Electives - Orthopedics
ACE - Adult Orthopaedics
Elective Number: 2107 (Lottery)
Rotation Supervisor: Dr. Winston Gwathmey
Duration: 4 weeks
A pager is required for this rotation but is not supplied
by the department
Report to: TBD, varies per assigned team - call 243-0265 to determine
Time to Report: TBD, varies per assigned team - call 243-0265 to determine
Place to Report: TBD, varies per assigned team - call 243-0265 to determine
Typical day: 6:00 am - 6:00 pm
Attendance: A student may not take time off during an ACE.
Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must
contact Student Affairs and the Attending on Service.
- Students are allowed to take off up to 1 day per week to
interview between November 1 and February 1.
- Specific days missed must be approved by the Attending on
Suggested preparatory reading: Orthopedic Surgery: The
Number of students per rotation: 6
Course Description: The Department of Orthopaedic Surgery
is divided into seven orthopaedic services in order to provide
appropriate 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 to
major joint replacement, reconstructive osteotomies and
- Foot and Ankle: provides exposure to foot and ankle
reconstruction as well as the surgical and non-surgical care of
the diabetic foot.
- Spine: provides exposure to the non-surgical and surgical
treatment of both acute and chronic conditions involving the axial
- Sports Medicine: provides exposure to the operative and
non-operative treatment of sports-related injuries for the
recreational and competitive athlete.
- Trauma: provides exposure to the management of complex pelvic
and peri-articular fractures, as well as upper extremity
- Hand: provides exposure to the management of traumatic and
non-traumatic conditions affecting the upper extremity.
- Pediatric orthopaedics: provides in and outpatient exposure to
the care of the pediatric orthopaedic patient.
In addition to the sub-specialty interests, 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;
- to take evening and weekend call (1 call every 5-7 days) 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
House Officers during the call period;
- attend and actively participate in daily orthopaedic
conferences (Fracture, Indications, Service specific, Grand
Rounds, Basic Science);
- 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
Departmental library and the Medical School 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 and
- develop the ability to read and interpret orthopaedic
radiographs as they pertain to acute orthopaedic trauma;
- develop the ability to classify and categorize major fracture
types as well as a basic understanding of the treatment of these
- improve surgical skills as they pertain to instrument usage
and wound closure;
- 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 technique.
- acquire an appreciation for the diversity and complexity of
orthopaedic surgery and its various subspecialties;
- with regards to the students interests, strengths and
weaknesses, evaluate and assess orthopaedics as a potential
Visiting Students - apply through VSAS. All
visiting student applications
MUST include: CV, Letter of Recommendation and
Step 1 scores.