MCH Program Offered by Texila American University

1. M.Ch Trauma And Orthopedic Surgery

2. What is Orthopedic Surgery? Orthopedic surgeons specialize in the diagnosis and treatment of a wide range of problems of the musculoskeletal system - joints, bones, ligaments, tendons, muscles and nerves. Surgeons specialize in certain areas of the body - lower limb (hips and knees or foot and ankle), upper limb (shoulder and elbow or hand) and spine. Treatment may be surgical or non- surgical depending on your diagnosis.

3. What is Trauma Surgery? Trauma surgery covers 'impact' injuries including fractures and dislocations as well as soft tissue injuries. Trauma surgeons will tend to cover musculoskeletal injuries to the whole body excluding injuries to the head, chest, abdomen or blood vessels.

4. Features of the program: • Knowledge and skill development program • Blended learning • Study without leaving job • Advanced learning management system to support students • Interactive online sessions • Affordable cost • Opportunity to upgrade without disturbing the current practicing • Well qualified program consultants/mentors to support the academics • Dedicated academic coordinator to support, throughout the course • Student has to find clinical sites for practical

5. ACADEMIC PROGRAM • The course is divided into 4 terms, each terms is of 4 months duration. • Out of the 4 terms, the last 1 term is dedicated for research and thesis writing • Students are expected to accomplish 12 theory & clinical modules and undergo clinical research course

6. ACADEMIC PROCESS • After enrolling in the university, student will pursue his course from his own place of residence and from the place where he is working • Each student will have a Course Tutor who will provide online support to the students throughout the course • The student will identify a clinical mentor on his own. The clinical mentor will assist the students to acquire clinical skills • Students will submit periodical reports to the university PG coordination office • The students will also review the latest research articles in his subject and publish it in international journals. These articles will be peer reviewed before publication • At the end of the course student will appear in clinical examination

7. LEARNING METHODOLOGY • The main thrust of the program is to gain knowledge and competencies through blended learning which is acquired through an appropriate interplay of course work, clinical work and research • Students are expected to do course work as prescribed in the curriculum • Work in hospitals or attend hospitals/clinics to acquire necessary clinical skills. It would be mandatory on the part of the students to report the acquisition of skills on weekly basis to the PG coordination office • Attend CME programs to gain credits • Article Review and Publications: To understand the contemporary innovation and research in the concerned specialty by doing articles reviews

8. MCh Orthopedics Course • The aims and objectives of the course are to provide a masters degree consisting largely of taught elements in order to cover the syllabus of orthopedic surgery from clinical and mechanistic view points. • An educational platform will be built to complement the training aspects of orthopedics by ensuring basic principles are firmly established.

9. MCh Orthopedics Courses :

10. The course aims to: • Enable you to develop an understanding of the principles and clinical concepts underpinning practice in trauma & orthopedics. • Enable you to develop the skills and attitudes necessary to perform evidence based trauma & orthopedic practice and research within trauma & orthopedics • Foster a commitment to lifelong learning and an inquisitive approach to clinical practice • A flexible approach to course delivery has been utilised, and for the majority of modules you can choose to study by attending taught sessions or by distance learning.

11. What you study In Year 1 of the program you study a number of modules which develop your understanding of the principles underpinning clinical practice in trauma and orthopedics and develop your skills in evidence-based practice, research methods and statistics. In Year 2 you undertake either an 80-credit dissertation which involves planning, managing and writing up a small-scale research project, alongside preparing the write-up for publication in a peer-reviewed journal; or you undertake a 60-credit dissertation which involves planning, managing and writing up the small-scale research project, plus a 20-credit option module.

12. Nature of the work Trauma and orthopedic surgery deals primarily with injuries, congenital and acquired disorders of the bones, and joints and their associated soft tissues, including ligaments, nerves and muscles.

13. Working in Trauma and Orthopedic Surgery • Lower limb joint reconstruction (hip and knee replacements and associated procedures) • Hip surgery • Knee surgery (bony and soft tissue) • Ankle and foot • Upper limb (shoulder and elbow) • Upper limb (hands) • Spine • Bone tumour surgery • The surgery of childhood • Rheumatoid surgery • Complex trauma surgery.

14. Skeletal fractures • Patho physiology of fracture healing • Classification of fractures • Principles of fracture management • Complications of fractures • Delayed and Non-union • Bone grafts •  Management of joint injuries • Common fractures and joint injuries • Common fractures • Hip fractures • Ankle fractures • Pediatric fractures

15. Soft tissue Injuries and Disorders • Nature and mechanism of soft tissue injury • The knee • The shoulder • Management of soft tissue injuries • Nerve injuries

16. Common Disorders of the Extremities • Disorders of the upper limb • Disorders of the hand • Disorders of the lower limb • Disorders of the foot

17. Degenerative and Rheumatoid Arthritis • Osteoarthritis and rheumatoid arthritis • Osteoporosis • Metabolic bone disease • Paget's disease • Surgical treatment of joint diseases • Complications of joint replacement surgery

18. Infections of Bones and Joints • Osteomyelitis • Septic arthritis • Other bone infections Locomotor pain • Low back pain and sciatica • Spinal cord compression • Scoliosis • Pain in the neck and upper limb • Thoracic outlet syndrome

19. Bone tumours and amputations • Primary bone tumours • Metastatic bone tumours • Myeloma • Amputations General • Imaging techniques • Neuro physiological investigations

20. Orthopedic Trauma Common Injuries What is a Fracture? Orthopedic trauma typically involves bone fractures. A fracture is, quite simply, a break in the bone. When a bone is fractured it may be "closed" (simple) and contained within the body. Conversely, the fracture may be "open" (compound) identified by a break in the skin. These "open" fractures are often more dangerous because they leave the skin and bone open for infection.

21. Other types of Fractures Include: • Transverse Fracture: This type of fracture is at right angles to the long axis of the bone. • Greenstick Fracture: A fracture on one side of the bone, causing a bend on the injured side of the bone. • Comminuted Fracture: A fracture that results in three or more bone fragments.

22. What are the leading causes of fractures? Fractures are typically caused by traumatic injuries, most frequently by: • Falling—most common in the elderly loosing balance or children playground accidents. • Overuse injuries such as the constant pounding on pavement of a runner. • Osteoporosis which most often occurs in the elderly and is the thinning of their bones. • Forced impact, trauma from violent contact in football or in a motor vehicle accident.

23. Common Neck Injuries Cervical fractures usually result from high-energy trauma, such as automobile crashes or falls. Athletes are also at risk. A cervical fracture can occur if: • A football player "spears" an opponent with his head. • An ice hockey player is struck from behind and rams into the boards. • A gymnast misses the high bar during a release move and falls. • A diver strikes the bottom of a shallow pool.

24. Common Spine Injuries Fracture of Thoracic and Lumbar Spine : Fracture of one or more parts of the spinal column (vertebrae) of the middle (thoracic) or lower (lumbar) back is a serious injury usually caused by high-energy trauma like a car crash, fall, sports accident or act of violence (i.e., gunshot wound). Males experience the injury four times more often than females do. The spinal cord may be injured depending on the severity of the fracture. Symptoms include: • Moderate to severe back pain made worse by movement. • In some cases when the spinal cord is also involved, numbness, tingling, weakness or bowel/bladder dysfunction.

25. Common Shoulder Injuries The collarbone is considered part of the shoulder and helps connect the arm to the body. It lies above several important nerves and blood vessels. However, these vital structures are rarely injured when the collarbone breaks. The collarbone is a long bone, and most breaks occur in the middle section. • Signs of a break: • Sagging shoulder (down and forward). • Inability to lift the arm because of pain. • A grinding sensation if an attempt is made to raise the arm. • A deformity or "bump" over the fracture site. • Although a fragment of bone rarely breaks through the skin, it may push the skin into a "tent" formation

26. Will a career in Orthopedic Surgery suit me? Orthopedics requires a combination of manual and spatial skills, knowledge, an enquiring mind, and an ability to make sensible decisions. You have to be both a manager and team player. Communication skills are also vital, both with patients and colleagues. With such a broad spread of sub-specialisation, there are branches of orthopaedics to suit all people. Nevertheless, entry into higher training is very competitive and the work can be physically demanding, requiring considerable stamina. The main attraction is the satisfaction gained from relieving pain, improving function and correcting deformity.

27. Orthopaedic training • Ankle surgery • Knee surgery • Hip surgery • Upper limb surgery • Paediatric surgery • Spinal surgery • Sports injuries surgery • Trauma surgery.

28. Life as a consultant in Trauma and Orthopedic Surgery A career as a consultant orthopedic surgeon is extremely interesting, challenging, and rewarding. Most consultants develop a subspecialty interest, while being fully trained in the generality of trauma and orthopedic surgery. As in other specialties, the roles and responsibilities consist of direct clinical care and supporting professional activities. Consultants are ultimately responsible for all patients under their care and also for the supervision and leadership of their team.

29. Top 10 reasons to do orthopedic surgery • Rewarding and satisfying • Rapidly improves quality of life for patients • Combines theoretical knowledge and practical skills • Combines clinical acumen and technology • Allows appreciation and application of anatomy • Wide range of subspecialties to choose from • Immediate critique of results possible with post-op x rays • Wide interaction with multidisciplinary team and industry • Good support from professional bodies and well organized training • Very sociable specialty

30. ABOUT TEXILA AMERICAN UNIVERSITY Texila American University (TAU) is located in Guyana, the only English speaking country in South America. TAU offers Health Science programs with a high level of professionalism, exactness and problem solving skills, upon which the foundations of specialist training and an independent medical practice can be built, which facilitates further education and development of their knowledge throughout their life. The curriculum at the TAU is structured after the best U.S. medical schools. The academic program is both accelerated and rigorous, with a focus on preparing students for licensure in the United States, Caribbean and India.

31. TAU CREDENTIALS Registered with National Accreditation council of Guyana (which is governed by Ministry of Education). Listed in WHO (World Health Organization) Handbook. Member of IADR (International Association for Dental Research). Member of GAME (Global Alliance for Medical Education). Member of AMEE (International Association for Medical Education).

32. Contact Information Texila American University Critchlow, Woolford Avenue Georgetown, Guyana, South America. Telephone: (+592) 2318118 Fax: (+592) 2318111 E-mail: info@tauedu.org Website: http://www.tauedu.org

33. THANK YOU