Introduction

Program Description:

This program is a hybrid program which includes one third part of
didactic training, and two-third parts of clinical experience. This
program is designed to provide knowledge of wide range of hand
cases.
Emphasis is placed on conceptual understanding of the
surgical decision making processes, the types of surgical approaches
and the PT rehab.

Course Objectives:

The objectives of this program are:

1. To enhance the fellow’s clinical decision making skills in orthopedic
physiotherapy (practice based learning and improvement) – Improve skills required in evaluating the patients, setting up a plan of care, and providing skilled physiotherapy to them.

2. To improve interpersonal and communication skills – Build therapeutic relationships with the patients and cordial relationships with the surgeons.

3. To improve the skills of clinical interpretation of special reports, and principles involved in prescribing orthotics – Learn the skill of reading X-rays, MRIs and CTs; and also the basic principles of orthotic bracing.

4. To improve the fellow’s research skills (investigatory and analytical thinking) – Understand the various types of research studies.

5. To improve professionalism and team work – Respect patient’s privacy and autonomy, consistently demonstrate high standards of ethical care, and learn to work in increasing complex inter-disciplinary skills of today.

Required Materials:

1. Rehabilitation of hand and upper extremity –Skirven
2. Rehabilitation of the Hand and Upper Limb, 1st Edition-W. Bruce Conolly & Rosemary Prosser
3. Clinical Orthopedic Rehabilitation – Brotzman and Wilk.
4. Physical Examination of the Spine and Extremities – Stanley Hoppenfield.
5. Therapeutic Exercises: Foundations and Techniques – Kisner and Colby.
6. Essential Orthopedics – Maheshwari and Mhaskar
7. Clinical Sports Medicine – Brukner and Khan.

Program Method:

Fellows are encouraged to become active participants in their learning. Active discussions with surgeons, fellow PTs, nurses and care managers etc will form the core of this program.

Important

This course emphasizes written and spoken communication skills. Your communication skills are reflected in all aspects of your patient care, such as when you are interacting with your patients and their family members (interviewing for history, education), surgeons and nursing staff. You will get plenty of opportunities to improve upon your communication skills (daily interactions with lots of patients and professionals). You will be assigned to a mentor/anchor that will be entirely responsible for all your program related needs during your stay. These mentors will also serve as your guide in improving upon your communication skills.
You will be continuously surrounded by world-renowned surgeons, eminent academicians, and expert clinical therapists. You must ensure that you are constantly soaking the abundance of knowledge that will be available to you during your stay here at Sancheti.

Schedule:

Document attached

Timing:

3 months full time 8 hours posting

Hand Fellowship Fee structure:

Title Amount  Percentage details 
Admission fees 1,500 5%
Infrastructure fees 9,000 30%
Tuition fees lectures 10,000 33% (15 hours teaching by Dr.Bhakti khandediya and 15 hours teaching by junior Hnad therapist)
Tution fees  8,000 27% ( Organization)
Miscelleneous charges (Apron, Stationery etc.) 1,500 5% (Apron 750 rs, Stationary 750 rs)
Total 30,000
  Classroom teaching/personal mentoring – This includes either personal mentoring by highly trained Physiotherapists or classroom training by physiotherapists or surgeons/resident doctors.      
 
    Hospital Duty CLINICA POSTING              physio lecture Lecturer 1 Lecture 2
Hand IPD  Week I Orientation (OPD+IPD) Personal mentoring (Orientation to Dept – Dr Bhakti/Junior Hand therapist) 1]Anatomy and biomechanics 2]Assessment methods,manual therapy and Electrotherapy DR BHAKTI KHANDEDIYA DR VENU
Week II Clinical Posting HAND 1 IPD + OT+OPD WITH DR.WAHEGAONKAR 3]Fractures-Crush hand, DER, Metacarpal and phalanges  4]Management of stiff hand and edema DR SIDDHANT SAWANT DR SONA KOLKE
Week III Clinical Posting HAND 2 IPD + OT+OPD WITH DR.WARID 5]Soft tissue rehabilitation-Tendon injuries, repair & tendon transfer  6]Ligament injuries and repair DR PAVANDEEP DR BHAKTI KHANDEDIYA
Week IV Clinical Posting HAND 3 IPD + OT+OPD WITH DR.SHENDE 7]RA Hand  8]Arthritic conditions  DR BHAKTI KHANDEDIYA JUNIOR HAND THERAPIST
Hand OPD Week V OPD Posting PHYSIO HAND OPD 9]Brachial plexus injuries & Nerve injuries 10]CRPS DR BHAKTI KHANDEDIYA DR BHAKTI KHANDEDIYA
Week VI OPD Posting PHYSIO HAND OPD 11]Thoracic outlet syndrome  12]Cold cases- Tennis elbow, Dequierveins etc. DR BHAKTI KHANDEDIYA JUNIOR HAND THERAPIST
Week VII OPD Posting PHYSIO HAND OPD 13]Carpal tunnel syndrome  14]Amputation  JUNIOR HAND THERAPIST JUNIOR HAND THERAPIST
Week VIII OPD Posting PHYSIO HAND OPD 15]Orthosis and prosthesis  16]Burn injury DR BHAKTI KHANDEDIYA JUNIOR HAND THERAPIST
Week IX OPD Posting PHYSIO HAND OPD 17]Hemiplegic hand  18]Anesthetic hand JUNIOR HAND THERAPIST JUNIOR HAND THERAPIST
Week X OPD Posting PHYSIO HAND OPD      
Week XI OPD Posting PHYSIO HAND OPD      
Week XII OPD posting and Research Work PHYSIO HAND OPD      
  Clinical Posting = consultant OPD + PT IPD and OPD management+ observing surgical procedures + clinical Hands-on training