Introduction to Orthopaedic Surgery for 3rd Year Medical Students Students should page the Chief Resident on call for Orthopaedic Surgery at their assigned hospital rotation or service (Sports, Trauma, Joints, Harbor UCLA, WLA-VA, Olive View and Orthopaedic Hospital), the Sunday before the beginning of the rotation week, for information regarding morning rounds on the Monday of your rotation. The name of the resident can be found on the Orthopaedic Surgery rotation schedule located at the surgery website: http://www.ortho.ucla.edu/resident/ - Rotation schedules Goals and Requirements of the 2 Week Rotation The overall goal of this rotation is to introduce you to the principles of evaluation and management of orthopaedic patients. As directed by the assigned attending, you will be required to participate as a team member by attending the following: a.) morning rounds b.) inpatient and outpatient surgery settings c.) outpatient clinic settings d.) Multidisciplinary conferences. Varies with service and location e.) Sign-out from Chief Resident daily before leaving the hospital. f.) You are encouraged to round with the team on one weekend day during the rotation. g.) You are encouraged to participate in any overnight call surgeries or procedures. (*optional) h.) Make sure to have seen or been taught the following areas for your case logs: “arthritis” and “fractures”. Evaluation of Student Performance: Your evaluations will be done by at least one faculty member and the chief residents you will be working with. A. Evaluation of patients The orthopaedic patient often has a very focused problem. You will be exposed to evaluation and management of such problems. The H&P should be aimed at focusing on the specific problem and salient concerns related to the problem as the primary goal of the evaluation. However, many orthopaedic patients have multiple medical problems that will need to be addressed as well. These should be incorporated as part of your evaluation. Many of the new patients that you see will have either undergone surgery or will require surgery. Thus, a comprehensive H&P is still required. Your physical examination should include thorough musculoskeletal examination both focused and comprehensive. You will also begin to develop skills in the succinct oral presentation of pertinent points of the H&P to the residents and attending faculty both on inpatient wards and on the outpatient clinic setting. B. Diagnostic Aspects of Orthopaedic Disorders By the end of the rotation, you should be familiar with a variety of diagnostic techniques in the field of orthopaedic surgery, and be aware of their indications, limitations, and risks. This includes radiographs, MRIs, CTs, dynamic radiographic studies, arthrograms, corticosteroid injections and ultrasound. C. Surgical Treatment of Orthopaedic Disorders You will have operative exposure to inpatient and outpatient orthopaedic surgery, and should become familiar with the preoperative diagnostic evaluation of these patients, as well as the basic instrumentation utilized for various procedures. You should gain knowledge of the potential risks of the surgery that you are observing, as well as the postoperative care and follow-up that will be required. D. General Structure for a successful 2 week rotation: Orthopaedic Surgery - Third Year Core Rotation TRACK A: Joints Service Joints Service, Santa Monica UCLA Medical Center & Orthopaedic Hospital Name: Attending Mentor:_________________________ TUES or THURS Doctoring Dates: Dates of Joints Rotation: Weekly Schedule Day Location Monday INPATIENT ward rounds 0630 am or Call Chief Res Joints Conf 6:15am-7:30am SMUCL Conf Rm 1 G350 OR, Clinic and Wards Tuesday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Wednesday AM: 7:00 am Gen Surgery Conf (73-105 CHS) and Required Core Lectures PM: OR, Clinic Wards Thursday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Friday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Sat or Sun Call Chief Res for time. Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY) 1. 2. 3. Clinic, Surgical and/or Didactic Observations: REQUIRED: _____ FRACTURE _____ARTHRITIS OPTIONAL: Joint injection Closed Reduction of fracture Splinting/Casting _______ Overnight call Comments Faculty Member Signature____________________________ Date__________________ Please turn in this completed form to Iris Mau in Room 72-215 CHS. Orthopaedic Surgery - Third Year Core Rotation TRACK B: Sports Medicine Service Sports Service UCLA: RRMC, Santa Monica UCLA Medical Center & Orthopaedic Hospital, Outpatient Surgical Center Name: Attending Mentor:_________________________ TUES or THURS Doctoring Dates: Dates of Sports Rotation: Weekly Schedule Day Location Monday AM: Sports Case Conf SMUCLA OR, Clinic and Wards UCLA Training Room* Tuesday OR, Clinic and Wards UCLA Training Room* Wednesday AM: 7:00 am Gen Surgery Conf (73-105 CHS) and Required Core Lectures Combined Sports Medicine Conf. 12-1pm JSEI 1st floor PM: OR, Clinic Wards Arthroscopy Lab 5:30 bimonthly Rehab. Level A UCLA Training Room* Thursday OR, Clinic and Wards UCLA Training Room* Friday OR, Clinic and Wards UCLA Training Room* Sat or Sun Call Chief Res for time. Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY) 1. 2. 3. Clinic, Surgical and/or Didactic Observations: REQUIRED: _____ FRACTURE _____ARTHRITIS OPTIONAL: Joint injection Closed Reduction of fracture Splinting/Casting _______ Overnight call Training Room Comments Faculty Member Signature____________________________ Date__________________ Please turn in this completed form to Iris Mau in Room 72-215 CHS. Orthopaedic Surgery - Third Year Core Rotation TRACK C site: WLA-VA WLA VA – 11301 Wilshire Blvd., Los Angeles, CA 90073 Employee Parking located on the West side of the main bldg. Name: Attending Mentor:_________________________ TUES or THURS Doctoring Dates: Dates of WLA-VA Rotation: Weekly Schedule Day Location Monday INPATIENT ward rounds 0700 am or Call Chief Res OR, Clinic and Wards PM Rounds Tuesday INPATIENT ward rounds 0700 am or Call Chief Res OR, Clinic and Wards PM Rounds Wednesday 7:00 am Gen Surgery Conf (73-105 CHS) and Required Core Lectures PM: OR, Clinic and Wards PM Rounds Thursday INPATIENT ward rounds 0700 am or Call Chief Res OR, Clinic and Wards PM Rounds Friday INPATIENT ward rounds 0700 am or Call Chief Res OR, Clinic and Wards PM Rounds Sat or Sun AM Rounds INPATIENT Call Chief Res for time. Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY) 1. 2. 3. Clinic, Surgical and/or Didactic Observations: REQUIRED: _____ FRACTURE _____ARTHRITIS OPTIONAL: Joint injection Closed Reduction of fracture Splinting/Casting Overnight call Comments: Faculty Member Signature____________________________ Date__________________ Please turn in this completed form to Iris Mau in Room 72-215 CHS. Orthopaedic Surgery - Third Year Core Rotation TRACK D site: Olive View UCLA Olive View-UCLA Medical Center Name: Attending Mentor:_________________________ TUES or THURS Doctoring Dates: Dates of Olive View Rotation: Weekly Schedule Day Location Monday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Tuesday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Wednesday 7:00 am Gen Surgery Conf (73-105 CHS) and Required Core Lectures PM: OR, Clinic and Wards Thursday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Friday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Sat or Sun AM Rounds INPATIENT Call Chief Res for time. Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY) 1. 2. 3. Clinic, Surgical and/or Didactic Observations: REQUIRED: _____ FRACTURE _____ARTHRITIS OPTIONAL: Joint injection Closed Reduction of fracture Splinting/Casting Overnight call Comments: Faculty Member Signature____________________________ Date__________________ Please turn in this completed form to Iris Mau in Room 72-215 CHS. Orthopaedic Surgery - Third Year Core Rotation TRACK E site: Orthopaedic Hospital Orthopaedic Hospital – 2400 S. Flower Street, Los Angeles 90007 Name: Attending Mentor:_________________________ TUES or THURS Doctoring Dates: Dates of Orthopaedic Hospital Rotation: Weekly Schedule Day Location Monday Peds Didactic Lecture & post op case conf 7:15am OH INPATIENT ward rounds 0630 am or Call Chief Res Fracture Conf 12pm OH OR, Clinic and Wards Tuesday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Wednesday 7:00 am Gen Surgery Conf (73-105 CHS) and Required Core Lectures PM: OR, Clinic and Wards Thursday INPATIENT ward rounds 0630 am or Call Chief Res Peds Fracture Conf 12pm OH OR, Clinic and Wards Friday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Sat or Sun AM Rounds INPATIENT Call Chief Res for time. Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY) 1. 2. 3. Clinic, Surgical and/or Didactic Observations: REQUIRED: _____ FRACTURE _____ARTHRITIS OPTIONAL: Joint injection Closed Reduction of fracture Splinting/Casting Overnight call Comments: Faculty Member Signature____________________________ Date__________________ Please turn in this completed form to Iris Mau in Room 72-215 CHS. Orthopaedic Surgery - Third Year Core Rotation TRACK F site: Harbor UCLA Harbor-UCLA Medical Center Name: Attending Mentor:_________________________ TUES or THURS Doctoring Dates: Dates of Harbor Rotation: Weekly Schedule Day Location Monday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Tuesday Trauma teaching rounds 0630 am or Call Chief Res OR, Clinic and Wards Wednesday 7:00 am Gen Surgery Conf (73-105 CHS) and Required Core Lectures PM: OR, Clinic and Wards Thursday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Friday INPATIENT ward rounds 0630 am or Call Chief Res OR, Clinic and Wards Sat or Sun AM Rounds INPATIENT Call Chief Res for time. Trauma anatomy/Cadaver session Monthly 6:45am TBA Trauma Journal Review Monthly 6:45am TBA Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY) 1. 2. 3. Clinic, Surgical and/or Didactic Observations: REQUIRED: _____ FRACTURE _____ARTHRITIS OPTIONAL: Joint injection Closed Reduction of fracture Splinting/Casting Overnight call Comments: Faculty Member Signature____________________________ Date__________________ Please turn in this completed form to Iris Mau in Room 72-215 CHS. Academic Year 2012-13 Orthopaedic Surgery UCLA Resident Pager List PGY 5: Aspey, Bradley Bezrukov, Nikita Diaz, Roberto Johnson, Jared Reid, Jeremy Zhang, Alan PAGER 25842 25846 25861 25183 25196 25930 PGY 4: Berger, Neal Dowd, Casimir Lee, David Niesen, Matthew Pribaz, Jonathan Wong, Jeffrey PAGER 26494 26524 26574 28193 25910 26664 PGY 3: Barad, Justin Kim, Abraham Kupperman, Asher Montgomery, Scott Niska, Jared Sandlin, M. Isiah PAGER 27197 27306 27316 26593 26603 27420 RESEARCH: Stavarkis, Alexandra Scott, Trevor PAGER 27446 27425 PGY 2: Ashana, Adedayo Bluth, Benjamin Leathers, Michael Leong, Natalie Sugi, Mark Wang, Dean PAGER 28187 28188 28189 28190 28191 28192 PGY 1: Ajiboye, Remi Amajoyi, Obiama Cheung, Edward Dworsky, Erik Lee, Christopher Patel, Ankur PAGER 28990 28989 28985 28986 28987 28988