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The program of resident education consists of a core teaching program
as well as individual teaching programs at each participating institution.
Both programs are supervised and coordinated through the Chairman and
Program Co-Director. The core education program covers all major orthopaedic
subspecialty areas and basic sciences in a two-year cycle. It is taught
every Thursday morning from 7AM to 10AM. All residents are excused from
their normal clinical duties at all hospitals between the hours of 6:30
AM and 11:00 AM on each Thursday. Attendance is taken and absences other
than emergencies must be requested in writing ahead of time.The first
hour time slot is reserved for tutorial sessions where each of the five
PGY levels is separated and tutored by a faculty member in a particular
subspecialty area. The 6 residents in the group are assigned 2 to 3 chapters
in the subspecialty Orthopaedic Knowledge Update. Relevant articles may
be assigned as well. Residents are responsible for reading and absorbing
this material. A pre-tutorial quiz may be administered at the beginning
of the session, and a discussion then ensues concerning the topics. In
this way, each resident reads and discusses every subspecialty OKU in
its entirety every two years.
The second hour time slot typically consists of resident case presentations,
resident research presentations, Journal Club, and laboratory activities
(anatomic dissection, etc.) Twice per month, there are resident presentations.
Each resident gives approximately one case presentation and one research
presentation per year and these are formal presentations that include
slides, handouts and reference lists. The topics treated are of limited
extent and well defined. The formal lecture lasts approximately twenty
to twenty-five minutes followed by a presentation of one or two typical
cases and discussion of the key articles supplied as preparatory reading.
There is a faculty member that is assigned to each resident for the preparation
of these talks and is responsible that these exercises are effective for
both presenting and participating residents. All full-time faculties are
required to attend these sessions, and rate them in terms of content and
presentation skills. They are then incorporated into the resident’s Practice-Based
Learning and Improvement Portfolio.
Formal Journal Club is held monthly. Junior residents are assigned recent
JBJS articles to summarize. Senior residents then provide criticism of
the merit, scientific design and validity of the conclusions of each paper.
A faculty member is assigned to each paper as well to ensure the accuracy
of the discussion. Each resident is expected to read all articles and
be able to discuss them. Each resident who critiques an article is required
to fill out a Self-Administered Checklist, and this is then incorporated
into the Practice-Based Learning and Improvement Portfolio as well.
The third hour time slot is reserved for lectures given by full-time,
clinical, or visiting faculty. The core faculty lectures consist of two
major subspecialty topics for each quarter. Each core topic is coordinated
by a faculty member with subspecialty fellowship training in that area.
The subspecialty topics include: orthopaedic trauma, oncology, hand, spine,
pediatrics, adult reconstruction, adult orthopaedics and joint reconstruction,
athletic injuries and arthroscopy, foot and ankle, general orthopaedics
and basic science. Core education schedules are distributed at least one
month in advance. In the course of one month, there are approximately
six core lectures that are assigned to the attending orthopaedic full-time
and clinical faculty. These lectures are didactic in nature and review
specific topics in a comprehensive fashion. They are based on current
textbook knowledge and incorporate the discussion of the bibliography
concerning the topic. The residents are involved interactively with this
process.
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