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Pediatric Orthopaedics About the rotation This rotation covers all aspects of pediatric orthopaedic surgery from birth to adulthood. There are three full time pediatric orthopaedists, Vincent Mosca, M.D.; Kit Song, M.D.; Greg Schmale, M.D.; and several consultant faculty members from the UWMC in tumor (Dr. Conrad) and hand (Dr. Hanel and Dr. Allan). A pediatrician fellowship trained in Sports Medicine also sees patients with non-operative pediatric orthopaedic problems. Residents spend six weeks as a R2 on the pediatric tumor service at Children's Hospital. In addition, they rotate on the general orthopaedic pediatric service during their third year and during their fifth year as chief resident. The R3 is responsible for triage, evaluation, and admission of patients from the emergency room. In addition, they gain essential operative experience and learn how to care for pediatric patients in the perioperative setting. As the chief resident, the R5 directs the daily assignments for floor work and further develops surgical skills while working closely with the attendings. These rotations meet the requirements of the Resident Review Committee for certification by the American Board of Orthopaedic Surgery.
The goals are to teach the essentials of pediatric orthopaedics relevant to a general orthopaedic practice as well as the foundation for fellowship training. Residents are expected to achieve a sound knowledge base by reading the standard texts of Lovell and Winter, Tachdjian, Rockwood and Green, Morrissy, and Canale and Beaty, as well as the Pediatric OKU. In the emergency department, residents become proficient in the management of pediatric emergent conditions including trauma and infection. In the operating room, residents learn to perform fixation of traumatic injuries and other procedures within the scope of a general orthopaedist. Residents develop the knowledge base to effectively manage non-emergent problems that present in the outpatient setting. They also learn the daily care of pediatric patients on the inpatient service. An operative indications conference is held weekly. Residents have access to a list of patients to be discussed and are expected to contribute to the discussion of each case. A didactic teaching conference is also held weekly; this conference follows a schedule based on the Pediatric OKU. In addition, a conference discussing a case-based approach to pediatric orthopaedics is tailored by the residents to meet their needs, and generally follows a schedule based on Staheli’s Practice of Pediatric Orthopaedics. |