UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2017-2018 M3/M4 Course Syllabi

Orthopaedic Surgery

COURSE NUMBER:

13 01 01

TITLE:

CLINICAL ELECTIVE IN ORTHOPAEDICS -ICE
The student receives one-on-one education in the evaluation and management of patients with musculoskeletal disorders. The elective provides an overview of trauma, sports medicine, hand, adult reconstruction, spine or experience in specific research areas.

PREREQUISITES:

N/A

expand all

GENERAL INFORMATION

COURSE YEAR:

CREDIT HOURS:

CREDIT WEEKS:

DOMESTIC VISITING:

YES

INTERNATIONAL VISITING:

GRADED:

Honors/High Pass/Pass/Fail

COURSE QUALIFICATIONS:

ICE

COURSE TYPE:

Clinical

STATUS:

Full-Time
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES

COURSE LENGTH:

4 wks

DIRECTOR:

Brian Grawe, MD
grawebn@ucmail.uc.edu
558-4516
Holmes, 1103

ADMINISTRATIVE SUPPORT PERSON:

Kim Reising
weingaka@ucmail.uc.edu
558-4592
MSB, Room 5502

INSTRUCTOR:

ChrisUtz, MD

SITE(S):

Cincinnati Childrens Hospital Medical Center
Holmes Division Hospital
UC Health Medical Center
UC Health Phys-UP
UC Health West Chester Hospital
UCMC - Medical Arts Bldg
VAMC

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	07/03/2017 - 07/28/2017	4
2	07/31/2017 - 08/25/2017	6
3	08/28/2017 - 09/22/2017	4
4	09/25/2017 - 10/20/2017	4
5	10/23/2017 - 11/17/2017	4
6	11/27/2017 - 12/22/2017	4
7	01/02/2018 - 01/26/2018	4
8	01/29/2018 - 02/23/2018	4
9	02/26/2018 - 03/09/2018	4
9	02/26/2018 - 03/23/2018	4
9	03/12/2018 - 03/23/2018	4
10	03/26/2018 - 04/06/2018	4
10	03/26/2018 - 04/20/2018	4
11	04/23/2018 - 05/18/2018	4
12	05/21/2018 - 06/22/2018	4

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)

WORKING HOURS:

Approx: 6:00 a.m. - 6:00 p.m. M-F; occasional weekend call

REPORT 1^ST DAY:

MSB 5502 8:30 a.m.

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Inpatient
Clinical Experience - Inpatient (Nights)
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Journal Club
Patient Presentation--Learner
Research

LEARNING ENVIRONMENT POLICIES:

UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.

ORIENTATION:

Kim Reising, GME Program Coordinator

TEACHING:

70%	Attending Physician
20%	Senior Resident
10%	Junior Resident

FEEDBACK:

Faculty

ASSESSMENT:

FINAL GRADE:

65%	Clinical work performance evaluations
25%	Attitude, e.g., professionalism, motivation etc
10%	In-house multiple choice or other objective exam

GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

Must be able to communicate and cooperate with the office staff, fellow medical students, residents, fellows, and attending.

Must establish a great rapport with the patients and their families and treat them in a respectful manner no matter how difficult they may be.

Must dress in a manner appropriate for the setting, preferably professional attire.

Curricular Resources :

Campbell’s Operative Orthopaedics

Chapter 1, Surgical Techniques (pages 1-31)

Chapter 2, Surgical Approaches (pages 32-109)

Fractures (Rockwood and Green)

Chapter 1, Principles of Fracture and Dislocation (pages 1-96)

Chapter 2, Healing of Bone, Tendon, Ligament (pages 97-118)

Acute Hand Injuries – Sigurd Sandzen

Chapter 1, Anatomy of the Hand (pages 1-28)

Salter: Disorders of the Musculoskeletal System

Highly Recommended

Manual of Orthopaedics by Marc Swiontowski, M.D.(Spiral bound book available in the bookstore)

Highly Recommended

Musculoskeletal Medicine by Burstein

Examination of the Extremity and Spine by Hoppenfeld

MRI, Arthroscopy, and Surgical Anatomy of the Joints by Stoller

Knowledge/Skills:

1. Participation in surgery; scrub in on cases as directed by attending.

2. Attendance at outpatient clinic; students will see patients and present cases to attending.

3. Work-up of selected patients, with presentation to residents and finally to a faculty preceptor.

Main Course Topics :

- Traumatic injury to long bones: including provisional and definitive management

- Joint reconstruction of the hip and knee

- Evaluation and management of hand and wrist injuries

- Basic concepts involving the work up and surgical pathology of the spine

- Athletic injuries to ankle, knee, shoulder

Objectives:

Learning Objectives

1. Understanding of the basic classification and nomenclature of fractures and orthopaedics.

2. Ability to read and precisely describe fracture x-rays.

3. Elements of the basic orthopaedic exam. (Specifically hand, knee, foot and ankle, back and trauma).

4. Basic principles of fracture management.

5. Proper use and possible complications of plaster casting technique.

6. Exposure to a variety of surgical procedures.

7. Exposure to postoperative patient management.

Other Resources - Audiovisuals:

Videos also available for viewing entitled: Physical Examination of the Musculoskeletal System.

www.vumedi.com

www.aaos.org

Other Resources - Computer resources:

Literature searching, Internet, scanning, and word processing available on 5 computers. We also have Epic, PACS on 4 computers.

Other Resources - Other :

Medical students will attend trauma rounds on Tuesday afternoons with the trauma team to review cases.

Medical Students will attend MRI Conference given by the orthopaedic faculty to the ortho residents on the 1st Friday of each month.

Procedures:

1. Scrub in on cases

2. Dressing Changes

3. Suture

4. Suture removal

5. Apply basic splints

SAMPLE WEEK

Monday:

6:30AM	7:30AM	Rounds
7:30AM	1:00PM	Operating Room OR private attending offices
1:00PM	1:30PM	Orthopaedic Clinic
1:30PM	4:00PM	Post-op Clinic
4:00PM	5:00PM	Check-out

Tuesday:

6:00AM	7:00AM	Rounds
7:00AM	7:30AM	Lecture
7:30AM	3:00PM	OR
4:00PM	4:30PM	Trauma Conference

Wednesday:

6:30AM	7:00AM	Rounds
7:00AM	9:00AM	Lecture
9:00AM	10:00AM	Ortho Clinic
10:00AM	5:00PM	General Orthopaedic Clinic

Thursday:

6:30AM	7:30AM	Rounds
7:30AM	5:00PM	OR

Friday:

6:30AM	7:30AM	Rounds
7:30AM	9:00AM	Trauma Clinic or OR
9:00AM	1:30PM	Trauma Clinic
1:30PM	5:00PM	Independent Study

SCHEDULE NOTE:

STUDENT ELECTIVES IN ORTHOPAEDIC SURGERY

13 01 01

The Department of Orthopaedic Surgery at the University of Cincinnati offers a comprehensive group of elective programs in Orthopaedic Surgery for senior medical students. All electives allow latitude in experience. Some experience may be seasonal. Each student must submit a request for an elective to the Department of Orthopaedic Surgery, Room 5502 Medical Sciences Building at least two (2) months in advance of requested elective date. Electives offered by the Department include the following:

Special Elective in Orthopaedic Surgery: A specific program in a special clinical or research area tailored to the needs of students with special qualifications will be arranged with any individual faculty. Some past areas have included private practice preceptorships, investigation of joint motion in classical ballet dancers, total joint replacement, rehabilitation, sports medicine, bone banking, etc.

Faculty: All full time and volunteer faculty

Clinical Elective in Sports Medicine: This program includes diagnosis, management and rehabilitation of sports related injuries and may include clinical research. Encourages contact with various sports as "Team Physician" which may be seasonal.

Faculty: Angelo Colosimo, M.D., Keith Kenter, M.D.

Clinical Elective in Reconstructive Joint Surgery: A special elective in the diagnosis and management of joint disease requiring medical and surgical management. The elective includes exposure to the Arthritis Center Group at the University of Cincinnati Medical Center.

Faculty: Toan Le, M.D., Assistant Professor of Orthopaedic Surgery

Elective in General Orthopaedics and Spine Surgery: This program includes an in-depth review of orthopaedic conditions relating to the practice of orthopaedics with an emphasis on the spine. The student will be required to attend office hours, participate in daily in-patient care, and participate as a member of the orthopaedic service in the operating room.

Faculty: Anthony Guanciale, M.D., Ferhan Asghar, MD, Steve Agabegi, MD

Elective in Trauma: This program includes diagnosis and management of traumatic musculoskeletal injuries. This student will be expected to take call, and participate in surgery, outpatient clinic - private office.

Faculty: Michael T. Archdeacon, M.D., John Wyrick, MD. Toan Le, MD

ATTENDANCE AND ABSENCE POLICY

Session Attendance for M4 Students

Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.