Orthopedics
Institution: Regions Hospital
Durationg in Months: 1 months
Year of Training: EM1
Educational objectives:
1. Demonstrate the knowledge and skills to identify fractures and dislocations by physical examination and radiographic interpretation.
2. Demonstrate the knowledge and skills necessary for initial management of these injuries, including closed reduction, local and regional anesthesia, arthrocentesis, and splinting.
3. Demonstrate the knowledge and skills to distinguish those injuries requiring immediate orthopedic intervention from those which can be splinted and referred for follow-up.
4. Demonstrate the knowledge and skills to evaluate patients with tendonitis, bursitis, monoarticular arthritis, and osteomyelitis.
5. Demonstrate the knowledge and skills to evaluate patients for complications of orthopedic problems such as nerve, tendon and vascular injuries and compartment syndromes.
Description of clinical experiences:
These goals and objectives will be met by a 4-week rotation on the orthopedic service during PGY-1. These rotations will include the initial evaluation and management of patients with orthopedic complaints, under the supervision of an attending orthopedic physician. The resident will see orthopedic consultations in the emergency department as well as attend orthopedic clinics.
Description of didactic experiences:
ED residents will be expected to attend the following Orthopedic conferences: X-ray conference held selected Thursday mornings from 7AM-7:30AM and weekly emergency medicine conferences.
Evaluation process:
Residents will receive a written evaluation after completing the Orthopedic rotation, and also from the ED rotations. Residents are evaluated on their knowledge base, procedural skills, and their facility in communicating with patients, family, and other medical personnel. A logbook will be kept by each resident to document procedural experience. Oral examinations, a national in-service examination and case presentations are also used in evaluating residents.
Feedback mechanisms:
Several times during the year the preceptor meets with the resident. In addition, the program director will meet with each resident two times each year to review the department evaluation of the resident. More immediate feedback will be provided during clinical activities by orthopedic faculty on duty, or ED faculty.
