Desmoplastic fibroma (DF) is a non-metastatic primary bone tumor that is extremely rare with local aggressive behavior. To the best of our knowledge, only few cases were published discussing this type of tumor and its management. This case report aimed to discuss a novel case as well as its management scheme. We present a case of a 36-year-old male with DF lesion involving the proximal tibial who underwent an extended curettage, triple type of adjuvant thereby, and internal fixation.

BACKGROUND: Approximately 50% of the world population are suffering from Vitamin D insufficiency. Vitamin D is one of the steroid hormones, which is a fat soluble vitamin that has a critical role in maintaining the homeostasis of bones. Low-energy fractures are defined as falling from the level of standing height or even less that usually should not result in fractures. Another study that was done in Jeddah on a sample of 510 children between the age of 4–15 taken in the pediatric clinic at Jeddah Clinic Hospital-Kandarah. 59% had relative deficiency, and 27% had a deficiency in 25-hydroxyvitamin D. AIM: Therefore, this research is conducted to collect more evidences to assess the association between vitamin D level and low-energy fractures in children. METHODS: The study group consisted of 14 children aged 3–15 years old with low-energy fractures and the control group consisted of 24 children in the same age without fractures. Vitamin D level was measured in each one of them and X-ray was obtained from the cases to prove the presence of low-energy fracture. The analysis plan that was used in this research is Fisher’s exact test to overcome the small sample size. RESULTS: Vitamin D levels were found deficient in four cases, and eight of them were insufficient. Whereas, the normal level of Vitamin D was found in only two of the cases. On the other hand, in the control group the level of Vitamin D was deficient in four participants, and 15 others were found to be insufficient. Also, five of the participants were found to have a normal Vitamin D level. According to the results, low levels of Vitamin D were observed in both groups. A total of 23 out of 38 children enrolled in the study were found to have an insufficient Vitamin D level. The result of p = 0.718 which is not significant to prove the correlation between Vitamin D insufficiency and low-energy fractures. CONCLUSION: In conclusion, this study did not show any relation between Vitamin D level and the presence of low energy fracture. Future studies are required to include more subjects and centers to their study or to compare the low energy fracture and high energy fracture in term of Vitamin D level.

Background: Professionalism, one of CanMEDS competencies is related to the commitment to carry out professional responsibilities. Researchers have suggested different domains. Most important among them is teamwork, respect, sense of responsibility, ethical practice reflection and self-awareness. The most commonly used instruments are peer assessments, standardized checklist, OSCE, portfolio and incident reports. Our study was to assess professionalism among family medicine residents in Jeddah. Aim: Professionalism among Saudi Meds FM was updated in Saudi Arabia in accordance with the release of the Ethics and Professionalism Handbook by SCHS; so, the current study was aimed to assess these changes among family medicine residents in Jeddah. Methodology: It is a descriptive observational study conducted in Jeddah, Kingdom of Saudi Arabia. A self-administered validated questionnaire involving two residency training programs for family medicine residents from R1 to R4 was used for collection of data using consecutive sampling technique. Chi-squared test was used for statistical analysis using IBM SPSS, significant if p-value is below 0.05. Result: A total of 120 participants replied with a response rate of 73%. The majority of them are female 84(70%), mean age is 27.3±2.7 and mostly are married 64(54%). Majority of them are junior residents (64%) and mostly affiliated in a joint residency training program (62%) which is being instituted by the Ministry of Health (MOH) (44%). Independent learning (89%) is the most common teaching method in family medicine residency program followed by interactive learning in the form of seminar or small group discussion (80%) and traditional lecture (78%). The residents are being assessed typically through the completion of their portfolio (84%) and OSCE (81%). Clinical teachers obtained an attitude score of 63.4± 15.3, their professionalism score in general is 68.1±18. Conclusions: Family medicine institutions already have professionalism education program, but modification and enhancement of existing teaching tools is essential. Existing teaching and assessment methods have no significant effect on resident’s attitude. Role modeling, although a powerful method is no longer adequate to ensure the enucleation of professional values in residents Keywords: Family medical residents, Professionalism, Saudi Arabia,