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