Fellows will be accountable for multiple education-related responsibilities, including weekly Indications Conferences, journal clubs, morbidity and mortality conferences, Grand Rounds presentations and orthopaedic trauma continuing medical education meetings.
Fellows rotate through the clinic of each staff member approximately every seven to eight weeks. Faculty have office hours one day a week, which the fellow attends on a rotating basis. The fellow is in the operating room the other four days a week.
A daily preoperative/postoperative fracture conference is held from 6:30-7:30 am and forms the foundation of the fellowship educational mission.
Preoperative plans are explored in depth, including approach, reduction strategies, fixation sequence, alternative treatment options and postoperative protocols. Postoperative radiographs are subjected to daily peer review, execution tactics are discussed in detail, and pertinent literature is reviewed.
Fellows are responsible for accumulating three to four articles from peer-reviewed journals for discussion at the monthly Journal Club. Also held on a monthly basis is the Morbidity and Mortality meeting, which is a review of cases that have dropped out either at the direction of the attending staff or at the request of the hospital-based patient quality team.
These monthly conferences are held in a staffer’s home. Although the Journal Club is specific to orthopaedic trauma, all faculty and residents department-wide are invited the traditionally well-attended event.
Fellows are responsible for content for a weekly Indications Conference, held for one hour on Tuesday mornings, in which controversial topics are encouraged to be presented. The Indications Conferences are also the platform to discuss topics such as the basic science of trauma care, management of complex soft-tissue injuries and the business of trauma care as it relates to the cost-effectiveness of a treatment.
Wednesday mornings are reserved for scientific and clinical didactic presentations that incorporate a comprehensive year-long curriculum. Topics include: Care of the Multiply Injured Orthopaedic Trauma Patients; Opioid Management in Orthopaedic Trauma, given by the regional director of the Drug Enforcement Agency; the Economics of Healthcare; and many more.
Each fellow attends the annual Orthopedic Trauma Association Meeting and one of the annual pelvic dissection courses. They will be attending the AOTrauma North America Fellows Course in 2019-20. Fellows have also participated in additional orthopedic trauma-related meetings during the year.
An on-site cadaver lab is held four or five times a year, with each session taught by one or two faculty members. The following labs are held: acetabulum and pelvis dissection and percutaneous fixation with fluoroscopy; shoulder and elbow; knee, including distal femur and proximal tibia; and foot and ankle.
One afternoon a week from 1-5 pm constitutes a fellow’s protected research time. The day of the week allotted for this research time rotates monthly based on clinic schedules. Fellows alternate allocation of protected time every week.