Department of Orthopedic, Taipei Veterans General Hospital - Training for Interns and PGY Physicians

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▍Education & Training

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Training for Interns and PGY Physicians

Department of Orthopedics, Taipei Veterans General Hospital

Training Objectives and Syllabus for Interns and PGY Physicians

Purpose and Objectives of the Training Program

1. Introduction to the Department of Orthopedics

Number of Beds: 157

The Department of Orthopedics is divided into five specialized divisions

Fracture and Trauma Division, Spinal Surgery Division, Sports Medicine Division, Hand Surgery Division, Pediatric Orthopedics Division

Taipei Veterans General Hospital (TVGH) was established on July 1, 1958, with the Department of Orthopedics initially under the Department of Surgery. On June 1, 1983, the Department of Orthopedics was expanded and became an independent department. Over the past forty years, the department has made significant advancements in artificial joint replacement, spinal surgery, and sports medicine surgery, particularly in the field of endoscopic surgery.

The Orthopedic Trauma Division primarily focuses on fractures and has shown outstanding performance in recent years in the treatment of bone tumors, limb preservation, and reconstructive surgery. The Spine Surgery and Bone Disease Division covers areas such as spinal degeneration, disc herniation, and scoliosis, providing comprehensive solutions for back pain issues. The Sports Medicine Division is closely related to the flourishing sports activities in the country, providing the most appropriate treatment for sports injuries from shoulder, elbow, and hip joints to knee joints, allowing for the quickest recovery of function. The Hand Surgery Division is responsible for resolving hand and wrist trauma and nerve ligament problems with precise surgery. The Pediatric Orthopedic Division handles limb and spinal deformities during growth and development, as well as pediatric trauma, among other issues.

The Department of Orthopedics at TVGH excels in clinical performance nationwide, with the highest number of cases in artificial joint replacement. Outstanding clinical achievements over the years include: establishing a long bone donation and allograft bone bank, promoting a culture of bone donation; establishing a bone and muscle tumor tissue bank, collecting various benign and malignant tumor specimens; introducing the technique of autologous knee joint osteochondral transplantation for the treatment of cartilage defects, with excellent results; using computer navigation systems for complex fracture surgeries and joint replacement surgeries; producing antibiotic-loaded bone cement prostheses to treat joint infections; developing minimally invasive surgery for total joint replacement; developing minimally invasive percutaneous plate fixation surgery for complex fractures; introducing the latest correction techniques for congenital and acquired spinal scoliosis, and more. In recent years, there have also been significant breakthroughs in the treatment of bone tumors, including: using external radiation to irradiate bone tumors; the first case in Taiwan of using "liquid nitrogen freezing autologous bone reconstruction surgery" to treat bone cancer, and so on. The clinical treatment outcomes in various aspects are now on par with the world's top medical centers. In terms of basic research, the department has excelled in stem cell research, bone tumor molecular biology research, and carcinogenic gene research. Many attending physicians in the department participate in and host international conferences, and hold important positions in several international academic journals. In addition to being able to match international medical standards, the department can also bring back the latest international information to provide veterans and the general public with the highest quality of service.

2. Training Purpose

To cultivate medical professionals with general orthopedic diagnostic and treatment skills, grounded in the "Six Core Competencies" and a spirit of evidence-based medical research.

3. Training Objectives

The general medical education training in orthopedics emphasizes not only professional knowledge but also the clinical care of patients, medical record writing skills, medical ethics, and the ability to improve through clinical experience. We aim for interns and PGY trainees in orthopedic training to become familiar with common orthopedic diseases and to develop the necessary competencies in general medicine.

Six Core Competencies	Learning Outcome Objectives	Items or Skills
Patient Care	To effectively communicate with patients and their families with a holistic and respectful attitude. To accurately understand the patient's issues and condition. te patients and their families on relevant medical knowledge to maintain health and prevent disease. To be able to fully and effectively perform various medical procedures in the professional field.	After graduation, general medical training and general surgical training are conducted to meet the basic training requirements for holistic care. Detailed and thorough medical history taking, accurate physical examination, and writing of medical records completed within the specified time. Ability to correctly interpret examination results. Ability to determine the correctness of diagnosis and treatment through evidence-based medical training. Ability to correctly interpret imaging and laboratory data. Clear explanation of the patient's condition, treatment plan, and prognosis in language and terms that the patient and family can fully understand. Confidence and ability to perform various examinations, treatments, and surgeries effectively.
Medical Knowledge	Understanding and applying existing professional knowledge and skills to help patients.	Orthopedic clinical knowledge, including general orthopedics (including bone diseases, tumors, infections, etc.), traumatology, joint reconstruction, pediatric orthopedics, hand and foot orthopedics, spinal surgery, and sports medicine.
Professionalism	Show respect, sympathy, and honesty, prioritizing the interests of patients and feeling responsible for patients, society, and the profession, and continuously pursuing self and professional growth. Respect the patient's condition and privacy fully. Treat all patients equally regardless of age, cultural background, economic status, or medical condition.	Participate in both internal and external holistic care training programs, such as medical ethics, patient rights, patient safety, and patient privacy, to achieve the goals of respecting, caring for, and prioritizing patients. Respect oneself to gain respect from patients and colleagues, and maintain a professional demeanor in behavior and attire. Respect for different religions, races, and cultural characteristics. The implementation of medical plans should prioritize patient benefits and adhere to the fundamental principle of non-maleficence towards patients.
System-Based Practice	Understanding the impact of health issues on patients beyond orthopedics. Understanding and effectively utilizing other medical resources to assist patients in resolving health problems. Actively participating in overall medical care.	Fully understand the interaction between orthopedics and other fields, such as when to perform vascular bypass or amputation for diabetic foot. when to discharge patients or transfer them to other follow-up care units to continue patient care without wasting excessive medical resources.
Practice-Based Learning and Improvement	Improve patient treatment outcomes through systematic analysis. Access and use information relevant to one's patients. Utilize information technology for information management, access online medical information, and support self-learning.	Utilize evidence-based medicine (EBM) to establish the latest relevant treatment principles for reference and improvement. Enhance learning in clinical research methods and biostatistics.
Interpersonal and Communication Skills	Use effective listening and non-verbal communication skills, as well as problem explanation and writing skills, to ask questions or provide information. Be part of a healthcare team or lead a healthcare team, and effectively collaborate with other healthcare professionals. Establish good interactions with other fields or different hospitals.	Participate in seminars and workshops on improving doctor-patient relationships to promote better doctor-patient relationships. Communicate the patient's condition, treatment plan, and consent for tests or surgery in language that patients or their families can understand. Collaborate harmoniously with healthcare personnel at all levels and maintain good interpersonal relationships. Maintain good communication and cooperation with colleagues and seek opportunities to discuss issues related to patient care regularly.