First Year (PGY 1)
The PGY 1 year is designed to develop proficiency in the evaluation and
management of adult and pediatric patients with surgical problems. While the
development of basic surgical and technical skills is an important component
of the internship, the main focus is on developing the necessary knowledge
base to facilitate excellent patient care. All rotations for this year are
at the University Hospital. Three months of the first year will be spent on
the orthopaedic ward learning casting and traction techniques.
PGY 1 residents rotate through a diverse set of assignments designed to
provide the fundamentals of patient care for the field of orthopaedic
surgery.
Rotations
Orthopaedics = 10 weeks
Anesthesia = 4 weeks
ER = 4 weeks
Radiology = 4 weeks
Rheumatology = 4 weeks
Rehab Medicine = 4 weeks
Burn/Trauma = 10 weeks
ICU = 4 weeks
General Surgery = 8 weeks
Second Year (PGY 2)
The PGY 2 year is divided between the University Hospital and the Veteran’s
Administration Medical Center. This year marks the formal beginning of
orthopaedic training and the emphasis is on the development of basic
orthopaedic skills including history and physical examination, fracture
management, and basic surgical principles. The fundamentals of orthopaedic
theory are taught with an emphasis on basic science.
The PGY 2 rotations are designed to provide an introduction to general adult
orthopaedic problems.
Rotations
UNMH Spine = 10 weeks
UNMH Night Float = 10 weeks
UNMH Hand/Foot = 10 weeks
VAMC = 20 weeks
Third year (PGY 3)
The PGY 3 year is spent at the University Hospital and Children’s Hospitals.
Graduated responsibilities allow increased involvement in patient care,
including operative procedures and case management. This year of training is
divided into five rotations: Trauma, Adult Reconstruction/Orthopaedic
Oncology, Sports, and Pediatric Orthopaedics. Each resident will spend 20
weeks on the pediatric service.
Rotations
UNMH Trauma = 10 weeks
UNMH Joints/Oncology = 10 weeks
UNMH Sports = 10 weeks
UNMH/CTH Pediatric Orthopaedics = 20 weeks
Fourth Year (PGY 4)
The fourth year of training marks passage to the level of senior resident
where increased responsibility of patient care and surgical procedures is
expected, in addition to increased teaching of junior residents and medical
students. Rotations occur at the University Hospital, Veteran’s
Administration Medical Center, and Children’s Hospitals. Each resident will
rotate through the VAMC in two separate ten week blocks, one of which will
include 50% time dedicated to research.
Rotations
UNMH Joints/Oncology = 10 weeks
UNMH Hand/Foot = 10 weeks
VAMC Clinical = 10 weeks
VAMC Research = 10 weeks
UNMH/CTH Pediatric Orthopaedics = 10 weeks
Fifth Year (PGY 5)
During the final year of training the chief resident is expected to assume
the responsibility of running services and clinics, including surgical
cases. Teaching junior residents and medical students is expected. During
one of the 10 week blocks, the resident will supervise his or her own
service, including an outpatient clinic and both inpatient and outpatient
surgery. Most chief residents will have logged 1,500-2,000 surgical cases by
the time they have completed their residency experience.
Rotations
UNMH Sports = 10 weeks
UNMH Trauma = 10 weeks
VAMC = 10 weeks
UNMH Spine = 10 weeks
UNMH Chief Resident Service = 10 weeks
