Teaching fellows how to educate is a core mission of the Orthopaedic Trauma fellowship.
One PGY3 resident is active on the orthopaedic trauma service full time and one PGY2 resident is on the service two to three days per week. The service is also comprised of 11 advanced practice providers (nurse practitioners and physician assistants); three or four work on the service daily.
With an average of three to four operating rooms running daily, each Orthopaedic Trauma fellow has the freedom to choose which room they will cover on a daily basis to maximize educational benefit. This system provides the fellow an opportunity to be the primary surgeon on a complex periarticular fracture or choose a different room where they may serve in a faculty role by taking a junior resident through nailing of a long bone fracture. Although the fellow assumes greater responsibility in this educational scenario, the staff member remains in the operating room to evaluate the fellow’s teaching skills.
The fellows participate in educational conferences for the residency program, including small group facilitation in resident cadaver labs and participation in fracture-related resident morbidity and mortality conference, journal club and Grand Rounds. Each fellow serves as a table instructor for sawbones labs during the annual Orthopaedic Intern Boot Camp course.
Each fellow sits on the Program Evaluation Committee, which meets four times a year. Fellows provide valuable feedback for program improvement.
The Clinical Competency Committee meets four times annually to discuss a fellow’s progress and to assess milestone completion. The program director meets with the fellows at least four times a year to relay strengths and opportunities for improvement. Fellows are encouraged to reflect on their own progress and compare with faculty evaluations.