Locomotor Apparatus
Volledige vakbeschrijving
The cluster Locomotor Apparatus has been developed based on the seven competences of a doctor, as described in the (Dutch) Blueprint 2009: Medical Expert, Communicator, Collaborator, Leader, Health advocate, Scholar, Professional. The cluster Locomotor Apparatus aims to deepen, broaden and integrate knowledge and skills gained in the previous years.
The main goal of the cluster is to gain knowledge and skills to determine the most probable (differential) diagnosis in a patient presenting with a problem of the locomotor system. The problems may affect the musculoskeletal and/or nervous system, and may involve traumatic, degenerative, autoimmune, congenital, psychological, environmental and medico-ethical processes and factors. Other goals include knowledge and skills concerning therapeutic options (including eg medication and rehabilitation) and impact of a disorder on patients daily life (family, work, health care).
This goal is achieved by a variety of educational activities. Clinical presentation, relevant anatomy, pathophysiology, epidemiology, diagnostic aspects and treatment options of the relevant clinical disorders are studied by self-study (including repeating previous knowledge), base group presentations, lectures, trainings and practical skills trainings. Transition of theoretical knowledge to application in real patients is promoted by educational patient contacts. In these educational patient contacts, the patient complaint is the point of departure, and clinical reasoning is practiced to arrive to a well-considered (differential) diagnosis. Patient cases are reported and discussed in the base group meetings so that all students benefit.
The nature of the cluster implies a great amount and variety of specialisations involved at the creation of the educational program and the educational patient contacts at the outpatient clinics.
Doelstellingen van dit vak
Within 10 weeks students are trained in taking medical history and doing the physical examination in order to make a differential diagnosis, eventually with the help of additional examination such as X-ray. The student practices mainly with patients at the outpatient clinics. It is essential that students realize that patients with an assumed medical problem are sometimes initially referred to one medical specialty, and that the eventual diagnosis should be assessed and treated by another medical specialist. Therefore, they have to learn to think ‘outside the box’ and consider also other disorders or treatment options of other specialties. The most common disorders are described in the lists of objectives and problems.
Aanbevolen literatuur
- C.M.P. van Durme
- P.C.P.H. Willems