Resident rotations at the VA Medical Center – PGY-3 and PGY 5
Resident role and expectations:
The PGY- 3 resident is responsible for the history and physical, operative and discharge summary reports, as well as day to day rounds on inpatients. The resident will be involved with the admission, work-up, and management of a variety of general orthopaedic injuries and disease. The PGY-3 resident will act as an assistant for operative cases, and the PGY-5 will act as a primary surgeon, under the direct supervision of the attending staff. The PGY-5 will review the performance and give feedback to the PGY-3 resident in regard to diagnosis and treatment plans given to their patients. The attending staff will directly oversee the PGY-5’s treatment plans and modify if necessary.
The Chief Resident is responsible for the day to day running of his/her team. He/she is responsible for the assignment of cases in the operating room to the appropriate junior resident. He/she is expected to function as a junior faculty member with regards to instruction in the art of orthopaedic surgery to the junior resident. The Chief Resident is responsible for all inpatient consultations on his/her day of call. Inpatient consultations will remain with the Chief Resident. The Chief Resident is responsible for the operating room scheduling.
- Rockwood and Green: Fractures in adults and children
- Miller’s Review of Orthopaedics
- Case-specific readings from Campbell’s Operative Orthopedics and Hoppenfeld’s Surgical Exposures
Michael McHugh, M.D.
Goals and objectives by the end of this rotation:
- Medical knowledge: Knowledge of trauma, sports medicine, and pediatric orthopaedic injuries and disorders including patient management skills to diagnose and treat these disorders.
- Patient care: Develop the ability to evaluate a broad spectrum of orthopedic conditions in clinic. This includes developing the ability to obtain relevant history and physical examinations, synthesize the information gathered, and develop a treatment plan. The resident will learn to treat and manage orthopedic problems in patients who often have significant comorbidities. Develop competence in the surgical management of a broad variety of orthopedic diseases including total joint Arthroplasty, arthroscopy, spine surgery, hand surgery, and trauma. Develop inpatient management skills to care for postoperative patients who often have significant comorbidities.
- Interpersonal and communication skills: Competence in the interpersonal skills and professionalism necessary to treat patients at VA Medical Center and Meharry Medical Center, with special focus on care of the indigent patient and ability to access outside resources for assistance to these patients once discharged from the hospital or clinic.
- Systems-based practice: The ability to utilize and access the technology available at a variety of differing institutions to evaluate imaging studies and access additional information to assist in the care of their patients.
- Professionalism and System-based practice: Demonstrate ability to provide care for the veteran population, develop an understanding of the VA health care system, and maintain a compassionate, honest approach in the care of the patients and their families. Demonstrate ability to provide care in an outpatient private practice setting while remaining respectful of patients and their families.
- Practice-based learning: Demonstrate self-improvement through a critique of their performance during presentation of M&M cases.