Orthogeriatric Programme
- Details
Curriculum in Orthogeriatric for SpRs in Geriatric Medicine
| Subject | Knowledge | Skills | Sessions |
|---|---|---|---|
| 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 |
Osteporosis Osteomalacia 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.
