Download Adult Reconstructive Orthopaedic Surgery

New Application: Adult Reconstructive
Review Committee for Orthopaedic Surgery
ACGME
SCOPE OF FELLOWSHIP
Check all included.
☐ Foot and Ankle
☐ Hip
☐ Knee
☐ Shoulder
☐ Elbow
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 adult reconstruction 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 application prior to their meeting with
the site visitor.
Resources
1.
Describe the facilities available to support fellow education. [PR II.D.1.]
Outpatient
Inpatient
Imaging
Laboratory
Rehabilitation
Research
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Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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Operating
Rooms
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2. Describe the planned contribution of other clinical specialties, including radiology, laboratory
medicine, rheumatology, gerontology, infectious disease, pathology, and rehabilitation, to fellow
education. Include reference to personnel, facilities, administrative services, and financial support.
[PR II.D.3.]
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3. 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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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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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.].................................................................................................................................. [ # ]
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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Educational Program
1. Provide a concise description of the manner on which the program ensures that fellows will be
provided with adequate instruction in each of the following areas:
a) Prudent use of diagnostic laboratory tests [PR IV.A.2.a).(1).(a)]
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b) Interpretation of the radiographic and various imaging modality examination of the
musculoskeletal system with an appreciation of the risk and information expected of the
procedures. [PR IV.A.2.a).(1).(b)]
Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 2 of 8
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c) Development of a treatment plan to manage patients with traumatic, congenital and
developmental, infectious, metabolic, degenerative, and rheumatologic disorders.
[PR IV.A.2.a).(1).(c)]
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d) Recognition and management of complications of treatment. [PR IV.A.2.a).(1).(d)]
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e) Assessment of the effectiveness of treatment methods, including outcome studies.
[PR IV.A.2.a).(1).(e)]
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f)
Development of operative skills in reconstructive orthopaedic surgery, including soft-tissue
procedures, osteotomy, bone grafting, excisional arthroplasty, arthrodesis, and prosthetic
arthroplasty. [PR IV.A.2.a).(2).(b)]
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g) The indications, risks, and limitations of the commonly performed procedures in the subspecialty
[PR IV.A.2.b).(1).(a)]
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h) The basic sciences related to adult reconstructive orthopaedic surgery [PR IV.A.2.b).(1).(b)]
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i)
The natural history of joint diseases [PR IV.A.2.b).(1).(c)]
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j)
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 adult
reconstructive orthopaedic surgery. [PR IV.A.2.b).(2)]
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k) Acquisition of teaching skills in adult reconstructive orthopaedic surgery. [PR IV.A.2.d).(1)]
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2. Describe fellow education in the areas of anatomy, physiology, biomechanics, pathology,
microbiology, pharmacology, epidemiology, and immunology as they relate to adult reconstructive
orthopaedic surgery. [PR IV.A.3.b)]
Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
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3. 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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4. 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.4.a)]
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5. How will the program ensure that fellows are provided with adequate opportunities to observe and
to manage patients with a variety of problems involving orthopaedic reconstruction 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 through a wide range of ages, of both sexes, who
have acute, subacute, and chronic conditions? [PR IV.A.4.b)]
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6. 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 inpatient assessment, preoperative evaluation, operative experience, and
postoperative management and rehabilitation. [PR IV.A.4.c)]
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7. Describe the planned responsibilities of the fellows for inpatients, emergency rooms, outpatient
clinics, operating rooms, and private offices. How will supervision be provided in each area?
[PR VI.D.]
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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 will ensure that fellows participate in basic and/or clinical
hypothesis-based research. [PR IV.B.1.]
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3. Describe the manner in which the program ensures that fellows learn to design, implement and
interpret research studies under faculty supervision by qualified faculty members. [PR IV.B.2.]
Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 4 of 8
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4. 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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5. 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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Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 5 of 8
INSTITUTIONAL OPERATIVE DATA
Report the number of procedures performed at each site listed in ADS that participates in the program
during the most recently completed academic year.
Shoulder
Glenohumeral Joint Trauma
Glenohumeral Joint Reconstruction:
Repair for Instability
Glenohumeral Joint Reconstruction:
Prosthesis Surgery
Glenohumeral Joint Reconstruction:
Other
Tendon Surgery
Acromioclavicular joint, clavicle, and
sternoclavicular joint
Humerus, clavicle & scapula
reconstruction (not involving
glenohumeral joint)
Oncology
Infection
Arthroscopy
Other Shoulder Procedures
Total Shoulder Procedures
Elbow
Elbow Joint Trauma
Elbow Joint Reconstruction
Tendon and Bursa
Humerus, Radius, Ulna Trauma (not
involving elbow joint)
Humerus, Radius, Ulna
Reconstruction (not involving elbow
joint)
Skin
Humerus, clavicle & scapula
reconstruction (not involving
glenohumeral joint)
Oncology
Infection
Arthroscopy
Other Elbow Procedures
Total Elbow Procedures
Pelvis/Hip
Incision
Excision
Intro or Removal
Repair/Revision/Reconstruction
Site #1
Site #2
Site #3
Site #4
Site #5
Total
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Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 6 of 8
Site #1
Trauma
#
- Fracture and/or Dislocation
#
- Manipulation
#
Arthrodesis
#
Amputation
#
Arthroscopy
#
Other Procedures
#
Total Pelvis/Hip Procedures
#
Femur/Knee
Incision
#
Excision
#
Intro or Removal
#
Repair/Revision/Reconstruction
#
Trauma
#
- Fracture and/or Dislocation
#
- Manipulation
#
Arthrodesis
#
Amputation
#
Arthroscopy
#
Other Procedures
#
Total Femur/Knee Procedures
#
Outpatient
Foot and Ankle Outpatient
#
Hip Outpatient
#
Knee Outpatient
#
Shoulder Outpatient
#
Elbow Outpatient
#
Other Outpatient
#
Total Outpatient
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Site #2
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Site #3
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Site #4
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Site #5
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Total
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Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 7 of 8
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.
Adult Reconstruction
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 4/2015
Page 8 of 8