DEPARTMENT OF ORTHOPAEDICS. King Edward vii Memorial HOSPITAL,MUMBAI S.V. VAIDYA UNIT

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1 DEPARTMENT OF ORTHOPAEDICS King Edward vii Memorial HOSPITAL,MUMBAI S.V. VAIDYA UNIT

2 Unit structure Number of faculty - 4 Bed allotment in department - 47 Number of residents - 10 Number of postgraduate teachers - 4 Surgical out put- Weekly -12 cases, Monthly 50 cases, Yearly cases. Specialty surgical procedure output 4 cases / week.

3 S.V. VAIDYA PROF & HEAD OF THE UNIT Team Organisation

4 S.V.VAIDYA (Professor and Head of the unit) KNEE RECONSTRUCTION ATUL PANGHATE (Associate Prof) HIP RECONSTRUCTION ARVIND ARORA ( Asst. Prof) I ARTHROSCOPY AND SPORTS MEDICINE PRADEEP NEMADE (Asst. Prof) COMPLEX AND REVISION TRAUMA JITESH MANGHWANI (SMO) ABHIMANYU SINGH (SR) 5 TH POSTER A 5 TH POSTER B 3 RD POSTER A 3 RD POSTER C 3 RD POSTER B 1 ST POSTER A 1 ST POSTER B 1 ST POSTER C

5 Dissertation work flow Outcome Allotment of guide Selection of study topic Vetting of topic and approval after discussion Recruitment Periodic review Halfway review and assessment Final assessment and submission Time frame Within 15 days of joining Within 1 month of joining Within 6 months Over the period of study 3 monthly After 2 nd year of residency At the end of residency

6 Approvals (within 1 month of joining) Desertation Topic Dept. Review Board Ethics Committee

7 TRAINING : Research meet (50 hrs/6 months) Every Monday Resident presentations (48 hrs/6 months) Every Friday Ward rounds (44 hrs for 6 months) Mondays, Fridays Complication meet (12 hrs for 6 months) Wednesday once a month

8 TRAUMA PROCTORSHIP OPERATING

9 LEVEL 1-CATEGORY 2,3 (4,5 WITH DISCRETION) PELVIS & ACETABULUM TALUS SPINE FRACTURES SCAPHOID LEVEL 2 CATEGORY 4,5,6 INTRA ARTICULAR FRACTURES COMPOUND FRACTURES POLYTRAUMA LEVEL 3- CATEGORY 7 DIAPHYSEAL NAILING DIAPHYSEAL PLATING PERCUTANEOUS WIRING

10 CLINICS: 5 TH posters to hold clinics for 1 st posters (dedicated time: half hour each and allotted topics to be finished in 3 months) 6 hrs per 3 months Particulars to be entered in resident log book(including surgeries) 1. MLC Notes 2. Implants & Prescriptions 3. Pre-operative protocols and documentation 4. Intra-operative and post-operative protocols and management 5. Fitness waiting list & OT list 6. Upper limb plasters 7. Lower limb plasters 8. Injection Hydrocortisone in Upper limbs 9. Injection Hydrocortisone in lower limb 10. Tractions 11. Communication Skills 12. Clinical Paper work ( Filling forms )

11 BOOKS TO BE READ IN FIRST POST The Closed treatment of Common Fractures by Dr.John Charnley, Golden jubilee edition Tractions & Orthopaedics Appliances by Dr. John Stewart,2 nd edition Elements of Fracture Fixation by DR. A.J. Thakur, 2 nd edition AO Principles of fracture management, 2 nd edition Manual of clinical examination by Dr. S.Das, 13 th edition Surgical exposure in orthopaedics, 5 th edition, Dr. Stanley Hoppenfield Orthopaedics neurology, Stanley Hoppenfield, 2 nd edition ATLS and BTLS Competency

12 RESEARCH : Atleast 1 Paper submission in the PubMed cited Journal CAT. 4 Dr. Jitesh (till date) Dr. Abhimanyu (till date) CAT. 5 5 th Poster A ( till date) 5 th Poster B ( till date) Research Methodology workshop mandatory

13 PROCTORSHIP FOR SUPERSPECIALITY SURGERIES (Total 60 hrs of Operative Training) 1. Total knee Replacement SVV 2. Total hip replacement Atul 3. Spine surgeries Atul 4. Arthroscopy Arvind 5. Pelviacetabular Pradeep

14 Recommended reading General : Campbell s Operative Orthopaedics, 13 th edition, Terry Canale Rockwood and Green's fractures in adults, 7 th edition, Charles M Court-Brown Mercer's Textbook of Orthopaedics and Trauma, Tenth edition, Suresh Sivananthan Turek's Orthopaedics: Principles and Their Application, 7 th edition, Stuart L. Weinstein Speciality: Basics in hip and knee arthroplasty,2 nd edition,shrinand V. Vaidya. Tachdjian's Pediatric Orthopaedics, 3rd edition, MacEwen, G. Rothman Simeone The spine, 6 th edition, Harry Herkowitz

15 Residents to maintain logbook

16 OPERATIVE PROCEDURES RECORD SN DATE AGE/SEX DIAGNOSIS PROCEDURE DONE OBSERVED ASSISTED PERFORMED SIGNATURE

17 TRAINING LECTURES SN DATE LECTURE TOPIC SIGNATURE

18 TRAINING LECTURES SN DATE LECTURE TOPIC SIGNATURE

19 SEMINARS SN DATE SEMINAR TOPIC ATTENDED REMARKS

20 SEMINARS SN DATE SEMINAR TOPIC ATTENDED REMARKS

21 TRAINING ASESSMENT Time frame Desired outcome Assessment outcome 0-6 mths 6-12 mths mths mths mths mths mths senior residency

22 1 st assistant goes as per Royal college proctorship protocol : gets to do complete independent TKA

23 Number Dr. S.V.V. First Assistant (Senior Registrar/Registrar) 1 ST TKR PERFORMER(P) 2 ND TKR PERFORMER(P) Active Assistant (AS) (Must know trolley instruments, Draping and exposure Active Assistant (Must know the Mechanics and cuts 3 RD TKR PERFORMER(P) 4 TH TKR Observer (O) for exposure Active Assistant for bone cuts Performer for cementing and implantataion Acive Assistant (AS) must know hemostasis, closure technique and dressing Performer for exposure Active Assistant for remaining Surgery (Must know cementing and implantation 5 TH TKR 6 TH TKR 7 TH TKR 8 TH TKR Observer (O) for exposure Active Assistant for bone cuts Performer for cementing and implantataion Observer (O) for exposure Performer for remaining surgery Active unscrubbed for full surgery Observer for full surgery Performer for exposure Performer for bone cuts Active Assistant for cementing and implantation Performer for whole surgery Performer for whole surgery Performer for whole surgery

Log Book. Diploma In Orthopaedic Surgery (D-Ortho) For. Bangabandhu Sheikh Mujib Medical University Shahbagh, Dhaka-1000

Log Book. Diploma In Orthopaedic Surgery (D-Ortho) For. Bangabandhu Sheikh Mujib Medical University Shahbagh, Dhaka-1000 Log Book For Diploma In Orthopaedic Surgery (D-Ortho) Bangabandhu Sheikh Mujib Medical University Shahbagh, Dhaka-1000 1 Table of Contents Page No Personal details of the candidate 3 Section-A 4 Purpose