Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter January 23, 2015

Student medical education with the real orthopedic case presented as interactive computer simulation

  • Jacek Dygut EMAIL logo and Sylwia Płonka

Abstract

Background: This article presents an example application of an e-learning tool for presenting cases with the aim of acquainting medical students with the procedures performed by a court expert in assessing causes and effects of an accident at work.

Methods: The present publication is based on medico-legal expertise dealing with the case of a 51-year-old manual worker of a carpentry company who, due to lack of proper training in handling the machine, severely injured his hand. The main advantage of this publication is the presentation of a series of cause-effect events at every stage of the patient’s treatment that led to minor and major complications and adverse effects. Their starting point was the employer’s evident error, i.e., failure to provide the worker with proper training in handling the machine.

Results and conclusions: The discussed orthopedic case has been implemented in the CASUS base (mainly using the program “Virtual Patients” as tool for case presentation) in the form of a description of a properly carried out diagnostic procedure and equipped with the expert’s opinion and explanation of possible inappropriate decisions.


Corresponding author: Jacek Dygut, Provincial Hospital in Przemyśl, Monte Casino 18, 37-700 Przemyśl, Poland, E-mail:

Acknowledgments

We would like to thank Prof. dr hab. Irena Roterman-Konieczna for the help and all substantive comments while working on the manuscript. Thanks also to Ewa Donesch-Jeżo, PhD, for the help in translating the manuscript.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

1. Naveed S. The value of virtual patients in medical education. Ann Behav Sci Med Educ 2010;16:29.10.1007/BF03355129Search in Google Scholar

2. Stangel-Wójcikiewicz K, Piwowar M, Migdał M, Skotniczny K. Virtual patient case: study of a urinary incontinence therapy procedure in a woman. Bio-Algorithms Med-Syst 2014;10:151–157.10.1515/bams-2014-0007Search in Google Scholar

3. Elementy informatyki medycznej. Ścieżki kliniczne, Wirtualny pacjent, Telekonsultacje, red. I. Roterman-Konieczna, Wyd. Uniw. Jagiellońskiego, Kraków, 2011:77.Search in Google Scholar

4. Aspy D, Aspy C, Quimby P. What doctors can teach teachers about problem-based learning. Educ Leader 1993;50:22–24.Search in Google Scholar

5. Żabicki W. Organizacja, bezpieczeństwo i higiena pracy. Wydawnictwa Szkolne i Pedagogiczne, Warszawa, 2005:78.Search in Google Scholar

6. art 5, ustawy z dnia 30 października 2002 o ubezpieczeniu społecznym z tytułu wypadków przy pracy i chorób zawodowych, Prawo Pracy, zbiór przepisów. Wolters Kluwer Business, stan prawny 17 stycznia 2014, Warszawa, 2014:764.Search in Google Scholar

7. Mądro R, Teresiński G. Lekarskie aspekty narażenia na niebezpieczeństwo utraty zdrowia lub życia. I. Problem skutku potencjalnego w opiniowaniu sądowo-lekarskim. Arch Med Sąd Krym 1999;XLII:40.Search in Google Scholar

8. Finanse publiczne i prawo finansowe, red. C. Kosikowski. Wolters Kluwer Business, Warszawa, 2008:345.Search in Google Scholar

9. Kłys M, Gubała G. Kontrowersyjne problemy opiniowania o nietrzeźwości. Arch Med Sąd Krym 1998;XLVIII:152.Search in Google Scholar

10. Pawelec K, Diupero T. Rekonstrukcja wypadku i zdarzenia drogowego, Dom wydawniczy ABC, Warszawa, 2006:134.Search in Google Scholar

11. Trumble TE, Buddof JE, Cornwall R. Hand, elbow &shoulder: core knowledge in orthopaedics, redakcja I wydania polskiego T. Sz. Gaździk. Copyright for the Polish edition by Elsevier Urban & Partner, Wrocław, 2010:72–3.Search in Google Scholar

12. Martini R, Schachner M, Brushart TM. The L2/HNK-1 carbohydrate is preferentially expressed by previously motor axon-associated Schwann cells in reinervated peripheral nerves. J Neurosci 1994;14(11 Pt 2):7180–91.10.1523/JNEUROSCI.14-11-07180.1994Search in Google Scholar

13. Sistermans R, Jaspers MW, Bloemendal PM. Training inter-physician communication using the dynamic patient stimulator. Int J Med Inform 2007:26:336–43.10.1016/j.ijmedinf.2007.01.007Search in Google Scholar

14. De Graff E. Characteristics of problem-based learning. Int J Eng Ed 2003;19:658.Search in Google Scholar

15. Hentz VR, Chase RA. Hand surgery: a clinical atlas. Philadelphia, PA: WB Saunders, 2001.Search in Google Scholar

16. Newport ML. Extensor tendon injures in the hand. J Am Acad Orthop Surg 1997;5:59–66.10.5435/00124635-199703000-00001Search in Google Scholar

17. Mathes SJ, Nahi F. Reconstructive plastic surgery. New York: Churchill-Livingstone, 1997.Search in Google Scholar

18. Goitz RJ, Westkaemper JG, Tomaino MM, Sotereanos DG. Soft tissue defects of the digits. Hand Clin 1997;13: 189–205.10.1016/S0749-0712(21)00377-2Search in Google Scholar

19. Behrooz Mostofi S. Rapid orthopedic diagnosis. redakcja naukowa tłumaczenia prof. dr hab. n. med. T. Gaździk. Copyright for Polish edition by Wydawnictwo Lekarskie PZWL, Warszawa, 2011:65–7.Search in Google Scholar

Received: 2014-10-14
Accepted: 2014-12-17
Published Online: 2015-1-23
Published in Print: 2015-3-31

©2015 by De Gruyter

Downloaded on 24.4.2024 from https://www.degruyter.com/document/doi/10.1515/bams-2014-0019/html
Scroll to top button