The University of Southampton
Courses

MEDI3050 Surgery & Orthopaedics

Module Overview

This module focuses on the general surgical and elective orthopaedic basic knowledge and understanding, practitioner and professional skills required of a newly qualified doctor and the assessments within this module will focus on these areas. The BM programmes are however highly contextualised and integrated programmes in which the application of knowledge and understanding, clinical skills and professional practice applicable to medicine are learned through a range of modules none of which are stand- alone modules, therefore this module should be recognised by students and teachers alike as part of the whole year and programme. The surgery and orthopaedics module in BM Year THREE is studied along with 2 other clinical teaching modules in Primary Care and Long Term Conditions and General Medicine and Elderly Care; 2 student selected units, a Scientific basis of Medicine Module; an Assessment Module and other modules depending upon which programme of the study students are taking. The emphasis of the assessments for each of the modules aligns with the focus of learning for that module, however the integrated nature of the course means that there will undoubtedly be overlap and aspects of the assessment in each module will draw upon learning from modules studied in earlier years as well as modules studied in that year. In addition, the BM Year THREE assessment module has been purposely designed to assess learning outcomes covered in any of modules within the programme. This module will normally take the format of an 8 week placement in one or more partner trusts. The timing will vary for different student groups and the teaching staff will vary for different practices and student groups. As is the nature of clinical placements, the exact learning experiences of each student will be variable however all students will receive the same broad opportunities sufficient to achieve the learning outcomes of the module and it is expected that students will take responsibility for making the most of the opportunities provided and being pro-active in securing experiences in areas in which they feel they are weak and/or they have had least learning experiences. The module will give student exposure to a broad range of surgical patients and their treatment pathway. The students will be attached to a named consultant-trainer. Their learning opportunities will be on the wards, in theatres and endoscopy, and in the outpatient environment.

Aims and Objectives

Module Aims

• develop skills of history taking and physical examination with special reference to surgical and orthopaedic patients • relate clinical disorders to the patient and his/her family • understand these disorders in the context of basic sciences and mechanisms of disease • prepare students for the more advanced later year modules where skills in diagnostic decision making will be developed, alongside a more in-depth understanding of the management of patients with surgical and musculoskeletal pathology. The learning outcomes below map directly to one or more of the Programme learning outcomes [as indicated in square brackets] which in turn are taken from Outcomes for Graduates published by the GMC.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Recognise symptoms and signs of common diseases seen in surgery and orthopaedics [1.1a, 1.1b]
  • Describe how you would relate clinical disorders to patients and family [1.2c, 1.2f, 1.3b, 2.1b, 2.2g]
  • Understand the patient pathway in a surgical and operating theatre setting [2.2c, 2.2e, 2.2f, 2.2g]
  • Assess and recognise the severity of a clinical presentation and a need to immediate emergency care [2.4a]
  • Demonstrate an appreciation of basic safety principles - for patients and staff - in the operating theatre and in the post-operative setting; to include understanding of infection control and antibiotic resistance [1.4e, 1.4g, 3.4a, 3.4d, 3.4h]
  • Demonstrate competency performing stipulated clinical skills as per the student portfolio requirements [2.6a, 2.6b, 2.6c]
  • Understand the use and justification for clinical investigations and their impact on the patient and health services [1.1c, 3.1b, 3.4g]
  • Demonstrate understanding of the roles of different team members within the inter-professional setting [3.3a, 3.3b]
  • Develop good relationships with all members of the surgical team (medical and non-medical) [3.3c, 3.3d]
  • Show an understanding of the duties of confidentiality in your contact with colleagues and patients [[2.7c, 3.1c]
  • Interact with patients and colleagues whose cultural backgrounds, beliefs and values may differ from your own in a sensitive and non-judgemental manner [2.3b, 3.1d, 3.1e]
  • Demonstrate understanding of basic sciences and pathology underlying common disorders relating to surgical and orthopaedic patients [1.1b, 1.2f, 1.3c, 1.4g]
  • Develop insight into your learning needs in the professional workplace and recognise the need for support and guidance in managing challenging situations; and reflect on your own learning style and how it may need to be adapted to the clinical environment [3.2a,3.2b, 3.2e, 3.4a, 3.4i]
  • Show awareness of a wide variety of ways in which you learn in the workplace, often not defined by the curriculum, and which includes role models [3.3a, 2.3h]
  • Demonstrate awareness of professional responsibility both to patients and to members of the multiprofessional team and to student colleagues and reflect on how poor performance or poor professional behaviour should be addressed [3.1d, 3.1f, 3.3c, 3.3d, 3.4j
  • Take responsibility for your own learning and your continuing professional development and develop an enquiring basis to learning [1.5c, 3.2a, 3.2b]
  • Describe and justify the selection of appropriate investigations for surgical and orthopaedic cases, and be able to discuss the principles underlying these investigations [1.1c, 1.1d]
  • Establish a relationship with a patient, explore and acknowledge their concerns [2.3a, 2.1b]
  • Take a history of the presenting complaint, relevant past surgical history, associated disease particularly those relevant to anaesthesia, and the medication and social history, particularly family and home circumstances which may influence postoperative management [2.1a, 2.1b, 2.2a, 2.5a]
  • Examine normal and abnormal systems with particular reference to surgical disease (musculoskeletal, breast, neck, groin, vascular system, abdomen) [2.1c]
  • Make a preliminary assessment of a patient’s likely surgical or orthopaedic problem, and have an understanding of the processes by which doctors make and test a differential diagnosis [2.2b]
  • Understand the use of time as a diagnostic tool [2.2f]
  • Communicate effectively in the following ways: a. Communicate effectively with the patients and be able to explain to the patient the results of your clinical examination [2.1a, 2.1g] b. Written clinical record suitable for inclusion in case notes [2.3c] c. Formal oral case presentations to your colleagues and senior medical staff [2.3a, 3.1c]

Syllabus

The module comprises 8 weeks in total. The weeks are split into one week of clinical skills training and general introduction, 6 weeks of general surgery and one week orthopaedics. Students are attached to one or more named consultant surgeons and their extended teams, and will gain exposure to general and specialist (orthopaedics/breast and endocrine/urological/vascular) surgery. Experience in the clinical team includes emergency work. There will be opportunities to consolidate clinical skills teaching which will include tuition in practical procedures, examination techniques, perioperative care, critical illness assessment, and radiology tutorials. Clinical skills taught • Venesection and cannulation • Breast examination • Suturing • Male intimate examinations • Male catheterisation • Urinalysis pregnancy testing • Gloving and Gowning in preparation for theatre • Blood sugar monitoring • Aseptic non -touch technique and wound , nose and throat swabbing Details of these attachments and a course handbook will be available during the introductory week. Specific diseases covered in the module will include: Common upper gastrointestinal diseases • Gallstones and pancreatitis • Peptic ulcer disease • Pancreatobiliary malignancy • Oesophagogastric malignancy Common lower gastrointestinal diseases : • Diverticular disease • Colorectal cancer • Inflammatory bowel disease • Perianal conditions Common urological conditions • Renal tract stones • Incontinence and benign prostatic hypertrophy • Prostate cancer • Bladder cancer • Urological emergencies Common vascular surgical conditions • Peripheral vascular disease • Carotid arterial disease • Abdominal aortic aneurysm • Venous disease General surgical conditions • Herniae • Skin lumps • The acute abdomen Common orthopaedic conditions • Osteoarthritis and elective joint replacement

Special Features

Reasonable adjustment will be made for students as appropriate.

Learning and Teaching

Teaching and learning methods

The module will be taught through a range of learning and teaching strategies which will include: • Lectures • Guided self-study • Group work • Patient based learning • eLearning • Learning Logbooks • Reflection Doctors work in shift patterns and rotas throughout much of their working lives and to prepare you for such working once you graduate, throughout your programme you will be expected to undertake placements in the evenings, at nights and at weekends. This will not be an onerous requirement and will be negotiated well in advance so that students with carers’ requirements will be able to ensure appropriate arrangements are in place for cover Within this module there may be some core/compulsory activities that will take place in the evenings, nights or weekends therefore students with commitments that will be affected by these should be pro-active in securing details of these activities well in advance of the start of the module. In addition, many non-core learning opportunities will be available during these times and students are encouraged to take advantage of them

TypeHours
Placement224
Independent Study151
Total study time375

Resources & Reading list

Duckworth, T (1995). Lecture notes on orthopaedics and fractures. 

Cuschieri A, Steele RJC, Moossa AR. (2001). Essential surgical practice: basic surgical training. 

Ellis H, Calne R, Watson C. (2006). Lecture notes on General Surgery.. 

Oxford Handbook of Clinical Surgery. 

Niethard, FU, Pfeil, J; Biberthaler, P. (2009). Duale Reihe Orthopädie und Unfallchirurgie. 

Browse LN, Black J,Burnand KG, Thomas WEG (2005). Browse's Introduction to the Symptoms & Signs of Surgical Disease. 

Apley, A G and Solomon, L Concise (2005). System of Orthopaedics and Fractures. 

McRae, R (2004). Clinical orthopaedic examination. 

Garden OJ, Bradbury AW, Forsythe JLR, Parks RW. (2007). Principles and Practice of Surgery. 

Siewert, Jörg-Rüdiger (2006). Chirurgie. 

Assessment

Assessment Strategy

This module will be assessed by an end of module sign off form to include elements of: • Professional behaviour • Evaluation of clinical and overall performance relative to learning outcomes • Satisfactory log book recording the breadth of their activity and experience during the course to include surgical and orthopaedic experience. • Portfolio including 8 cases presented to senior medical / nursing staff with reflection • Written description of case observed through the surgical patient journey from the ward into the operating theatre with specific reflection on issues of patient safety and risk reduction

Summative

MethodPercentage contribution
End of module sign off form 100%

Referral

MethodPercentage contribution
Supplementary activity 100%

Repeat Information

Repeat type: Internal

Costs

Costs associated with this module

Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.

In addition to this, students registered for this module typically also have to pay for:

Travel Costs for placements

Students pay £100 per year to the Faculty to cover the costs of travel to and from placements throughout the academic year.

Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at www.calendar.soton.ac.uk.

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