Orthopaedic Surgery

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Orthopaedic Clinical Elective

Medical students in the Orthopaedic Clinical Elective (93LA710) are assigned to resident orthopaedic staff for clinic, ward and surgical disciplines and experience general orthopaedics in different clinical settings, including Eskenazi Health for trauma (evaluating director Karl Shively, MD), Richard L. Roudebush VA Medical Center for general and adult reconstruction (evaluating director J. Andrew Parr, MD), Riley Hospital for Children for pediatric orthopaedics (evaluating director Randall Loder, MD), IU Health Hospital West for general and adult reconstruction (evaluating Director Thomas Ambrose, MD), and IU Health University and IU Health Methodist hospitals for adult reconstruction exposure.

The course curriculum emphasizes clinical evaluation, diagnostic testing, diagnoses and treatment plan for patients presenting in a typical clinical setting. Students are involved with operative intervention as well. Grades are based on subjective evaluation by faculty and residents.

IU School of Medicine students have freedom to arrange this elective to receive clinical exposure that’s aligned to their career goals. For example, they can spend the month at one location or divide their time to experience two-to-four services. Guest students rotate through four of the five clinical sites in one-week blocks to receive the best exposure to the IU School of Medicine Orthopaedic Surgery program. Clinical assignments are made based on availability and student preferences.

Course Expectations

Students are required to take one night each week and one weekend day during the month of call. Call is until 11 pm or when the resident/attending on call sends the student home (which they may do if patient volume is low). No call room is available to sleep in, so no one is expected to spend the night. Students collaborate with each other, as well as with residents, to divide the call schedule evenly amongst themselves.

Students scrub surgical cases, help in clinic and see patients on the floor and in the ER. Schedules vary for each rotation and the residents at each clinical location tell students where to be on each day. Students should prepare for cases by reading about them in textbooks (such as Campbell’s Operative Orthopaedics) and reviewing pertinent literature related to anatomy and surgical approaches.

Grand rounds occur every Wednesday from 6:30 to 9:30 am, and students are expected to attend. Students may also have didactic sessions on various topics on this rotation as well. The exact timing of didactic sessions vary, but these sessions should take precedent over clinical duties.

Students are assigned a topic to present for 10-15 minutes at the end of this one-month clinical elective. This presentation is assigned by the faculty at the location where the student begins this elective. Students should prepare a one- or two-page handout and a brief PowerPoint presentation that will be shared with other students as well as Dr. Andrew Parr and other faculty or residents. Students can email Dr. Parr if they need help choosing a presentation topic during the first week.