Adult Reconstruction Service

The teaching aim of the service as it pertains to the resident is to educate him/her in the diagnosis, surgical and non-surgical treatment and outcome of arthritis and adult reconstructive cases.  This will include resident participation in the orthopaedic clinic, in the operating room and in the emergency room as well as in numerous teaching conferences and rounds.  The service is also active in basic and clinical research projects for the resident to participate in.

Resident role and expectations:
The PGY-3 resident will be involved with the assistance of operative procedures and the work-up of Arthoplasty patients.  The PGY-5 resident will take a more lead role in the operative procedures and clinical decision-making, all under the guidance of the attending staff.

Recommended reading:

  • OKU: Hip and Knee Reconstruction, relevant parts of Campbell's Orthopaedics
  • Journal articles and portions of texts suggested by the faculty

Andrew Shinar, M.D.
Gregory Polkowski, M.D.
Ginger Holt, M.D.

Goals and objectives by the end of the rotation:

  1. Medical knowledge:  Know the basic and clinical science on which adult reconstructive surgery is grounded.
  2. Patient care:  The resident should be proficient in basic surgical skills including primary total knee and hip placement, and should have exposure to revision hip and knee procedures.  The resident may also be exposed to synovectomy and osteotomy of various joints, shoulder and elbow replacement, and specific arthroscopic procedures as they relate to arthritis surgery.
  3. Professionalism:  Demonstrate professionalism and communication skills to counsel patients regarding Arthroplasty and the risks and benefits.
  4. System-based practice: Ability to independently access and utilize outside resources such as home health care and anti-coagulation services in the care and management of this patient population.
  5. Professionalism: Demonstrate initiative in the needs of patients and professional staff, showing honesty, compassion, and respect for the patient issues both in terms of the medical diagnosis and the psychosocial ramifications.
  6. Practice-based learning:  Demonstrate self-improvement through a critique of their performance during presentation of M&M cases.