General hand surgery talk2

The Birmingham Hand Centre

Hand Surgery for the

uninterested

Recent advances, practice, training and

accreditation

University Hospitals Birmingham NHS Foundation Trust

Mr Vaikunthan Rajaratnam

MBBS(Mal),AM(Mal),FRCS(Ed),FRCS(Glasg),FICS(USA),

MBA(USA),Dip Hand Surgery(Eur),

PG CertMedEd(Dundee),FHEA(UK)

Consultant Hand Surgeon Birmingham Hand Centre

University Hospital Birmingham NHS Foundation Trust

Royal Orthopaedic Hospital United Kingdom

www.handsurgerymanual.com

Birmingham Hand Centre

•UHB NHS FT

•QEHB

•ROH NHS FT

•Bones joints distal to radius

•Soft tissues

•Nerves & brachial plexus

•Vessel distal to the wrist

Defining Hand Surgery

Berretini anastomosis

Neuroanatomy [2009] 8: 15–19

•Sub speciality of orthopaedic and plastic

• Independent speciality – Norway, Sweden

and Singapore

•Orthopaedic, plastic surgery, vascular surgery

and microsurgery

Speciality

Fellowship 1 year

Core Specialty 6 years

CT 2 years

FY 2 years

Medical School 5 years

Training Ladder

Hand Sub Speciality 2 years

Hand Surgery 4 years

CT 2 years

FY 2 years

Proposed UK Training Ladder

Hand Sub Speciality Fellowship 1 year

Hand Surgery R3 - 6

Core Residency R1 & 2

Pre Reg HO (Intern)

Future Training Ladder

•Musculoskeletal disorders most common work

related ailment in Great Britain

•30% of WRMSD is Upper Limb

•4.7 million working days were lost in 2003/04

•estimated 18.3 days off in 1 year

• 2005/06 - 374 000 people in Great Britain

suffered from an WRMSULD

The Need

• Trauma

•Fractures

•Finger tips

•Burns

•Tendon/nerve/skin loss

•Elective

•Compressive Neuropathy

•Tumours

•Arthritis

•Deformities

•Congenital

Current Practice

•Moving from trauma to more elective

•Nerve entrapments

•WRMSD rather than industrial accidents

•Sports injuries

• Infections

•Assault/self inflicted

•DIY

Hand Surgery Practice

•Congenital

•Brachial Plexus and Peripheral Nerve

•Wrist

•Spastic Hand

•Microsurgical reconstruction

Sub Speciality

•Patience

•Fine motor coordination

• Inquiring mind

• Innovative

•Community orientated

•Self critical

•Strive for mastery

Qualities

Some examples

Hand Fractures

28 , Male, R Hand dominant

Stake Holders

•Regulators

•Educators – University,

Professional bodies

•Patients/Community

•Funders of health

Needs analysis

•Challenges of

developing and rural

community

•Fit for purpose

•Delivering the service

Training vs Education

Political

•Regulation

•University vs

Professional bodies

•Credentialing

•Accreditation

Economy

•Time

•Service Commitments

•Teacher supply

•Funding

Social

•Adult learning styles

• Self paced

• On demand

• Experiential

• Work based

•Teaching styles

Technology

•Curriculum 2.0

•On line resources

•On line skill acquisition

•On line assessment

•Digital Video

•Tele medicine

•On line mentoring

Opportunity in developing community

•Patients

•Training Time

•Teachers

•Technology

•University backed

•Green field

•Demand for education

• Infrastructure

The Ideal Surgeon

•Wide Knowledge Based

•Holistic & Ethical

•Right Thinking

•Highly Skilled

• Innovative

•Surgical wisdom

•Teacher

What to teach?

•Surgical thinking

•Curriculum

•Surgical practice

• Integrating and applying

propositional knowledge

•Careful perception

•Opportunistic LEARNING

•DISCIPLINE

•Assessments –

summative and formative

Accreditation

•Quality

•Patient Safety

•Education

•Advancement

•Research

•Orthopaedics

•Plastics

•A&E

•General Surgeons

• Inclusive not exclusive

•www.handsurgerymanual.com

•http://handsurgery.moodlehub.com/

•http://www.bssh.ac.uk/

•http://www.sshs.org.sg

•http://www.fessh.com/

•http://www.ifssh.info/

Thank you

General hand surgery talk2

Health & Medicine

Skin incisions in hand surgery

CON2178 Clement-OOW 15 Cluster Talk2

Latest hand surgery game for kids

Department of Hand & Reconstructive Microsurgery TENDON TRANSFERS FOR THE HAND National Congress of Indonesian Surgery for Surgery of the Hand (HIPITA)

HAND AND WRIST...Hand Surgery Pediatric Congenital Hand Issues David A. Bernstein, MD BOARD CERTIFIED: Orthopaedic Surgeon FELLOWSHIP-TRAINED: Hand and Upper Extremity Surgery CERTIFICATE

Hand and wrist surgery

THE JOURNAL OF HAND SURGERY - Northwestern …sites.surgery.northwestern.edu/reading/Documents/curriculum/kinkos/... · Hand ~~~RIGINAL THE JOURNAL OF HAND SURGERY ~gfficial journal

Hand Surgery in India

Hand Surgery

HAND INUJURIES, HAND SURGERY - old.aok.pte.hu

WHITE BOOK ON HAND SURGERY IN EUROPE - … › documents › White Book on Hand Surgery in...WHITE BOOK ON HAND SURGERY IN EUROPE EUROPEAN BOARD OF HAND SURGERY Updated 20 March 2019

D sandars talk2

Principles of hand surgery

Basics of Hand Surgery

sigma xi talk2 noanimation - Williams College · 2011. 11. 22. · sigma xi talk2 noanimation - Williams College ... a

Special Instruments – for Hand Surgery · Special Instruments for Hand Surgery Special Instruments – for Hand Surgery Hand surgical interventions nowadays request more than just

Hand Surgery Milestones - acgme

CPT Coding Hand and Extremity Surgery - AAPCstatic.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/cfa2b133-ce1… · 10/11/2012 2 Coding & Hand Surgery Devaluation of Hand Surgery

Intelligent designer crf talk2

Talk Talk Talk2