Comprehensive Core Curriculum Outline
Service: Hand
Attendings:
 Dr. Lee – 831-4074
 Dr. Watson – 835-8646
 Dr. Weikert – 835-5291
Ancillary Staff:
 Joanna Hearington – 835-7771
Resident Coverage (PGY levels):
 Junior Resident – R2
 Senior Resident – R4
Weekly Schedule:
Monday
Clinic – VOI
OR
Tuesday
Wednesday
Clinic - VOI
Thursday
OR
OR
Clinic – VOI
OR
Clinic – Cool
Springs
Friday
OR
Dr. Lee
Dr. Watson
Clinic – VOI
OR
Dr. Weikert
Clinic – Cool
Springs
OR
OR
Brachial plexus
clinic 1x/month VOI
OR
Service-specific Guidelines:
 Order Sets:
o none

Post-op Protocals:
o Attending specific; no formal DVT prophylaxis – all patients should be given OOB at least TID
activity for prophylaxis as appropriate

Starpanel Templated Notes:
o Ortho hand daily progress note

Service Guides:
o none
Resident Roles and Expectations (Based on PGY level):
 Hospital Roles (Rounding, Notes, Orders, Pre-op, Post-op, etc)
o roles are the same; junior expected to ask senior about any concerns re: care, new consults, etc.

Clinic Roles (Seeing patients, Dictating, Scheduling, etc)
o Monthly rotation specific to attending
o Residents rarely dictate - Typically global post-op patients
o No dictation forms/guides

Conference Roles and Guidelines (Pre-op and Post-op conferences):
o
o
Monday @ 0600 outside Hand Faculty Offices (see schedule on VOI Hand and Upper Extremity
website) – didactic format with lectures given by attendings
Friday @ 0600 – interesting cases of the week review – informal case presentations by residents
for discussion among residents/attendings
Goals and Objectives (Based on PGY level):
1. Medical Knowledge and Patient Care
o Learn/know the relevant applied anatomy.
o Become proficient performing a history and physical exam.
o Know the indications for radiologic imaging as well as the interpretation of these tests.
o Be able to formulate a differential diagnosis.
o Understand the concepts of non-operative treatment, indications for/risks of surgery, and basic principles of
postoperative rehabilitation.
o Know the basic surgical approaches
2. Surgical Indications
o Carpal Tunnel Syndrome
o Tendon transfers and Tendon
o Distal radius fractures
Repair
o Radial Head Fractures
o Brachial Plexus Acute and Longo Olecranon fractures
term Management
o Lunate / Perilunate Dislocations
o Nerve Repair and grafting
o Radiocarpal Arthritis
o Hand Tumor Management
o Hand Infections: Tenosynovitis,
o Phalangeal Fractures
septic arthritis, bites
3. Post-operative critical review
Operative Core Competencies:
 Junior Resident
o Carpal Tunnel Release
o Distal radius ORIF
o Radius and Ulna Fx ORIF
 Senior Resident
o Tendon Repair (flexor, extensor)
o Tendon Transfers
o Foundations of nerve and vessel
repair and reconstruction
o Free-muscle transfer
o
o
o
Cubital tunnel release
CRPP Phalangeal Fractures
Humerus Fractures
o
o
Lunate / Perilunate Management
Radial Head Replacement /
Fixation
Complex Elbow Fractures
Proximal Humerus Fractures
o
o
Attending Preferences (Pre-op, OR, Post-op, etc):
Selected Readings (Based on PGY level):
 Books
o Blair – Techniques in Hand Surgery (available in Dr. Watson’s Office)
o Green’s Operative Hand
o Orthopaedic Essentials – Hand - review
 Classic Journal Articles
 Techniques
 Anatomy