New Application: Orthopaedic Surgery Review Committee for Orthopaedic Surgery ACGME 515 North State Street, Suite 2000, Chicago, Illinois 60654 312.755.5000 www.acgme.org SPONSORING INSTITUTION Does the sponsoring institution also sponsor ACGME-accredited programs in: [PR I.A.1.] 1. General surgery ......................................................................................................... ( ) YES ( ) NO 2. Internal medicine........................................................................................................ ( ) YES ( ) NO 3. Pediatrics ................................................................................................................... ( ) YES ( ) NO Explain any no responses. PROGRAM PERSONNEL AND RESOURCES Program Director Does the program director maintain a current record of research activity by residents and faculty members? [PR II.A.4.p)] .................................................................................................. ( ) YES ( ) NO Resources 1. Briefly describe the workspace available, including access to computers, for residents at each participating site. [PR II.D.1.] 2. Briefly describe the technological resources available for production of presentations, manuscripts, or portfolios. [PR II.D.2.] Medical Information Access Do residents have access to appropriate full-text journals and electronic medical record references for at each participating site? [PR II.E.1.] .............................................................................. ( ) YES ( ) NO RESIDENT ELIGIBILITY CRITERIA Do the program policies for resident selection recognize the value and importance of recruiting qualified women and minority students? [PR III.A.1.] ..................................................................... ( ) YES ( ) NO EDUCATIONAL PROGRAM Regularly Scheduled Didactic Sessions Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Page 1 of 7 1. Are basic science education and the principal clinical conferences provided at the primary clinical site? [PR IV.A.3.a)] .................................................................................................... ( ) YES ( ) NO If no, explain. 2. Are conferences and didactic sessions scheduled to permit resident attendance on a regular basis? [PR IV.A.3.b)] ............................................................................................................. ( ) YES ( ) NO If no, explain. 3. On average, how many hours of formal teaching activities are offered each week? [PR IV.A.3.c).(1)]( ) 4. Describe how treatment indications, clinical outcomes, evidence-based guidelines, complications, morbidity, and mortality are critically reviewed and discussed on a regular basis. [PR IV.A.3.c).(2)] Patient Care Describe the settings and activities in which residents participate in order to develop and demonstrate competence for each expected patient care outcome. [PR IV.A.5.a).(2)] Competency Area Settings/Activities The pre-admission care, hospital care, operative care, and follow-up care (including rehabilitation) of patients. [PR IV.A.5.a).(2).(a)] Gathering essential and accurate information about patients. [PR IV.A.5.a).(2).(b).(i)] Making informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment. [PR IV.A.5.a).(2).(b).(ii)] Developing and carrying out patient management plans. [PR IV.A.5.a).(2).(b).(iii)] Providing health care services aimed at preventing health problems or maintaining health. [PR IV.A.5.a).(2).(b).(iv)] Diagnosis and management of adult and pediatric orthopaedic disorders [PR IV.A.5.a).(2).(c)] Medical Knowledge Describe the settings and activities in which residents participate in order to develop and demonstrate competence for each expected medical knowledge outcome. [PR IV.A.5.b)] Competency Area Settings/Activities Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Page 2 of 7 Competency Area Settings/Activities Expertise in their knowledge of those areas appropriate for an orthopaedic surgeon. [PR IV.A.5.b).(1)] An investigatory and analytic thinking approach to clinical situations. [PR IV.A.5.b).(2)] Curriculum Organization and Resident Experiences 1. Describe the settings and activities in which PGY1 residents participate that provide the opportunity to: [PR IV.A.6.c)] Competency Area Settings/Activities Formulate principles and assess, plan, and initiate treatment of adult and pediatric patients with surgical and/or medical problems. [PR IV.A.6.b).(1)] Care for patients with surgical and medical emergencies, multiple organ system trauma, soft tissue wounds, nervous system injuries and diseases, peripheral vascular injuries and diseases, and rheumatologic and other medical diseases. [PR IV.A.6.b).(2)] Care for critically-ill surgical and medical patients. [PR IV.A.6.b).(3)] Develop an understanding of surgical anesthesia, including anesthetic risks and the management of intra-operative anesthetic complications. [PR IV.A.6.b).(4)] 2. Do each resident’s experiences include: [PR IV.A.6.d)] a) the diagnosis and management of adult and pediatric orthopaedic disorders, including: (1) joint reconstruction ......................................................................................... ( ) YES ( ) NO (2) trauma, including multisystem trauma............................................................. ( ) YES ( ) NO (3) surgery of the spine, including disk surgery, spinal trauma, and spinal deformities ....................................................................................................................... ( ) YES ( ) NO (4) hand surgery .................................................................................................. ( ) YES ( ) NO (5) foot surgery .................................................................................................... ( ) YES ( ) NO (6) athletic injuries................................................................................................ ( ) YES ( ) NO (7) orthopaedic rehabilitation................................................................................ ( ) YES ( ) NO (8) orthopaedic oncology, including metastatic disease ....................................... ( ) YES ( ) NO (9) amputations and post-amputation care ........................................................... ( ) YES ( ) NO Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Page 3 of 7 b) non-operative outpatient diagnosis and care, including all orthopaedic anatomic areas ............................................................................................................................. ( ) YES ( ) NO (1) On average, how many half day outpatient clinic sessions does each resident participate in per week on all clinical rotations? [PR IV.A.6.d).(2).(a)] ...................................................... ( ) (2) Describe how each resident is supervised by the faculty in all aspects of care of patients with general and subspecialty orthopaedic problems. [PR IV.A.6.d).(2).(b)] (3) Describe how opportunities for resident involvement in all aspects of outpatient care of the same patient are maximized. [PR IV.A.6.d).(2).(c)] 3. Describe how the program director ensures each resident’s experiences include increasing responsibility for patient care, under faculty supervision (as appropriate for each resident's ability and experience), as he or she progresses through the program. [PR IV.A.6.d).(3)] a) Do residents have inpatient and outpatient experience with all age groups? [PR IV.A.6.d).(3).(a)] ............................................................................................................................. ( ) YES ( ) NO 5. Describe how it is determined that each graduating chief resident is capable of unsupervised independent medical practice. Residents’ Scholarly Activities Briefly describe resident education in experimental design, hypothesis testing, and other current research methods, as well as participation in clinical or basic research. [PR IV.B.1.a)] RESIDENT FORMATIVE EVALUATION Does semiannual evaluation of the residents include a review of case volume and breadth, and ensure that residents are entering cases in the ACGME Case Log System in a timely manner? [PR V.A.1.d)] ........................................................................................................................................ ( ) YES ( ) NO MAXIMUM FREQUENCY OF IN-HOUSE NIGHT FLOAT How many months of night float will residents be assigned in each year of the program? [PR VI.G.6.a)] ............................................................................................................................................................ ( ) Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Page 4 of 7 CASE LOG PROGRAM LEVEL REPORT Describe how the residents log their cases and the system for monitoring compliance with accurate case log entry. Provide clinical data from each institution in the orthopaedic surgery program. The list should include all procedures performed by the orthopaedic surgery service that would have been available for the education of orthopaedic surgery residents during the most recently completed academic year. Add columns as needed for other participating sites. Area Shoulder Procedure Site #1 Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Shoulder Humerus/Elbow Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Humerus/Elbow Forearm/Wrist Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Forearm/Wrist Hand Fingers Incision Excision Intro or Removal Repair/Revision/Reconstruction Site #2 Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Site #3 Site #4 Total Page 5 of 7 Area Pelvis/Hip Femur/Knee Leg/Ankle Foot/Toes Procedure Site #1 Fracture/Dislocation Manipulation Arthrodesis Amputation TOTAL Hand Fingers Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Pelvis/Hip Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Femur/Knee Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Leg/Ankle Incision Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Manipulation Arthrodesis Amputation Arthroscopy TOTAL Foot/Toes Site #2 Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Site #3 Site #4 Total Page 6 of 7 Area Procedure Site #1 Other Incision Musculoskeletal Excision Intro or Removal Repair/Revision/Reconstruction Fracture/Dislocation Arthroscopy TOTAL Other Musculoskeletal Spine Excision-Spine Osteotomy Fracture/Dislocation Decompression Arthrodesis Anterior Arthrodesis Posterior Arthrodesis Deformity Exploration Instrumentation TOTAL Spine Nervous Carpal Tunnel System Incision/Excision Neuroplasty Neurorrhaphy Transection or Avulsion TOTAL Nervous System Integumentary Flaps System Incision/Excision Repair (closure) Skin Grafts TOTAL Integumentary System Site #2 Site #3 Site #4 Total Updated: 5/3/2013 Orthopaedic Surgery ©2013 Accreditation Council for Graduate Medical Education (ACGME) Page 7 of 7