Orthopaedic Surgery

Orthopaedic Trauma Fellowship

Ortho Surgery Team 42

The Orthopaedic Trauma Fellowship at Indiana University School of Medicine is a one-year program, accredited by the Orthopaedic Trauma Association. The fellowship offers trainees a dynamic experience that encompasses all aspects of orthopaedic trauma at Indiana’s most experienced Level I Trauma Center in IU Health Methodist Hospital in Indianapolis. Fellows receive an unmatched level of engagement from IU School of Medicine faculty orthopaedic surgeons to enhance surgical technique and skill through individually tailored and focused training.

Clinical Experience

Under the leadership of Anthony Sorkin, MD, from 2013-18, the program has rapidly ascended to become nationally recognized with an exceptional surgical experience and research opportunities. Greg Gaski, MD, now serves as the program director and works alongside six fellowship-trained orthopaedic traumatologists, all of whom have trained at the busiest trauma centers in the United States. Dedicated to teaching, faculty orthopaedic surgeons treat the most complex injuries and train fellows with an emphasis on contemporary, evidence-based techniques.

Day-to-day clinical activities for fellows include participating in morning x-ray report and inpatient rounding to review trauma admissions from the previous afternoon, evening and overnight trauma admissions. Fellows also discuss diagnoses, surgical indications, surgical approach and anticipated outcomes. The advanced-practice provider staff, including physical therapists, discharge planners and nurses, then round as a team through the intensive care unit and inpatient units. After rounding, orthopaedic trauma fellows accompany one of the attending staff to the operating room or to the orthopaedic physician office.

All clinical training for the Orthopaedic Trauma Fellowship occurs at IU Health Methodist Hospital, one of the busiest and most experienced trauma centers in the country, seeing more than 3600 trauma patients annually. IU Health Methodist is a top-ranked hospital in the country for quality and safety by University Health Consortium and has been ranked among the top 50 national programs in U.S. News and World Report’s “America’s Best Hospitals” guide for 10 consecutive years.

This fellowship program has no off-site locations. Fellows are responsible for covering only IU Health Methodist Hospital; however, complex cases sometimes emerge at Riley Hospital for Children at IU Health. Fellows are on call one out of every three weekends from home with attending coverage.

Professional Development

Orthopaedic trauma fellows are responsible for multiple education-related tasks, including attending indications conferences, morbidity and mortality conferences, and grand rounds presentations as well as accumulating three-to-four articles from peer-reviewed journals for discussion at monthly journal clubs. Fellows are also required to attend one Orthopaedic Trauma Continuing Medical Education (CME) Meeting during the duration of their training for which they receive a stipend for registration, travel and lodging. Fellows in this program are required to present during at least one of the monthly Trauma Grand Rounds, annual Orthopaedic Trauma Symposium or annual Trauma Topics Conference.

In addition, fellows can gain research experience through the department’s initiatives related to improving patient outcomes through clinical and scientific research. In collaboration with IU Health Methodist Hospital, current research being conducted by IU School of Medicine’s Department of Orthopaedic Surgery spans a wide spectrum of orthopaedic trauma topics, including bone healing in space, the use of intramedullary nails versus plate fixation in proximal tibia fractures, and more. Orthopaedic trauma fellows have opportunity to conduct orthopaedic research through the duration of the fellowship program if they choose to do so.

Administration

A full-time fellowship coordinator is available to assist fellows with onboarding, travel arrangements for conferences and daily administrative assistance as needed throughout the year.

Grant funding has also led to employment of four full-time research coordinators and two research assistants allocated only to the orthopaedic trauma service. These coordinators assist with IRB development and processing, data collection (patient contact and assessment) and organization throughout the year.

The orthopaedic trauma service is also comprised of 11 advanced practice providers (APPs), nurse practitioners and physician assistants, of which three to four work on service daily and one nightly. There is an APP in-house 24 hours per day and 7 days per week to field all floor calls and respond initially to consults. The fellow then acts as the interface between the APPs and the faculty.

Admissions

All applicants to the Orthopaedic Trauma Fellowship at IU School of Medicine must apply for open positions exclusively through the San Francisco Match. Match registration opens in June, and the deadline to apply is October. Interviews are conducted between December and February. For more information, applicants can contact Hollyn Mangione.

Fellowship Training Goals

Fellows graduate with an ability to excel as a clinician in the evaluation, diagnosis and management of complex injuries in severely injured trauma patients, including nonunion, malunion/deformity, pelvic ring injury, acetabular fracture, long bone fracture, and peri-articular fracture. The Orthopaedic Trauma Fellowship program strives to challenge physicians to consider different perspectives and various treatment strategies for unique problems.

The fellowship provides a comprehensive curriculum incorporating the six core competencies of Graduate Medical Education: practice-based learning and improvement, patient care and procedural skills, systems-based practice, medical knowledge, interpersonal and communication skills, and professionalism.

The program provides ongoing assessment and feedback to facilitate daily improvement in fellows’ skills and knowledge base.

Fellows prepare to become proficient educators through teaching in the operating room, rounds, laboratory setting and case reviews.

Orthopaedic Trauma fellows complete a year-long research curriculum to foster idea development, hypothesis generation, data analysis and manuscript preparation.

The program emphasizes the importance of multi-disciplinary communication to enact appropriate long-term and individualized treatment plans. This goal involves collaboration with trauma surgery, neurosurgery, intensivists, emergency room providers, radiology, nursing, therapy, case management, social work, vascular surgery and plastic surgery.

Fellows benefit from a year-long mentorship to promote academic success and mental well-being. The program recognizes the rigor of trauma and seek to enable fellows with mechanisms to deal with the mental stress of the occupation.