1. General Orthopaedics and Advance Musculoskeletal

     Traumatology

  General Orthopaedics and musculoskeletal traumatology is recognized as a sub specialty because of the importance of the role of a generalist not only in our healthcare system but also in those of developed countries. Musculoskeletal Traumatology is included here because approximately 70 % of the workload of the Orthopaedic surgeon in MOH is due to trauma. A General Sub Specialist can contribute significantly in DGH with specialist as well as in General Hospitals.

Accredited Centers for 1^st Part of Training: 

Main Centers :

1.      Hospital Pulau Pinang

2.      Hospital Ipoh

                                          3.  Hospital Kuala Lumpur

                                          4.  Hospital Tengku Ampuan Rahimah, Klang

                                          5.  Hospital Sultanah Aminah, JB

                                          6.  Hospital Umum Kuching

Affiliated Centers:- University Hospital , Hospital UKM, Hospital USM                                        

Rotation to any of the following Hospitals:

(1). Hospital Alor Setar (2). Hospital Seberang Jaya

(3). Hospital Sg Buloh  (4). Hospital Serdang  (5). Hospital Selayang

(6). Hospital Melaka     (7). Hospital Seremban   (8). Hospital Tengku Afzan, Kuantan

(9). Hospital Kuala Trengganu  (10).Hospital Kota Bharu  (11). Hospital QE, KK

Training in the main centers will invariably expose the trainee to the many aspects of General Orthopaedics and Traumatology and for specialties not found in their center the trainee can rotate to the other centers that have the specialty. Whenever practical, the trainee is encouraged to rotate between centers to learn from different trainers. For example, main center HTAR – General Orthopaedics, Spine Trauma, Ilizarov and rotate to HKL for Pelvic Trauma, Vascular Trauma, Sport Injuries and to H. Selayang for Hand Trauma. The Committee will have to plan and map out the trainee’s training programme from the beginning.

For the 2^nd Part of training, the trainee can be send to DGH with specialists, to run the Orthopaedic Department in such Hospitals under supervision from the trainer.

Training Contents

1.      All aspects of musculoskeletal trauma management and care.

2.      Spinal Trauma – Anterior and posterior decompression and stabilization of the spine. Management of the spinal injured and paralysed patient.

3.      Pelvic Trauma – Stabilization of the pelvis, ext. or int. fixation. Management of acetabular fractures, Sacroiliac dislocations and sacral fractures.

4.      Vascular Trauma – Identification of limb arterial injuries. Direct repair, vein grafts or bypass grafts. (Rotate to Vascular Surgery Department)

5.      Wound Management – Flaps, rotational or free. (Rotate to Plastic Surgery Dept.)

6.      Hand Trauma – Management of hand injuries, fractures and the mangled hand.

7.      Ilizarov Procedures – For salvaging limbs, bone transport & lengthening, correction of deformities and fixation of fractures.

8.      General Orthopaedics – Exposure to Arthroplasty, Sports Injuries, Ortho. Oncology, Pediatric Ortho., Hand Surgery, Spine Surgery, Management of Diabetic Foot, Metabolic Diseases of Bone, Orthopaedic Rehabilitation and Prosthetics.   

The trainee is encouraged to attend courses related to trauma like ATLS and those related to Mass Casualty Incidents.