Medical Student EducationMedical Student Education

Department of Orthopaedic SurgeryDepartment of Orthopaedic Surgery

and Physical Medicineand Physical Medicine

Faculty of MedicineFaculty of Medicine

Prince of Songkla UniversityPrince of Songkla University

OrthopaedicsOrthopaedics

44thth year medical students year medical students

55thth year medical student year medical studentss

44thth year Medical Students year Medical Students

Pre-operative to post-operative care I, II, IIIPre-operative to post-operative care I, II, IIIDuration 12 weekDuration 12 weekRotate to orthopaedics 1 week for 4 groupsRotate to orthopaedics 1 week for 4 groups22ndnd, 5, 5thth, 6, 6thth, 9, 9thth week week11-12 students per group11-12 students per group

Objective for 4Objective for 4thth year year

Trauma in orthopaedics : fractures, Trauma in orthopaedics : fractures, dislocations, soft tissue injuriesdislocations, soft tissue injuries

Basic orthopaedic examinationBasic orthopaedic examination

Previous StrategiesPrevious StrategiesJoin with intensive courseJoin with intensive courseBefore beginning of clinical studyBefore beginning of clinical studyProblemsProblems

- Need too much teachers- Need too much teachers

- Too much systems in examination - Too much systems in examination made students confusemade students confuse

- Different rotation in each student- Different rotation in each student

StrategiesStrategies

Basic orthopaedics examinationBasic orthopaedics examination

- Look- Look

- Feel- Feel

- Move- Move

- Measure- Measure

Give VCD demonstration (Monday)Give VCD demonstration (Monday)

Self watching by studentSelf watching by student

Self training with friendsSelf training with friends

ThursdayThursday

Teacher and StudentsTeacher and Studentswatch VCD togetherwatch VCD together

Ask and answerAsk and answerquestionquestion

Students demonstrate Students demonstrate all examinationall examination

Teacher checklistTeacher checklist

PassPass

FailFail

Teach againTeach againby teacherby teacher

ChecklistChecklist

ResultsResults

8 groups8 groups91 students91 students100% pass100% pass

55thth Year Medical Students Year Medical Students

Health, diseases and rehabilitation in Health, diseases and rehabilitation in orthopaedicsorthopaedics

Emergency medicineEmergency medicine

55thth Year Medical Students Year Medical Students

Health, diseases and rehabilitation in Health, diseases and rehabilitation in orthopaedicsorthopaedicsDuration 3 weeksDuration 3 weeks8-9 students per group8-9 students per group

Objective for 5Objective for 5thth year year

Diagnosis and treatment of injuries and Diagnosis and treatment of injuries and diseases in orthopaedicsdiseases in orthopaedicsOffice orthopaedics >> OPD 9.00-12.00Office orthopaedics >> OPD 9.00-12.00Mon, Tue : contact patientMon, Tue : contact patientThu, Fri : observeThu, Fri : observe

StrategiesStrategies

All studentsAll students

First time at OPDFirst time at OPD

Review techniqueReview techniqueof history taking andof history taking and

physical examphysical examby teacherby teacher

Next timeNext time

Divide studentsDivide studentsfor rotationfor rotation

Casting roomCasting roomOROR

OPDOPD

OPDOPD

CasesCases LogbookLogbook

History takingHistory takingPhysical examPhysical exam

DiagnosisDiagnosisPlan of treatmentPlan of treatment

Present to teacherPresent to teacher

RepeatRepeatHistory takingHistory takingPhysical examPhysical exam

TreatmentTreatmentFeed backFeed backTo studentTo student

Repeat same processRepeat same processIn other studentsIn other students

ScoresScores

ScoresScores

Pass : Scores ≥ 70%Pass : Scores ≥ 70%

ResultsResults

8 groups : 69 students8 groups : 69 studentsOPD 142 casesOPD 142 casesPass 100%Pass 100%

ResultsResultsAverage point = 83.84%Average point = 83.84%Min = 70%Min = 70%Max = 92.5%Max = 92.5%

จำ�� นวนครั้�ง

0

10

20

30

40

50

60

70

80

70.00 77.50 80.00 82.50 85.00 87.50 90.00 92.50

คะแนน

ProblemsProblems

Too many students per groupToo many students per groupToo less patient per each studentToo less patient per each studentToo less teacherToo less teacher

Orthopaedics EmergencyOrthopaedics EmergencyBlock : Emergency MedicineBlock : Emergency Medicine

Skill lab teaching splinting in Skill lab teaching splinting in orthopaedicsorthopaedics

Simulated patientsSimulated patients

Simulated PatientsSimulated Patients

4 common problems4 common problems Multiple injuriesMultiple injuries C-spine injuryC-spine injury Hip dislocationHip dislocation Open fractureOpen fracture

คว�มค�ดเห็�น ( n = 107 คน) ผู้��ป่�วยจำ��ลอง ชั้�นเรั้�ยน

1. สอดคล้�องกับวัตถุ�ประสงค� 4.89 ± 0.32 4.31 ±0.75

2.ควัามร� �ที่��ได�รบจากักัารเร�ยน 4.71 ± 0.51 4.02 ±0.85

3.กัารประย�กัต�ใช้�กับผู้��ป!วัยจร"ง 4.93 ± 0.26 3.49 ± 1.05

ควัามค"ดเห็$นเปร�ยบเที่�ยบกัารเร�ยนโดยใช้�ผู้��ป!วัยจ&าล้อง VS กัารเร�ยนในช้'นเร�ยน

ควัามค"ดเห็$นเพิ่"�มเต"ม

1. น&าไปใช้�ได�จร"ง 452. ที่&าให็�จ&าได�ด� 16 3. ร� �จ�ดบกัพิ่ร)องของตนเอง เพิ่+�อน&าไปแกั�ไข 144. ได�เจอสถุานกัารณ์�คล้�ายจร"ง ด�กัวั)าแบบเด"ม 125. สน�กั ต+�นเต�น ไม)น)าเบ+�อ กัระต��นให็�เกั"ดกัารเร�ยนร� �106. ได�ค"ด แล้ะม�ส)วันร)วัมในกัารตดส"นใจ 67. ร� �ล้&าดบข'นตอนกัารปฏิ"บต"จร"ง 58. ได�ประมวัล้ควัามร� �ที่��ม�มาประย�กัต�ใช้�จร"ง 59. จ&านวันนกัศึ0กัษาต)อผู้��ป!วัยจ&าล้องมากัเกั"นไป 410.เวัล้าน�อยเกั"นไป 2

THANK YOUTHANK YOU

Prince of Songkla Prince of Songkla UniversityUniversity

Had Yai, Had Yai, SongklaSongkla