Orthogeriatric Programme

Curriculum in Orthogeriatric for SpRs in Geriatric Medicine

1. Falls

Evidence-base for multifactorial risk assessment and interventions for fallers.

Understand appropriate investigations for syncope.

Ability to carry out an adequate Falls Assessment (History, Examination, Investigation ordering).

Understanding tilt test results.

Ability to refer appropriately to interventions which may prevent further falls.

Ward work

Taught curriculum

Falls clinic attendance

Tilt-Test session

2. Metabolic bone disorders



Paget’s disease

Function of osteoporosis clinic

Evidence base for different drug treatments for osteoporosis

Ability to investigate osteoporosis

Apply osteoporotic drug regimens appropriately.

Osteoporosis clinics

Taught curriculum

3. Anaesthetic Issues
(hip fracture)

Nature of anaesthetic pre-operative assessment

Awareness of situations when surgical treatment may not be appropriate

Medical assessment skills

Orthogeriatric liaison

Taught curriculum

4. Diagnosis, classification of treatment for hip fractures

Fractured neck of femur.

Intertrochanteric fractures.

Sub-trochanteric fractures.

Upper limb fractures including fractured humerus, Colles fracture, vertebral fractures.

Ability to diagnose and classify fractures based on X-ray appearances

Knowledge of specific complications of individual surgical and non-surgical interventions

Orthogeriatric liaison

Orthogeriatric rehabilitation ward work

Taught curriculum

5. Post operative care, (acute and rehabilitation), including usual post operative complications Acquire knowledge of skills and treatment options that each individual member of multi-disciplinary team can bring to the management of the patient with hip fracture.

Acute post surgery care

Ability to identify rehabilitation needs

Ability to provide an adequate management plan

Ability to assess progress of rehabilitation.

Orthogeriatric rehabilitation as part of weekly clinical timetable during attachment in Department of Geriatric Medicine

Mini-Cex –Running an MDT in an Orthogeriatric setting

Mini-Cex –Assessment of Orthopaedic patient with regard to suitability for rehabilitation

6. Orthopaedic joint replacement assessment clinic

What is joint replacement trying to achieve in terms of analgesia and function.

For whom is this appropriate?

Identify and assess patients who might benefit from joint replacement (hip/knee) Orthopaedic out-patient session(s) with Consultant Orthopaedic surgeon with special interest in joint replacement
7. Orthotics and appliances Principle of orthotics and knowledge of appliances available. Ability to identify the patients who might benefit from orthotics Orthotics department session

After each subject a trainee feedback sheet (Orthogeriatric Training form) should be filled in. This form also serves to certify satisfactory completion.

Download the SpR Orthogeriatric Training form as a pdf file.

Last Updated on Tuesday, 20 December 2011 12:20

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