New Application: Pediatric
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.
Type of
Orthopaedic
Training
Clinical
Research
Other
Site #1
Present
Total/
at any
Year
one time
Site #2
Present
Total/
at any
Year
one time
Site #3
Present
Total/
at any
Year
one time
Site #4
Present
Total/
at any
Year
one time
2. Provide the following information regarding orthopaedic surgery residents who are assigned to each
site for training in pediatric orthopaedic surgery each year. Add rows as necessary
Name of
Program
Site #1
Present
Total/
at any
Year
one time
Site #2
Present
Total/
at any
Year
one time
Site #3
Present
Total/
at any
Year
one time
Site #4
Present
Total/
at any
Year
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 PIF 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? [PR I.B.1.b)]
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Pediatric Orthopaedic Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 1 of 5
2. How will the program monitor resident stress, including mental or emotional conditions inhibiting
performance or learning? What arrangements will 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)] ....................................................................................................................................... (#)
Educational Program
1. 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.b).(1)]
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2. 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) The prudent use of diagnostic laboratory tests, and the need, interpretation, and use of data.
[PR IV.A.2.a).(1).(a)-(b)]
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b) The interpretation of radiographic and imaging studies of the musculoskeletal system,
particularly the foot and ankle, including an appreciation of the risk and information expected of
the procedures. [PR IV.A.2.a).(1).(c)]
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c) Performance of pediatric orthopaedic surgical procedures. [PR IV.A.2.a).(2).(a)]
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d) The indications, risks, and limitations of the commonly-performed procedures in the
subspecialty. [PR IV.A.2.b).(1]
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e) The natural history of pediatric orthopaedic disorders and the effectiveness of treatment
programs and the impact of grown on these disorders. [PR IV.A.2.b).(2)]
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f)
Understanding of the role of physical therapy, occupational therapy, orthotics, prosthetics, and
other manipulative and splinting techniques in the rehabilitation and on-going management of
pediatric orthopaedic disorders. [PR IV.A.2.b).(3)]
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Pediatric Orthopaedic Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 2 of 5
g) Understanding the familial, social, and emotional aspects of caring for sick and injured pediatric
patients. [PR IV.A.2.b).(4)]
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h) The evaluation of practices that ensure and improve patient safety and fellow understanding of
established patient safety measures. [PR IV.A.3.a)]
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3. 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.3.b).(2)]
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4. Describe how the program will emphasize normal physiologic mechanisms and the pathogenesis
and complications of pediatric orthopaedic disorders. [PR IV.A.3.b).(3)]
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5. Describe how the program will emphasize utilization of both appropriate laboratory procedures and
allied medical personnel. [PR IV.A.3.b).(4)]
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6. How does the program ensure that fellows will be provided with adequate opportunities to observe
and to manage patients with a variety of problems involving pediatric orthopaedic surgery on both
an inpatient and outpatient basis? How will the program ensure that the breadth of patient
experience includes the evaluation and care of individuals who have acute, subacute, and chronic
conditions? [PR IV.A.3.b).(5)]
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7. 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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8. 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.
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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.
Pediatric Orthopaedic Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 3 of 5
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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.]
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Resources
1. 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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2. Describe the facilities and services available to support fellow education. [PR II.D.2.-3.]
Inpatient
Ambulatory Care
Laboratory
Operating Rooms
Research
Surgical
Consultation
Medical Consultation
Pediatric
Consultation
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3. Describe the contribution of each site to the fellowship program. Include reference to personnel,
facilities, administrative services, and financial support.
Click here to enter text.
Pediatric Orthopaedic Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 4 of 5
INSTITUTIONAL OPERATIVE DATA
Report the number of pediatric operative procedures in the categories below performed by faculty
performed at each site listed in ADS that participates in the program during a recent 12-month period.
Site #1
Trauma
1
Site #2
Site #3
Site #4
Total
Non- Trauma Non- Trauma Non- Trauma Non- Trauma Non1
1
1
1
Trauma
Trauma
Trauma
Trauma
Trauma
Spine
#
#
#
#
#
#
#
#
#
#
Hip/Pelvis
#
#
#
#
#
#
#
#
#
#
Knee
#
#
#
#
#
#
#
#
#
#
Ankle/Foot
#
#
#
#
#
#
#
#
#
#
Shoulder
#
#
#
#
#
#
#
#
#
#
Elbow
#
#
#
#
#
#
#
#
#
#
Wrist/Hand
#
#
#
#
#
#
#
#
#
#
2
Long Bones
#
#
#
#
#
#
#
#
#
#
3
Soft Tissues
#
#
#
#
#
#
#
#
#
#
Other
#
#
#
#
#
#
#
#
#
#
TOTAL
#
#
#
#
#
#
#
#
#
#
4
Amputation
#
#
#
#
#
#
#
#
#
#
Oncologic
#
#
#
#
#
#
#
#
#
#
Microsurgery
#
#
#
#
#
#
#
#
#
#
Arthroscopic
#
#
#
#
#
#
#
#
#
#
Closed
#
#
#
#
#
#
#
#
#
#
Manipulation 5
1
Trauma: Includes acute and subacute (less than 3-month) injuries.
2
Long Bones: Includes humerus, ulna/radius, femur, tibia/fibula. Excludes periarticular.
3
Soft Tissues: Includes surgery of muscles, tendons, fascia, skin, nerves and vessels. Excludes
periarticular, hand, and those listed as microsurgery.
4
Amputation: Excludes oncologic amputations.
5
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.
Pediatric Orthopaedic Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 5 of 5