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)
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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
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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)
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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)
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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
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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
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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)
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