Rotations In Orthopaedic Surgery - PGY IV and
Currently the PGY 4 year at UC Irvine is divided into four 3-month
rotations: Long Beach Veterans Administration, Long Beach Memorial
Medical Center (Trauma and Elective) and UCI Joint Service.
a PGY-IV resident the longitudinal development of the resident's
evaluation and management of adult and pediatric orthopaedic
problems continues. There is emphasis on patient evaluation
for elective procedures, identification of surgical and non-surgical
treatment options, preoperative planning, and acquisition of
more advanced technical skills. Residents continue to gain
responsibility and independence as they take both primary and
back up call.
The three months spent at Long Beach Veterans
Administration is to prepare the residents for their transition
and instill a sense of confidence in their abilities to care
for patients. They lead the foot and ankle service with patient
evaluation, surgical scheduling and operative care. They
are the assistant to the chief resident who is working mainly
the total joints service.
Long Beach Memorial Medical Center
is a 6-month rotation split between elective cases and trauma.
For the three months
trauma, you continue to hone your operative skills and
operative experience under the supervision of three orthopaedic
traumatologists and an upper extremity trauma specialist.
For the elective service, we work with a number of part
practice physicians who take great pride in teaching residents.
Both rotations are very operative heavy with one on one
teaching mentorship by the attendings. All call is from home
nights per week.
While on the total joints service at UCI,
you will be responsible for all aspects of patient care from
the initial consult
evaluation to the post op visits. The resident on the
total joints service
is also rresponsible for coordinating all joint replacement
education responsibilities during this time period as
well, which includes
monthly journal clubs, weekly journal readings, and weekly
The PGY-V year the resident assumes the mantle of chief resident
on the respective services, the 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 to 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 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 refining operative indications
as well as techniques and postoperative management. This year
is also a great year to help educate junior residents and help
them progress early on during their residency as well. The chiefs
are very comfortable in taking 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).
Call is from home and is one
weekend a month during the VA rotation. During the UCI rotation,
weekday call is splint between the two
chiefs and they also take one weekend call a month.
to PGY-II and PGY- III
to the Residency Program