The format of the Examination will consist of written and oral sections and will contain a component of the Basic Sciences related to Orthopaedic Surgery and Trauma.
The sections of the Examination are as follows:
a) A written paper in book form consisting of 20 MCQ questions ‑ 2 hours
eg. With regard to Pigmented Villonodular Synovitis [PVNS] (5 marks) |
true |
false |
| 1.This is a form of malignant metaplasia of the synovium with a risk
of distant metastases. |
|
|
| 2. It has three clinical presentations: diffuse, nodular and tendon sheath
which have identical histological appearances. |
|
|
| 3. Histology in chronic cases reveals collagen-producing polyhedral cells
with haemosiderin deposits and multinucleated giant cells |
|
|
| 4.The nodular form, involving the tendon sheath, is the second most
common tumour seen in the hand after a ganglion |
|
|
| 5.The rate of recurrence within a joint is principally determined by the
thoroughness of the surgical excision of the affected tissue |
|
|
| |
|
|
b) An oral examination consisting of five sessions of 30 minutes. Each oral session will be based
on the following subjects (candidates will rotate through the 5 stations) :
(i) adult orthopaedic and trauma surgery-upper limb
(ii) adult orthopaedic and trauma surgery-lower limb
(iii) adult orthopaedic and trauma surgery-Spine
(iv) children's orthopaedic and trauma surgery
(v) basic sciences related to orthopaedics, including biomechanics, statistics, audit
methodology & outcome based medicine.
GUIDE TO SCOPE OF THE EXAMINATION
A. ELECTIVE ORTHOPAEDICS
1. A wide knowledge of orthopaedic disease in both children and adults which includes
congenital and genetically determined disorders, metabolic disorders, degenerative
diseases and disturbances, and disabilities resulting from disorders of the central and peripheral nervous systems. This knowledge should extend from clinical diagnosis through management to rehabilitation.
2. A sound knowledge of the standard operative procedures used and their complications.
3. A knowledge of the standard investigative techniques used in orthopaedics.
4. A knowledge of specialised areas such as the spine, the hand, etc.
B. TRAUMA
1. A sound knowledge of the care of musculoskeletal trauma from the initial
resuscitation through reconstructive surgery to complications and their management, and
relevant aspects of rehabilitation. Musculoskeletal trauma includes fractures of limb bone,
joint injuries, spinal injuries including neurological damage, pelvic fractures, injuries to
muscle, tendon, ligament and nerve, hand injuries, multiple injuries and the principles of
shock and resuscitation.
2. An adequate knowledge of visceral, neurosurgical and skin trauma, such as would enable an orthopaedic surgeon to undertake primary diagnosis and treatment of these injuries if specialist expertise were not immediately available.
C. BASIC SCIENCE
1.A knowledge of surgical anatomy relevant to the practice of orthopaedic and trauma surgery.
2.The development of the musculoskeletal system.
3. The physiology and biochemistry of musculoskeletal tissues.
4.The pathology of common conditions including tumours, degenerative and inflammatory
arthritis, metabolic bone disease and fracture healing.
5. Bacteriology encountered in orthopaedic practice including operating theatre design and the
role of antibiotics.
6. The science of investigative techniques, including the principles of radiography and the
effects of radiation on the skeleton, the physical basis of computerised tomography, ultrasound
and magnetic resonance imaging, the scientific basis of electrophysiological investigations.
7. Biomechanics relevant to the musculoskeletal system. This would include the physical
properties of the tissues we deal with (bone, cartilage, and implants for reconstructive surgery
and fracture fixation), patterns of gait and limb movement and the effect of forces acting on the
skeleton.
8. Working knowledge of Statistics relevant to Orthopaedic practice
|
