Orthopaedic Electives

1. Orthopaedic Electives Clerkship Coordinator: Amanda Schwanzamands4@u.washington.edu

2. Preceptorship in OrthopaedicsORTHP 675Local and away sites possible Clerkship coordinator: Amanda Schwanzamands4@u.washington.edu

3. 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

4. Musculoskeletal TraumaORTHP 677Harborview Medical Center Clerkship Director - Lisa Taitsman, MD

5. Musculoskeletal Emergencies • Fractures • Dislocations • Infections • Neurovascular injuries • Compartment syndrome

6. 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

7. 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

8. Pediatric OrthopaedicsORTHP 676 • Clerkship Director: Greg Schmale, MD Pager 469-6595

9. 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.

10. 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

11. 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

12. 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

13. Musculoskeletal OncologyORTHP 678 • Clerkship DirectorJason Weisstein, MD

14. Musculoskeletal OncologyObjectives: • Identify characteristics of primary sarcomas of bone and soft tissue • Describe theincidence 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

15. 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.

16. 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.

17. Outpatient OrthopaedicsORTHP 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.

18. 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.

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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, MD General Orthopaedics: Orthopaedic Specialty Clinic of Spokane Physician Contact: Kurt Anderson, MD

26. Thank you for your attention!

27. Questions? gschmale@u.washington.eduamands4@u.washington.edu