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DEPARTMENT OF ORTHOPAEDICS
King Edward vii Memorial HOSPITAL ,MUMBAI
S.V. VAIDYA UNIT
Unit structure
• Number of faculty - 4
• Bed allotment in department - 47
• Number of residents - 10
• Number of postgraduate teachers - 4
• Surgical out put- Weekly -12 cases, Monthly – 50 cases, Yearly -600 cases.
• Specialty surgical procedure output – 4 cases / week.
Team Organisation
S.V. VAIDYAPROF & HEAD OF THE UNIT
S.V.VAIDYA (Professor and Head of the unit)KNEE RECONSTRUCTION
IARVIND ARORA ( Asst. Prof)
ARTHROSCOPY AND SPORTS MEDICINE
PRADEEP NEMADE (Asst. Prof)
COMPLEX AND REVISION TRAUMA
JITESH MANGHWANI
(SMO)
5TH POSTER B
3RD POSTER A 3RD POSTER C3RD POSTER B
ATUL PANGHATE (Associate Prof)
HIP RECONSTRUCTION
5TH POSTER A
ABHIMANYU SINGH
(SR)
1ST POSTER A 1ST POSTER B 1ST POSTER C
Dissertation work flow
Outcome Time frame
Allotment of guide Within 15 days of joining
Selection of study topic Within 1 month of joining
Vetting of topic and approval after discussion
Within 6 months
Recruitment Over the period of study
Periodic review 3 monthly
Halfway review and assessment After 2nd year of residency
Final assessment and submission At the end of residency
Approvals (within 1 month of joining)
• Desertation Topic
• Dept. Review Board
• Ethics Committee
Research meet (50 hrs/6 months) Every Monday
Resident presentations (48 hrs/6 months) Every Friday
Ward rounds (44 hrs for 6 months) Mondays, Fridays
Complication meet (12 hrs for 6 months) Wednesday once a
month
TRAINING :
TRAUMA
PROCTORSHIP OPERATING
LEVEL 1-CATEGORY 2,3
(4,5 WITH DISCRETION)
PELVIS & ACETABULUMSPINE
FRACTURESTALUS SCAPHOID
LEVEL 2 – CATEGORY 4,5,6
POLYTRAUMACOMPOUND
FRACTURESINTRA ARTICULAR
FRACTURES
LEVEL 3- CATEGORY 7
PERCUTANEOUS WIRINGDIAPHYSEAL
PLATINGDIAPHYSEAL
NAILING
CLINICS:• 5TH posters to hold clinics for 1st posters
(dedicated time: half hour each and allotted topics to be finished in 3 months)
6 hrs per 3 months
• Particulars to be entered in resident log book(including surgeries)
1. MLC Notes
2. Implants & Prescriptions
3. Pre-operative protocols and documentation
4. Intra-operative and post-operative protocols and management
5. Fitness waiting list & OT list
6. Upper limb plasters
7. Lower limb plasters
8. Injection Hydrocortisone in Upper limbs
9. Injection Hydrocortisone in lower limb
10. Tractions
11. Communication Skills
12. Clinical Paper work ( Filling forms )
BOOKS TO BE READ IN FIRST POST
• The Closed treatment of Common Fractures by Dr.John Charnley, Golden
jubilee edition
• Tractions & Orthopaedics Appliances by Dr. John Stewart,2nd edition
• Elements of Fracture Fixation by DR. A.J. Thakur, 2nd edition
• AO Principles of fracture management, 2nd edition
• Manual of clinical examination by Dr. S.Das, 13th edition
• Surgical exposure in orthopaedics, 5th edition, Dr. Stanley Hoppenfield
• Orthopaedics neurology, Stanley Hoppenfield, 2nd edition
• ATLS and BTLS Competency
RESEARCH :
Atleast 1 Paper submission in the PubMed cited Journal
• Dr. Jitesh (till date)
• Dr. Abhimanyu (till date)
• 5th Poster A ( till date)
• 5th Poster B ( till date)
Research Methodology workshop mandatory
CAT. 4
CAT. 5
PROCTORSHIP FOR SUPERSPECIALITY SURGERIES
(Total 60 hrs of Operative Training)
1. Total knee Replacement – SVV
2. Total hip replacement – Atul
3. Spine surgeries – Atul
4. Arthroscopy – Arvind
5. Pelviacetabular – Pradeep
Recommended reading• General :
• Campbell’s Operative Orthopaedics, 13th edition, Terry Canale
• Rockwood and Green's fractures in adults, 7th edition, Charles M Court-Brown
• Mercer's Textbook of Orthopaedics and Trauma, Tenth edition, Suresh Sivananthan
• Turek's Orthopaedics: Principles and Their Application, 7th edition, Stuart L. Weinstein
• Speciality:
• Basics in hip and knee arthroplasty,2nd edition,Shrinand V. Vaidya.
• Tachdjian's Pediatric Orthopaedics, 3rd edition, MacEwen, G.
• Rothman Simeone The spine, 6th edition, Harry Herkowitz
Residents to maintain logbook
SN DATE AGE/SEX DIAGNOSIS PROCEDURE DONE OBSERVED ASSISTED PERFORMED SIGNATURE
OPERATIVE PROCEDURES RECORD
TRAINING LECTURES
SN DATE LECTURE TOPIC SIGNATURE
TRAINING LECTURES
SN DATE LECTURE TOPIC SIGNATURE
SEMINARS
SN DATE SEMINAR TOPIC ATTENDED REMARKS
SEMINARS
SN DATE SEMINAR TOPIC ATTENDED REMARKS
Time frame Desired outcome Assessment outcome
0-6 mths
6-12 mths
12-18 mths
18-24 mths
24-30 mths
30-36 mths
36-48 mths senior residency
TRAINING ASESSMENT
1st assistant goes as per
Royal college proctorship protocol
: gets to do complete independent TKA
Number Dr. S.V.V. First Assistant (Senior Registrar/Registrar)
1ST TKR PERFORMER(P)Active Assistant (AS) (Must know trolley instruments, Draping and exposure
2ND TKR PERFORMER(P)Active Assistant (Must know the Mechanics and cuts
3RD TKR PERFORMER(P) Acive Assistant (AS) must know hemostasis, closure technique and dressing
4TH TKR Observer (O) for exposure Active Assistant for bone cuts Performer for cementing and implantataion
Performer for exposure Active Assistant for remaining Surgery (Must know cementing and implantation
5TH TKR
6TH TKR
7TH TKR
8TH TKR
Observer (O) for exposure Active Assistant for bone cuts Performer for cementing and implantataion
Observer (O) for exposure Performer for remaining surgery
Active unscrubbed for full surgery
Observer for full surgery
Performer for exposure Performer for bone cuts Active Assistant for cementing and implantation
Performer for whole surgery
Performer for whole surgery
Performer for whole surgery
Recommended