FRCS (Trauma and orthopaedics) Hand stations

1. Viva Teaching
Chertsey Hand Viva stations
Professor Mohamed A. Imam
MD, PhD, FRCS (Tr. & Orth.)

11. Y
X
I

13. A 28-year-old male carpenter was using a circular saw 2 hours
ago when he suffered a complete amputation through the MCP
joint of the nondominant thumb.

17. When describing a surgical approach, first and foremost it
is best to speak as if you yourself have
done the operation before: try not to regurgitate a book.
Imagine you are telling a story, or describing
the approach to someone over the phone. Use phrases
such as ‘I centre my longitudinal incision
over . . . ’ or ‘I often see a haematoma in this plane . . . ’
to personalize your description. It tells the
examiner you know what you are talking about and
prevents him or her from pushing you on the
minutiae.

18. Having prepared and consented the patient for
theatre, I will . . .
• I would position the patient supine with an
armboard and a high-arm tourniquet and
confirm I am able to achieve adequate images
with the intensifier. I would then perform a
surgical time-out before commencing with
routine skin preparation and draping.

19. 謝謝。
Thank you.
Muchas gracias.
Merci beaucoup.
ありがとうございました。
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