Department of Orthopaedics
140 Bergen St.
Suite D-1610
Newark NJ 07103
973-972-2151
Email Contacts:
For Housestaff and Student Inquiries:
Monique A. Smith
Program Support Coordinator
Phone 973-972-3860
Fax 973-972-9367
NJMSOrthoresidency@njms.rutgers.edu
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Program
Goals and Objectives:
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- To provide the
individual with a high level of moral and ethical practice in the health
care profession.
- To educate the
individual and provide them with a solid foundation for further study,
including self-study and continuing medical education.
- To educate the
individual and expose them to basic research methodology in orthopaedics
so that they may have a foundation to pursue their own interests.
- To educate the
individual so that they may pass certifying examinations.
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Program
Evaluation: |
The educational effectiveness of the program is analyzed monthly using
feedback from evaluation forms distributed to the resident staff, allowing
them to grade content and presentation of each activity. Resident evaluation
of the program is done on a quarterly basis which includes the critical
analysis of individual affiliate hospitals and University Hospital programs
with respect to clinical content and didactic lectures.
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Program
Personnel: |
Attending faculty are ultimately responsible for the care of the patients
and the performance of the resident staff in conjunction with the treatment
of his/her patients. Resident staff involved in patient care and administrative
issues are directed to the chief administrative resident or designee.
The administrative chief resident is coordinator of all patient care
activities as well as resident staff issues. The chief resident is available
at all times and at each institution. Individual resident representatives
at the R1, R2, R3, and R4 levels handle educational and year specific
issues such as on-call, core curriculum issues, scheduling, and direct
feedback of the evaluation process to the faculty and program staff.
The
Chair and Program Director are available at all times for residency
and patient care issues specifically related to the residency program.
Evaluation of the resident's knowledge and skills is performed on a
quarterly basis by feedback from the senior resident staff and teaching
faculty at each institution. These are recorded and discussed with the
faculty education staff as well as the resident staff at regular bi-annual
meetings where residents are given feedback regarding their performance.
Any resident with particular deficiencies, difficulties and other issues,
are addressed immediately following identification of the problem. Resident
specialized learning and tutoring is performed as needed with concentrated
input from the Chair and Program Director. A mentor system with identified
faculty is also in place. This mentor system is instituted as needed
for the individual resident after careful consultation with the Chair,
Program Director, and resident on an individual basis.
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Responsibilities
to Residents: |
- The residents develop
a personal program of self study and progressional growth with guidance
by the teaching staff. This is started in the PGY I year with regular
attendance at monthly Grand Rounds and reading assignments centered
on the Orthopaedic Knowledge Update. Residents are also provided
with a handbook of study which includes basic textbooks and recommended
journals.
- Residents are encouraged
to study in small groups including bi-weekly sessions run by the chief
residents concentrating on anatomical exposures and recent cases and
review of the literature.
- Quality of education
provided by the program is evaluated by the resident staff, both through
the quarterly Resident Evaluation of Program Forms and monthly evaluation
forms of the core curriculum. Feedback is obtained from the residents
to the Program Director and Education Committee for modification of
curricula.
- Residents' exposure
to ethical, socioeconomic, medical/legal issues, and cost containment
is provided through the core curriculum and the Quality Assurance Committee,
Department of Orthopaedics, at the Rutgers New Jersey Medical School. Residents are involved
in service rounds attended by physical therapy, social service, nursing,
trauma, and orthopaedics on a weekly basis.
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Quality
Assurance: |
Residents participate in quality assurance through weekly service rounds
and monthly quality assurance meetings that include mortality and morbidity.
Quality issues are discussed in terms of repeat trips to the operating
room, adverse events, and so forth.
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Resident
Supervision and Working Environment: |
- Duty
hours and on-call schedules are based on educational rationale, patient
need, and continuity of care. Resident on-call is approximately
one night in four to one night in five. At no time do residents do more
than ten calls per month as noted in the contract of the Committee of
Interns and Residents and the Rutgers New Jersey Medical School. The orthopaedic program which spans the University and the
Affiliated Institutions, bases the on-call schedule on continuity of
care and maximal educational benefit for the orthopaedic residents.
Orthopaedic residents are only responsible for patients treated by the
teaching service faculty. Residents are assigned on-call with a member
of their orthopaedic team including team faculty, and this provides
them with continuity of care with the admitting resident and management
team. Clinics are also organized in the same fashion where the responsible
team, including faculty, is present in clinic. They follow the patients
that are treated as in-patients by the particular teaching faculty.
- There
is a second call resident and senior resident back-up on the hospital
on-call schedule, and residents can be relieved with this back-up support
when patient care responsibilities are difficult or prolonged.
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Goals &
Objectives