PODIATRIC MEDICINE, SURGERY & RADIOLOGY

SHE Level 2
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code M2B322754
Module Leader Allan Thomson
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

Programme requirements for entry to level 2

Summary of Content

This module will provide students with a range of general medical pathologies and their implications for podiatric practice. The student will be provided with the theoretical knowledge for the development of clinical practice including aetiology, clinical presentation, pathology and management. The module will present the principles of podiatric and orthopaedic surgical management of the foot. The module will provide students with knowledge of vascular and general surgery related to the foot. The module will examine the use of radiographic techniques and images in podiatric practice.

Syllabus

The student will be introduced to the wide range-ranging concepts of medicine and surgery including clinical manifestation, pathology and management of the following specific conditions: Central cardiac disorders Blood disorders Endocrine and metabolic disorders Respiratory disorders Dermatological conditions Arthropathies, connective tissue and autoimmune disorders Neurological and neuromuscular disorders Blood borne viruses Bone disorders Mental illness Psychosocial aspects of the above disorders and communication strategies required in dealing with patients with a variety of conditions/illnesses. The surgical interview and informed consent. Criteria for selection of patients for foot surgery. Examination and investigation of the pre-surgical patient. Pre and post-operative instructions and considerations. Non-incisional nail surgery techniques. Incisional nail surgery. Electrosurgical techniques. Health & safety issues related to surgery. Infection control. Sterile field techniques. Post-operative infection. Osteomyelitis. Bone, joint and soft tissue trauma, infection and tumours. Ganglions, cysts, glomus tumours. Principles of surgery - osteotomies, arthrodesis, arthroplasty, tenotomies, bone grafts. Surgical management of: peripheral arterial disease, varicose veins, deep venous thrombosis, gangrene and amputations. Ionising Radiation (Medical Exposure) Regulations (2000) Radiographic imaging, x-ray, bone scan, MRI, computerised tomography investigations Vascular and neurological assessment using diagnostic equipment and criteria to establish the validity and reliability of clinical signs and symptoms. Vascular disorders of the lower limb; aetiology, pathology and conservative and surgical management

Learning Outcomes

On successful completion of this module the students should be able to:1. Demonstrate a working knowledge and understanding of relevant medical conditions in relation to the practice of podiatry2. Demonstrate an understanding of assessment techniques in the basic neurological, vascular and musculoskeletal examination of patients3. Understand the importance and significance of medical information in the management of podiatric practice4. Appreciate the role of the podiatrist in the multi-disciplinary management of patients with specific medical conditions5. Discuss the relevant psychosocial aspects of health related to medical conditions6. Demonstrate an understanding of the importance of patient selection and procedure selection7. Understand the implications of informed consent8. Demonstrate an understanding of sterile field techniques9. Understand the principles of surgical techniques10. Identify the manifestations of surgical treatments in podiatric practice 11. Understand the implications of the Ionising Radiation (Medical Exposure) Regulations (2000)12. Differentiate a range of imaging techniques in a theoretical and practical context13. Demonstrate a detailed knowledge of the manifestations of lower limb vascular disorders on the lower limb and foot

Teaching / Learning Strategy

Interactive lectures to establish theoretical framework, supported with appropriate e-Learning material. 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. IT teaching packages. Practical sessions to integrate and apply theoretical knowledge to the living subject and to enhance communication skills. Enhancement of communication skills through: -360 - Group teaching and learning - Problem-based learning - Inter professional learning - Patient based tutorials Case studies to ensure theoretical knowledge is applied practically

Indicative Reading

Bilous R, Donnelly R (2010) Handbook of Diabetes 4 th ed Wiley-Blackwell Bouton, AJM et al, (2006) The Foot in Diabetes 4 th ed Wiley Bowker J, Pfeifer M , (2007) Levin & O'Neils: The Diabetic Foot, 7 th ed Mosby Clouston T, Westcott L (2007) Working in Health and Social Care Churchill Livingstone Foster A (2006) Podiatric Assessment and Management of the Diabetic Foot Churchill Livingstone Foster AVM, Edmonds ME (2011) Diabetic Foot Care - Case Studies in Clinical Management Wiley-Blackwell Foster A Edmonds ME (2007) Colour Atlas of Foot and Ankle Disorders Churchill Livingstone Frowen P, O'Donnell M, Lorimer D, Burrow G (2010) Neale's Disorders of the Foot 8 th ed Elsevier Frowen P, O'Donnell M, Lorimer D, Burrow G (2010) Neale's Disorders of the Foot Clinical Companion 8 th ed Elsevier Helliwell P, Woodburn J, Redmond A, Turner D, Davys H (2006) The Foot and Ankle in Rheumatoid Arthritis A Comprehensive Guide Churchill Livingstone Helal B, Wilson D (1988) The Foot Churchill Livingston Levy D (2011), Practical Diabetes Care 3 rd ed Wiley-Blackwell Kumar P, Clark M (2009) Clinical Medicine 7 th ed Saunders McDowall J Matthews D Brown F ( 2007), Diabetes, A handbook for the primary healthcare team, Mandy A, McInnes J, Lucas K (2002) Psychosocial Approaches to Podiatry - A companion for practice Churchill Livingstone Shaw KM, Cummings MH (2006) Diabetes Chronic Complications 2 nd ed Wiley Belch J et al (1996) Colour Atlas of Peripheral Vascular Diseases 2nd edition Mosby-Year Book Gosling JA et al (1996) A colour atlas of human anatomy Mosby-Wolf Gould JS (1992) Operative foot surgery W B Saunders Co Health Professions Council (2009) Standards of Proficiency Chiropodists/Podiatrists. Kumar P, Clark M (2002) Kumar and Clark Clinical Medicine 5th edition, W B Saunders Co Sarrafian SK (1993) Anatomy of the foot and ankle: descriptive, topographie, functional Lippincott. Thomson T (2002) Assisting at Podiatric Surgery Churchill Livingstone Journals: Arthritis Research UK - Hands On -360 - Topical review - Jointzone website British Journal of Podiatry Clinics in Podiatric Medicine and Surgery Diabetes Digest Diabetic Medicine Diabetes/Metabolism JAPMA Journal of Wound Care The Diabetic Foot Practical Diabetes International Podiatry Now http//www.feetforlife.org

Transferrable Skills

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

Module Structure

Activity Total Hours
Seminars (FT) 8.00
Independent Learning (FT) 208.00
Lectures (FT) 72.00
Assessment (FT) 40.00
Practicals (FT) 24.00
Tutorials (FT) 48.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 n/a 20.00 35% Group Presentation (Summative)
Exam (Exams Office) 2.00 50.00 35% Summative (Unseen)
Exam (Exams Office) 1.00 30.00 35% Summative (Unseen)