Orthopaedic Electives Clerkship Coordinator: Amanda Schwanz [email protected].

Orthopaedic Electives

Clerkship Coordinator: Amanda Schwanz

[email protected]

Preceptorship in OrthopaedicsORTHP 675Local and away sites possible

Clerkship coordinator: Amanda [email protected]

Preceptorship in OrthopaedicsORTHP 675

Objectives: Obtain a history and perform a physical examination

focusing on the musculoskeletal system Perform a screening musculoskeletal examination Perform a basic peripheral nerve exam for the upper

and lower extremities Summarize and present a patient’s chief complaint in

an ordered and succinct fashion Discuss diagnosis and management of

musculoskeletal problems Discuss basic principles of surgical management of

common musculoskeletal problems

Musculoskeletal TraumaORTHP 677Harborview Medical Center

Clerkship Director - Lisa Taitsman, MD

Musculoskeletal Emergencies Fractures Dislocations Infections Neurovascular

injuries Compartment

syndrome

Objectives: Students will be able to: Diagnosis and manage

musculoskeletal injuries. Perform a musculoskeletal

evaluation including neurologic function.

Interpret x-rays of the musculoskeletal system including fractures and dislocations.

List those traumatic musculoskeletal emergencies requiring immediate treatment

Describe the multi-organ involvement typical of the polytrauma patient

Musculoskeletal TraumaORTHP 677 Multiple students per 4 week rotation

Usually no more than two per team Call encouraged Frequent morning conferences Multiple choice examination Typical clerkship choice for those

wanting to go into orthopaedics Warning – this can resemble a one month

audition or interview

Pediatric OrthopaedicsORTHP 676

Clerkship Director:

Greg Schmale, MDPager 469-6595

Pediatric OrthopaedicsORTHP 676

Objectives: Students will be able to:

Make a reasonable and appropriate differential diagnosis for the common pediatric musculoskeletal conditions

Describe the pertinent diagnostic categories and the likelihood of each.

Perform a basic but thorough evaluation, including physical examination, imaging studies, laboratories.

Provide the standard of care in the community.

Determine what you’re comfortable treating, and what should be referred.

Pediatric Orthopaedics One student per 4 week rotation No call required No pager required One or two days per week in OR, the

rest in clinic Daily morning conferences Long answer final based on clinical

exposure Optional presentation for honors Great for primary care practitioners to

be

ORTHP 680 P- General Orthopædic Clerkship VA Hospital

Dr. Sangeorzan Foot ankle conditions Amputation service

Dr. Sack Hand service

Degenerative and traumatic conditions of the hand

Dr. Chansky General orthopaedics

ORTHP 680 P- General Orthopædic Clerkship

Work-up for low back pain, appropriate used of imaging, and non operative treatment

Primary and secondary osteoarthritis of the should, knee and hip

Learn to perform a focused history and physical examination for osteoarthritis, including determination of risk factors

Utilize medical evidence to devise treatment plans for osteoarthritis, including the use of medications and assistive devices

Demonstrate basic skills in suturing, applying dressings/casts, and patient positioning, prepping and draping

Musculoskeletal OncologyORTHP 678

Clerkship Director

Jason Weisstein, MD

Musculoskeletal OncologyObjectives:

Identify characteristics of primary sarcomas of bone and soft tissue

Describe the incidence of metastatic disease involving the skeleton in adults and children

Describe diagnostic characteristics of each sarcoma subtype

Discuss principles of evaluation and staging of musculoskeletal cancers

Describe typical treatments and their complications

Musculoskeletal Oncology A broad exposure to the work-up,

diagnosis and treatment of bone and soft tissue tumors

Up to 2 students No required call The student is not expected to carry a

pager 50/50 split between time devoted to

inpatient and outpatient care Attend all morning rounds, clinics, tumor

conferences, and operative cases.

Outpatient OrthopaedicsORTHP 682

Carol Teitz, MD, Clerkship DirectorObjectives:

Perform a focused evaluation of orthopaedic problems presented in the outpatient setting, including physical examination, the selection of imaging studies and laboratory tests.

Develop a diagnosis, based on a careful consideration of all aspects of the case.

Provide the standard of care in the community. Determine what you’re comfortable treating, and

what should be referred.

Outpatient Orthopaedics ORTHP 682 1 student at a time Attend didactics on Monday mornings No call, no pager All outpatient; duty hours 8-5 Final exam written multiple choice Best for students interested in

primary care.

Sports Medicine - ORTHP 681 Objectives:

Perform and present a history and directed physical exam of patients presenting with sports related musculoskeletal complaints.

Develop a differential diagnosis for knee pain in the active patient (with and without a history of injury):

Develop a differential diagnosis for shoulder pain in the active patient (with and without a history of injury).

Describe the differential diagnosis for post-traumatic hemarthrosis of the knee.

Discuss the common treatment recommendations for a patient with patellofemoral pain.

Describe the expected history and physical findings in a patient with tendonitis, stress fracture, torn meniscus, ACL tear, rotator cuff tear, shoulder dislocation, AC separation, ankle sprain.

Sports Medicine - ORTHP 681

Trey Green, MDClerkship Director

1-2 students at a time Attend didactics on Monday

mornings Outpatient and inpatient Final exam - written multiple

choice

Adult Reconstructive Spine Surgery – ORTHP 684

Objectives: Perform a thorough history and

physical examination of a patient presenting with a spine abnormality

Determine appropriate diagnostic tests based on a differential diagnosis

Discuss differences between surgical & nonsurgical disorders

Adult Reconstructive Spine Surgery – ORTHP 684

Objectives –cont- Identify disorders constituting a surgical

emergency Determine problems that are appropriate for

primary care management and those spine problems that require referral to a spine surgeon

Describe the complete spectrum of nonsurgical management of spine disorders

Adult Reconstructive Surgery – ORTHP 685

Objectives Perform a thorough history and physical examination of

the older adult patient presenting with hip or knee pain.

Suggest appropriate diagnostic tests based on a differential diagnosis

Describe the basic anatomical and pathophysiological aspects of hip and knee arthritis

Suggest an appropriate course of non-surgical treatment for a patient presenting with hip or knee arthritis

Adult Reconstructive Surgery – ORTHP 685

Objectives –cont- Discuss the selection of patients and the

expected outcomes of surgery for hip and knee arthritis.

Identify patients for whom surgery would not be appropriate

Shoulder and Elbow Orthopædics Clerkship - ORTHP 687

Objectives Evaluate and develop management plans for

patients with shoulder and elbow problems by conducting a thorough/efficient clinical history and physical examination

Develop basic treatment options, including home exercises, medications and surgery along with the alternatives and risks of each.

Learn to diagnosis and plan treatment for a core group of shoulder problems

Orthopædics External Elective - ORTHP 697

Orthopædics WWAMI Special Electives – ORTHP 699 New Electives:Spokane

Pediatric Orthopaedics at the Shriner’s Hospital for Children

Physician Contact: Paul Caskey, MDGeneral Orthopaedics: Orthopaedic Specialty Clinic of Spokane

Physician Contact: Kurt Anderson, MD

Thank you for your attention!

Questions? [email protected]

[email protected]