1. The program will be designed to allow an excellent clinical experience, to developing surgical skills and pre- and postoperative patient care. The surgical experience will be approximately 3½ - 4 days per week with a fellowship-trained orthopaedic trauma surgeon. There will be one day per week of coordinating pre- and postoperative care in the clinic. Additionally, at least one half day per week will be allotted for research.
2. The Fellow will rotate with four fellowship-trained traumatologists. In addition, there will be an opportunity to work with two pediatric orthopaedic surgeons to gain additional fracture exposure in pediatric trauma.
3. Additionally, the Fellow will have the opportunity to participate in spinal trauma cases, but this will not be required. It is required that the fellow understand the complexities of the spine-injured orthopaedic patient and appropriate coordinated management with the spine service.
4. Along with four orthopaedic trauma fellowship-trained surgeons, there will be opportunities to operate with orthopaedic hand surgeons to gain additional experience and understanding of neurovascular injuries and hand trauma.
5. The Fellow will take approximately five calls per month as the primary attending orthopaedic surgeon. Backup will be provided by a member of the Orthopaedic Trauma Team. This will provide the Fellow with the opportunity to initially manage and coordinate patient care. Any cases performed will be limited to emergencies only, and each case will be reviewed with the back-up orthopaedic trauma surgeon on-call. There will be graduated responsibilities. There is at least one but usually two dedicated orthopaedic trauma rooms seven days per week at 7:00 a.m., lessening the burden for nighttime surgery.
6. During the Fellowship, the Fellow will be exposed and supervised for all key portions of the following procedures. It is anticipated that the Fellow will gain surgical expertise and be qualified to perform these procedures after the completion of the Fellowship:
a. Open reduction internal fixation of pelvic and acetabular fractures.
b. Repair of complex nonunions, malunions, and delayed unions.
c. Bone transport procedures and corrective osteotomies.
d. Management of the polytraumatized patient including prioritized care, coordinating care with consultants, and functioning as a member of the overall trauma team.
7. The Orthopaedic Trauma Service is well established at our institution and has had longstanding interdisciplinary relationships with the General Surgical Trauma Team, Neurosurgery, Critical Care, Plastic Surgery, and Physical Medicine and Rehabilitation. The Fellows will regularly communicate with other services and be exposed to the principles of severe soft tissue injuries both with our Orthopaedic Trauma Service and with our Plastic Surgery Service. The Plastic Surgery Service will coordinate care of the patient requiring complex reconstructive procedures such as flap coverage, and the Fellow will have the opportunity to participate in these cases.