Download Orthopaedic Surgery Residency Program

Orthopaedic Surgery Residency Program
Contact Information
Program Director: Wade Faerber, DO, FAOAO
Telephone: 951-486-5914
FAX: 951-486-5910
E-mail: [email protected]
The Orthopaedic Surgery Residency Program is a collaborative effort between RCRMC,
OPTI-West and Western University/COMP and was created in accordance with the guidelines
set forth by the American Osteopathic Association (AOA) “Accreditation Document for
Osteopathic Postdoctoral Training Institutions (OPTI) and the Basic Document for Postdoctoral
Training Programs” and the “Basic Standards for Residency Training in Orthopaedic Surgery.” These documents can be found on the AOA website, http://www.DO-Online.org .
The residency program is five years in length beginning with the OGME-1 (PGY-1) level. The
program is designed to provide residents a thorough grounding in fundamental knowledge of
orthopaedic surgery, as well as to develop diagnostic and therapeutic judgment along with the
requisite surgical skills needed to practice medicine and surgery. The program is currently
approved and funded for eight positions, with two of these positions being filled each academic
year.
As a regional Level II adult and pediatric trauma center covering a large geographic area,
RCRMC affords our residents exposure to a wide variety of orthopaedic injuries, disorders and
diseases and provides ample opportunities for participation in the operating room, even during
the OGME-2 year. The outpatient clinic experience is also quite varied with specialty clinics in
pediatrics, hand/upper extremity, spine, total joint and sports medicine.
Resident Selection Criteria and Application Process
The method of selection of residents for the RCRMC Orthopaedic Surgery Residency Program
is as follows:
- Applicants will apply for the Orthopedic Surgery Residency Program at the same time
utilizing ERAS (only one application is needed).
- Applications will be reviewed by the Orthopaedic Surgery Residency Selection Committee
consisting of the Program Director, Residency Coordinator and selected faculty members.
- The Resident Selection Committee shall make a determination of which applicants will be
selected to participate in interviews.
- A personal interview shall be conducted with the selected candidates and the Resident
Selection Committee.
- A recommendation for appointment of a candidate shall be made to the Osteopathic
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Orthopaedic Surgery Residency Program
Director of Medical Education and to RMRMC Administration.
- The Osteopathic Director of Medical Education shall notify the candidate when his/her
appointment is confirmed.
- Candidates shall be notified that the appointment is subject to annual renewal for the term
of the residency program.
To receive credit for the AOA-approved RCRMC Orthopaedic /Surgery Residency Program,
candidates shall:
- Have graduated from an AOA-accredited college of osteopathic medicine and be and
remain members in good standing of the AOA.
- Have successfully completed COMLEX-USA Level 1 and COMLEX-USA Level 2
examinations and, by the end of their second year of post-graduate medical education, have
taken COMLEX-USA Level 3 examination and obtained a license to practice medicine in the
state of California.
- Sign a resident contact and train with RCRMC.
- Candidates will negotiate directly with the RCRMC Orthopaedic Surgery Residency
Program.
- Admission to the RCRMC Orthopaedic Surgery Residency Program will be employees of
Riverside County and as such must meet all Riverside County employment requirements. These requirements include a pre-employment physical, including drug screening and a
Department of Justice background check.
Staffing
The program is staffed by the following board certified or board eligible orthopaedic surgeons –
the majority of which are fellowship trained in specialties such as total joint surgery, trauma,
pediatric orthopaedics, sports medicine, hand/upper extremity surgery and spine surgery:
Wade Faerber, DO (Sports Medicine), Department Chair, Residency Director
Roy Caputo, MD (Hand / Upper Extremity) Department Vice Chair
Brian Yost, DO (Orthopaedic Trauma)
Rolf Drinhaus, MD (Total Joint Surgery)
Thomas Haider, MD (Spine Surgery)
Thomas Jackson, MD (Spine Surgery)
Scott Nelson, MD (Pediatric Orthopaedics)
Bret Powers, DO (Sports Medicine)
John Ellis, MD (Total Joints)
John Schlechter, DO (Pediatric Orthopaedics)
Dennis Cramer, DO (Neurological /Spine)
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John Steinmann, DO (Spine /Trauma)
Daniel Ruggles, DO (Pediatric Orthopedics)
Schedule
The OGME-1 year is an internship year at RCRMC with 3 four-week block rotations to
Orthopaedics, 1 block ER, 2 blocks Medicine, 1 block Infections Disease/Rheumatology combo,
1 block Family Medicine, 1 block General Surgery, 1 block SICU, 1 block OB/GYN, 2 blocks
selection/elective. The entire OGME-2 year is spent at RCRMC on various Ortho Sub-Specialty Services and
includes 3-4 3-week blocks of night float (ER & floor) coverage.
During the OGME-3 year, 6 months are spent @ RCRMC on the various Ortho Specialty
Services, 4 months are spent at Children’s Hospital of Orange County, (Peds ortho) and 2
months are spent at Kaiser Permanente Ambulatory Center for an elective arthroscopy rotation. During the OGME-4 year same as OGME-3
During the OGME-5 year, 9 months are spent at RCRMC serving as a Senior/Chief resident, 3
months are spent at Kaiser Fontana for a Total Joint elective rotation.
Additionally, as Journal Club is held once a month on a Wednesday evening and additional
evening Grand Rounds Lectures are held six times a year, also on a Wednesday evening. In
addition to the mandatory conferences described above, the hospital offers a wide variety of
educational conferences and lectures throughout the month and residents are encouraged to
attend those of interest to them as their schedule and rotation supervisors allow. The following regularly scheduled conferences are held weekly and attendance is mandatory:
Monday
Monday
Tuesday
Wednesday
Friday
7-9 AM
4:30-6:30 PM
6:30-7:30 AM
7-9 AM
7-9 AM
Multidisciplinary Patient Care / X-Ray Conferenc
Topic Lectures / Cadaver Workshop / OMM/OMT L
Grand Rounds
Text Review
Indications Conference / Morbidity & Mortality Rev
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Educational
The program supports and enforces adherence to the AOA policy on resident work hours and,
for this reason, residents work no more than 80 hours per week, are on call no more than every
third night (usually less frequently), no more than two weekends in the month and are required
to leave no later than noon on their post-call day. During the OGME-2 year call is taken
in-house and call rooms with a bed shower, telephone and computer are provided for this
purpose. During the remaining three years the residents may take call from home provided they
live within a 30-minute drive of the hospital.
Moonlighting
Pending Approval
Core Competencies
The residency Program has incorporated the seven core competencies set for by the AOA. As
mandated by the AOA, each core competency will be measured and mastered. These
measured “Core Competencies” are: Osteopathic Manipulative Medicine, Philosophy and
Practice; Medical Knowledge; Patient Care; Interpersonal and Communication Skills;
Professionalism; Practice-based Learning and Improvement; and, Systems-Based Practice.
Goals and Objectives of OGME-1 Year
Goals:
Orthopedic Surgery will provide a learning environment for various orthopedic disorders. Surgical basic science including fluids and electrolytes, wound healing and nutrition will be
emphasized. Clinically, residents will assess surgical pathology pre-operatively, develop clinical
judgment on these issues and learn operative skills to address the problem. Objectives:
Medical Knowledge:
- Describe the anatomical structures of the skeletal system and their individual functions.
- Discuss radiological characteristics of histological and pathological conditions of the
musculoskeletal system.
- Summarize pathophysiology of orthopedic disease.
- Discuss the indications for common radiological and interventional studies used in the
care of orthopedic surgery patients.
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- Explain the evaluation and treatment of musculoskeletal trauma
Patient Care:
- The ability to take an accurate history and perform an appropriate physical examination
with attention to elements unique to orthopedic patients.
- Initiation and appropriate evaluation of laboratory and diagnostic studies with the guidance
of faculty.
- The ability to develop and implement a management plan to care for patients with
guidance from faculty.
- Proficiency in the preoperative preparation of patients for orthopedic surgery and routine
postoperative care.
- The ability to counsel and educate patients and their families, perform services to treat
and prevent health problems, and work with other health care professionals to achieve these
goals.
- Competency in basic procedural skills essential for caring for orthopedic patients:
- Splinting
- Application of traction
- Debridement and irrigation of open extremity fractures
- Joint aspiration
- Immobilization of the cervical spine
- Assist in rehabilitation of postoperative patients.
- The ability to effectively set priorities and coordinate the care of orthopedic patients.
- Efficient data management and record documentation.
Practice-Based Learning:
- Demonstrate the skills of self-education and life-long learning to actively set clear learning
goals, pursue them, and apply the knowledge gained to the practice of surgery.
- Investigate and evaluate their own patient care practices and take appropriate steps to
address any problems identified.
- Define the limits of his or her personal knowledge and experience and seek help and
advice when needed.
- Appropriately receive and respond to constructive criticism.
- Utilize current literature resources to obtain up-to-date information in the care of
orthopedic patients and practice evidence-based medicine.
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Orthopaedic Surgery Residency Program
- Critically review scientific and surgical literature in order to evaluate new data in a
meaningful way.
- Reflect on the social and community contexts of health care and effectively respond to the
factors that influence patients (sociocultural, familial, psychological, legal, economic,
environmental, political, and spiritual).
- Assume responsibility for addressing gaps in his/her knowledge and use information
technology and simulation to support his/her learning.
Interpersonal and Communication Skills:
- Listen and communicate clearly with patients, families, and health care team members
using effective verbal, non-verbal, and writing skills.
- Collaborate effectively as a member of the health care delivery team.
- Develop and sustain therapeutic relationships with patients and others.
- Respect patients’ right to privacy.
- Understand the special psychosocial needs of the orthopedic patient
Professionalism:
- Demonstrate caring and respectful compassion for patients, families and other members
of the health care team.
- Demonstrate a commitment to the discipline of surgery, patients, and society.
- Act with honor and integrity in professional and personal life.
- Demonstrate a mature and professional approach to ethical issues commonly
encountered in healthcare.
- Model good leadership in interactions with others and demonstrate a professional attitude.
- Show sensitivity to patients’ culture, age, gender, and disabilities.
- Understand issues related to consent.
Systems-Based Practice:
- Understand how the health care organization affects the surgical practice for surgical
patients.
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- Coordinate quality health care including discharge planning, social services, rehabilitation,
and long term care.
- Understand the issues surrounding access to health care.
- Serve as a patient advocate for quality health care.
- Understand how his/her patient care practices affect other health care providers,
organizations and society.
- Practice cost effective health care and resource allocation.
- Maintain complete and legible patient care related documentation and protect information
as determined by HIPAA regulations.
Goals and Objectives of Subspecialties/Core Competencies for OGME 2-5 to be added
Quarterly Attending Reviews of the: Residents
Bi-Annual Resident Reviews of the:
Attendings
Program
Conferences Required
- PGY-2 OA Basic Course
- PGY-3 Orthopaedic Pathology Course
- PGY-4 AOAO Fall Meeting – May go to any Fall AOAO meeting if presenting a
poster/Scientific exhibit.
- PGY-5 Residency Review Course / Allowed for 1 week Microvascular Course at Loma
Linda University
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