Orthopaedics Basic science

เรื่อง	เมื่อจบชั้นปีที่ 1			เมื่อจบชั้นปีที่ 2			เมื่อจบชั้นปีที่ 3			เมื่อจบชั้นปีที่ 4
เรื่อง	L1 (Knows & Knows how)	L2 (Shows how)	L3 (Does)	L1 (Knows & Knows how)	L2 (Shows how)	L3 (Does)	L1 (Knows & Knows how)	L2 (Shows how)	L3 (Does)	L1 (Knows & Knows how)	L2 (Shows how)	L3 (Does)
ATLS included Torso-abdomen, kidneys and head injuries				Initial assessment and management	Secondary survey, head to toe exam, patient transfer	Spinal Immobilization
				Airway and ventilatory management	Primary survey x-rays	Spinal assessment/x-rays
				Abdominal and pelvic shock		Application of pelvic binder
				Thoracic trauma
				Trauma – head, spine, musculoskeletal
				Cricothyroidotomy/chest decompression/pericardiocentesis

Metabolic Response to Injury				Feature of Metabolic response to injury			Complication after Treatment
				Pathophysiology
				Prevention and Treatment

Surgical Infection				Pathophysiology	Antibiotics (Usage and Hazards)		Complication after Treatment
				Clinical Presentation and Physical Examination
				Patient Evaluation and Investigation
				Prevention and Treatment

Wound Healing and Wound Care				Pathophysiology	Sutures and Implant in Surgery		Complication after Treatment of Wound and Burn Wound
				Patient Evaluation and Investigation
				Wound Care
				Physiologic Response from Burn and the Management
				Burn Wound Care

Basic Principles of the Tissue Transplantation				Basic Principles of the Tissue Transplantation
				Clinical Application

Surgical Safety and Quality				Surgical Safety Checklist
				Sign In
				Time Out
				Sign Out

Thromboembolic Disease				Pathophysiology			Prophylaxis and Treatment
				Clinical Presentation and Physical Examination			Complication after Treatment
				Radiographic Evaluation

Fat Embolism Syndrome				Pathophysiology			Treatment and Complication
				Clinical Presentation and Physical Examination
				Patient Evaluation
The Biologic Response to Orthopaedic Implants				Implant Fixation and Osteointegration				Application of orthopaedic implants
				Factors Enhancing Implant Osteointegration
				Adaptive bone loss and potential therapies
				Biology of the Osteolytic Cascade
				Potential therapies for inflammatory bone loss
				Anti-inflammatory strategies
				Metal ion release, sensitivity, immune response and compatability
				Response to autograft and allograft
Infection in Orthopeadics				Principle of Orthopedics Infection (Terminology)			– Treatment OM	Prophylactic ATB Treatment of Total Joint Arthorplasty
				Huematogenous OM			Infection and Total Joint Arthorplasty
				Postroumatis OM
				Host Response to OM
				Clinical , Diagnosis OM
				Tuberculosis
Rheumatology				– Diagnosis test/Procedure in Rheumatic disease			– Spondyloarthropathies	– Arthrocentesis and Injection of Joint and
				– Modalities of Therapy in 1 Rheumatic disease			Inflection and Arthritis	Soft tissue
				– Rheumatoid Arthritis
				– Rheumatoid Arthritis
				– Spondylo arthropathie
Orthopedics basic science related to physical medicine and rehabilitation	· Principle of electrodiagnosis/ nerve conduction studies				· Spinal orthosis
Electromyography/nerve conduction velocity	· Indication for electrodiagnosis / timing for evaluation				· Upper extremities/Lower extremities orthosis
	· Terminology: SNAP, CMAP, amplitude, latency				· Lower extremities prosthesis
	· Interpretation of EMG/NCV in CTS, BPI (pre ganglionic, post ganglionic), Cervical and lumbar radiculopathy, Cubital tunnel syndrome				· Principle of amputation, stump care
	· Common variation of nerve (Martin-Gruber anastomosis)				· Common Brace, Splint, Support
					· Normal gait cycle
					· Common pathologic gait in orthopedics
						· Gait aid: crutches, cane, walker
						· Walk pattern
						· Length adjustment
				· Anatomy, physiology, biomechanics and sport medicine related to exercises
				· Pathophysiology and clinical manifestation of common sport injuries
				· Sport nutrition
				· Doping
				· Therapeutic exercise
					· คำจำกัดความกลไกของความเจ็บปวด พยาธิสรีรวิทยาของความเจ็บปวดเฉียบพลัน เรื้อรัง ความเจ็บปวดประเภทต่าง ๆ (somatic pain, visceral pain, nociceptive pain, neuropathic pain: chronic regional pain syndrome, phantom limb pain)
					· การรักษา
					o การใช้ยา ข้อบ่งชี้ ข้อควรระวัง และข้อห้ามของการใช้ยาแก้ปวดต่าง ๆ local anesthetics, opioids, NSAIDs, analgesics, muscle relaxants วิธีการบริหารยา ภาวะไม่พึงประสงค์ ภาวะแทรกซ้อน และ drug interaction ของยาแก้ปวดต่าง ๆ
					o การรักษาที่ไม่ใช้ยา
					§ การใช้ Physical modalities ต่าง ๆ ในการลดปวด
Bone Biology and Engineering				· Bone biology of osteoblasts, osteocytes, and osteoclasts			· Bone graft substitutes and growth factors
				· Biology of fracture healing
				· Biological requirement for skeletal tissue repair (progenitor cells and matrix)
				· Molecules involved in chondrogenesis and osteogenesis
				· Bone tissue engineering
Posttraumatic Osteoarthritis				· Incidence, epidemiology, risk factors
				· Etiology and pathogenesis
				· Articular cartilage degeneration and osteoarthritic change
				· Joint injury and posttraumatic osteoarthritis
				· Principal of medical therapy
Articular Cartilage Repair and Regeneration				· Articular cartilage damage			· Treatment option for damaged or lost cartilage
				· Natural healing response			· Strategies for cartilage repair (abrasive arthoplasty, microfracture, implantation of cells, tissue, and synthetic materials)
				· Concept of joint homeostasis			· Osteochondral grafts/ transplants (mosaicplasty, osteochondral transplants)
				· Evaluation of treatment outcomes (clinical, arthroscopic, histologic evaluation)
Anesthesiology
Proper peroperative management	general preoperative evaluation and management
	– specific disease or problem in preoperative evaluation and management
	+ diabetes
	+ hypertension
	=+ connective tissue disease eg:rheumatoid arthritis
	=+ liver disease, cirrhosis
	=+ kidney disease, chronic renal failure
	=+ extremely elderly
	=+ immunocompromised host, steroid using
	=+ patient with associated trauma (brain, chest, abdomen)
	=+ critically ill patient
Choice of anesthesia	– appropriate select choice of anesthesia	regional anesthesia	-endotracheal tube
	– principle of general anesthesia (GA)	=+ spinal anesthesia	– other local anesthesia eg: digital block
	=+ gases and its used	=+ brachial block
	=+ indication and contraindication
	=+ complication and management
	-principle of regional anesthesia (RA)
	=+ anesthetic agent
	=+ indication, contraindication and complication
Proper postoperative care	– immediate postoperative care in recovery room
	– postoperative fluid therapy
	– blodd component therapy
Pain therapy	acute pain management
	=+ posteoperative pain
	=+ posttraumatic pain
	– chronic pain management
	=+ cancer related pain
	=+ chronic pain
	=+ postamputation pain
	-complication and management of pain medication overdose
Management of critically ill patient	principle of critical care	central line access
	– Advance Cardiac Life Support (ACLS)	– ventilator adjustment
	– preoperative and postoperative care