DEFINITION, OBJECTIVES AND CONTENTS.
Medical and surgical pathology of the musculoskeletal system is a compulsory subject in the 4th year of the Degree in Medicine and has a total 7.5 credits. Its contents are directed at the study, development, conservation and re-establishment of the form and function of limbs, the vertebral column and its associated structures by medical, surgical and physical means.
Traditionally, medical and surgical pathology of the musculoskeletal system has been taught independently. However, because of the evident relation between many of the diseases that affect skeletal structures, with different medical or surgical therapies, it has been recommended that the Rheumatology and Traumatology subjects should be taught in coordination. What should we teach students? It is clear that nowadays we cannot expect students to learn this huge amount of knowledge, so it is necessary to select a basic core of information which is useful to any doctor, whatever they later devote themselves to. In short, our aim is to enable students to learn the scientific bases of medical and surgical treatment and aspects of medical and surgical pathology of the musculoskeletal system required for the medicine they will practice, which will not coincide with what specialists need to know.
The teaching program has also been developed with epidemiological criteria so that it is adapted to the real needs of the community that future doctors will attend, and to provide better quality primary care. Besides this, it should be considered that medicine is a dynamic science, where spectacular advances have been made in the last few years. This makes it necessary not only for training to be continually adapted to these innovations, but also to ensure that students learn about them.
OBJECTIVES (LEARNING OUTCOMES)
In the context of the course objectives, we have set the following general subject objectives: by passing `medical and surgical pathology of the musculoskeletal system¿ students should:
1. Have acquired the knowledge and skills required for dealing appropriately with the usual problems arising in the doctor-patient relations in the area of Pathology of the Musculoskeletal System. That is to say, students should have learnt to interpret the signs and symptoms related to medical and surgical pathology of the musculoskeletal system and of connective tissue, and should be able to make a rational prognosis of the pathological processes and whether the treatment will be effective enough to modify it.
2. Have knowledge of the scientific bases for diagnosis, treatment and aspects of the pathology of the musculoskeletal system required for the medicine they will practice and which, evidently, will not completely coincide with the aspects specialists are required to know.
3. Be able to describe and recognize the etiology, pathogenic mechanisms, clinical manifestations, alterations from laboratory tests and from diagnostic imaging, the bases for diagnosis, treatment guidelines and the mainstay for treatment and prognosis ¿ how far is it affected by the treatment- for different musculoskeletal system complaints.
4. Be able to apply theoretical knowledge about the Pathology of the Musculoskeletal System to real situations in medical practice. Students should be familiar with the different treatment alternatives, and know about their efficacy, safety and cost-effectiveness.
5. Be able to provide people with preventive and curative care for rheumatology, traumatology and orthopedics in different working environments and circumstances, and make use of the services provided in the development and promotion of community health.
6. Be ready to periodically evaluate the result of their activities with the services provided by the rheumatology, traumatology and orthopedics departments, having a constant critical awareness with respect to the results of their work and decisions.
7. Have the attitude to be able to perfect and keep their training up to date in order to deal with new rheumatology, traumatology and orthopedic demands from people.
8. Be ready to move towards specializing in Pathology of the Musculoskeletal System, and towards scientific research and teaching in these fields.
The teaching program has also been developed with epidemiological criteria so that it is adapted to the real needs of the community that future doctors will attend, and to provide better quality primary care.
Besides this, it should be considered that medicine is a dynamic science, where spectacular advances have been made in the last few years. This makes it necessary not only for training to be continually adapted to these innovations, but also to ensure that students learn about them.
The contents of this module are grouped into two modules:
1. Module I: Theory Module: consists of forty five teaching units each lasting one hour.
2. Module II: Practicum Module: consists of thirty hours of practical teaching units.