New Application: Orthopaedic Surgery

New Application: Orthopaedic Surgery

Review Committee for Orthopaedic Surgery

ACGME

515 North State Street, Suite 2000, Chicago, Illinois 60654  312.755.5000 

Sponsoring Institution

Does the sponsoring institution also sponsor ACGME-accredited programs in: [PR I.A.1.]

General surgery...... ( ) YES ( ) NO

Internal medicine...... ( ) YES ( ) NO

Pediatrics...... ( ) YES ( ) NO

Explain any no responses.

Program Personnel and Resources

Program Director

Does the program director maintain a current record of research activity by residents and faculty members? [PR II.A.4.p)] ( ) YES ( ) NO

Resources

Briefly describe the workspace available, including access to computers, for residents at each participating site.[PR II.D.1.]

Briefly describe the technological resources available for production of presentations, manuscripts, or portfolios. [PR II.D.2.]

Medical Information Access

Do residents have access to appropriate full-text journals and electronic medical record references for at each participating site? [PR II.E.1.] ( ) YES ( ) NO

Resident Eligibility Criteria

Do the program policies for resident selection recognize the value and importance of recruiting qualified women and minority students? [PR III.A.1.] ( ) YES ( ) NO

Educational Program

Regularly Scheduled Didactic Sessions

Are basic science education and the principal clinical conferences provided at the primary clinical site? [PR IV.A.3.a)] ( ) YES ( ) NO

If no, explain.

Are conferences and didactic sessions scheduled to permit resident attendance on a regular basis? [PR IV.A.3.b)] ( ) YES ( ) NO

If no, explain.

On average, how many hours of formal teaching activities are offered each week? [PR IV.A.3.c).(1)].( )

Describe how treatment indications, clinical outcomes, evidence-based guidelines, complications, morbidity, and mortality are critically reviewed and discussed on a regular basis. [PR IV.A.3.c).(2)]

Patient Care

Describe the settings and activities in which residents participate in order to develop and demonstrate competence for each expected patient care outcome. [PR IV.A.5.a).(2)]

Competency Area / Settings/Activities
The pre-admission care, hospital care, operative care, and follow-up care (including rehabilitation) of patients. [PR IV.A.5.a).(2).(a)]
Gathering essential and accurate information about patients. [PR IV.A.5.a).(2).(b).(i)]
Making informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment. [PR IV.A.5.a).(2).(b).(ii)]
Developing and carrying out patient management plans. [PR IV.A.5.a).(2).(b).(iii)]
Providing health care services aimed at preventing health problems or maintaining health. [PR IV.A.5.a).(2).(b).(iv)]
Diagnosis and management of adult and pediatric orthopaedic disorders [PR IV.A.5.a).(2).(c)]

Medical Knowledge

Describe the settings and activities in which residents participate in order to develop and demonstrate competence for each expected medical knowledge outcome.[PR IV.A.5.b)]

Competency Area / Settings/Activities
Expertise in their knowledge of those areas appropriate for an orthopaedic surgeon. [PR IV.A.5.b).(1)]
An investigatory and analytic thinking approach to clinical situations. [PR IV.A.5.b).(2)]

Curriculum Organization and Resident Experiences

Describe the settings and activities in which PGY1 residents participate that provide the opportunity to:[PR IV.A.6.c)]

Competency Area / Settings/Activities
Formulate principles and assess, plan, and initiate treatment of adult and pediatric patients with surgical and/or medical problems.[PR IV.A.6.b).(1)]
Care for patients with surgical and medical emergencies, multiple organ system trauma, soft tissue wounds, nervous system injuries and diseases, peripheral vascular injuries and diseases, and rheumatologic and other medical diseases.[PR IV.A.6.b).(2)]
Care for critically-ill surgical and medical patients. [PR IV.A.6.b).(3)]
Develop an understanding of surgical anesthesia, including anesthetic risks and the management of intra-operative anesthetic complications.[PR IV.A.6.b).(4)]

Do each resident’s experiences include: [PR IV.A.6.d)]

a)the diagnosis and management of adult and pediatric orthopaedic disorders, including:

(1)joint reconstruction...... ( ) YES ( ) NO

(2)trauma, including multisystem trauma...... ( ) YES ( ) NO

(3)surgery of the spine, including disk surgery, spinal trauma, and spinal deformities
...... ( ) YES ( ) NO

(4)hand surgery...... ( ) YES ( ) NO

(5)foot surgery...... ( ) YES ( ) NO

(6)athletic injuries...... ( ) YES ( ) NO

(7)orthopaedic rehabilitation...... ( ) YES ( ) NO

(8)orthopaedic oncology, including metastatic disease...... ( ) YES ( ) NO

(9)amputations and post-amputation care...... ( ) YES ( ) NO

b)non-operative outpatient diagnosis and care, including all orthopaedic anatomic areas
...... ( ) YES ( ) NO

(1)On average, how many half day outpatient clinic sessions does each resident participate in per week on all clinical rotations?[PR IV.A.6.d).(2).(a)] ( )

(2)Describe how each resident is supervised by the faculty in all aspects of care of patients with general and subspecialty orthopaedic problems. [PR IV.A.6.d).(2).(b)]

(3)Describe how opportunities for resident involvement in all aspects of outpatient care of the same patient are maximized. [PR IV.A.6.d).(2).(c)]

Describe how the program director ensures each resident’s experiences include increasing responsibility for patient care, under faculty supervision (as appropriate for each resident's ability and experience), as he or she progresses through the program. [PR IV.A.6.d).(3)]

a)Do residents have inpatient and outpatient experience with all age groups? [PR IV.A.6.d).(3).(a)] ( ) YES ( ) NO

5.Describe how it is determined that each graduating chief resident is capable of unsupervised independent medical practice.

Residents’ Scholarly Activities

Briefly describe resident education in experimental design, hypothesis testing, and other current research methods, as well as participation in clinical or basic research. [PR IV.B.1.a)]

Resident Formative Evaluation

Does semiannual evaluation of the residents include a review of case volume and breadth, and ensure that residents are entering cases in the ACGME Case Log System in a timely manner? [PR V.A.1.d)]
...... ( ) YES ( ) NO

Maximum Frequency of In-House Night Float

How many months of night float will residents be assigned in each year of the program? [PR VI.G.6.a)]
...... ( )

Case Log Program Level Report

Describe how the residents log their cases and the system for monitoring compliance with accurate case log entry.

Provide clinical data from each institution in the orthopaedic surgery program. The list should include all procedures performed by the orthopaedic surgery service that would have been available for the education of orthopaedic surgery residents during the most recently completed academic year. Add columns as needed for other participating sites.

Area / Procedure / Site #1 / Site #2 / Site #3 / Site #4 / Total
Shoulder / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Shoulder
Humerus/Elbow / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Humerus/Elbow
Forearm/Wrist / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Forearm/Wrist
Hand Fingers / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
TOTAL Hand Fingers
Pelvis/Hip / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Pelvis/Hip
Femur/Knee / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Femur/Knee
Leg/Ankle / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Leg/Ankle
Foot/Toes / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Manipulation
Arthrodesis
Amputation
Arthroscopy
TOTAL Foot/Toes
Other Musculoskeletal / Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Fracture/Dislocation
Arthroscopy
TOTAL Other Musculoskeletal
Spine / Excision-Spine
Osteotomy
Fracture/Dislocation
Decompression
Arthrodesis Anterior
Arthrodesis Posterior
Arthrodesis Deformity
Exploration
Instrumentation
TOTAL Spine
Nervous System / Carpal Tunnel
Incision/Excision
Neuroplasty
Neurorrhaphy
Transection or Avulsion
TOTAL Nervous System
Integumentary System / Flaps
Incision/Excision
Repair (closure)
Skin Grafts
TOTAL Integumentary System

Updated: 5/3/2013

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