Division of Plastic and Reconstructive Surgery
Junior Resident (PGY 1-2)
Orthopedic Off-service Rotation Goals and Objectives
Division of Plastic and Reconstructive Surgery off-service orthopedic rotations are 2 blocks in duration.
The focus of clinical activity is on general elective and traumatic adult orthopedics and some general
pediatric orthopedic depending on the location of the rotation.
On this junior rotation there is particular emphasis on the Communicator and Professional CanMeds
roles.
Medical Expert
By the end of the rotation the resident will:
1) Demonstrate the basic scientific and clinical knowledge relevant to the bony and soft tissue
anatomy of the upper and lower extremity
2) Demonstrate an understanding of fracture and wound healing and their complications
3) Describe the biomechanical rationale for the choice of internal fixation devices
4) Describe the pathophysiology of degenerative and inflammatory MSK conditions
5) Complete accurate and well organized history and physical examinations and recognize all major
significant findings
6) Use appropriate investigative tests in a cost effective manner, including interpretation of basic
x-ray and CT scans
7) Use all pertinent information to formulate a rational and effective diagnostic and therapeutic
strategy for common orthopedic conditions
8) Be proficient in pre-operative and post-operative patient management, including sound
indications for surgical intervention and management of common post-operative complications
9) Be proficient in exposure of hip and knee arthroplasty procedures
10) Be proficient in the procurement of bone grafts
11) Be proficient in performing closed reductions of common fractures
12) Be proficient in lower extremity amputations
13) Demonstrate proper and safe use of power equipment
Communicator
By the end of the rotation the resident will:
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Communicate effectively with patients and their families
Create well organized written orders and progress notes
Create well organized clinic notes and provide clear direction to the referring physician
Obtain informed consent from patients, including discussion of various options available,
expected outcomes, and potential complications
Collaborator
By the end of the rotation the resident will:
1. Participate effectively and appropriately in an inter-professional health care team and
collaborate with community agencies (as required), as well as other health care professionals
2. Communicate effectively with other physicians and other health care professionals.
Manager
By the end of the rotation the resident will:
1. Effectively contribute to the health care team, and use time wisely.
Health Advocate
By the end of the rotation the resident will:
1. Be able to identify the social , economic and biologic factors that may impact on the patient’s
health
Scholar
By the end of the rotation the resident will:
1. Maintain and enhance professional activities through ongoing learning
2. Read around cases and be knowledgeable about their own patient
Professional
The resident will:
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Demonstrate the highest standards of excellence in surgical clinical care and ethical conduct
Recognize conflict and seek help to resolve conflicts when required
Adhere to legal and ethical codes of practice, including confidentiality and informed consent
Demonstrate insight into his/her limitations and be responsive to constructive feedback
Interact with other colleagues in a courteous, appropriate, and collegial manner