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Orthopedic Surgery

ORPD-911 Research Projects Relating to Orthopedics

Faculty: Dr. Voor   
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 4 weeks
Enrollment Maximum: 1 per faculty

Prerequisite: OB&G-901, PSY-901, SURG-901

Arrangements must be made a minimum of 4 weeks prior to starting rotation.

Course Description:
This elective will allow the student to obtain experience in research by participating in existing research projects of the department.  Specific research projects can be arranged through Dr. Voor with the following full-time faculty:         

  • Dr. Caborn           
  • Dr. Glassman
  • Dr. Johnson
  • Dr. Malkani
  • Dr. Roberts
  • Dr. Seligson
  • Dr. Tillett
  • Dr. Voor
  • Dr. Yerasimides
  • A clinical faculty member with departmental approval.

Goals:
Specific goals will be determined in cooperation with the Course Director and faculty involved in the research.

Method of Evaluation:
As arranged by the faculty member.


ORPD-931 Pediatric Orthopedics

Faculty: Dr. Antekeier
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 2, 3 or 4 weeks
Offered year round
Maximum Enrollment: 2

Hospital: Kosair Children's-Surgery           

Prerequisite: SURG-901

Arrangements must be made a minimum of 4 weeks prior to starting the rotation.

Course Description:
Care of multiple musculoskeletal conditions in children and adolescents.  Age range of patients is newborn to age 18.  Congenital, traumatic, metabolic, neurologic, and sports conditions are treated and evaluated by the pediatric ortho service.  Surgical experiences, as well as outpatient office orthopedics and fracture care, are available to students.  Weekly conferences - Monday, 5:00 p.m. and Tuesday morning fracture conferences are to be part of student rotation.

Goals:
To understand basic pediatric orthopedic fundamentals of immediate stabilization, diagnosis and treatment in addition to generating appropriate referrals and understanding the timing of those referrals.  Course is useful for budding pediatricians, general practitioners as well as those interested in orthopedic surgery, general surgery and plastic surgery.

Method of Evaluation:
Observation of performance.  Grading by residents and attendings. 
 

ORPD-932 Orthopedics (See Note below)

Faculty: Drs. Seligson (2), Roberts (1), Malkani (1)
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 4 weeks
Offered year round
Enrollment Maximum: 4 (2 students w/Dr. Seligson and 1 each w/Drs. Malkani & Roberts)

Hospital: U of L, 3rd floor bridge
Time: 7:00 a.m., 2nd floor surgery

Prerequisite: OB&G-901, PSY-901, SURG-901

Arrangements must be made a minimum of 4 week prior to starting rotation.

Course Description:
The student acting as a student intern on one of the two orthopedic services at University of Louisville Hospital will have primary patient contact, be present at surgery and in clinic, and faculty offices for follow-up.  The outpatient activities include follow-up of patients who have been in the hospital and treatment of outpatients who have fractures.  The program also encompasses evaluating and treating the type of problems common to family practice or internal medicine office practices.

Goals:

  1. To learn about fundamental orthopedic problems as related to trauma, arthritis, metabolic bone disease and sports medicine;
  2. Correlation of orthopedic disease with other aspects of medicine as they would relate to surgery, primary care, (especially E.R. medicine), rehabilitative medicine, the neurosciences and radiology;
  3. To learn the basic science foundation for orthopedic treatment;
  4. To be able to develop a diagnostic hypotheses and be able to make therapeutic decisions;
  5. Explore orthopedics as a career.

Method of Evaluation:
Student performance will be graded by residents and attendings.  A student whose performance is marginal or unsatisfactory will be informed and given specific suggestions for improvement in the third week of the rotation.

Note:
Students wishing to enroll in Fracture Service must enroll in this rotation and request Dr. Seligson as their faculty member.


ORPD-933 Orthopedics for Primary Care

Faculty: Dr. Tillett
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 2 weeks
Offered year round
Enrollment Maximum: 1

Hospital: U of L, 3rd floor bridge
Time: 7:00 a.m.

Prerequisite: SURG-901

Arrangements must be made a minimum of 4 weeks prior to starting rotation.

Course Description:
This course provides outpatient experiences appropriate for primary care - general and children's orthopedic clinics, hand clinic and special knee clinic.  Surgery observation in ODSU including arthroscopy, minor fractures and hand surgery.  Orthopedic x-ray conference (children's and adult), walk rounds, fracture conference and student conference in physical diagnosis.  Time will also be in private office settings.

Goals:

  1. To learn basic physical diagnosis in orthopedics;
  2. To observe outpatient surgery of common orthopedic problems; and
  3. To learn about referral patterns to orthopedics.

Method of Evaluation:
Observation of performance by attending.

Note:
Dr. Tillett, the primary course faculty, will issue final approval for enrollment, after class is scheduled with contact person. Course availability dependent upon primary faculty's other course obligations, which include ORPD 937 and ORPD 938.  
 

ORPD-934 Outpatient Reconstructive Orthopedics

Faculty: Drs. Malkani, Roberts, Tillett, Yerasimides
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 4 weeks
Offered year round
Enrollment Maximum: 1 per faculty

Hospital: U of L, Norton Hospital Medical Pavilion

Prerequisite: SURG-901

Arrangements must be made a minimum of 4 weeks prior to starting rotation.

Course Description:
Reconstructive Orthopedics covers a vast array of elective services for relief of degenerative conditions of the musculoskeletal system.  These include procedures for shoulder disorders, joint replacement surgery particularly of the hip and knee, foot surgery, procedures for realignment of long bones for relief of pressure on joints and joint fusions.  The purpose of the rotation is to offer an ambulatory experience to introduce students to the scope of conditions amenable to orthopedic repair and in the out-patient setting to learn about patient selection, pre-operative teaching, post-operative rehabilitation and non-operative ongoing treatment.  This is in the offices and clinics of three experienced reconstructive orthopedists.

Goals:

  1. Introduction to orthopedic medicine as related to the management of degenerative disorders of the extremities;
  2. Correlation for specialties in primary care, rheumatology, radiology and rehabilitation medicine;
  3. To learn fundamental physical diagnosis techniques and interpretation of x-rays of the extremities; and
  4. To explore an outpatient setting the scope of modern orthopedic medicine.

Method of Evaluation:
Student performance will be evaluated by the attending orthopedists.  Suggested reading lists.


ORPD-936 Spine Surgery Service

Faculty: Drs. Campbell, Dimar, Djurasovic, Glassman, Johnson, Puno,
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 4 weeks
Offered year round
Enrollment Maximum: 2

Hospital: U of L, Norton Hospital Medical Pavilion, Norton Hospital

Prerequisite: SURG-901

Arrangements must be made a minimum of 4 weeks prior to starting rotation.

Course Description:
The medical student will have a hands-on experience in the evaluation and treatment of adult and pediatric patients with degenerative conditions of the spine, spinal deformities or spine fractures.  The student will attend clinics, surgery, ward rounds and conferences.  The student will have the opportunity to take patient histories, perform physical examinations, read spine x-ray, myelograms, CT-scans and MRIs.  The student will be allowed to scrub in surgical cases.  The student will be required to attend the Monday morning indications conferences and Thursday morning spine conference.

Goals:

  1. Learn evaluation of patients with spine fracture/dislocation, spine deformities (e.g., scoliosis, kyphosis), or degenerative conditions of the spine;
  2. Participate in the treatment of the above patients (nonoperative or operative).

Method of Evaluation:
Student performance will be rated by the Spine fellows and attendings.  A student whose performance is marginal or unsatisfactory will be informed and given specific suggestions for improvement.


ORPD-937 Sports Injuries

Faculty: Drs. Tillett, Roberts, Caborn     (See Note below)   
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 2 or 4 weeks
Offered year round
Enrollment Maximum: 1 per faculty

Hospital: U of L, Norton Hospital Medical Pavilion

Prerequisite: SURG-901

Arrangements must be made a minimum of 4 weeks prior to starting rotation.

Course Description:
This two-week course is intended as an exposure to the practice of orthopedics actively involved in the care of patients with athletic injuries.  The course will emphasize the evaluation of the shoulder, elbow, knee and ankle as they effect sports and sports performance.  Students will learn about physical examination, when to take x-rays and methods of non-operative care.  This course is especially suited for primary care physicians interested in covering sporting events as well as students interested in sports medicine and diagnostic radiology.

Goals:

  1. To learn about the orthopedic management of sports injuries;
  2. Learn the essentials of examination of the major joints including the shoulder, elbow, hip and knee;
  3. Learn appropriate diagnostic strategies for the treatment of acute sports injuries.

Method of Evaluation:
Student performance will be evaluated by the attendings on service.  Specific reading assignments.  Skills in the performance of physical examination will be reviewed.

Note:
Students wishing to rotate with Dr. Roberts must complete a 4 week rotation. Dr. Tillett will issue final approval for students who wish to rotate with him, after class is scheduled with contact person. Dr. Tillett's availability dependent upon other course obligations, which include ORPD 933 and ORPD 938. 
 

ORPD-938 Fresh Tissue Dissection of Orthopedic Surgical Approaches

Faculty: Dr. Tillett
Telephone Number: 852-5319 / 587-8222
Contact Person: Cheri Bingham
Telephone Number: 852-6902

Length: 2 weeks
Enrollment Maximum: 1 (See Note below)
Location: 201 Abraham Flexner Way, Suite 100

Student must notify instructor one month prior to beginning elective.

Course Description:
In this course, the student will perform fresh tissue dissections on the upper and lower extremity specimens.  Emphasis will be on orthopedic surgical approaches described in Hoppenfield's "Surgical Exposure in Orthopedics, The Anatomical Approach".

Goals:
To learn the pertinent anatomy used in the surgical approaches for common orthopedic procedures.

Method of Evaluation:
Review of student dissection and oral exam.

Note:
Dr. Tillett, the primary course faculty, will issue final approval for enrollment, after class is scheduled with contact person. Course availability dependent upon primary faculty's other course obligations, which include ORPD 933 and ORPD 937.

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