2024-2025 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:
26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

N/A
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 wks
DIRECTOR:
Phillip Ross
rosspp@ucmail.uc.edu
513-558-4516
Medical Science Building, 5467
ADMINISTRATIVE SUPPORT PERSON:
Gina Traylor
gina.traylor@uc.edu
513-558-4516
Medical Science Building, 5553
SITE(S):
Cincinnati Childrens Hospital Medical Center
Holmes Division Hospital
UC Health Medical Center
UC Health Phys-UP
UC Health West Chester Hospital
UCMC
UCMC - Medical Arts Bldg
UCMC - University of Cincinnati Medical Center
University of Cincinnati Medical Center
VAMC
MAX ENROLL:
6 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 6
2 06/03/2024 - 06/28/2024 4
3 07/01/2024 - 07/26/2024 4
4 07/29/2024 - 08/23/2024 6
5 08/26/2024 - 09/20/2024 6
6 09/23/2024 - 10/18/2024 6
7 10/21/2024 - 11/15/2024 7
8 11/18/2024 - 12/13/2024 0
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 0
11 02/10/2025 - 03/07/2025 0
12 03/10/2025 - 04/04/2025 0
13 04/07/2025 - 05/02/2025 0

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 1ST DAY:
Student will receive an email with instructions for rotation and where to report, etc.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Ambulatory
  • 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
  • Lecture
  • Mentorship
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Team-Based Learning (TBL) (Workshops, sessions, or activities contributing to the development of teamwork skills)
  • Ward Rounds
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.
TEACHING:
70% Attending Physician
20% Senior Resident
10% Junior Resident
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Narrative Assessment
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  1. Campbell’s Operative Orthopaedics
  2. Chapter 1, Surgical Techniques (pages 1-31)
  3. Chapter 2, Surgical Approaches (pages 32-109)
  4. Fractures (Rockwood and Green)
  5. Chapter 1, Principles of Fracture and Dislocation (pages 1-96)
  6. Chapter 2, Healing of Bone, Tendon, Ligament (pages 97-118)
  7. Acute Hand Injuries – Sigurd Sandzen
  8. Chapter 1, Anatomy of the Hand (pages 1-28)
  9. Salter: Disorders of the Musculoskeletal System
  10. Highly Recommended
  11. Manual of Orthopaedics by Marc Swiontowski, M.D.(Spiral bound book available in the bookstore)
  12. Highly Recommended
  13. Musculoskeletal Medicine by Burstein
  14. Examination of the Extremity and Spine by Hoppenfeld
  15. MRI, Arthroscopy, and Surgical Anatomy of the Joints by Stoller
Instructional Methods:
  • Learning activities/Instructional Methods:
  • Case-Based Instruction/Learning
  • Clinical Experience--Ambulatory
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration
  • Discussion- Large Group (>12)
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Journal Club
  • Lecture
  • Mentorship
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Peer Teaching
  • Preceptorship
  • Self-Directed Learning
  • Team-Based Learning (TBL)
  • Ward Rounds
  • Workshop
  • Assessment Methods:
  • Clinical Documentation Review
  • Clinical Performance Rating/Checklist
  • Multisource Assessment
  • Oral Patient Presentation
  • Participation
  • Practical (Lab)
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
-        Evaluation and management of foot and ankle injuries
Procedures:
1. Scrub in on cases
2. Dressing Changes
3. Suture
4. Suture removal
5. Apply basic splints
Remediation Plan:
 Students will participate in hands-on workshops and opportunity to use the ortho FAST arthroscopy training games.

SAMPLE WEEK

Monday:
5:00PM 5:30PM Resident Lectures
Tuesday:
6:30AM 7:30AM SCS Conference with Dr. Stern
4:30PM 5:30PM Bone Board with Trauma Team
Wednesday:
6:30AM 9:00AM Ortho Lectures
5:00PM 5:30PM Resident Lectures
Friday:
6:30AM 7:30AM Ortho Lecture
SCHEDULE NOTE:

STUDENT ELECTIVES IN ORTHOPAEDIC SURGERY -  13 01 01

The Department of Orthopaedic Surgery at the University of Cincinnati offers a comprehensive elective in Orthopaedic Surgery for senior medical students.  This elective allow latitude in experience.  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.  This 4-weeks elective includes a combination of 4 of the below services, 1-week on each (student will not rotate on all services):

Sports Medicine:  This service includes diagnosis, management and rehabilitation of sports related injuries.  This student will be expected to take in-house call with the trauma team, participate in surgery, and attend outpatient clinic - private office. Student will also be required to attend didactic conferences on Tuesday, Wednesday, and Friday mornings. 

Faculty: Brian Grawe, M.D.; Melissa Summers, MD

Reconstructive Joint Surgery:  This service includes the diagnosis and management of hip and knee conditions requiring medical and surgical management.  This student will be expected to take in-house call with the trauma team, participate in surgery, and attend outpatient clinic - private office. Student will also be required to attend didactic conferences on Tuesday, Wednesday, and Friday mornings. 

Faculty: Toan Le, M.D.

Spine Surgery:  This service includes an in-depth review of orthopaedic conditions relating to the practice of orthopaedics with an emphasis on the spine.  This student will be expected to take in-house call with the trauma team, participate in surgery, and attend outpatient clinic - private office. Student will also be required to attend didactic conferences on Tuesday, Wednesday, and Friday mornings. 

Faculty: Ferhan Asghar, M.D.; Anthony Guanciale, M.D; Mark Kayanja, M.D.

Trauma:  This service includes diagnosis and management of traumatic musculoskeletal injuries.  This student will be expected to take in-house call with the trauma team, participate in surgery, and attend outpatient clinic - private office. Student will also be required to attend didactic conferences on Tuesday, Wednesday, and Friday mornings. 

Faculty: Michael T. Archdeacon, M.D., Michael Beltran, M.D.; Richard Laughlin, M.D.; Toan Le, MD; Claude Sagi, M.D.

Foot and Ankle:  This service includes diagnosis and management of foot and ankle injuries.    This student will be expected to take in-house call with the trauma team, participate in surgery, and attend outpatient clinic - private office. Student will also be required to attend didactic conferences on Tuesday, Wednesday, and Friday mornings. 

Faculty: Tonya Dixon, M.D.; Richard Laughlin, M.D.

Hand and Upper Extremity: This service includes diagnosis and management of the hand and upper extremity.  This student will be expected to take in-house call with the trauma team, participate in surgery, and attend outpatient clinic - private office. Student will also be required to attend didactic conferences on Tuesday, Wednesday, and Friday mornings. 

Faculty: Phillip Ross, M.D.; Peter Stern, M.D.; Matthew Florczynski, M.D.; Kaan Ozer, M.D.

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.




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