Orthopaedic Junior Medical Student Elective

Goal:

The goal of this elective is to provide the student with an opportunity to observe common conditions that occur in patients that require orthopaedic surgical intervention. This elective should be of particular interest to those students who plan a career in Orthopaedics, Internal Medicine, Family Medicine, Pediatrics, or Emergency Medicine.

Objectives:

At the conclusion of this week the student will be able to:
1. Demonstrate the ability to perform a thorough orthopaedic examination with particular emphasis on the spine, hip, knee and shoulder.
2. Describe fractures with regard to angulation, displacement, shortening, rotation, and comminution.
3. Discuss the neurological findings associated with spinal cord injury syndromes. Discuss the pathophysiology of spinal cord injury.
4. Describe the common clinical presentation and management of patients with acute low back pain.
5. Describe the usual clinical presentation and radiographic findings of osteoarthritis and clinical indications for total joint replacement of shoulder, hip and knee.
6. Describe the non-operative options for osteoarthritis of the shoulder, hip and knee.
7. Discuss the common clinical presentations, diagnosis and management of a child with a painful limp.
8. Describe the usual clinical presentation, radiographic findings, and management of benign bone neoplasms versus malignant primary bone tumors.
9. Discuss the clinical presentation, radiographic findings, and non-operative management of adolescent idiopathic scoliosis.

Participating Faculty:

• Gordon Allan, M.D.,
• Tom Hansen, M.D.,
• Osaretin Idusuyi, M.D.,
• Per Freitag, M.D.,
• Keith Gabriel, M.D.,
• Mark McAndrew, M.D.,
• David Olysav, M.D.,
• Anji Singh, M.D.

Course Description:

Inpatients: The students will be expected to write daily progress notes and will present the patients to the resident on rounds of all the patient cases they participate with in surgery and/or admit to the hospital.
Clinic: The student will see all patients with the resident and attending in the clinic. They may have an opportunity to be the initial evaluator.
Operating Room: The students will be assigned an attending and will follow that physician throughout the day into all surgical cases that occur.

Number of students: 2

Evaluation:

The student will be evaluated at the end of the week using the standard evaluation form used in the Department of Surgery.

Call Requirement:

Two weekdays until 10:00 PM or One weekend 24 hour day (i.e. Saturday 0600 until 0600 Sunday) per week

Contact Person:

Chief residents will assign student activities for the week during Monday morning conference. The student can page the chief resident on Friday for concerns prior to the Monday the rotation begins.

*All students should meet at MMC on Monday at 6:45 AM in the Radiology Film Room (Room A178, Radiology Physician’s Entrance)

Chief Residents:

July – August Brandon Strenge, M.D.
September – October Brian Kern, M.D.
November – December Joe Norris, M.D.
January – February Brandon Strenge, M.D.
March – April Brian Kern, M.D.
May – June Joe Norris, M.D.

Weekly Schedule of Orthopaedic Activity
*Varaiations are in Bold

Expectations:

Students should have a fundamental knowledge of the anatomy encountered in a particular surgery. The best way to focus your studying is to ask the resident you will be working with for help. Netter’s orthopedic anatomy (blue book) is the depth of knowledge expected. Please let us know your interests and we will attempt to tailor your rotation accordingly.

Resources:

Miller Review of Orthopaedics, Hoppenfeld's Surgical
Approaches, The Lange Orthopaedic Review Text, Any Anatomy text book, and/or Orthopaedic Secrets.