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Study-Unit Description
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CODE MDS3007

 
TITLE Surgery 3 (Orthopaedics and ENT)

 
LEVEL 03 - Years 2, 3, 4 in Modular Undergraduate Course

 
ECTS CREDITS 8

 
DEPARTMENT Faculty of Medicine and Surgery

 
DESCRIPTION The study-unit covers the surgical aspects of orthopaedic problems including fractures, arthritis and other joint and bone disease as well as common ear, nose and throat problems including hearing loss and common malignancies of the head and neck.Apart from a lecture programme, the unit also includes a series of seminars delivered jointly by specialists from different disciplines with presentations of clinical scenarios relevant to the particular surgical field. In addition, students attend small group teaching sessions during which clinical skills are taught and practiced and clinical cases are discussed.

The small group teaching is aimed to allow active participation and to enable students to translate the knowledge acquired through the lecture programme into clinical skills.

During the five week clinical attachments students will rotate through four weeks of orthopaedics and one week of ENT surgical firms to give them the opportunity to actively expand their knowledge, develop technical and clinical skills and initiate relationships with patients and staff. During these attachments students are expected to attend their firms' on-calls, as well as collect and present a number of clinical cases (the surgery logbook).

During clinical attachments students have the opportunity to examine patients and present their findings to their clinical tutor. This allows students to develop basic clinical skills such as history taking and clinical examination through direct supervised interaction with patients as well as through observation of experienced clinical staff at work. The clinical attachments also expose students to the process of consenting patients, pre-operative preparation, intra-operative and postoperative care of patients. During these attachments students are expected to attend their firms' on-calls, as well as collect and present a number of clinical cases (the surgery logbook).

Study-unit Aims

This study-unit aims to provide the basic knowledge and skills required in the diagnosis and management of orthopaedic and ENT surgical conditions. In addition it aims to expose students to the importance of multiprofessional teams, effective team working and communication in clinical management. It also aims to help students to continue to develop their patient communication skills and patient relationship. Through the clinical component, this study-unit also aims to help students recognise and develop the right attitudes and behaviour necessary for effective and safe management of surgical conditions.

- To provide details on the mode of action and clinical use of various classes of drugs used in relation to Orthopaedics and ENT.
- Use formal lectures and tutorials to enhance case based learning and provide an understanding of drug safety in relation to Orthopaedics and ENT.

Learning Outcomes

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:
1. Describe the main symptoms and signs of common orthopaedic and ENT surgical conditions.
2. Describe their common underlying causes and explain the underlying pathophysiological process.
3. Relate the visible pathology and the clinical scenarios to the basic principles of anatomy and physiology.
4. List the investigative procedures used in the diagnosis of these common surgical conditions.
5. Identify pathological prognostic features in malignancy.
6. Briefly explain the different treatment modalities available for the management of these common surgical conditions.
7. Briefly explain the common and serious complications of different treatments used in the management of these surgical conditions.
8. Show an understanding of basic principles involved in clinical pharmacology and therapeutics specific classes of drugs specifically antimicrobial drugs and drugs used in relation to Orthopaedics and ENT.
9. Describe the various scientific principles underlying the actions and uses of these specific classes of drugs in the clinical setting in relation to Orthopaedics and ENT.
10. Recognise the importance of understanding the mode of action and clinical use of these classes of drugs in relation to Orthopaedics and ENT.
11. List the clinical principles involved in the selection of these classes of drugs to the individual patient in relation to Orthopaedics and ENT.
12. Predict the effects of these classes of drugs in specific patients in relation to Orthopaedics and ENT.
13. Outline the concept of individualised drug therapy in use of these classes of drugs in relation to Orthopaedics and ENT.

2. Skills:

By the end of the study-unit the student will be able to:
1. Elicit a clear and systematic history from patients with these surgical problems.
2. Perform a systematic examination of patients with these surgical problems.
3. Clearly present the history and clinical findings elicited from the history and clinical examination.
4. Interpret basic biochemical and other laboratory based and medical imaging studies used in the diagnosis of these common surgical conditions.
5. Develop a logical plan for further investigations, recognising the importance of using less invasive and less costly investigative modalities where possible.
6. Demonstrate respect for the dignity of patients and empathy towards patients.
7. Present a postmortem case with appropriate clinico-pathological correlation.
8. Show an understanding of the knowledge of the mode of action of drugs to specific clinical scenarios in the use of specific classes of drugs specifically antimicrobial drugs and drugs used in relation to Orthopaedics and ENT.
9. Show an understanding of the basic pharmacological principles in prescribing decisions for these classes of drugs in relation to Orthopaedics and ENT.
10. Predict inter-patient variability with respect to drug response in these classes of drugs in relation to Orthopaedics and ENT.
11. Explain the selection of differing drug therapies in these drug classes for the individual patient in relation to Orthopaedics and ENT.

Main Text/s and any supplementary readings

1. Bailey & Love Short Practice of Surgery Russell RCG, Williams NS, Bulstrode CJK
2. Hamilton Bailey Physical Signs Lumley JSP
3. Essential Surgery Burkitt HG, Quick CRG, Gatt D
4. Clinical Surgery Cuschieri, Hennesy, Greenhalgh
5. Dunn Surgical Diagnosis & Management Dunn Rawlinson

Recommended Clinical Pharmacology text books:

1. Humphrey P. Rang HP, Dale MM, Ritter JM, Flower R. Rang & Dale's Pharmacology. Churchill Livingstone. 6th Ed.
2. Grahame-Smith D, Aronson J. Oxford Textbook of Clinical Pharmacology and Drug Therapy. Oxford University Press. 3rd Ed.
3. Bennett PN, Brown MJ. Clinical Pharmacology. Churchill Livingstone. 10th Ed.
4. British National Formulary. Pharmaceutical Press.

Reference/Additional

1. Brunton L, Lazo J, Parker K. Goodman & Gilman's The Pharmacological Basis of Therapeutics. McGraw-Hill Medical. 11th Ed.
2. Waller DG, Renwick AG, Hillier K. Medical Pharmacology and Therapeutics. Saunders. 3rd Ed.

Lecture notes

1. Reid JL, Rubin PC, Walters MW. Clinical Pharmacology and Therapeutics (Lecture Notes). Blackwell. 7th Ed.
2. Neal MJ. Medical Pharmacology at a Glance. Wiley-Blackwell. 6th Ed.

 
STUDY-UNIT TYPE Lecture, Independent Study & Placement

 
METHOD OF ASSESSMENT
Assessment Component/s Resit Availability Weighting
MCQ & Examination (2 Hours) Yes 100%

 
LECTURER/S Adrian Mark Agius
Christopher Barbara
Joseph N. Borg
Michael Angelo Borg
Herman Karl Borg Xuereb
Paul Caruana
Mario Said
Jason Zammit (Co-ord.)

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the study-unit description above applies to the academic year 2017/8, if study-unit is available during this academic year, and may be subject to change in subsequent years.
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