Comprehensive Core Curriculum Outline
Service: Orthopaedic Trauma
Attendings:
 Dr. Obremskey 615-260-2054
 Dr. Perdue 615-293-6476
 Dr. Jahangir 615-300-6269



Dr. Mir 615-717-8484
Dr. Evans 615-715-9539
Dr. Sethi 617-308-7196
Ancillary Staff:
 Tisha Barzyk, NP: Dr Evans, Dr. Mir
 Melissa Lasater, NP, Dr. Jahangir


Julie Berkau, NP, Dr. Obremskey
Lauren, Trenary, NP, Dr. Perdue
Resident Coverage (PGY levels):
 Junior Resident – R2
 Senior Resident – R5
Weekly Schedule:
Monday
Tuesday
On Call
Dr. Obremskey Clinic
OR
OR
Dr. Perdue
OR
Clinic
Dr. Jahangir
OR
Dr. Mir
On call
Dr. Evans
Service-specific Guidelines:
 Order Sets:
o Orthopaedic Open Fractures
o Ortho Trauma Discharge Orders
o ORIF Upper Extremity Pathway
Wednesday
Thursday
OR
On Call
Clinic
On Call
OR
OR
Clinic
OR
o
o
o
Friday
OR
OR
On Call
Clinic
ORIF Acetabulum / Pelvis Pathway
ORIF Lower Extremity Pathway
Hip Fracture Admission Pathway

Post-op Protocals:
o Attending specific – Verify Following Each Case
o General: 4 weeks of lovenox for many patients. Upper extremity can often go out on ASA
o Antibiotics:
 Ancef 1000mg q8h x 3 doses for extremities.
 Vancomycin 1000mg q12 hours x 48 hours.
o Follow-up 2 weeks unless otherwise noted

Starpanel Templated Notes:
o Orthopaedic Trauma Discharge
Summary
o
o
Orthopaedics Trauma Progress
Note
Orthopaedic Compartment Check
Resident Roles and Expectations (Based on PGY level):
 Hospital Roles (Rounding, Notes, Orders, Pre-op, Post-op, etc)
o Fellow: Rounds on 10N
o Chief/PGY-2: Hospital
o Intern: Round Wing
o Morning AM Trauma Rounds: All review patients, note orders and daily plan
o Intern and NPs: Complete Daily floor work. Intern meets NP’s on Round Week to divide up work:
orders, discharge summaries, etc.

Clinic Roles (Seeing patients, Dictating, Scheduling, etc)
o Residents Rarely Dictate
o

See patients and record on Clinic Sheet
Conference Roles and Guidelines (Pre-op and Post-op conferences):
o Daily AM Trauma Conference:
 Review Overnight Consulations
 Plan Operative Schedule for the Day
 Go over all inpatients: status, plans, orders, follow-up
o Weekly Fracture Conference
 Discuss previous week’s cases and discuss technique and thought process (fellows prepare)
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 Be able to select reasonable implants for specific fracture types
o Understand Clinically Applicable Fracture Classifications
o Know the basic surgical approaches
2. Surgical Indications
o Acetabular Fractures
o Distal Radius
o Ankle Fractures
o Clavicle
o Scapula
o Acetabulum
o Proximal Humerus
o Femoral Head
o Humerus
o Tibia
o Radial Head/Neck
o Calcaneus
o Olecranon
o Phalanges
3. Post-operative critical review:
o Weekly Post-operative Conference
Operative Core Competencies:
o Junior Resident
o Humeral Shaft ORIF
o Radius and Ulnar Shaft ORIF
o Distal Radius Volar ORIF
o CRPP of Hip
o Hip Intertrochanteric Fixation
(DHS vs Cephalomedullary nail)
o Femoral Nailing (Antegrade and
Retrograde)
o Tibial Shaft Intramedullary nail
o Medial and Lateral Ankle ORIF
o Senior Resident
o ORIF vs Hemiarthroplasty of
Proximal Humerus
o Periarticular Elbow Fractures:
Distal humerus, radial head,
olecranon
o Intra-articular Distal Radius
o ORIF of Hip Fracture
o ORIF Acetabulum
o CRPP of SI Joint
o
o
o
o
o
o
o
Percutaneous Fixation of Phalanges
Quad/Patellar Tendon Repair
ORIF Patella
Split thickness Skin Graft
Compartment Releases of upper
and lower extremities
Debridement and Irrigation open fx
External Fixator application
o
o
o
o
o
o
o
o
Intraarticular Fractures of the Knee
Tibial Plateau Frctures
Complex Tibial IM Nailing
Trimalleolar Ankle and Pilon Fx
Calcaneus Fractures
Talus Fractures.
ORIF proximal and distal femur
Lis Franc/complex Foot fx
Attending Preferences (Pre-op, OR, Post-op, etc):
Selected Readings (Based on PGY level):
 Books
o Handbook of Fractures
o Kregor Trauma
o Masters Techniques Fractures
 Classic Journal Articles
 Techniques
 Anatomy (Hoppenfeld)