Orthopaedic Surgery Residency


The Orthopaedic Surgery Residency Program at Broward Health Medical Center strives to promote excellence in education, research, and surgical skills in all areas of orthopaedic surgery.

Orthopaedic Surgery Residency

The Orthopaedic Surgery Residency Program at Broward Health Medical Center strives to promote excellence in education, research, and surgical skills in all areas of orthopaedic surgery.

Coordinator:

Jessica Hegedus

Phone:

954-355-5756

About the Program

The Orthopaedic Surgery Residency Program at Broward Health Medical Center strives to promote excellence in education, research, and surgical skills in all areas of orthopaedic surgery. The goals and objectives of the orthopaedic residency program are to educate residents through the five years of training to become proficient in the examination and diagnosis of patients with progressively increasing responsibility in the non-operative and operative management of orthopaedic patients.

Program Highlights

Our residency program strives to provide the maximum level of competence so that residents will exemplify the highest ideals of our profession in community and academic settings. The primary objective of the Orthopaedic Residency Program is to teach our residents how to be caring, experienced, and technically proficient physicians. Under the expertise of skilled professionals, these goals are attained through a carefully designed educational program that encompasses extensive hands-on experience, physical examinations, diagnosis of patients, and progressively increasing responsibility and autonomy in the non-operative and operative management of patients. A career in orthopaedic surgery is extremely competitive; therefore academic excellence is a must!

Curriculum

Training Blocks and Sites

View Training Blocks and Sites

Following are detailed descriptions of the rotations for each post-graduate year of training in the orthopaedic surgery residency program.

PGY-1 Rotations

General Orthopaedic Rotation

The General Orthopaedic Surgery rotation is the most intense learning experience during residency. Direct care of surgical patients is the cornerstone of developing a resident’s skills as an internal medicine physician.  Residents will begin to gain skills in identifying key history and exam needed to evaluate adults presenting with conditions involving the musculoskeletal systems. The resident will become familiar with common diagnostic imaging procedures when evaluating and managing patients with orthopaedic conditions: plain radiographs, body MRI, CT scan, radionuclide bone scans.  During this rotation, residents will begin to make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment.

Emergency Medicine Rotation

During this rotation, Orthopaedic Surgery residents rotate in the Broward Health Medical Center Emergency Department. Our Emergency Department is a Level 1 Trauma Center and exposes residents to large volume and exposure to emergency situations in all levels of acuity. The residents gain an exciting hands-on opportunity to care for adults and pediatric patients.  They learn how to provide acute care services to patients in the Emergency Department and develop an understanding of the criteria for hospitalization versus outpatient therapy of patients with non-life threatening diseases. As a safety net hospital, residents are exposed to a fast paced environment with a variety of medical conditions, levels of acuity, opportunity to be involved in procedures, as well as contributing to patient and family care needs. Residents are supervised on this rotation by Board-certified Emergency Medicine physicians.

Trauma Surgery Rotation

Residents spend two months rotating with the Trauma Surgery team at Broward Health Medical Center. Residents participate in the Trauma Team, responding to trauma cases that present to the Level 1 Trauma center at BHMC. During this time, the residents gain skills in evaluation of pre-operative surgical trauma patients, management of hospitalized postoperative patients, and the surgical care of the injured patient. Residents develop mastery of basic suturing technique, including multi-layer wound closure and complex wound management as well as mastery of basic surgical instrument skills (tools for exposure, hemostasis, retraction, tissue handling, and closure) including aseptic technique and atraumatic soft-tissue handling. 

Plastic Surgery Rotation

Residents spend one month rotating on the Plastic Surgery team at BHMC as a first year resident.

Anesthesia Rotation

Orthopaedic surgery residents spend one month rotating in the operating room with Board-certified Anesthesiologists. During this rotation, the residents gain knowledge of the pharmacology of various anesthetic agents and adjuncts to anesthesia and the evaluation and care of a patient undergoing anesthesia. The resident will participate in the pre-, intra-, and post-operative care of the patient undergoing an anesthetic. Residents learn a basic understanding of the physiologic changes associated with the induction, maintenance, and emergence of anesthesia. 

Physical Medicine & Rehabilitation / Neurosurgery Rotation

The general goal of this rotation is to expose the resident to the practice of physical medicine and rehabilitation in various clinical settings including acute care, sub-acute/recuperative care, acute rehabilitation, and outpatient.  The resident will receive instruction and experience in clinical history and examination, identifying and managing clinical problems typical among patients with rehabilitation needs. The resident also will be shown diagnosis and treatment techniques employed in the diagnosis and management of patients in the outpatient physical medicine and rehabilitation setting.

PGY-2 Rotations

PGY-2 through PGY-5 rotations are three months in length.

Orthopaedic Trauma Rotation

Second year residents spend six months on the Orthopaedic Trauma Service. During the Orthopaedic Trauma Rotation, residents participate in the Orthopaedic Trauma service. The Orthopaedic trauma service is separate from the General Trauma service but often works in tandem with the Trauma Team to care for patients with multiple traumatic injuries. Residents develop the ability to perform closed reduction and manipulations of fractures and dislocations including appropriate casting, splinting, and immobilization. Residents also develop an understanding of common surgical approaches for fracture care. Examples include lateral approach to the ankle, lateral approach to the femur, deltopectoral approach to the shoulder, volar approach to the forearm. Residents gain the ability to perform the approach and find the starting point for femoral and tibial nails.

Pediatrics 1

Orthopaedic surgery residents spend three months rotating at the Nicklaus Miami Children’s Hospital. The residents are supervised by a large group of Board-certified Pediatric Orthopaedic Surgeons. Residents learn to identify key history and exam needed to evaluate children presenting with musculoskeletal conditions. Residents identify the role and general scope of practice of pediatric orthopedists; recognize situations where children benefit from the skills of specialists training in care of children; and work effectively with these professionals in the care of children with orthopedic conditions. 

General Orthopaedic Rotation

The General Orthopaedic Surgery rotation is the most intense learning experience during residency. Direct care of surgical patients is the cornerstone of developing a resident’s skills as an internal medicine physician.  Residents will begin to gain skills in identifying key history and exam needed to evaluate adults presenting with conditions involving the musculoskeletal systems. The resident will become familiar with common diagnostic imaging procedures when evaluating and managing patients with orthopaedic conditions: plain radiographs, body MRI, CT scan, radionuclide bone scans.  During this rotation, residents will begin to make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment.

PGY-3 Rotations

Sports Medicine 1

Residents on the Sports Medicine Rotation develop the initial patient care and clinical skills to facilitate adequate evaluation of common shoulder, elbow, knee, and ankle problems seen in the athletic patient population. This includes physical examination of the knee, shoulder, elbow and ankle that facilitate identification of typical findings of sports medicine problems of these joints. Residents have the opportunity to demonstrate surgical skills that include portal placement for and complete diagnostic arthroscopy of the knee and shoulder, arthroscopic partial meniscectomy, harvest of the central-third patella tendon and hamstring tendons for ACL reconstruction, arthroscopic acromioplasty and deltopectoral approach to the shoulder for anterior stabilization, and open debridement of the medial and/or lateral epicondyle of the elbow.  Residents develop basic arthroscopy skills of the knee and shoulder.

Orthopaedic Trauma Rotation

Third year residents spend three months on the Orthopaedic Trauma Service. During the Orthopaedic Trauma Rotation, residents participate in the Orthopaedic Trauma service. The Orthopaedic trauma service is separate from the General Trauma service but often works in tandem with the Trauma Team to care for patients with multiple traumatic injuries. Residents develop the ability to perform closed reduction and manipulations of fractures and dislocations including appropriate casting, splinting, and immobilization. Residents also develop an understanding of common surgical approaches for fracture care. Examples include lateral approach to the ankle, lateral approach to the femur, deltopectoral approach to the shoulder, volar approach to the forearm. Residents gain the ability to perform the approach and find the starting point for femoral and tibial nails.

Foot & Ankle Rotation

Residents spend three months on the Foot and Ankle rotation with Board-certified Orthopaedic surgeons who specialize in the care of foot and ankle problems. Residents develop knowledge and comprehension of common surgical approaches, non-operative and operative treatment options for common foot problems such as bunions, neuromas, hammertoes, plantar fasciitis, Achilles tendinopathies, ankle and foot fractures, tarsal tunnel syndrome, ankle instability, arthritis, and pes planus.  Residents will also gain experience with performing surgical procedures about the foot and ankle.

Musculoskeletal Oncology

Residents spend three months rotating with a Board-certified Orthopaedic surgeon who specializes in musculoskeletal oncology, including bone and soft tissue tumors. The resident will learn the appropriate laboratory workup and diagnostic tests best suited for patients with musculoskeletal tumor and tumor-like conditions. This includes the appropriate disease staging studies for those patients with primary bone and soft tissue malignancies, as well as when is it better to be evaluated by a CT scan, an MRI, a bone scan, or PET scan. Residents will develop an understanding of the principles associated with selecting the appropriate type of biopsy and surgical approach and the surgical management of the musculoskeletal tumor patients.

PGY-4 Rotations

Pediatrics 2

Fourth year Orthopaedic surgery residents spend three months rotating at the Nicklaus Miami Children’s Hospital. During this second rotation in Pediatrics, the residents learn to develop and present treatment plans for pediatric orthopaedic conditions, implement treatment plans, both operative and non-operative, with the appropriate supervision of clinical faculty, and perform more complicated pediatric orthopaedic procedures with faculty supervision. 

Adult Reconstruction Rotation

During the Adult Reconstruction rotation residents learn to evaluate hip and knee problems in adult patients. Residents participate in the team caring for patients with hip and knee pain pre and post operatively. Residents learn surgical approaches to hip and knee.  

Sports Medicine 2

Residents on the Sports Medicine Rotation enhance their skills in identifying keys in the history and physical exam needed to evaluate athletes presenting with musculoskeletal conditions. Residents learn to appropriately order and interpret common diagnostic imaging procedures when evaluating and managing patients with orthopaedic conditions: plain radiographs, body MRI, CT scan, radionuclide bone scans, and ultrasound. Residents have the opportunity to learn to perform common sports medicine surgical procedures including partial meniscectomy, meniscal repair, ACL and PCL reconstruction, primary repair a/o reconstruction of collateral ligament injuries; patellar stabilization procedures; shoulder stabilization, rotator cuff and labral repair, and acromioplasty; UCL reconstruction; distal biceps tendon repair; Achilles tendon repair and ankle stabilization.

Orthopaedic Trauma Rotation

Third year residents spend three months on the Orthopaedic Trauma Service. During the Orthopaedic Trauma Rotation, residents participate in the Orthopaedic Trauma service. The Orthopaedic trauma service is separate from the General Trauma service but often works in tandem with the Trauma Team to care for patients with multiple traumatic injuries. Residents develop the ability to perform closed reduction and manipulations of fractures and dislocations including appropriate casting, splinting, and immobilization. Residents also develop an understanding of common surgical approaches for fracture care. Examples include lateral approach to the ankle, lateral approach to the femur, deltopectoral approach to the shoulder, volar approach to the forearm. Residents gain the ability to perform the approach and find the starting point for femoral and tibial nails. 

PGY-5 Rotations

Sports Med 3

Residents on the Sports Medicine Rotation enhance their skills in identifying keys in the history and physical exam needed to evaluate athletes presenting with musculoskeletal conditions. Residents learn to appropriately order and interpret common diagnostic imaging procedures when evaluating and managing patients with orthopaedic conditions: plain radiographs, body MRI, CT scan, radionuclide bone scans, and ultrasound. Residents have the opportunity to learn to perform common sports medicine surgical procedures including partial meniscectomy, meniscal repair, ACL and PCL reconstruction, primary repair a/o reconstruction of collateral ligament injuries; patellar stabilization procedures; shoulder stabilization, rotator cuff and labral repair, and acromioplasty; UCL reconstruction; distal biceps tendon repair; Achilles tendon repair and ankle stabilization.

General Orthopaedic Rotation

The senior resident services as the chief of the General Orthopaedic service. Residents learn to make informed decisions about diagnostic and therapeutic interventions while they develop and carry out patient management plans. During this rotation, the resident must demonstrate competence in the surgical management of a broad variety of orthopedic diseases. The senior resident must also effectively oversee the appropriate care of patients by the junior residents.

Adult Reconstruction Rotation

During the Adult Reconstruction rotation residents learn to evaluate hip and knee problems in adult patients. Residents participate in the team caring for patients with hip and knee pain pre and post operatively. Residents learn surgical approaches to hip and knee.  

Spine Rotation

The senior resident spends three months on the Orthopaedic Spine service. During this rotation, the residents learn to evaluate, document, and present a patient with spine problems specifying the working diagnosis, studies to confirm or change the diagnosis, treatment alternatives and expected outcomes. Residents perform and assist in essential surgical procedures: posterior cervical, thoracic and lumbar exposure and arthrodesis, anterior cervical approach and arthrodesis, discectomy.

 

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Orthopaedic Surgery