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DEPARTMENT OF SURGERY
ORTHOPAEDIC SURGERY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  Nine (9).

LENGTH OF ROTATIONS.  Four (4) to eight (8) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  Yes - only fourth years.

LEVEL OF STUDENTS ACCEPTED  Third and fourth year.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS).
  • Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
  • All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled “Request for Approval of Clinical Clerkship Training.”
  • USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request.
  • The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • Each clinical clerk will be assigned to a resident team, with the PGY-3 resident designated as the student's direct supervisor.
    • The student will attend in the outpatient clinic with his/her team, participating in the evaluation and treatment of orthopedic conditions and injuries, under the supervision of the team staff.
    • The student will receive training in the orthopedic physical examination, orthopedic terminology, closed treatment of fractures and basic cast application.
    • The student will also attend on ward rounds and assist in the care of inpatients, including participation in their surgical management.
    • He/she will be exposed to various aspects of surgical management of orthopedic patients including total joint replacement, arthroscopy, operative reduction of fractures and reconstructive surgery in the adult and pediatric patient.
    • Students may be assigned to different teams during the length of their rotation in order to have work with different staff and residents.
  • Medical students may choose to participate in a single orthopedic subspecialty such as Hand Surgery, Sports Medicine, Pediatric Orthopedics, Total Joint Replacement Surgery, or Foot and Ankle Surgery if they have had a previous general orthopedic rotation and have obtained the approval of the chief.

FREQUENCY OF CALL.

  • Students will be placed on call at night with their assigned residents with the frequency of approximately once every fifth night.
  • The medical student will be expected to present his/her patients at morning report, to include a concise history, physical and radiographic findings, treatment and plan of care.

REQUIRED READINGS.

  • There are no assigned readings, but it is recommended that students read Essentials of Musculoskeletal Care, Walter B. Greene, M.D. Editor.
  • Each student is expected to read appropriate textbooks and literature based on identified patient problems.

OTHER REQUIREMENTS.

  • It is highly recommended that a 10 -15 minute oral presentation on an orthopedic topic be prepared and delivered during the rotation under the guidance of a chief resident or staff.
  • The student may also be assigned cadaver dissections.
  • All students are expected to attend and participate in approximately eight hours of didactic instruction and clinical conferences weekly.
  • There are also opportunities available for students to become involved in clinical research.
  • Students are encouraged to participate in all social activities during their rotation.
  • Each student is expected to attend all Internal Medicine conferences, to include morning report, morning lectures, and Tuesday Academic Day programs.
  • The student will give one 20-minute presentation on a selected topic.

HOW ARE STUDENTS EVALUATED?

  • Students will be evaluated based on their performance with outpatient and inpatient care, and their oral presentation.
  • There is no formal written exam. The evaluation form will be filled out by the Medical Student Clerkship Coordinator based on input from residents and staff who have worked with the student.

ADDITIONAL INFORMATION.

  • Students interested in applying for a position with the Orthopedic Residency Program should interview with their current curriculum vitae with the Staff members of the Orthopedic Service.
  • This can be arranged during their rotation.

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