General hand surgery talk2

1,232 views
1,138 views

Published on

a general talk on the scope of hand surgery its training and educations

Published in: Health & Medicine
1 Comment
1 Like
Statistics
Notes
No Downloads
Views
Total views
1,232
On SlideShare
0
From Embeds
0
Number of Embeds
8
Actions
Shares
0
Downloads
35
Comments
1
Likes
1
Embeds 0
No embeds

No notes for slide

General hand surgery talk2

  1. 1. Hand Surgery for the uninterestedRecent advances, practice, training and accreditation The Birmingham Hand Centre
  2. 2. 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.comThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  3. 3. Birmingham Hand Centre• UHB NHS FT • QEHB• ROH NHS FTThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  4. 4. Defining Hand Surgery• Bones joints distal to radius• Soft tissues• Nerves & brachial plexus• Vessel distal to the wrist Berretini anastomosis Neuroanatomy [2009] 8: 15–19The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  5. 5. Speciality • Sub speciality of orthopaedic and plastic • Independent speciality – Norway, Sweden and Singapore • Orthopaedic, plastic surgery, vascular surgery and microsurgeryThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  6. 6. Training Ladder Fellowship 1 year Core Specialty 6 years CT 2 years FY 2 years Medical School 5 yearsThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  7. 7. Proposed UK Training Ladder Hand Sub Speciality 2 years Hand Surgery 4 years CT 2 years FY 2 years Medical School 5 yearsThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  8. 8. Future Training Ladder Hand Sub Speciality Fellowship 1 year Hand Surgery R3 - 6 Core Residency R1 & 2 Pre Reg HO (Intern) Medical School 5 yearsThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  9. 9. The Need • 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 WRMSULDThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  10. 10. Current Practice • Trauma • Fractures • Finger tips • Burns • Tendon/nerve/skin loss • Elective • Compressive Neuropathy • Tumours • Arthritis • Deformities • CongenitalThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  11. 11. Hand Surgery Practice • Moving from trauma to more elective • Nerve entrapments • WRMSD rather than industrial accidents • Sports injuries • Infections • Assault/self inflicted • DIYThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  12. 12. Sub Speciality • Congenital • Brachial Plexus and Peripheral Nerve • Wrist • Spastic Hand • Microsurgical reconstructionThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  13. 13. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  14. 14. Qualities • Patience • Fine motor coordination • Inquiring mind • Innovative • Community orientated • Self critical • Strive for masteryThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  15. 15. Some examplesThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  16. 16. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  17. 17. Hand FracturesThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  18. 18. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  19. 19. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  20. 20. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  21. 21. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  22. 22. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  23. 23. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  24. 24. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  25. 25. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  26. 26. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  27. 27. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  28. 28. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  29. 29. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  30. 30. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  31. 31. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  32. 32. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  33. 33. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  34. 34. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  35. 35. 28 , Male, R Hand dominantThe Birmingham Hand Centre
  36. 36. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  37. 37. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  38. 38. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  39. 39. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  40. 40. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  41. 41. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  42. 42. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  43. 43. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  44. 44. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  45. 45. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  46. 46. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  47. 47. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  48. 48. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  49. 49. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  50. 50. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  51. 51. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  52. 52. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  53. 53. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  54. 54. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  55. 55. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  56. 56. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  57. 57. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  58. 58. The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  59. 59. Stake Holders • Regulators • Educators – University, Professional bodies • Patients/Community • Funders of healthThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  60. 60. Needs analysis • Challenges of developing and rural community • Fit for purpose • Delivering the serviceThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  61. 61. Training vs EducationThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  62. 62. Political • Regulation • University vs Professional bodies • Credentialing • AccreditationThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  63. 63. Economy • Time • Service Commitments • Teacher supply • FundingThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  64. 64. Social • Adult learning styles • Self paced • On demand • Experiential • Work based • Teaching stylesThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  65. 65. Technology • Curriculum 2.0 • On line resources • On line skill acquisition • On line assessment • Digital Video • Tele medicine • On line mentoringThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  66. 66. Opportunity in developing community • Patients • Training Time • Teachers • Technology • University backed • Green field • Demand for education • InfrastructureThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  67. 67. The Ideal Surgeon • Wide Knowledge Based • Holistic & Ethical • Right Thinking • Highly Skilled • Innovative • Surgical wisdom • TeacherThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  68. 68. What to teach? • Surgical thinking • Curriculum • Surgical practice • Integrating and applying propositional knowledge • Careful perception • Opportunistic LEARNING • DISCIPLINE • Assessments – summative and formativeThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  69. 69. Accreditation • Orthopaedics • Quality • Plastics • Patient Safety • A&E • Education • General Surgeons • Advancement • Research • Inclusive not exclusiveThe Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust
  70. 70. Thank you • 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/The Birmingham Hand CentreUniversity Hospitals Birmingham NHS Foundation Trust

×