1. NAME OF COURSE  / MODULE  SURGERY AND ORTHOPAEDICS
2. COURSE CODE PAS601A
3. NAME(S) OF ACADEMIC STAFF USIM lecturers

  1. Dato’ Mahmud Mohd Nor
  2. Dr. Affirul Chairil bin Ariffin
  3. Dr. Arief Hamid
  4. Dr. Rosliza Ghazali
  5. Dr. Ruhi Fadzlyana
  6. Dr. Mohd Asha’ari Bain
  7. Dr. Shaffid Md.Shariff
  8. Dr. Shahrun Nawal
  9. Dr. Mohd Sabbir Ahmad borhan

Visiting lecturers

  1. Hospital Ampang/ Temerloh KKM Consultants/Specialists
  2. Invited lecturers (TPK/TPS)
4. RATIONALE FOR THE INCLUSION OF THE COURSE/MODULE IN THE PROGRAMME  Compulsory Program Course
5. SEMESTER & YEAR OFFERED Semester 1 Year 6
6. TOTAL STUDENT LEARNING TIME (SLT) Face to face:

CBL/L T CP/P BST/

C/OT/

OC

O Total
6 6 180 8 200

Independent Learning :

A/ LS/SS OC/C/OT E Total
46 48 90 16 200

L=lecture;  BST=Bedside Teaching; CP= Case Presentation; C=Clinic; OC=On Call; P=Practical O=Others (Exam);

Total Guided and Independent Learning:

200+200=400
Total Guided and Independent Learning:

200+200=400
7. CREDIT VALUE  400/40=10    (10 credit )
8. PREREQUISITE (IF ANY) Nil
9. OBJECTIVES By the end of the course, the students are expected to :

1.  Consolidate skills in clinical examination of surgical and orthopaedic conditions.

2.  Diagnose common surgical and orthopaedic conditions and  diseases.

3.  Outline the plan of management of common surgical  and orthopaedic

conditions and  diseases.

4.  Acquire proper attitude and ethics in patient care.

5.  Perform basic surgical skills appropriate to their expected level of competence.

10. LEARNING OUTCOMES Upon completion of this course, students will be able to:

1. Perform history taking and physical examination at the expected level of

competency. (LO4, A5)

2. Formulate provisional and differential diagnoses (C5, CTPS4)

3. Suggest management plan and treatment of patients. (LO7)

4. Perform competently required procedures. (LO2, P5)

5. Behave in ethical manner with consideration to Islamic values when dealing with

patients, colleagues and other health care professionals. (LO5, LO6)

11. TRANSFERABLE SKILLS
  • Basic procedures
  • Effective communication
  • Critical thinking and problem solving
  • Teamwork
  • Professional ethics
  • Lifelong learning
  • Leadership
12. TEACHING-LEARNING AND ASSESSMENT STRATEGY Teaching-learning strategy:

Discussion

Discovery learning

Problem-based learning

Assessment strategy:

Formative and summative assessment (end clinical posting examination)

13. SYNOPSIS A clinical course for 10 weeks in the sixth year (semester 1 & 2) covering surgery, trauma, orthopaedics and musculoskeletal conditions.

The course introduces students to basic clinical methods and acquiring communication skills in history taking, physical examination, making sound diagnosis and inculcation of right attitude and ethics in patient care. The teaching and learning process takes place during postings in wards, operating theatre, clinic attachments, student seminars, inter-department conferences and on-call duties.   Teaching methods include bedside teaching through demonstration by the teachers and case presentation by students.

In surgery, it covers the common surgical cases seen in our population specifically and rare cases encountered during clinics, wards and oncall session.

In orthopaedics section, it covers the subject of musculoskeletal disorders due to degenerative, infective, neoplastic and rheumatological causes and their management. Traumatology involves dealing with musculoskeletal injuries.

The spectrum of teaching span from case based learning with discussion (surgery) and theoretical teaching i.e lectures and seminars (orthopaedics)  in lecture hall to getting involved in the patients’ management in the wards, outpatient specialist clinics, emergency room and operating theatres.

14. MODE OF DELIVERY Case based learning, bedside teaching, case discussion, clinic attachment, operation theatre and on-call sessions.
15. Assessment methods and types i.Continuous assessment by the course supervisors based on the students’ daily performance and participation during all training modules.

ii. Log-book assessment. The students have to record in the logbook all the activities and procedures that they have observed or performed. For each entry section, it has to be verified by the doctor or nursing staff.

iii.Case reports. The students are also required to write between 2 case reports on important or interesting surgery and orthopaedics cases that they observed during the posting.

iv.Written examination at the end of posting where the students are assessed for their theoretical knowledge.

v.Clinical examination, which is done in the wards where the students are given several patients where they have to assess and discuss the treatment. They are critically assessed of their management and procedural skill. This is where the soft skill is carefully assessed in real life.

vi.Viva / oral examination. For borderline students, they have to undergo viva sessions where the assessors will identify the best performers and the weakest. The students who are able to demonstrate a well-rounded knowledge and skill by solving extremely difficult case scenarios way above their average peers are given distinction grade. On the other hand the students who fail to grasp the basic skill and knowledge have to repeat the course.

 

Method %
Part I

a.    Continuous assessment (Attendance, ward work, case presentation, seminar, log-book, case-write up)

b.    Theory paper examination

▪      Multiple choice questions (T/F)

▪      Patient Management Problem

 

 

 

40%

60%

Part II

Closed Marking System

▪      Long Case examination

▪      Short Case examination

▪      Objectively Structured Clinical Exam (OSCE)

▪      Viva

100%
16. MAPPING OF THE COURSE/MODULE TO THE PROGRAMME AIMS Refer Appendix A
17. MAPPING OF THE COURSE/MODULE TO THE PROGRAMME LEARNING OUTCOMES Refer Appendix B and C
18. Content outline of the course/module and SLT per topic
Topics FACE TO FACE SELF-STUDY TOTAL SLT
Lecture/Tutorial Tutorial/ CBL Practical/ BST/  CP Assignment/ SLP /SDL Library search Self-study
Input 1: Trauma 2 1 4 7
Input 2: Cardiovascular 2 4 6
Input 3:  Urology and Paediatrics 2 4 6
Input 4: Fracture 1 1 1 4 7
Input 5: General orthopaedics 1 1 1 4 7
Input 6: Orthopaedic infections 1 1 1 4 7
Input 7: Plastic surgery/ Head and Neck 2 1 4 7
Input 8: Neurosurgery 2 4 6
Input 9: General principles of surgery 2 1 4 7
Input 10: Clinical procedures 20 4 10 34
Tutorial /Assignment 5 11 17  33
Case presentation 10 24 2 30 56
Bedside teaching/WR 10 46 10 66
Clinic / OT 10 38 48
On -call 10 60 70
Assessment and preparation 14 10 5 10 39
Total 14 55 183 21 2 125 400
19 References 1.   Alfred. Cuscheri. 2003. Clinical  Surgery.  Blackwell Science Ltd.

2.   Russel, RSG, Williams, Norman s and Bulstrode, Christopher JK. 2004. Bailey & Love’s Short Practice of Surgery. Arnold.

3.   Browse, Norman S. 2005. Browse’s Introduction to the Symptoms and Signs of Surgical Diseases. Hodder Education.

4.  Burkitt, H George, Qiuck, Clive RG, Reed, Joana B. 2007. Essential Surgery: Problems, Diagnosis and Management. Churchill Livingstone

5.   Farquharson, M and Moran, Brendan. 2005. Farquharson’s Textbook of Operative  General Surgery.  Hodder Arnold.

6. Apley’s System of Orthopaedics and Trauma 7th. Edition Graham Apley and Louis Solomon- Butterworths

7. Clinical Examination Ronald Mcrae- Churchill Livingstone

8. Practical Fracture Management 4th edition Ronald Mcrae- Churchill Livingstone

9. Rockwood and Green’s fracture in Adults – Lippincott/ Raven

10. Rockwood and Green’s fracture in Children – Lippincott/ Raven

 

Appendix A

Matrix of Course Learning Outcomes (CLO) vs Programme Educational Objectives (PEO)

Faculty : Medical Faculty and Allied Sciences

Programme: Medicine

Course: Surgery

Cource Code: PAS6018

Course Learning Outcomes  Compliance to PEO Delivery Assessment  Key Performance Indicators/Index
PEO-1 PEO-2  PEO-3 PEO-4
1  

Perform history taking and physical examination at the expected level of competency

/  

Lectures,

Seminars,

Discussions,Case presentation, Bedside teaching, clinics, Oncall duties

 

Case write up,

End of posting exam, MCQ, OBA

Logbook

Attendance, bed side teachings.

80% achieveing grade C and above overall

 

 

 

 

 

 

 

2 Formulate provisional and differential diagnoses /
3 Suggest management plan and treatment of patients /
4 Perform competently required procedures / /
5 Behave in ethical manner with consideration to Islamic values when dealing with patients, colleagues and other health care professionals / /
Total 2 1 1 3

 

Appendix B

Matrix of Course Learning Outcomes (CLO) vs Programme Learning Outcomes (PLO)

Faculty : FPSK

Programme: MBBS

Course: Surgery

Cource Code:  PAS 6018

Course Learning Outcomes  Compliance to PLO Delivery Assessment Key PerformanceIndicators/Index 
LO-1 LO-2 LO-3 LO-4 LO-5 LO-6 LO-7 LO-8

 LO-9 

1 Perform focused history taking and physical examination at expected level of competency √, A5 Lectures,

Seminars,

Discussions,Case presentation, Bedside teaching, clinics, Oncall duties

Case write up,

End of posting exam, MCQ, OBA

Logbook

Attendance, bed side teachings.

80% achieving grade C and above in the overall assessment
2 Formulate provisional and differential diagnoses √, C5,

CTPS4

3 Suggest management plan and treatment of patients
4 Perform competently required procedures √, P5
5 Behave in ethical manner maner with consideration to islamic values when dealing with patients, collegues and other health care profesionals
Total 1 1 1 1 1 1