hours.)

• RC tears
• Triceps
• Biceps
• UCL (hand)
• Knee: ACL, PCL, menisci, collaterals, quadriceps/ patellar ligament
• Achilles tendon
• Paediatric perspectives