The Department of Orthopedic Surgery at Maimonides Medical Center has established a balanced educational program to fulfill the needs of the orthopedic residents and medical students.
Core Curriculum lectures are formal didactic lectures given each Friday morning by members of the orthopedic faculty from 6:45-10am. The Core Curriculum lecture series comprises all orthopedic specialties and basic science in a two-year cycle. There are three 45-minute attending-directed sessions. These conferences are mandatory for all residents who are rotating at Maimonides and Lutheran Medical Center, and this educational time is protected. Faculty from other departments with special expertise, such as from Internal Medicine, Neurology, Radiology, Anesthesia, Emergency Room Medicine, Plastic Surgery, Pharmacology, and Pathology Departments, are invited to conduct some of these conferences as well.
A Practice Based Learning and Improvement (PBL&I) Conference takes place on Fridays during morning conference time. Faculty, residents, physician assistants, students and nurses attend this conference. This conference gives residents an opportunity to present interesting cases and discuss the relevant literature on the topic. These sessions are very interactive, and faculty members use the Socratic Method to facilitate resident learning and discussion. Presenters are evaluated by the faculty on the presentation using the 6 core competencies.
Grand Rounds is held once a month and includes both presentations from faculty and visiting professors. Morbidity and Mortality conferences are also held monthly, and cases are presented by the residents.
Combined radiology-orthopedic conferences are held every quarter. During this popular and well-attended conference, residents and fellows from both specialties present combined cases.
Other orthopedic conferences held on a rotating basis include teaching rounds, indication rounds, pathology, OITE review sessions, research seminars and a variety of Academic Affairs sponsored resident workshops.
Monday mornings, from 7-8:30am, time is dedicated for Core Fracture Conference. One resident is responsible to go over a chapter from Skeletal Trauma. Both adult and pediatric fractures are covered through out the academic year.
An assigned attending meets with the residents twice a week to review X-rays and consults. Clinical presentation, classification, and treatment/ management options are discussed.
Orthopedic Simulation Laboratory:
Simulation training has become an integral part of resident education. The ability to immerse a trainee into a risk-free clinical environment provides improvement in education, enhanced confidence and safety in patient care. Maimonides Medical Center has developed a fully functioning center for clinical simulation that includes high fidelity robotic mannequins and a variety of task trainers that can be used to enhance surgical and arthroscopic skills. As part of this center, a fully functioning arthroscopy lab has been developed that will allow arthroscopic cadaver training on a variety of joints. Residents working, both, with faculty and independently will master basic and advanced arthroscopic techniques in the shoulder, elbow, wrist, knee and ankle.
In addition, a fully functioning teaching microscope is available for training in microscopic surgical techniques. As part of the hand rotation, one-on-one training is provided in microsurgery. The Center for Clinical Simulation provides not only skills training, but can also be used for a variety of research activities.
Orthopedic Gross Anatomic Dissection Sessions:
A full anatomy course is offered. One cadaver is available biannually for instruction in gross and functional surgical anatomy. Under the supervision of the attending surgeon, surgical anatomic dissection is performed to demonstrate various exposures. After formal instruction by the staff, residents are given the opportunity to practice various surgical approaches. Each course consists of eight two-hour sessions.
Journal Club is held monthly (last Monday of the month) in the Orthopedic conference room with attendings present. In this session, scientific articles are reviewed and discussed among residents and attendings. There are also specialty Journal Clubs several times during the academic year. Food and refreshments are provided.
Residents attend Academic Affairs sponsored lectures and seminars throughout their training in a variety of topics, including research, statistics, cultural competency, sleep deprivation, substance abuse and practice management. All residents attend a yearly course (LIFE Curriculum) that covers topics such as resident fatigue, substance abuse and sleep deprivation.
Each year, at departmental expense, the upcoming chief resident attend the American Orthopedic Association’s Resident Leadership Forum, which includes education on leadership skills and discussion of all the ACGME requirements for residency training.
In addition to local conferences, residents are also sent at Departmental expense to the following courses.
PGY-2 – AO North American Basic Principles & Techniques of Operative Fracture Management Course
PGY-3 – The Columbia Hand Surgery Update Course
PGY-3 and PGY-4 – Mount Sinai Pathology Course and John Hopkins OITE Pathology and Basic Science Review Course (Each to be completed once by the end of PGY-4)
PGY-4 – One resident will attend the American Academy of Orthopedic Annual Meeting, and two residents will attend The American Orthopedic Association Leadership Meeting
PGY-5 – One Board Review Course