Objectives

In Semester 7, students are expected to be proficient in:

1. Taking a relevant history and carrying out a complete physical examination on patients
with musculoskeletal disorders
2. Making a diagnosis and give the differential diagnoses based on the clinical findings
3. The principles of management of common musculoskeletal disorders
4. The use of common pharmacological agents for the management of orthopaedic
conditions
5. The management of common orthopaedic emergencies
6. The principles of rehabilitation of chronic musculoskeletal disorders

In Semester 10, the students are expected to perform the duties of a house officer under
supervision as preparation for housemanship/internship.
The duties of a house officer under supervision are as follows1:

 You should be well-informed of the condition of all patients under your care.
 You must do a complete ward round in the morning before the Consultant’s ward round, and
enter the patients’ clinical notes daily.
 You should ensure that the investigations ordered are carried out or arranged.
 All acutely ill patients should be given priority and must also be re-examined in the afternoon
and night, and more often as required.
 Your regular attention is necessary in respect of critically ill patients.
 The condition of a seriously ill patient should be regularly monitored and the superiors kept
informed.
 You should not hesitate to summon your superiors at any time of the day or night, if the
necessity arises.
 You should discuss with your superiors the need to transfer critically ill patient to intensive
care unit.
 You should promptly attend on a patient when summoned. Under no circumstances should
treatment be prescribed over the telephone. Every patient must be seen before prescribing
treatment or advising on management.

Note: 1. Malaysian Medical Council. A Guidebook for House Officers. 2008

Last modified: Monday, 16 May 2016, 10:17 AM
Learning outcomes
IMU Learning Outcome
Domains
Application of basic sciences
in the practice of the
profession
Psychomotor skills
Family and community
issues in healthcare
Disease prevention and
health promotion
Communication skills
Critical thinking, problem-
solving and research
Self-directed lifelong
learning with skills in
information and resource
management
Orthopaedics and Traumatology
To apply what has been learnt in Semesters 1 – 5
(Medical Sciences) to clinical practice in the wards and
clinics as well as in the classroom
Perform a through physical examination
Acquire the basic skills of applying plaster cast, traction
devices, splints and frames and doing basic toilette and
suturing
To apply what has been learnt in CFCS to clinical
practice in the wards and clinics
To analyse the causes of diseases and/or injuries and
provide advice regarding disease and/or injury
prevention as well as promote positive health
behaviours in the wards and clinics
Take a focused and relevant history
Formulate a reasonable diagnosis based on your clinical
findings
To arrive at a provisional diagnosis based on the signs
and symptoms you have elicited and the knowledge you
have acquired
Select the relevant investigations, justifying why they
are necessary, and interpreting the results
Formulate a plan of management and discuss the
rationale
Recognise the possible complications the condition and
also the treatment
To obtain sufficient knowledge of musculoskeletal
conditions including the aetiology, pathology and
clinical features
Understand the importance of physiotherapy,
occupational therapy and rehabilitation
Understand the mechanics of commonly used prostheses
and orthoses
 Professionalism, ethics and
personal development
Respect for patients and accepting without prejudice the
diversity in social background, beliefs and way of life
that may influence patient’s attitude
Recognition of patient’s right, particularly in regards to
confidentiality and informed consent as well as other
moral and ethical responsibilities in patient care
Awareness of the need to provide the highest quality of
care at all times
Awareness of personal limitations and willingness to
seek help when necessary and the ability to work
effectively as a member of a team

Last modified: Monday, 16 May 2016, 10:24 AM

Assessment
Semester 7:
Summative: logbook, TWO (2) case summaries, ONE (1) EBM Commentary, ONE (1) case
report, end of posting Structured Clinical Examination [long case] (1)
EBM Commentary: Follow guidelines similar to the ones during your Family Medicine posting.
Case Report: This must follow internationally set guidelines for case report submissions. An
example of a case report is in the elearn Portal.

End of Semester 7:
Theory:
One Best Answer (OBA) - 20 questions
Extended Matching Question (EMQ) - 2 questions
Clinical:
Objective Structured Clinical Examination (OSCE) - 2 x 10-min stations
End of Semester 9:
Theory:
Modified Essay Question (MEQ) - 3-4 parts of a question
Objective Structured Practical Examination (OSPE) - 2 stations
Clinical:
Objective Structured Clinical Examination (OSCE) - 1 x 5-min station (short station)
End of Semester 10:
Formative: log book, assessment forms (orthopaedic is incorporated into the surgical posting)
Summative: portfolio viva (1 orthopaedic portfolio) and clinical long case (1) from any discipline
Last modified: Wednesday, 21 June 2017, 11:01 AM