Electives - Orthopedics
Adult Orthopaedics- Veterans Affairs Medical Center
Elective Number: 2118
Rotation Supervisor: Dr. Phillip J. Patterson
Coordinator: Joni Poore Joni.Poore@va.gov
Duration: Maximum 4 weeks, Minimum 2 weeks
A pager is required for this rotation but is not supplied
by the department. Lodging is provided on campus for students presenting from
out of town.
Report to: Joni Poore
Time to Report: 8am on first day of rotation- call VAMC 540-982-2463
Place to Report: Department of Surgery Office, 1st Floor, Building
143, Room 1C109
Typical day: 7:00 am - 5:00 pm
Attendance: Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must contact Joni
Poore and the Attending on Service.
- Students are allowed to take off up to 1 day per week to interview between
October 1st - February 1st.
- Specific days missed must be approved by the Chief of Orthopedics.
Suggested preparatory reading: Orthopedic Surgery: The
Number of students per rotation: 2
Course Description: The rotation in the Department of Orthopaedic Surgery
is divided between the four operative Attendings with subspecialty emphasis
in order to provide exposure to general and specific subspecialty-oriented
patient care and educational experience. Students will be assigned to one or
more of the following services during the rotation:
- Adult Reconstruction: provides in and outpatient exposure
at the regional referral center for VAMC VISN 6 (Virginia, North Carolina
for major joint replacement/revision, reconstructive osteotomies, anterior
cruciate ligament reconstruction and hip arthroscopy.
and Adult Trauma: provides exposure to the operative and non-operative
treatment of shoulder-related injuries for the recreational athlete
and returning veteran.
- Hand: provides exposure to the management of traumatic and non-traumatic
conditions affecting the hand and elbow.
- General: provides exposure to a general in and outpatient orthopaedic
practice including upper and lower extremity general orthopaedics
All services participate in the surgical and non-surgical care of orthopaedic
trauma patients and general orthopaedic care.
Students are expected
participate in all of the in and out-patient activities (out-patient clinic,
hospital rounds, surgery, emergency room care) pertaining to the service
to which they are assigned;
take day call (no evening or weekend call required) to participate in the
evaluation and management of acute orthopaedic trauma in the emergency department,
the hospital and the operating room. Students will be under the supervision
of the Orthopaedic attending during the call period;
attend and actively participate in all orthopaedic and pertinent hospital
conferences (Weekly Grand Rounds, Morbidity and Mortality)
prepare for surgical cases by reviewing the pertinent anatomy, surgical procedure
and indications and contra-indications for the operation. Resource materials
are available in the Orthopaedic Department, computer journal catalog, and
the Veteran’s Affairs library;
read independently in preparation for the daily conferences and to obtain
additional information regarding a particular case presentation or diagnosis.
• develop a 3-dimensional appreciation
and understanding of anatomy as it applies to orthopaedic injuries, diagnoses
• develop the ability to read and interpret orthopaedic radiographs as
they pertain to clinical decision making and acute orthopaedic trauma;
• develop the ability to classify and categorize major fracture types as
well as a basic understanding of the treatment of these injuries.
• improve surgical skills as they pertain to instrument usage and wound
develop the ability to safely and effectively apply upper and lower extremity
splints and casts;
improve your efficiency in the evaluation and management of both acute and
chronic orthopaedic conditions;
develop the ability to aspirate/inject major joints utilizing sterile aseptic
• acquire an appreciation for the diversity and complexity of orthopaedic
surgery and its various subspecialties;
with regards to the students interests, evaluate strengths and weaknesses,
encourage orthopaedics as a potential post-graduate career, and equip the student
with basic skills in an environment that allows a hands on rotation in a unique
learning environment with direct supervision from an orthopaedic attending.