Rotations In Orthopaedic Surgery - PGY II and
The PGY-II year consists of a six-month trauma rotation, three-month
spine rotation and three-month elective rotation at UC Irvine
Medical Center. The goal of the PGY-II resident is to acquire
diagnostic and clinical skills through participation in supervised
outpatient clinics and through consultation in the Emergency
Room. He/she is to learn total appraisal of the trauma victim,
emergency room treatment of the trauma victim, the closed manipulation
and reduction of fractures, and the care of a full spectrum of
musculoskeletal injuries. They also learn to administer care
for pre- and postoperative surgical patients. In the operating
room, the PGY-II should acquire familiarity and use of all orthopaedic
instrumentation and develop basic orthopaedic operative skills
under the supervision of senior residents and faculty. Experience
with operative care of fractures and other musculoskeletal conditions
are instituted. A working knowledge of surgical approaches is
required. Specific skills include application of all standard
casts, splints and traction setups and basic internal fixation
The PGY 2 year is an intensive introduction to the
fundamental principles of managing orthopaedic pathology, disorders
All twelve months are spent at UC Irvine Medical Center. During
this time residents learn the basics of orthopaedic surgery by
treating patients on the general orthopaedic services. The “R2” gets
their first real introduction to the basics of orthopaedic surgical
technique by spending a great deal of time in the operating room.
At the end of the year, residents are fluent in the basic AO
principles of fracture management, understand the biomechanics
of joint reconstruction, and are able to diagnose and manage
orthopaedic emergencies and trauma. Exposure to all of the subspecialties
provides a foundation for the remaining years of residency and
helps shape a future career path in orthopaedics.
As an R2, you
are the primary surgeon with the attending walking you through
the case (as long as you are well prepared and read
for the case). At night, usually the senior residents will
take the junior through the trauma case with attending supervision
The R2 is expected to present surgical cases during
the weekly didactic lecture series, as well as to participate
in the different
weekly subspecialty conferences. In the end of the R2 year
the resident presents a research project grant proposal that
be submitted for funding.
Also, as an R2, you become very
proficient in managing consults in the ED and performing reductions.
There is resident clinic
each week and you get exposure to non-surgical management
of patients, you learn indication to operate as well as
management of patients. This is an intense year but with
a steep learning curve, you will become some of the best
the country by the end of the year.
The PGY-III year generally consists of one three-month rotation at Long Beach
Veterans Administration, one three-month rotation at Miller’s Children’s
Hospital, six months at Kaiser Permanent. During this year, the resident is
to continue to develop clinical and diagnostic skills in both the Emergency
Room and outpatient arena with more autonomy being allowed in the outpatient
setting. Surgical skills continue to develop. Depending on the training facility
at which the resident is located, and at the discretion of the attending physicians,
major participation of the resident in orthopaedic re-constructive surgery
such as joint replacement surgery is initiated.
The three months spent at Long
Beach Veterans Administration is to prepare the residents for their transition
to practice and instill a sense of confidence
in their abilities to care for patients. PGY-III residents are responsible
for pre and post operative care of inpatients, outpatient evaluation and
management, and initial assessment and management of emergency room and in
They provide first contact coverage for the service related calls and consults.
They act as first assistants at surgical procedures.
Hospital is a tertiary care center in Long Beach. Four fellowship trained
pediatric orthopaedic surgeons serve as faculty
members give great exposure to a wide assortment of pediatric cases for
the PGY-III resident. Trauma, spine, hand, hip dysplasia, tumor and more are
all included in a usual daily operative schedule. Call is split between
2 Long Beach Memorial Medical Center residents and is usually 1 in 4 nights.
At Kaiser Permanente, the role of the resident will be to perform major and
minor operations in the capacity of primary or assistant surgeon. The
will also participate in the initial evaluation, peri-operative care,
and non-operative treatment of orthopaedic injuries and diseases, including
those of the hand,
and general orthopaedics. 6 months of the year is spent here with half
being on the Hand service with 5 hand fellowship trained specialists,
half split between joint reconstructive surgery and sports medicine.
Call at Kaiser is 1-2 nights per week.
to PGY-IV and PGY- V
Please CLICK image below to download your 2017 Rotation Schedule.
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