The candidate shall have graduated from an AOA-approved college of osteopathic medicine.
The candidate shall be licensed in the State of Michigan at the time of commencement of the residency.
Requirements of residents:
Time: The resident shall spend his/her full time in orthopedic surgery except for elective rotations in allied departments.
Extracurricular: The resident shall not participate in professional or business activities outside of his hospital duties during the term of their residency.
Clinics: The resident shall participate in hospital clinics only if the clinical duties pertain to orthopedic diseases.
Consulting: The resident may not act as a consultant without the consent and knowledge of a member of the orthopedic surgery department.
Surgical Assistance: The resident shall act as a primary assistant on all orthopedic cases assigned. He/she shall record these and all activities as required by the department and the American Osteopathic Academy of Orthopedic Surgery.
History and Physical: The resident shall be responsible for completion of history and physical examinations on all patients. The department of medical education or its assignee makes the assignment for the performance of the history and physical examination. The Senior resident in house will review all histories and Physicals performed by Junior Residents and Junior House Staff and will discuss the contents with them as indicated. The History and Physical will be reviewed by the attending physician and annotated as necessary. No resident may leave surgical or educational duties, or assigned educational activities as mandated by the AOA and AOAO in order to perform a History and Physical examination.
Logs: The resident will keep logs of all operative and non-operative patient care in which he/she is involved. He/she will have compiled a monthly summary of such activity and it will be available for review seven days following the end of each calendar month. All such records will be available for review by the department as required and requested in a timely manner. All logs will be completed in accordance with the requirements of the Academy of Orthopedics requirements.
Paper: No paper shall be submitted for publication without the expressed written consent and permission of the Chairman of the Department of Orthopedic Surgery, the trainer and any department member whose name is included in the paper or whose patient has been evaluated in the study.
Research: The resident shall prepare a scientific paper and research study in accordance with the rules and regulations of the American Osteopathic Academy of Orthopedics. Papers shall be made presentable in the form of posters or presentations as requested and required by the department and trainer.
Posters: Posters will be presented at the Henry Ford Macomb research day, the Michigan Osteopathic Association annual convention and at the Annual Clinical Assembly of the American Osteopathic Association as requested by the trainer or the department members.
Anatomy Course: During the first year of residency training (PGY-2) The resident will take an orthopedic anatomy course as designed and run by the Michigan State University Statewide Campus consortium in Orthopedic Surgery.
Attendance At AOAO Meetings: During the residency the resident shall attend at least one meeting of the Academy of Orthopedics in its Spring and Fall sessions as established by the AOAO.
ATLS: In accordance with the AOAO and MSUCOM regulations the resident will have a current proficiency card in ATLS on completion of the residency. All PGY-1 residents will have taken and passed the ATLS course prior to entrance in the PGY-2 program.
Medical Education: The resident shall assist in the instruction of interns and medical students assigned to the orthopedic service. The resident will assist the intern in preparation of presentations for the department. The resident shall be actively involved in the education of the intern and students in orthopedic surgery and should attempt to ensure that the rotating student has been exposed to those areas, which are outlined in the course of study of his undergraduate medical college. Likewise the resident will assist in educating the house staff through casting and taping clinics.
Rounds: The resident shall make rounds daily and be well informed regarding the status of all patients on the orthopedic service. He shall consult the responsible physician regarding therapeutic decisions. He/she will make adequate records on the hospital chart and will sign these in accordance with CMS regulations.
Records: The resident shall make an admitting note on each patient admitted. The resident is responsible for the completion of the discharge summary of those patients for whom he/she has been responsible.
Braces: The resident shall be responsible for the proper application of all orthopedic appliances and the maintenance of these appliances.
Outpatient Procedures: The resident will assist on all out-patient procedures in the hospital whenever possible and under the direction of the attending physician.
Medical Images For OR: The resident shall be responsible for the availability of all necessary x-ray images in the operating room. Films should be arranged to be brought to the hospital from off campus facilities in a timely manner. Coordination between the surgeon's office staff, the radiology department, and the admitting department are necessary. Lists of scheduled cases are available in the office, clinic, and surgery department.
Autopsies: The resident shall attend all autopsies on orthopedic cases. A summary of all mortalities occurring on the resident's service shall be prepared and presented at the department meeting as part of the mortality review. The resident shall review the slides of all orthopedic tumor cases.
Call: The resident shall be on call or alternate call with other orthopedic residents. A list of resident on call and available methods for contacting the resident such as beeper number, cellular phone numbers, home phone numbers, and electronic mail addresses shall be available to the department members and the emergency rooms of the covered hospitals. On Call hours will be monitored by the Department of Medical Education and will be in accord with State and Federal requirements.
Meetings: The resident shall attend all meetings of the department of orthopedic surgery unless on an out of town rotation.
Educational Seminars: Educational meetings will be held in accordance with the requirements listed in the AOAO manual. These will include morning meetings in which freedom from clinical duties are mandated. Such meetings will include review of current orthopedic literature, surgical diagnoses and procedures, Review of Orthopedic in Training Examination tests and background text. Review of topics in Basic Science including biomechanics, kinesiology, biochemistry, physiology, pathology and eutectics. Meetings will include formal journal clubs for review of the Journal of Bone and Joint Surgery and the American Academy of Orthopedic Surgery yellow journal. The resident will attend the meetings of the Statewide Campus Orthopedic group as required. Whenever possible the resident will attend the Detroit Academy of Orthopedic Surgery meetings and forums, the Michigan Orthopedic Society meetings, the Michigan Osteopathic Academy of orthopedic meetings.
Preparation: The resident shall be prepared for any cases in which he will participate. He/she shall review the pertinent literature and be able to discuss it with the attending surgeon. In all fracture cases and in selected elective cases a surgical diary will be prepared including templating. Such diaries, outlines and templates will be available at case review and at resident review.
Jurisprudence: The resident will be encouraged to attend courtroom procedures and depositions and will be assigned to attend these as deemed necessary by the trainer. Other assignments given at the discretion of the trainer.
Presentations: The resident will be encouraged to become proficient in the presentation of educational lectures. He/she will present lectures to the house staff at the regular educational conferences of the medical education committee. Such conferences will take place at Wyandotte, and Henry Ford Macomb hospitals as assigned by the trainer and/or the department of medical education. PowerPoint Presentations or slides will be used for such presentation and shall be maintained for the use of fellow residents in the review of information helpful for junior house staff. The audio-visual technician and computer technician are available for help in preparation of presentations and posters including preparation of photographic, overlays, and posters.
Postgraduate Training 1: The PGY-1 year should develop knowledge, attitudes, and skills needed to formulate principles and assess, plan and initiate treatment of adult and pediatric patients with surgical and/or medical problems. It should prepare and involve the student with patients with surgical and medical emergencies, multiple organ system trauma, soft tissue wounds, nervous system injuries and disease, peripheral vascular injuries and diseases and rheumatologic diseases. The PGY-1 resident should gain experience in the care of critically ill surgical and medical patients and develop an understanding of surgical anesthesia, including anesthetic risks and the management of intraoperative anesthetic complications. In order to obtain these goals: the PGY-1 should have a minimum of six months of structured education in surgery, to include multi-system trauma, plastic surgery/burn care, intensive care, and vascular surgery.
A minimum of one month of structured education in at least three of the following:
Medical/cardiac intensive care
Pediatric surgery or pediatrics
Musculoskeletal imaging and rehabilitation
Maximum of three months of orthopedic surgery
Affiliated Institutions: The Base hospital for the Residency Program is Henry Ford Macomb. Affiliated Rotations consist of rotations with department members at Henry Ford Hospital, Henry Ford Wyandotte Hospital, and Henry Ford Macomb. At each of the hospitals the resident rotates with assigned attending physician from the department.
Pediatric Orthopedics: An ongoing affiliation with the Cincinnati Children's Hospital for a three-month rotation to supplement the Pediatric Orthopedics at the home institution.
Orthopedic Oncology: An affiliated rotation with Drs. Kimberly Les and Ronald Irwin at William Beaumont Hospital, Royal Oak, MI. This satisfies the AOAO requirement for orthopedic pathology.
Hand Surgery: An affiliated subspecialty rotation with Drs. Burke and Barbosa of the Hand Surgery Associates.
Trauma: As mandated by the AOAO and AOA, a specialty trauma rotation will be offered and attended by the Senior resident.
Additional Out-Of-House Rotations: Will be undertaken at the discretion of the trainer and the director of medical education in order to cover deficiencies in exposure and education felt to be present in the individual resident.
Examinations: All residents will participate in the annual OITE.
Basic Fracture Course: In accordance with the regulations of the AOAO, each resident will attend an approved basic fracture course intended to instruct the resident in the basic methods and theories for fracture reduction, fixation and healing and based on the basic course of the AO and approved by the trainer.
Certification: Each resident will be responsible for contacting the American Osteopathic Board of Orthopedic Surgery to apply for and schedule the appropriate examinations. Each resident is expected to sit for the part one of the Boards at the first available time.