Orthopedic Surgery Residency
Fully Accredited Five-Year Orthopedic Surgery Residency Program
The Orthopedic Surgery Residency is a fully accredited five-year program that provides a comprehensive orthopedic education and currently offers three positions a year through the National Resident Matching Program (NRMP). The program offers all necessary specialty rotations during the PGY-1 year and orthopedic subspecialty rotations in years two through five.
Residents in the program initially gain fundamental knowledge in such areas as soft tissue management, physiology, anatomy and radiology. As they advance, residents learn the technical and cognitive skills necessary to practice as an orthopedic surgeon. Commensurate with their technical skills and understanding of their cases, they are granted increasing levels of responsibility for the preoperative evaluation, surgery, and postoperative care of patients, under the direct supervision of an attending surgeon.
Residents work closely with five physician assistants (PA’s) and unit nurses as an integrated team. It is hospital policy that orthopedic patients, to the extent possible, be grouped on the orthopedic unit (30 beds), providing the best nursing care for the patient and an ideal educational opportunity for the resident.
A 250-square foot Orthopedic Surgery Resident Library equipped with audio visual equipment, a computer, inernet, and major orthopedic textbooks provides a quiet and private environment for studying and for meetings. In addition, Maimonides has a state-of-the-art medical library with textbooks, periodicals, and a variety of electronic medical media. A librarian is available for assistance.
We offer two outpatient experiences for each resident: a traditional clinic and a rotation into a private office environment. In the clinic, an attending physician serves as a consultant for the resident as they evaluate and manage their cases. The same attending follows a case throughout the care episode if admission or surgery is necessary. This structure provides continuity of care for the resident and the attending. Residents are given responsibility in the clinic according to their level in training and fund of knowledge.
Didactic lectures with audiovisual aids or handouts are provided each morning as well as during a four-hour protected time each Friday. They are designed to run over a two-year cycle, providing basic information for the junior resident and integrative knowledge for the senior resident. Each year, several lectures are presented by a resident and supervised by an attending to give the resident experience in organizing, critically reviewing and transmitting information. The conference schedule covers all major topics in orthopedic surgery including general orthopedics, pediatrics, fractures, sports, spine, upper and lower extremity, surgical indications, adult reconstructive, basic science and bioethics. Guest lecturers with special expertise are invited to participate in such areas as infectious diseases, rehabilitation, orthotics and prosthetics, pharmacology and rheumatology. In addition, Mortality and Morbidity Conferences are scheduled monthly and a combination orthopedics/radiology conference is held bi-monthly. Two cadavers are available each year for instruction in gross and functional surgical anatomy.
Research is an integral part of the educational program. Each senior resident is required to present a quality report of original research conducted during their residency. Laboratory space, funds and personnel are available to support our research requirements. Residents have applied for, and have been granted, institutional funds to conduct research. Based on the small size of our program, the number of publications and presentations by residents in the literature and at various national forums clearly reflect the importance of ongoing academic research activities and the weight they carry for the program and the medical center.
Well known in the airline industry, simulation training for residents is becoming increasingly utilized. Training on a simulator allows residents to practice their skills without any potential harm to patients. It also gives instuctors a tool to teach and evaluate residents. At Maimonides Medical Center the Orthopedic Surgery Residents use virtual simulators to practice surgical skills like arthroscopy. They can also practice management of the sickest of patients using true to life simulators. Maimonides Medical Center has developed a world class simulation center on it campus, that will allow attendings and residents to create some of the most complex clinical scenarios for educational purposes.