Technical College of the Lowcountry Vicki Daniel 921 Ribaut ......Credits: 4.0 Lecture: 4.0 Lab: 0...

1 Reviewed by: V. Daniel 4/25/2016 Reviewed and approved: GMLevicki 5/10/2016 Approved: GMLevicki 5/2017

Technical College of the Lowcountry Vicki Daniel

921 Ribaut Rd. 4/113

Beaufort, SC 29901 525-8230

[email protected]

PTH 242

Orthopedic Management

Summer 2017

Course Lecture: PTH 242 Orthopedic Management

Hours: Monday 8:30 to 11:30 and 11:30 to 3:30*

Place: Building 4, Room 128

* times/dates may change based on holiday schedule

Credits: 4.0 Lecture: 4.0 Lab: 0

Prerequisites: PTH 202, PTH 205, BIO 211, ENG 102.

Corequisites: PTH 240, PTH 252.

Course Focus

This course provides an introduction to common orthopedic dysfunction of the upper and lower

extremities, spine and pelvis. The identification and management of these dysfunctions is presented and

practiced within the context of the plan of care developed by a licensed physical therapist. Students

practice concepts related to patient education, appropriate communication and documentation of

patient care activities.

Text and References Manske, R. C. (n.d.). Fundamental orthopedic management for the physical therapist assistant. Graves, R. A. (2013). Clinical decision making for the physical therapist assistant: Across the continuum of care. Philadelphia: F.A. Davis. O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. D. (2014). Physical rehabilitation. Philadelphia: F.A. Davis.


Course Objectives * Designates Crucial Outcomes At the completion of this course, students will: Unit 1: Basic Concepts of Orthopedic Management

1. Discuss the “Problem-Solving Algorithm Used by PTAs in Patient/Client Intervention.” 2. Identify and discuss the rationale for clear and concise communication among all members

of the rehabilitation team. 3. Discuss the skills necessary to provide patient supervision. 4. Define objective scales of measurements used to communicate changes in a patient’s status

to the supervising physical therapist. 5. Apply proactive listening skills and objective scales of measurement to provide appropriate,

accountable, and responsible observation and supervision of the patient during treatment. 6. Define open-ended and closed-ended questioning. 7. Define the quadrants of the basic dimensional model. 8. Apply the language of the Guide to Physical Therapist Practice to physical assessment

procedures. 9. Identify the common elements of examination, evaluation, and assessment. 10. Describe the role of the physical therapist assistant in the performance of physical

assessment based on the physical therapy plan of care.* 11. Discuss the role of the physical therapist assistant in data collection. 12. Explain methods of modifying the physical therapy plan of care or actions to be taken in

response to physical assessment of the patient. 13. Identify critical elements to include with documentation of physical assessment.* 14. Relate physical assessment to goals and outcomes of a physical therapy plan of care. 15. Define and distinguish the purpose and process of differential diagnosis as it relates to the

provision of physical therapy. 16. Discuss the indirect role of the physical therapist assistant as it relates to differential

diagnosis. 17. Identify and assimilate key communication strategies and techniques used in client

management.* 18. Explain common potential complications and identifiers related to the musculoskeletal,

neuromuscular, cardiopulmonary, integumentary, and other systems.* 19. Identify critical elements to communicate to the primary physical therapist and appropriate

documentation of findings.*


Unit 2: Review of Healing Tissue

1. Outline components of connective tissue. 2. Discuss the sequence of overlapping events of inflammation.* 3. Define fibroplasia. 4. Identify the sources of coagulation. 5. Describe and discuss the various cells of inflammation and their function.* 6. Discuss the molecular cascade of arachidonic acid metabolic pathways of lipoxygenase and

cyclooxygenase. 7. Define cytokines and growth factors, and discuss their various functions. 8. Define and discuss the inflammatory response to injury.* 9. Describe the phases of healing and sequence of events characteristic of each phase. 10. Identify the five cardinal signs of inflammation.* 11. Describe the effects of immobilization on ligaments. 12. Discuss the effects of stress and exercise on ligaments. 13. Identify and discuss practical clinical applications of stress deprivation and protected

motion during phases of ligament healing. 14. Identify and describe the phases of bone healing. 15. Discuss the objectives that serve as the foundation of fracture management and bone

healing. 16. Define osteoblasts, osteoclasts, and osteocytes. 17. Define and discuss Wolff’s law. 18. Discuss stress deprivation, immobilization, and normal physiologic stress as they apply to

fracture healing. 19. Identify three complications of bone healing.* 20. Outline and describe six areas of descriptive organization of classifying fractures. 21. Describe the five types of pediatric fractures defined by Salter and Harris. 22. Define pathologic fractures and list four types. 23. Discuss how osteoporosis affects fractures.* 24. Define osteomalacia. 25. List common methods of fracture fixation, fixation devices, and fracture classifications. 26. Discuss clinical applications of rehabilitation techniques used during bone healing.* 27. Discuss the composition and function of articular cartilage. 28. Identify common causes of injury to articular cartilage. 29. Describe the sequence of healing and the extent of intrinsic repair of articular cartilage.* 30. Define invasive and noninvasive techniques of stimulating articular cartilage repair. 31. Define and describe the composition and function of fibrocartilage. 32. Identify and discuss common mechanisms of injury to fibrocartilage. 33. Describe the mechanisms of intrinsic healing of the meniscus.* 34. Recognize the macrostructure and microstructure of muscle and tendon. 35. Describe the two main types of muscle fibers. 36. Describe the three mechanisms for a muscle injury.* 37. Describe the associated tendon pathology of the injury mechanism. 38. Name the functional unit of a tendon and its structural significance.


39. Identify neural anatomy. 40. Discuss the vascular supply to nerve tissue. 41. Understand the mechanical behavior of nerve tissue. 42. Identify the causes and classification of nerve injury. 43. Discuss intrinsic nerve healing.* 44. Describe methods of surgical repair of nerve injury. 45. Identify structure and composition of vascular tissue. 46. Discuss the vascular response to injury. 47. Explain the various signs and symptoms of vascular injury.* 48. Discuss the pathophysiology of thromboembolic disease.* 49. Recognize risk factors of deep vein thrombosis and pulmonary emboli.*

Unit 3: Management of Orthopedic Patients by Region

1. Identify common foot and ankle ligament injuries. 2. Describe intervention methods for common foot and ankle ligament injuries.* 3. Identify and describe common lower leg, ankle, and foot tendon injuries. 4. Outline and describe common methods of intervention for lower leg, ankle, and foot injuries.* 5. Identify common foot and ankle fractures. 6. Discuss common methods of intervention for foot and ankle fractures. 7. Identify and describe common methods of intervention for toe injuries. 8. Describe common mobilization techniques for the ankle, foot, and toe. 9. Identify common ligament injuries of the knee joint. 10. Understand etiology and evaluation of ligamentous knee injuries. 11. Discuss general rehabilitation guidelines for nonoperative and postoperative management of

common knee ligament injuries.* 12. Identify and evaluate meniscal injuries of the knee. 13. Discuss general rehabilitation guidelines for nonoperative and postoperative management of

meniscal injuries.* 14. Discuss general rehabilitation guidelines for nonoperative and postoperative management of

articular cartilage injuries.* 15. Discuss common methods of evaluation for nonoperative and postoperative management of

patellofemoral disease of the knee.* 16. Identify and evaluate common fractures, including patella, supracondylar femur, and proximal tibia. 17. Discuss general rehabilitation guidelines for fractures around the knee.* 18. Discuss general rehabilitation guidelines for postoperative management of total knee replacements. 19. Identify common hip fractures.* 20. Outline and discuss common methods of management and rehabilitation of ordinary hip fractures.* 21. Outline and describe common methods of management and rehabilitation after hip arthroplasty.* 22. Identify and describe common soft tissue injuries of the hip. 23. Outline and describe common methods of management and rehabilitation of soft tissue injuries of

the hip.* 24. Identify common fractures of the pelvis and hip. 25. Outline and describe methods of management and rehabilitation for fractures of the pelvis and

acetabulum.* 26. Describe common mobilization techniques for the hip. 27. Outline and describe basic mechanics of the lumbar spine.


28. Discuss and apply the principles of fundamental mechanics of lifting. 29. Identify common sprains and strains of the lumbar spine. 30. Discuss common methods of management and rehabilitation of lumbar spine sprains and strains.* 31. Identify and describe injuries to the lumbar intervertebral disk. 32. Define and describe methods of quantifying back strength. 33. Define and describe components of the back school model. 34. Define ergonomic and functional capacity evaluations. 35. Define spinal stenosis and describe methods of management and rehabilitation.* 36. Define and contrast the terms spondylolysis and spondylolisthesis. 37. Describe methods of management and rehabilitation for spondylolysis and spondylolisthesis.* 38. Identify common lumbar and thoracic spine fractures. 39. Define kyphosis, lordosis, and scoliosis. 40. Identify and describe methods of management and rehabilitation for kyphosis and scoliosis.* 41. Identify and describe common cervical spine injuries, and discuss methods of management and

rehabilitation.* 42. Identify and describe methods, management, and rehabilitation for subacromial rotator cuff

impingement.* 43. Identify and describe methods of management and rehabilitation for tears of the rotator cuff. 44. Describe methods of management and rehabilitation for glenohumeral instability.* 45. Discuss methods of management and rehabilitation for adhesive capsulitis.* 46. Identify and describe common injuries of the acromioclavicular joint. 47. Describe common methods of management and rehabilitation for injuries of the acromioclavicular

joint.* 48. Identify and describe common fractures of the scapula, clavicle, and proximal humerus. 49. Outline and describe methods of management and rehabilitation of fractures around the shoulder.* 50. Describe methods of management and rehabilitation after shoulder arthroplasty. 51. Describe common manual exercise techniques for the shoulder. 52. Identify and describe the principles for common overuse soft tissue injuries of the elbow. 53. Discuss common methods of management and rehabilitation of overuse soft tissue injuries of the

elbow.* 54. Identify and describe intercondylar fractures, radial head fractures, olecranon fractures, and

fracture-dislocations of the elbow. 55. Describe methods of management and rehabilitation of various fractures and fracture-dislocations

of the elbow.* 56. Describe techniques to improve range of motion of a stiff elbow including common joint

mobilization techniques. 57. Describe the extrinsic and intrinsic muscle systems in the hand and their roles in hand movement. 58. Identify and describe common metacarpal and phalanx fractures and methods of management and

rehabilitation. 59. Identify methods of management and rehabilitation for common fractures of the wrist.* 60. Describe and discuss methods of management and rehabilitation of ligament injuries of the wrist.* 61. Discuss methods of management and rehabilitation of compression neuropathy of the wrist.* 62. Describe common tendon disorders of the hand and their management. 63. Define Dupuytren’s disease and options for surgical management. 64. Describe rehabilitation precautions after surgery for Dupuytren’s disease.* 65. Identify tendon lacerations and their management. 66. Identify methods of management and rehabilitation for complex regional pain syndrome


Unit 4: Management of Orthopedic Patient by Condition

1. Discuss different types of arthritis. 2. Discuss similarities and differences of osteoarthritis and rheumatoid arthritis. 3. Discuss the effects and benefits and limitations for patients with arthritis. 4. Discuss common methods of medical management and rehabilitation of arthritic

conditions.* 5. Discuss principles of joint protection.* 6. Discuss pathophysiology of rheumatic disorders. 7. Describe how pain can be a burden to the patient and society. 8. Detail a brief history of how pain has been treated in the past. 9. Describe a biopsychosocial model for treating pain.* 10. Describe how pain is a multisystem output.* 11. Describe a neuromatrix and how it relates to a person’s neural signature. 12. Describe how the medical terminology used can influence a patient’s level of fear and

anxiety. 13. Describe how multiple body systems can be influenced by a persistent pain state. 14. Describe the bidirectional approach for treatment of patients with a persistent pain state. 15. Identify the 12 treatment principles for treating patients that present with a persistent pain

state.* 16. Apply the knowledge of the 12 treatment principles in the context of therapeutic

neuroscience education for patients with persistent pain.* 17. Define the terms orthotics and prosthetics.* 18. Obtain a basic understanding of materials. 19. Learn the nomenclature—the naming of orthoses and prostheses in relation to the joint

they support or replace. 20. Describe the key differences when off-the-shelf orthoses can be chosen instead of custom

fabricated orthoses.* 21. Have a general understanding of orthotic options for supporting major joints in the body. 22. List levels of amputation sites and the reasons for amputation.* 23. Develop an understanding of basic prosthetic componentry and how the selection of

componentry relates to patient function and outcome.* 24. Identify anatomic structure of the pelvis and pelvic floor, including bony structures that

border the pelvic floor and ligamentous, muscular, and fascial components of the pelvic floor.

25. Describe the biomechanics of the pelvic floor. 26. Identify common pelvic floor dysfunctions. 27. Recognize reasons for medical referral for lumbopelvic pain or dysfunction.* 28. Discuss clinical applications of physical therapy interventions for common pelvic floor

dysfunctions. 29. Identify orthopedic conditions of the low back or hip in which pelvic floor dysfunction may

be involved.*


Unit 5: Topics in Orthopedics

1. Discuss pharmacokinetic concepts, including absorption, distribution, metabolism, excretion half-life, and duration of action, and their relationship and significance to rehabilitation therapies.*

2. Discuss pharmacodynamic concepts, including the dose-response relationship, therapeutic window, adverse drug reactions, toxicity, tolerance, withdrawal, and addiction.*

3. List the general principles of safe medication use and the role of the physical therapist assistant in optimizing patient safety.*

4. Discuss general principles of treatment and prevention of orthopedic infection, including why such infections are difficult to treat and the importance of antibiotic compliance.*

5. Discuss the analgesics best suited for different types of pain.* 6. Discuss how opioids work differently from anti-inflammatory analgesics in the treatment of

pain.* 7. Discuss common side effects and precautions associated with opioids, acetaminophen,

nonsteroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, and corticosteroids.* 8. Discuss the risk of acetaminophen overdoses during pain management.* 9. Describe the primary concepts for the application and use of plain film radiography. 10. Discuss the basic approach to looking at or reading radiographic images. 11. Describe the primary concepts for the application and use of computed tomography. 12. Describe the primary concepts for the application and use of diagnostic ultrasound. 13. Discuss the basic principles of specialized imaging techniques commonly seen in patient

care.* 14. Discuss the recommended approach to responding to patient queries associated with

imaging. Student Contributions

Course objectives will be met through lectures, observations, and small group activities utilizing various

media to maximize the clinical relevance of the material presented.

Course Evaluation

EVALUATION Number of Assignments

Points Assigned

Percentage of Weighted Grade

Chapter Discussion 9 36 22%

Midterm 1 100 25%

Final 1 100 25%

Group Projects/outlines 7 28 3%

Case Study Discussion 3 14 22%

Category Quiz Development 7 28 3%

Total

306

100%


GRADING POLICY

Grading scale

90% - 100% A

82% - 89% B

75% - 81% C

70% - 74% D

Below 70% F

W withdraw

WP withdraw with passing grade

WF withdraw with failing grade

I Incomplete

Grading Methodology. The final grade must be 75.00% or more in order to pass the course and

progress in the program.

Students absent from an examination (quiz, test and final exam) or skills check/practical will receive a

“0” grade for the examination/skills check/practical unless other arrangements are made with the

individual instructor prior to the examination or skills check/practical day or on the examination or skills

check/practical day before the examination/ skills check/practical is scheduled to be given. It is the

responsibility of the student to contact the appropriate instructor to arrange to make up the

examination/ skills check/practical. Arrangements may be completed by telephone. If the instructor is

not available, a message should be left on the instructor’s voice mail first AND with another member of

the core faculty, and at last resort, the Division of Health Sciences administrative assistant. The

instructor will decide the time and method of make-up examinations/presentation on an individual

basis. Messages sent by other students are unacceptable. The student is responsible for notifying the

instructor of the reason for the absence. Grades are posted on Blackboard within one week of

administration of tests and examinations. No rounding of numbers will be used to calculate any grades.

If the student scores lower than a 75% on a test or an assignment, it is the student’s responsibility to

contact the instructor to arrange a meeting to discuss learning strategies and or actions/indicators to

improve performance on course evaluation measures.

ASSIGNMENTS It is the student’s responsibility to turn in assignments by the scheduled due date to earn full credit for the assignment. Late assignments will be subject to grade reduction.

ELECTRONIC COMMUNICATION The Technical College of the Lowcountry provides access to email for all students, faculty and staff. Email is an official method of communication at the Technical College of the Lowcountry. Students are held strictly responsible for the consequences of not reading College related communications sent to their official Technical College of the Lowcountry email address. Students in the Physical Therapy Assistant program at the Technical College of the Lowcountry will utilize their Technical College of the Lowcountry email accounts for all communication with faculty and staff. When using email as an official means of communication, students should apply the same professionalism, discretion, and standards that they would use in written business communication. Students should not communicate anything via email that they would not be prepared to say publically.


TEST REVIEW Tests taken online with supervision will be available for immediate review by the student. This review will include the correct answers to the test questions. Students will not be allowed to take any written notes, use electronic devices to take notes or make an image of the tests. All items have to be removed from the desk/table top during the test review. For any discussion beyond the right answer, the student may set up an appointment with the instructor to further discuss. Tests taken in class in paper format will be reviewed in class and discussion will be limited to the right answer. Students will not be allowed to take any written notes, use electronic devices to take notes or make an image of the tests. All items have to be removed from the desk/table top during the test review. For any discussion beyond the right answer, set up an appointment with the instructor to further discuss. ADA STATEMENT The Technical College of the Lowcountry provides access, equal opportunity and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation, contact the counselor for students with disabilities at (843) 525-8219 or (843) 525-8242 during the first ten business days of the academic term. ATTENDANCE

1. The College’s statement of policy indicates that students must attend ninety percent of total class hours or they will be in violation of the attendance policy.

2. Students not physically attending class during the first ten calendar days from the start of the semester must be dropped from the class for NOT ATTENDING.

3. Students taking an online/internet class must sign in and communicate with the instructor within the first ten calendar days from the start of the semester to indicate attendance in the class. Students not attending class during the first ten calendar days from the start of the semester must be dropped from the class for NOT ATTENDING.

4. Reinstatement requires the signature of the division dean.

a. In the event it becomes necessary for a student to withdraw from the course OR if a student stops attending class, it is the student’s responsibility to initiate and complete the necessary paperwork. Withdrawing from class may have consequences associated with

financial aid and time to completion. Students are strongly encouraged to consult with Financial Aid prior to withdrawing from any class, particularly if the student is currently on a warning or probation status.

b. When a student exceeds the allowed absences, the student is in violation of the attendance policy. The instructor MUST withdrawal the student with a grade of “W”, “WP”, or “WF” depending on the date the student exceeded the allowed absences and the student’s progress up to the last date of attendance or

c. under extenuating circumstances and at the discretion of the faculty member teaching the class, allow the student to continue in the class and make-up the work. This exception must be documented at the time the allowed absences are exceeded.

d. Absences are counted from the first day of class. There are no "excused" absences. All absences are counted, regardless of the reason for the absence.

5. A student must take the final exam or be excused from the final exam in order to earn a non-withdrawal grade.


6. Students are expected to be in class on time. Arrival to class after the scheduled start time or leaving class prior to dismissal counts as a tardy. Three tardies and/or early departures are considered as one absence unless stated otherwise. Instructor must be notified prior to start of class by call, text or email if the student is going to be late.

7. It is the student's responsibility to sign the roll sheet (if used) or verify attendance with instructor upon entering the classroom. Failure to sign the roll/verify attendance results in a recorded absence. In the event of tardiness, it is the student’s responsibility to insure that attendance is marked. The student is responsible for all material/ announcements presented, whether present or absent.

8. Continuity of classroom and laboratory (which includes clinical experiences) is essential to the student’s progress in providing safe and competent patient care. Students are expected to use appropriate judgment for participating in clinical activities. To evaluate the student’s knowledge and skills, it is necessary for the student to be present for all classroom, laboratory and clinical experiences. If absence does occur, the designated instructor, other core faculty, or the Division of Health Sciences administrative assistant (in that order), must be notified by telephone no later than 30 minutes prior to the start of class, lab or clinical experiences. The Division of Health Sciences telephone number is 843-525-8267.

A copy of TCL’s STATEMENT OF POLICY NUMBER: 3-1-307 CLASS ATTENDANCE (WITHDRAWAL) is on file in the Division Office and in the Learning Resources Center.

HAZARDOUS WEATHER

In case weather conditions are so severe that operation of the College may clearly pose a hardship on

students and staff traveling to the College, notification of closing will be made through the following

radio and television stations: WYKZ 98.7, WGCO 98.3, WGZO 103.1, WFXH 106.1, WWVV 106.9, WLOW

107.9, WGZR 104.9, WFXH 1130 AM, WLVH 101.1, WSOK 1230 AM, WAEV 97.3, WTOC TV, WTGS TV,

WJWJ TV, and WSAV TV. Students, faculty and staff are highly encouraged to opt in to the Emergency

Text Message Alert System. www.tcl.edu/textalert.asp

ACADEMIC MISCONDUCT There is no tolerance at TCL for academic dishonesty and misconduct. The College expects all students to conduct themselves with dignity and to maintain high standards of responsible citizenship. It is the student’s responsibility to address any questions regarding what might constitute academic misconduct to the course instructor for further clarification. The College adheres to the Student Code for the South Carolina Technical College System. Copies of the Student Code and Grievance Procedure are provided in the TCL Student Handbook, the Division Office, and the Learning Resources Center.

Health care professionals hold the public trust. Academic misconduct by health science students calls that trust into question and academic integrity is expected.

It is a fundamental requirement that any work presented by students will be their own. Examples of academic misconduct include (but are not limited to):

1. copying the work of another student or allowing another student to copy working papers, printed output, electronic files, quizzes, tests, or assignments.

http://www.tcl.edu/textalert.asp


2. completing the work of another student or allowing another student to complete or contribute to working papers, printed output, electronic files, quizzes, tests, or assignments.

3. viewing another student’s computer screen during a quiz or examinations. 4. talking or communicating with another student during a test. 5. violating procedures prescribed by the instructor to protect the integrity of a quiz, test, or

assignment. 6. plagiarism in any form, including, but not limited to: copying/pasting from a website, textbook,

previously submitted student work, or any instructor-prepared class material; obvious violation of any copyright-protected materials.

7. knowingly aiding a person involved in academic misconduct. 8. providing false information to staff and/or faculty. 9. entering an office unaccompanied by faculty or staff. 10. misuse of electronic devices.

RECORDING DEVICES/CELL PHONES

Students are not allowed to use recording devices during any lectures, lab, or clinical periods.

Moreover, students must have cell phones turned off (not on vibrate) during lectures and lab times. If

for any reason a cell phone rings or vibrates during lecture or lab, the student will receive a grade

reduction per occurrence after the first warning. Students are not allowed to have their cell phone,

IPod, or any other electronic device at their clinical rotations. Violation of the rules/requirements listed

above will be reason for dismissal from the Physical Therapy Assistant program.

DRESS CODE

1. Students are expected to attend class dressed neatly and well groomed. 2. Clothes must be clean, non-stained, in good repair, tucked in as appropriate, pressed and free of

wrinkles. 3. Clothing must be non-seductive, and not exotic or extreme in style. 4. Clothing should fit properly, proportionately correct for body size (not too tight, oversized, too

short, too long, etc.). 5. Clothing should be plain and casual. 6. TCL branded clothing is acceptable. 7. All students are expected to wear appropriate undergarments that are not visible (for example:

colors, prints, thongs, etc.) and must be worn under the exterior garment. 8. A bra must be worn by females including under a camisole. 9. Caps and sunglasses will be removed in the classroom. 10. Clothing must not reveal the navel, breast or bottom. 11. A student in violation of the dress code will be dismissed from the classroom resulting in an

absence.

Course Coordinator: Vicki Daniel, DPT, Program Director

OFFICE LOCATION: Building 4 Room 113

PHONE NUMBER: 843-525-8230

OFFICE HOURS: As posted, by appointment

Email: [email protected]


Technical College of the Lowcountry Division of Health Sciences

Physical Therapist Assistant Program Course Syllabus and /or Addendum Acknowledgement

Acknowledgement of PTH242 Orthopedic Management Syllabus

Instructors Name: Vicki Daniel

I _________________________________________, understand it is my responsibility to read the

Summer 2016 Syllabus for PTH242 Physical Therapy Functional Anatomy.

Students should read the Syllabus and/or Addendums and make notes of any questions they may wish

to ask. This will allow the students to have a better understanding of the expectation of class, program,

and its faculty. Students are always notified when updates have been made as they will be asked to sign

additional Acknowledgement Sheets.

Students will be required to print a copy of the entire Syllabus and/or Addendum to be included in their

clinical education notebook.

Students will be expected to sign this statement indicating they have read and understand the PTH242

Orthopedic Management Syllabus and/or Addendum.

_________________________________________ _____________________

Signature Date

Technical College of the Lowcountry Vicki Daniel 921 Ribaut ......Credits: 4.0 Lecture: 4.0 Lab: 0...

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