SURGERY AND MEDICINES FOR ADMINISTRATION

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B226089
Module Leader Allan Thomson
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • B (January start)

Summary of Content

-284b7 The module will present the principles of podiatric and orthopaedic surgical management of the foot. The module will also provide students with knowledge of the vascular and general surgery related to the foot. The module will build on initial learning on radiographic imaging techniques to consider how these are used in relation to lower limb surgery. b7 This module will provide students with the knowledge and understanding of medicines covered by the HCPC annotation POM-A which relates specifically to medicines for administration including local anaesthetics, adrenaline and the corticosteroid methylprednisolone acetate.

Syllabus

-218b7 The surgical interview and informed consent. b7 Criteria for selection of patients for foot surgery. b7 Examination, investigation and imaging of the pre-surgical patient b7 Pre and post-operative instructions and considerations. b7 Criteria for selection of patients for local anaesthesia, pharmacology of local anaesthesia. Local Anaesthetics. b7 Applications of Local Anaesthetics and corticosteroid injections. b7 Patient Suitability for Local Anaesthetic and corticosteroid injection. Calculating Maximum Safe Doses. b7 Toxicity, anaphylaxis and managing clinical emergencies. b7 Health and Safety related to surgery b7 Infection control. Sterile fields, post-operative infections. b7 Non-incisional nail surgery techniques and incisional nail surgery. b7 Orthopaedic paediatrics of the foot and ankle b7 Aspiration, biopsy and electrosurgical techniques. b7 Surgery for soft tissue lesions including ganglion cysts, lipomas, fibromas and other soft tissue tumours. b7 Principles of surgery - osteotomies, arthrodesis, arthroplasty, tenotomies, bone grafts and basic essentials of fracture management. b7 Surgical management of: peripheral arterial disease, varicose veins and consideration of deep venous thrombosis, gangrene and amputations.

Learning Outcomes

Upon successful completion of this module the student should be able to:1. Demonstrate an understanding of the importance of informed consent.2. Demonstrate an understanding of appropriate patient selection and procedure selection3. Demonstrate an understanding of the use of pre, peri and post-operative imaging and investigations4. Demonstrate an understanding of the principles of surgery and local anaesthetics5. Demonstrate a detailed knowledge and understanding of the theory and safe, effective and legal use of medicines covered by the POM-A annotation on the HCPC register.

Teaching / Learning Strategy

Interactive lectures to establish theoretical framework, supported with appropriate e-Learning material. -284b7 Tutorials to clarify reinforce and integrate knowledge and encourage reflection. - Directed learning encouraging an attitude of enquiry with the ability to extract and interpret a variety of information from numerous sources. b7 IT teaching packages. b7 Practical sessions to integrate and apply theoretical knowledge to the living subject and to enhance communication skills. - Enhancement of communication skills through: -283 o Group teaching and learning o Problem-based learning o Simulation -284b7 Case studies to ensure theoretical knowledge is applied practically

Indicative Reading

-284b7 Christman, R.A. (2015) Foot and ankle radiology /. 2nd ed. Philadelphia, PA?:, Wolters Kluwer Health. b7 Ramachandran, M. (2017) Basic orthopaedic sciences /. Second edition. a9 2017, CRC Press, Taylor & Francis Group, b7 Kumar, P.J. & Clark, M.L. (2012) Kumar & Clark's clinical medicine /. 8th ed. Edinburgh?:, Saunders Elsevier. b7 Neale, D. & Frowen, P. (2010) Neale's disorders of the foot. 8th ed. Edinburgh?:, Churchill Livingstone. b7 Myerson, M. (2010) Reconstructive foot and ankle surgery?: management of complications /. 2nd ed. [Online]. Philadelphia, PA?:, Elsevier/Saunders. Available from: Elsevier. b7 Blann, A. (2013) Routine blood results explained /. 3rd ed. Cumbria?:, M&K Pub.,. b7 Yates, B. (2009) Merriman's assessment of the lower limb. 3rd ed. Edinburgh?;, Churchill Livingstone. b7 Daffner, R.H. & Hartman, M.S. (2014) Clinical radiology?: the essentials /. 4th edition. Wolters Kluwer /Lippincott Williams & Wilkins Health. b7 Helliwell, P. (2007) The foot and ankle in rheumatoid arthritis?: a comprehensive guide / Philip Helliwell, James Woodburn, Anthony Redmond, Deborah Turner, Heidi Davys. Edinburgh?:, Churchill Livingstone/Elsevier. b7 Keats, T.E. & Anderson, M.W. (2013) Atlas of normal roentgen variants that may simulate disease. 9th ed. /. Philadelphia, Pa.?;Saunders. b7 Metcalfe, S. & Reilly, I. (2010) Foot and ankle injection techniques?: a practical guide. Edinburgh?;, Churchill Livingstone/Elsevier. b7 Sarrafian, S.K. (2011) Sarrafian's anatomy of the foot and ankle?: descriptive, topographical, functional / editor, Armen S. Kelikian. 3rd ed. Wolters Kluwer Health/Lippincott Williams & Wilkins. b7 Belch, J.J.F. (1996) Color atlas of peripheral vascular diseases / Jill J.F. Belch ... [et al.]. 2nd ed. Mosby-Wolfe. b7 Anderson, R.B. (2014) Mann's surgery of the foot and ankle. Volume 1 / [edited by] Michael J. Coughlin, Charles L. Saltzman, Robert B. Anderson. 9th ed. Philadelphia, PA?:, Saunders/Elsevier. b7 Gosling, J.A. & Willan, P.L.T. (2017) Human anatomy?: color atlas and textbook / J.A. Gosling, P.F. Harris, J.R. Humpherson, I. Whitmore, P.L.T. Willan. 6th ed. Elsevier,. b7 Thomson, T. & Freeman, D. (2002) Assisting at podiatric surgery?: a guide for podiatric surgical students and podiatric theatre assistants / Telford Thomson?; with a contribution from Denise Freeman?; foreword by Vincent J. Mandracchia. Edinburgh?;, Churchill Livingstone. b7 Levy, D. (2011) Practical diabetes care / David Levy, MD, FRCP, Consultant Physician, Gillian Hanson Centre, Whipps Cross University Hospital; Honorary Senior Lecturer, Queen Mary University of London, London, UK. Third Edition. Chichester, West Sussex?:, John Wiley & Sons.

Transferrable Skills

-142b7 Independent study skills b7 Self-motivated learning b7 Observational skills b7 Communication skills; verbal and non verbal, written, interview techniques, counselling skills and IT skills. b7 Skills of reflection and clinical reasoning b7 Group learning b7 Problem based learning.

Module Structure

Activity Total Hours
Tutorials (FT) 12.00
Independent Learning (FT) 116.00
Lectures (FT) 40.00
Practicals (FT) 12.00
Assessment (FT) 20.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 1.00 30.00 35% OSPE Exam LO5
Exam 01 2.00 70.00 35% Exam LO1, LO2, LO3, LO4