A Outpatient Management 1 Preop: obtain focused history and performs focused exam describe key physical exam maneuvers (anterior drawer test) concomitant and associated orthopaedic injuries differential diagnosis and physical exam tests 2 Preop: Orders and interprets required diagnostic studies able to order and interpret essential imaging studes 3 Preop: Prescribes and manages nonoperative treatment identifies critical pathologic findings on imaging studies guides trial of medical managment attempts trial of physical therapy orders appropriate orthosis 4 Preop: Makes informed decision to proceed with operative treatment documents failure of nonoperative management describes accepted indications and contraindications for surgical intervention 5 Postop: 2-3 Week Postoperative Visit wound check diagnose and management of early complications<br /> 6 Postop: ~ 3 month Postoperative Visit diagnosis and management of late complications<br /> 7 Postop: 1 year Postoperative Visit B Independent Procedure 1 Step 1 2 Step 2 C Preoperative H & P 1 Perform basic medical and orthopaedic history and physical identify medical co-morbidities that might impact surgical treatment 2 Screen medical studies to identify and contraindications for surgery 3 Ensure all studies are required to proceed with surgical intervention 4 Perform operative consent describe complications of surgery including complication A complication B complication C complication D
D Simulation 1 Cadaveric demonstration of surgical approach and therapeutic skill 2 Sawbones demonstration of proper instrumentation E Preoperative Plan 1 Radiographic templating 2 Surgical walkthrough including desciption of basic anatomy, appropriate approach, and goals of therapeutic skills 3 Performs appropriate physical exam maneuvers under anesthesia 4 Description of potential complications and steps to avoid them F Room Preparation 1 Surgical Instrumentation surgical systems that must be present at initiation of surgery 2 Room setup and Equipment required operative table required imaging equipement (e.g., fluoroscopy) 3 Patient Positioning surgical field and appropriate draping describe position of patient on operating table and any equipment used to maintain position (e.g., bumps, cervical traction) G Superficial Dissection 1 Identify landmarks and draw incision. describe specific anatomic landmarks 2 Step 1 of superficial dissection details of Step 1 3 Step 2 of superficial dissection details of step 2 H Deep Dissection 1 Step 1 of deep dissection details of step 2 Step 2 of deep dissection details of step I Therapeutic Skill 1 Step 1 of basic therapeutic skill (soft tissue) details of step 2 Step 2 of basic therapeutic skill (soft tissue) details of step J Therapeutic Skill 1 Step 1 of advanced therapeutic skill (soft tissue) details of step 2 Step 2 of advanced therapeutic skill (soft tissue) details of step K Therapeutic Skill 1 Step 1 advanced therapeutic step (instrumentation) details of step<br /> 2 Step 2 of advanced therapeutic skill (instrumentation) details of step L Therapeutic Skill 1 Step 1 of intermediate therapeutic skill (instrumentation) details of step<br /> 2 Step 2 of intermediate therapeutic skill (instrumentation) details of step N Wound Closure 1 irrigation, hemostasis, and drain describe step 2 deep closure describe step 3 superficial closure describe step 4 dressing and immediate immobilization describe step
O Inpatient Management 1 Write comprehensive postoperative orders 2 Appropriate wound care 3 Appropriately orders and interprets basic imaging studies 4 Orders appropriate inpatient occupational and physical therapy (weight-bearing, ROM, limitations of physical therapy) 5 Appropriate medical management and medical consultation 6 Discharges patient appropriately R Oral Case Defense