Skip to main content
Top
Published in: Clinical Orthopaedics and Related Research® 10/2008

01-10-2008 | Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

Musculoskeletal Training for Orthopaedists and Nonorthopaedists: Experiences in India

Authors: Anil Arora, MS, Anil Agarwal, MS, Panos Gikas, MBBS, Apurv Mehra

Published in: Clinical Orthopaedics and Related Research® | Issue 10/2008

Login to get access

Abstract

In India, health policies, services, health indices, and medical education are improving despite the country’s enormous population and limited resources. Orthopaedic training in India should be geared to serve the predominantly rural population (72% of total population) living in some 550,000 villages, but unless the basic amenities improve in villages and towns, orthopaedists will remain averse to serving in these areas. Traditional practitioners play an important role in musculoskeletal trauma care in villages and even some town and city areas, and hence cannot be ignored. We suggest a stratified system of orthopaedic training for medical graduates, postgraduates, and paramedics with a well-defined need-based curriculum, and a clear cut division of labor, terms, and conditions to suit the stratified social and demographic structure of India. This stratified system is intended to provide appropriate musculoskeletal trauma care services to the rural population, reduce neglected and mismanaged trauma, consequently avoiding subsequent orthopaedic disability, and reduce the financial burden of managing these cases. This system also intends to prevent overloading of teaching hospitals and apex institutes and ensure availability of subspecialized orthopaedic services in the country at designated centers. Traditional practitioners shall be periodically educated regarding safe orthopaedic practices, which are anticipated to yield improved trauma care services.
Literature
4.
go back to reference Chatterjee SK. The challenges facing pediatrics and pediatric surgery in India. S Afr J Surg. 1993;31:71–73.PubMed Chatterjee SK. The challenges facing pediatrics and pediatric surgery in India. S Afr J Surg. 1993;31:71–73.PubMed
5.
go back to reference Church J. Regional news. World Orthopaedic Concern Newsletter. Jan 1998; Issue No. 74. Church J. Regional news. World Orthopaedic Concern Newsletter. Jan 1998; Issue No. 74.
13.
go back to reference Eshete M. The prevention of traditional bone setter’s gangrene. J Bone Joint Surg Br. 2005;87:102–103.PubMed Eshete M. The prevention of traditional bone setter’s gangrene. J Bone Joint Surg Br. 2005;87:102–103.PubMed
21.
go back to reference Lavy CBD, Mkandawire N, Harrison WJ. Orthopaedic training in developing countries. J Bone Joint Surg Br. 2005;87:10–11.PubMed Lavy CBD, Mkandawire N, Harrison WJ. Orthopaedic training in developing countries. J Bone Joint Surg Br. 2005;87:10–11.PubMed
36.
go back to reference Park K. Park’s Textbook of Preventive and Social Medicine. Jabalpur, India: M/s Banarsidas Bhanot Publishers; 1994. Park K. Park’s Textbook of Preventive and Social Medicine. Jabalpur, India: M/s Banarsidas Bhanot Publishers; 1994.
39.
go back to reference Rao KLN, Chowdhary SK. Shortcomings of pediatric surgery. J Indian Assoc Paediatric Surg (JIAPS). 2002;7:109–114. Rao KLN, Chowdhary SK. Shortcomings of pediatric surgery. J Indian Assoc Paediatric Surg (JIAPS). 2002;7:109–114.
40.
go back to reference Raveenthiran V, Sarin YK. Pediatric surgical training in India: Proposal of a new scheme. J Indian Assoc Paediatric Surg (JIAPS). 2006;11:103–107. Raveenthiran V, Sarin YK. Pediatric surgical training in India: Proposal of a new scheme. J Indian Assoc Paediatric Surg (JIAPS). 2006;11:103–107.
41.
go back to reference Reddy KS, Shah S, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366:1744–1749.CrossRef Reddy KS, Shah S, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366:1744–1749.CrossRef
46.
go back to reference Shah RK, Thapa VK, Jones DH, Jones R. Improving primary orthopaedic and trauma care in Nepal. Educ Health (Abingdon). 2003;16:348–356.CrossRef Shah RK, Thapa VK, Jones DH, Jones R. Improving primary orthopaedic and trauma care in Nepal. Educ Health (Abingdon). 2003;16:348–356.CrossRef
51.
go back to reference Table no. 16.03: Central government expenditure by function as percentage of total expenditure - social sector. Government finance statistics year book 2000, International Monetary Fund. Central Bureau of Health Intelligence, India. Registrar General of India. Avaialble at: http://www.cbhidghs.nic.in/Hii2000-01/16.03.htm. Accessed December 2007. Table no. 16.03: Central government expenditure by function as percentage of total expenditure - social sector. Government finance statistics year book 2000, International Monetary Fund. Central Bureau of Health Intelligence, India. Registrar General of India. Avaialble at: http://​www.​cbhidghs.​nic.​in/​Hii2000-01/​16.​03.​htm. Accessed December 2007.
52.
go back to reference Upadhyaya P. Some problems facing Indian Pediatric Surgery. Indian Pediatr. 1975;12:555–556.PubMed Upadhyaya P. Some problems facing Indian Pediatric Surgery. Indian Pediatr. 1975;12:555–556.PubMed
Metadata
Title
Musculoskeletal Training for Orthopaedists and Nonorthopaedists: Experiences in India
Authors
Anil Arora, MS
Anil Agarwal, MS
Panos Gikas, MBBS
Apurv Mehra
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 10/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0410-5

Other articles of this Issue 10/2008

Clinical Orthopaedics and Related Research® 10/2008 Go to the issue

Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

Global Access to Literature on Trauma

Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

The Practice of Traditional Bonesetting: Training Algorithm

Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

Musculoskeletal Trauma Services in Uganda

Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

Topics in Global Public Health