New Application: Trauma
Review Committee for Orthopaedic Surgery
ACGME
515 North State Street, Suite 2000, Chicago, Illinois 60654  312.755.5000  www.acgme.org
FELLOWS AND OTHER POSTGRADUATE TRAINEES
1. Enter the number of any type of residents and/or fellows assigned to each site for any type of
orthopaedic surgery training each year. Add rows as necessary.
Site #1
Type of
Orthopaedic
Training
Clinical
Research
Other
Total/
Year
Present
at any
one time
Site #2
Total/
Year
Present
at any
one time
Site #3
Total/
Year
Present
at any
one time
Site #4
Total/
Year
Present
at any
one time
Site #5
Total/
Year
Present
at any
one time
2. Provide the following information regarding orthopaedic surgery residents who are assigned to each
site for training in orthopaedic trauma each year. Add rows as necessary.
Site #1
Name of
Program
Total/
Year
Present
at any
one time
Site #2
Total/
Year
Present
at any
one time
Site #3
Total/
Year
Present
at any
one time
Site #4
Total/
Year
Present
at any
one time
Site #5
Total/
Year
Present
at any
one time
NARRATIVE SUMMARY OF COMPLIANCE WITH ACCREDITATION REQUIREMENTS
The questions which follow provide programs with an opportunity to systematically describe the manner
in which they comply with accreditation requirements. Responses should be concise and focused.
During the site visit, fellows, faculty, and others will be asked for comment on the information provided.
As a result, those who will be interviewed should read the application form prior to their
meeting with the site visitor.
Fellow Appointment
What will your program do to comply with the requirement to be committed to promoting the inclusion of
qualified women and under-represented minorities in the profession through its recruiting? [PR III.A.2.]
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Responsibilities of the Program Director
1. How will the program director select, supervise, and evaluate the teaching staff and other program
personnel at each site participating in the program? How will the director monitor resident
supervision at each site?
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Orthopaedic Trauma
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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2. How will the program monitor resident stress, including mental or emotional conditions inhibiting
performance or learning? What arrangements does the program have for the provision of
counseling and psychological support services for residents?
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3. How many months of night float will residents be assigned in each year of the program? [PR
VI.G.6.a)] ....................................................................................................................................... (#)
Resources
1. Describe the facilities available at the primary hospital to support fellow education. Include a
concise description of the trauma center, operating rooms and facilities for acute and emergency
surgery [PR II.D.1.]
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2. List the other educational aids available to fellows: videotapes, sound/slide programs, movies, x-ray
teaching files, computer-aided instruction, laboratory facilities, etc. [PR II.D.2.]
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3. Describe the other clinical services that will support fellow clinical education. [PR II.D.3.]
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4. Summarize fellow access to (a) a major medical library, including orthopaedic references, (b)
electronic retrieval of information and medical databases, and (c) an on-site collection of texts and
journals at each program site. [PR II.D.4.-5.]
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5. Describe the contribution of each site to the fellowship program. Include reference to personnel,
facilities, administrative services, and financial support.
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Educational Program
1. Provide a concise description of the manner in which the program will ensure that fellows are
provided with adequate instruction in each of the following areas:
a) Medical, surgical and psycho-sociological skills in the management of the severely injured
patient. [PR IV.A.2.a).(1).(a)]
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b) Diagnosis and management of complications of musculoskeletal trauma. [PR IV.A.2.a).(1).(b)]
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Orthopaedic Trauma
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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c) The indications, risks, and limitations of the commonly-performed procedures in the
subspecialty. [PR IV.A.2.b).(1).(a)]
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d) The basic sciences related to orthopaedic trauma. [PR IV.A.2.b).(1).(b)]
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e) An understanding of the integration of the orthopaedic traumatologist in a trauma team and an
appreciation of the importance of the timing of orthopaedic procedures in the overall care of the
severely injured patient. [PR IV.A.2.b).(1).(c)]
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f)
Pathophysiology of severe musculoskeletal trauma and secondary organ failure. [PR
IV.A.2.b).(1).(d)]
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g) Psychiatric and psychological implications of severe musculoskeletal trauma for the patient and
family members. [PR IV.A.2.b).(1).(e)]
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h) Recuperative and rehabilitation techniques and use of physical and occupational therapy
designed to return the patient to normal activities and work. [PR IV.A.2.b).(1).(f)]
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i)
Indications for various types of internal and external fixation devices and their applications in
multiple trauma situations both in the axial and appendicular skeletons. [PR IV.A.2.b).(1).(g)]
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j)
Treatment protocols for severe soft tissue injuries, including compartment syndrome and
secondary organ failures in polytrauma. [PR IV.A.2.b).(1).(h)]
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k) Indications for early or immediate amputation rather than salvage attempts in severely injured
limbs. [PR IV.A.2.b).(1).(i)]
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l)
Sufficient familiarity with current research methods to enable the fellow to critically analyze
research reports and to design and implement clinical or basic research in the field of
musculoskeletal trauma. [PR IV.A.2.b).(2)]
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Orthopaedic Trauma
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 3 of 5
m) Teaching skills and lecture techniques and materials in orthopaedic traumatology. [PR
IV.A.2.d).(1)]
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2. Describe the program conference schedule, including comment on the planned levels of teaching
staff participation and fellow attendance. Describe related educational activities such as journal
clubs. [PR IV.A.3.c)]
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3. Concisely describe opportunities for fellows to provide consultation with faculty supervision. In
addition, describe fellow educational responsibilities for residents, medical students, and allied
health personnel. [PR IV.A.3.d)]
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4. Describe the manner in which the program will ensure that fellows are provided with adequate
opportunities to assume a major role in the continuing care of patients and have progressive
responsibility for patient assessment, preoperative evaluation, postoperative intensive care, other
postoperative management, rehabilitation, and other outpatient care. [PR IV.A.4.b)]
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5. Describe the responsibilities of the fellows for inpatients, emergency rooms, outpatient clinics,
operating rooms, and private offices. How will supervision be provided in each area?
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Scholarly Activity
Summarize program activity in research and other scholarly activity:
1. List the staff who will provide stimulation and supervision of clinical or laboratory research activity
by fellows and identify their particular area(s) of expertise.
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2. Describe the manner in which the program is designed to promote resident ability to evaluate
medical literature and research. How will instruction in experimental design, hypothesis testing and
research methods be provided? [PR IV.B.1.-2.]
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3. Describe the facilities and resources (including space, equipment, support personnel, funding) that
will be utilized to support resident research. [PR IV.B.3.]
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4. Describe the time free of clinical duties that will be provided for resident participation in clinical or
laboratory research. [PR IV.B.3.]
Orthopaedic Trauma
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 4 of 5
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INSTITUTIONAL OPERATIVE DATA
Report the number of operative procedures in the categories below performed by faculty at each
participating site listed in ADS during a recent consecutive 12-month period.
Site #1
Adult Peds
Spine
#
#
Hip/Pelvis
#
#
Knee
#
#
Ankle/Foot
#
#
Shoulder
#
#
Elbow
#
#
Wrist/Hand
#
#
Long Bones 1
#
#
2
Soft Tissues
#
#
Other
#
#
TOTAL
#
#
Amputation 3
#
#
Oncologic
#
#
Microsurgery
#
#
Arthroscopic
#
#
Closed
#
#
Manipulation 4
1.
2.
3.
4.
Site #2
Adult Peds
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Site #3
Adult Peds
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
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#
Site #4
Adult Peds
#
#
#
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#
#
#
#
#
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Site #5
Adult Peds
#
#
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#
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#
#
#
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#
#
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Total
Adult Peds
#
#
#
#
#
#
#
#
#
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#
#
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#
#
#
#
#
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#
#
#
Long Bones: Includes humerus, ulna/radius, femur, tibia/fibula. Excludes periarticular.
Soft Tissues: Includes surgery of muscles, tendons, fascia, skin, nerves and vessels. Excludes
periarticular, hand, and those listed as microsurgery.
Amputation: Excludes oncologic amputations.
Closed Manipulation: Includes manipulative reduction of dislocations/fractures and treatment of
non-traumatic contractures and deformities.
AFFILIATION WITH AN ORTHOPAEDIC RESIDENCY
Attach a copy of the agreement signed by the directors of the fellowship and the residency
describing:
a) The manner in which the fellowship and residency programs will interact;
b) The roles of the residency and fellowship directors in determining the educational program of
the residents and fellows;
c) The roles of residents and fellows in patient care; and
d) The ways in which the fellowship is expected to enhance the education of residents.
Orthopaedic Trauma
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 5 of 5