Basic fracture management in family medicine
Mayukh BHATTACHARYYA, Venkatram NAVANEandHA, Amelia BHATTACHARYA and Louis Arthur ROBERTSON-MORO
Fracture management accounts for one percent of patient presentations to family medicine. Fractures that are uncomplicated, and low risk rarely require orthopaedic intervention. These fractures can be treated exclusively in family medicine. Barriers include inadequate remuneration and limited education in fracture management. This workshop will be presented under the banner of the WONCA Emergency Medicine (EM) Special Interest Group (SIG).To introduce family doctors to management of basic fractures.Two types of teaching methods will be used. First, direct instruction. Attendees will be introduced to the concept of basic fracture management based on a recent publication by the presenting author entitled Basic fracture management in general practice. Then, based on a poster presentation at WONCA Lisbon 2025 entitled ‘Optimizing fracture care: A comparative analysis of primary care-based models’ we will show the types of fractures that can be managed in family medicine based in working models from New Zealand and Australia. Part one of the talk will end by showing video resources of application of splints as part of the University of the Sunshine Coast’s Post Graduate Certificate of Urgent Care (PGCertUC). The concept of this PGCertUC was presented to the WONCA Collaboration Hub at Lisbon to be made available to WONCA countries in other continents. It includes teaching from our former EM SIG Chair Dr Elena Klusova, current chair Dr Nisanth Menon and Urgent Care Association board members. Second, experiential learning will be used. Attendees will be taught management of distal radius fractures by the activity of applying Plaster-of-Paris and Dynacast splints. These splints will be provided by Essity.Doctors will be able to see how easy it is to apply Plaster-of-Paris and Dynacast splints in family medicine. They will then be able to reference literature and videos for applying splints for fractures that they can manage in their family medicine clinics.Teaching family doctors to manage basic fractures in the community is a win-win-win situation. Patients benefit, as they avoid travel and long waits in hospital emergency departments. The healthcare system benefits because family medicine options for fracture management provide opportunities for hospital avoidance and reduce costs.
