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Rotations In Orthopaedic Surgery - PGY IV and PGY V PGY-IV Currently the PGY 4 year at UC Irvine is divided into four 3 month rotations: Long Beach Veterans Administration, Children’s Hospital Orange County (CHOC), and Kaiser Permanente. As a PGY-IV resident the longitudinal development of the resident's evaluation and management of adult and pediatric orthopaedic problems continues. After 3 months at CHOC in the PGY-IV year, the resident should have the foundation to treat all pediatric problems he/she is likely to encounter in practice. There is emphasis on patient evaluation for elective procedures, identification of surgical and non-surgical options, preoperative planning, and acquisition of more advanced technical skills. The three months spent at Long Beach Veterans Administration is to prepare the residents for their transition to practice and instill a sense of confidence in their abilities to care for patients. PGY-III residents are responsible for pre and post operative care of inpatients, outpatient evaluation and management, and initial assessment and management of emergency room and in house consults. They provide first contact coverage for the service related calls and consults. They act as assistants at surgical procedures. Children’s Hospital Orange County (CHOC) is a tertiary care center in Orange County just east of UC Irvine. CHOC has great exposure to a wide assortment of pediatric cases for the 3rd year residents and one DO resident rotating. Surgical cases include trauma, syndactyly, spine, cerebral palsy, spina bifida, dysplasias, tumor and more. In addition to great one-one-one exposure in the OR we have the opportunity to see patients in the attendings’ private clinics and fine tune the pediatric history and physical exam. At CHOC we take call from home about 1 in 3 nights. Call nights there are generally busier in the summer with reductions, etc than in the winter, but definitely tolerable. At Kaiser Permanente, the role of the resident will be to perform major and minor operations in the capacity of primary or assistant surgeon. The resident will also participate in the initial evaluation, peri-operative care, and non-operative treatment of orthopaedic injuries and diseases, including those of the hand, and general orthopaedics. This resident will coordinate responsibilities with the PGY-3 resident.
ROTATION KEY
PGY-V The PGY-V year resident spends 6 months at UC Irvine Medical Center and 6 months at the Long Beach Veterans Administration. The PGY-V year requires the assumption of responsibility for primary decision making and patient evaluation and management. The assumption of responsibility for care of the full spectrum of trauma and elective orthopaedic cases, under the direction of faculty, is expected. The supervision and teaching of junior residents, interns, and medical students is also required. Administrative duties are assumed. Although major decision-making responsibilities have been assumed, staff directly supervises all surgical procedures and questions of patient management. As a chief resident, we do a six month rotation at UC Irvine and six months at the VA. The chief residents act as attendings during the year in that they manage the orthopaedic services, orchestrate the OR cases and help run resident clinic. All clinics and OR cases are supervised, but the chief resident is usually able to make appropriate decisions in managing patients and attendings are there for guidance and help in polishing operative indications as well as techniques and post operative management etc… There are not any cases chief residents do not feel comfortable tackling during this year (except for complicated spine cases probably), and this year is used to fine tune one’s skills. This year is also a great year to help educate junior residents and help them progress quickly early on during their residency as well. The chiefs are very comfortable in walking the juniors through cases that come through the ED during the night/day. The VA is a
unique experience as it is run like one’s own
private practice. You have your own clinic, sign up your own patients
for surgery, perform the surgery and follow them post op for six
months. You also learn to manage patients non-surgically as well.
There is always an attending available at clinic and the OR, but
this is an opportunity for you to act as if you are on your own
(with constant backup).
ROTATION KEY Link
to PGY-I |
Please visit our new Orthopaedic & Sports Medicine Center in Costa Mesa at: 1640 Newport Blvd., Suite 230
Dr. Nitin Bhatia and Dr. Thay Lee were presented with the prestigious "Harold and Nancy Willingham Award for Outstanding Research Paper" at the meeting of the Western Orthopaedic Association this year. Drs. Bhatia and Lee presented their paper, entitled "Biomechanical Evaluation of Short-Segment Posterior Instrumentation with Crosslinks In An Unstable Human Burst Fracture Model". The WOA, with more than 1,700 members, held it's 73rd annual meeting
in Seattle, Washington. |
