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PGY | Rotations | Conferences | Research
This year consists of 6 months of general surgery and 6 months of orthopaedic surgery as mandated by the ACGME . Experience is gained through rotations in surgical critical care, trauma and surgical disciplines closely related to musculoskeletal medicine. The intern takes general surgery call for the first six months of the year. The second half of the year (6 months) the intern will be scheduled for orthopedic call with another in-house resident for a more seamless transition to full-time orthopedics. The six months of orthopedic surgery stresses the fundmentals of orthopaedics and serves as a basis for continued training in which the PGY-1 is viewed as a fully integrated junior resident on the orthopedic team. This multidisciplinary year of study provides a well-rounded foundation and fully meets the training requirements of the Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committee and the American Board of Orthopedic Surgery (ABOS).
Fundamentals are stressed as is an early operative experience. A thorough grasp of the orthopedic evaluation of a patient and trauma management is mastered. The opportunity to develop proficiency in the management of fractures by closed and open methods and in the proper application of casting materials is provided. The resident is expected to learn the basic science behind all aspects of orthopedic surgery and is given instruction in biomechanics and gait. Patient care issues are taught. Under the supervision of an attending, the PGY-2 resident is directly responsible for the pre-and postoperative care of patients assigned to his service. Details of the history and physical exam specific to orthopedic problems are emphasized. The resident will learn basic surgical skills in the operating room for all orthopedic cases and surgical anatomy and approaches. Due to the mentorship structure of the Program, all residents (PGY 2-5) work one on one with the attending on their service, both in and out of the operating room.
During the second year, one month of protected time is allotted for basic science and clinical research projects. The resident is relieved of clinical duties with the exception of Monday and Friday afternoon clinic as well as the normal call schedule.
Development of a broad understanding of indications and the more common surgical procedures is fostered. The resident is expected to assume greater responsibility for patient care. At this level of training he/she will be expected to perform basic arthroscopic procedures of the knee and shoulder. The resident is expected to perform, with assistance, the repair of shoulder dislocations, long bone plating, intramedullary fixation, tension band techniques and uncomplicated fractures of the hip. He/she must be able to properly apply and use external fixations and become familiar with various diagnostic roentgenographic procedures. He/she will develop expertise in the operative treatment of joint fractures. The PGY-3 resident's educational experience is supplemented by participation in the treatment of adult spine disorders involving the traumatic adult spine, degenerative scoliosis, myelopathy and other disease of the adult spine. Due to the mentorship structure of the Program, all residents (PGY 2-5) work one on one with the attending on their service, both in and out of the operating room.
One of two residents in the PGY-3 year will serve a six-month pediatric orthopedic rotation at Shriners' Hospital and St. Christopher's Hospital for Children. The other resident will complete his/her pediatric orthopedic training in the first six months of the PGY-4 year.
Operative and nonoperative experience is gained as a senior resident. Advanced theory and techniques are mastered with attending supervision. Decision-making skills are honed with regards to the treatment of reconstructive surgery, joint replacement, upper extremity and hand surgery, neuromuscular disorders and sports medicine. The fourth-year resident should be able to manage complex trauma by open and closed means. He/she receives extensive training and experience in the evaluation and surgical management of patients with complex neuromuscular disorders including stroke and traumatic brain injury. Due to the mentorship structure of the Program, all residents (PGY 2-5) work one on one with the attending on their service, both in and out of the operating room.
During the fourth year of orthopedic training, one resident is involved in full-time pediatric orthopedic training at Shriners Hospital for Children for four months, immediately followed by two-months of pediatric orthopedics/trauma at St. Christopher's Hospital for Children. During this experience the resident participates in the entire spectrum of pediatric orthopedic surgery. The attendings at Shriners Hospital for Children, including Randall Betz, MD and Scott Kozin, MD (an Einstein Alumnus) are leaders in their respective orthopedic fields with numerous publications. Einstein residents have collaborated with the attendings at Shriners Hospital on various research projects resulting in multiple abstracts and publications. St. Christopher's Hospital for Children is a busy Level One pediatric trauma center that offers the resident an unparalleled experience in pediatric orthopedics.
During the fourth year, one month of protected time is allotted for basic science and clinical research projects. The resident is relieved of clinical duties with the exception of Monday and Friday afternoon clinic as well as the normal call schedule.
Residents at this level of training begin to take on the responsibilities of an independent orthopedic surgeon. In addition to clinical responsibilities, the chief resident assumes a role as educator for junior residents and medical students. The administrative chief resident is responsible for scheduling of resident on-call assignments, structuring of conferences and attendance and supervision of the outpatient clinic. A senior resident is on call at all times as a back-up to the junior resident for clinical, educational, administrative and support issues including leading the junior residents through orthoapedic trauma cases. The fifth-year resident should be knowledgeable with operative arthroscopy and surgery of the hand, foot and spine. He/she should be able to manage complex and severe trauma in its various aspects. He/she provides consultation to other services under the guidance of the attending orthopedic staff and takes a major role in management of interdisciplinary problems as seen in the multiply injured patient.
Chief residents are allotted one month for a clinical elective in a subspecialty of their choice under the auspices of a prominent orthopedic specialist. Several residents have applied for and have been accepted for AO electives in Europe.
Each resident under the direct supervision of an attending, experiences firsthand the nonoperative, preoperative and postoperative care of patients and learns the clinical practice of orthopedic medicine from an experienced practitioner. In the operating room the resident functions on a one-on-one basis with an attending and learns surgical techniques firsthand. By the PGY-5 year, the resident will fully mature to the level of an independent orthopedic surgeon under the direct supervision of an attending surgeon.
PGY | Rotations | Conferences | Research | Top
The curriculum provides each resident (PGY- 1-5), by graduation, with 6 months of training in each subspecialty area (spine, hand/upper extremity neuromuscular, foot and ankle/lower extremity neuromuscular, joints, sports medicine, and pediatrics in addition to 2 months of research and 1 month senior elective. Education in orthopedic trauma is ongoing throughout the course of training with 6 months specifically dedicated to trauma education on the trauma/inpatient service. All faculty members participate in trauma call. Due to the high volume of trauma cases seen in the Level One trauma center, the night float resident frequently has the opportunity to scrub emergent orthopedic cases during their shift.The Department of Orthopedic Surgery is in full compliance with the Accreditation Council for Graduate Education (ACGME) 80-hour duty regulations.
Resident conferences are the backbone of the educational experience. Our residents consistently achieve high scores on the Orthopedic In-training Examination, having ranked nationally over 90%, 9 of the last 13 years. This outcome is evidence of our exceptional conference schedule.
Grand Rounds are mandatory educational conferences for the orthopedic residents and faculty. Grand Rounds are held every Friday from 8-9am in the Department of Orthopedic Surgery Education and Conference Center.
Residents attend the following educational conferences as part of their educational curriculum. Tuition and travel cost are funded by the Department.
Resident research within the Department of Orthopedic Surgery is designed to provide resident education in basic science and clinical research, research design and methodology. These experiences offer the resident an opportunity to explore an area of special interest and focus on the scientific aspects of orthopedic surgery. Residents are required to participate in research throughout their five years of training. Full-time physicians actively engaged in research are available at all times for project ideas and supervision.
PGY 2 and PGY 4 residents complete a required one-month research rotation as part of their educational curriculum. The Program requires that two projects of sufficient quality for publication or presentation at a national/local meeting be completed prior to graduation. Residents are encouraged to submit their research for presentation at local and national meetings. Funding is provided by the institution for costs associated with research accepted for presentation at local and national meetings.
A full time research scientist assists the residents with research projects and heads the Department of Orthopedic Surgery Bioengineering Laboratory. The laboratory is located on campus in the Korman Research Pavilion. The orthopedic laboratory is fully equipped with personal computers, a C-Arm dedicated for research, a mechanical testing machine (Test Resources Inc) and a small machine shop. The laboratory is stocked with the necessary essentials needed for orthopedic research such as a biological safety cabin, standard microscopes, microscope camera, chemical hood, electronic weighing balances, spectrophotometer, ultrasonic baths, electroporator, centrifuges, tissue culture incubators, water baths, ovens, diamond saw, dental light curing oven, etc.