Overview of Program
The Orthopedic Surgery Residency is a fully accredited five-year program that provides a comprehensive orthopedic education for three residents a year through the National Resident Matching Program (NRMP). The program offers all necessary specialty rotations during the PGY-1 year, as well as orthopedic subspecialty rotations in years two through five. Three residents are accepted each year into a non-pyramidal program One of the PGY-2 residents will pursue one year in research.
Residents in the program initially gain fundamental knowledge areas such as soft tissue management, physiology, anatomy and radiology. As they advance, residents learn the technical and cognitive skills necessary to practice as an orthopedic surgeon. Commensurate with their technical skills and understanding of their cases, they are granted increasing levels of responsibility for the preoperative evaluation, surgery, and postoperative care of patients, under the direct supervision of an attending surgeon.
Residents work closely with physician assistants, unit nurses and case managers as an integrated team. The orthopedic patients, to the extent possible, are grouped on the orthopedic unit (30 beds), providing the best nursing care for the patient and an ideal educational opportunity for the resident. A resident on-call room, supplied with a wide variety of textbooks, computer access to a number of hospital systems, databases and the internet provides a clean, safe, private space for the resident.
We offer two outpatient experiences for each resident: a traditional clinic and a rotation into a private office environment. In the clinic, an attending physician serves as a consultant for the resident as they evaluate and manage their cases. The same attending follows a case throughout the care episode if admission or surgery is necessary. This structure provides continuity of care for the resident and the attending. Residents are given responsibility in the clinic according to their level of training and knowledge. In the private office, the resident works as part of an integrated team providing care to patients, while developing the skills necessary to practice independently.
Although the majority of the rotations take place at Maimonides, several key rotations have been established to enhance the overall resident experience. These include rotations at Lutheran Medical Center, a nearby level-one trauma center and Connecticut Children's Medical Center.
Didactic lectures with audiovisual aids or handouts are provided each morning. They are designed to run over a two-year cycle, providing basic information for the junior resident and integrative knowledge for the senior resident. Each year, several lectures are presented by the residents and supervised by an attending to give the resident experience in organizing, critically reviewing and transmitting information. The conference schedule covers all major topics in orthopedic surgery including general orthopedics, pediatrics, fractures, sports, spine, upper and lower extremity, surgical indications, adult reconstructive, basic science and bioethics. Guest lecturers with special expertise are invited to participate in such areas as infectious diseases, rehabilitation, orthotics and prosthetics, pharmacology and rheumatology. In addition, Mortality and Morbidity Conferences and Journal Club meetings are scheduled monthly.
Research is an integral part of the educational program. Each senior resident is required to present a quality report of original research conducted during his or her residency for possible publication. Laboratory space, funds and personnel are available to support our research requirements. Residents have applied for, and have been granted, institutional funds to conduct research. Relative to the small size of our program, the number of publications and presentations by residents in medical literature and at various national forums clearly reflect the importance of ongoing academic research activities and the importance they carry for the program and the medical center. A fully integrated orthopedic resident learning center and simulation center is available to enhance the entire learning experience.