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Rush University Orthopaedic ResidencyRush University Orthopaedic ResidencyRush University Orthopaedic ResidencyRush University Orthopaedic Residency

Clinical Rotations

Overview

Orthopaedic residents at Rush University Medical Center gain substantial experience in the diagnosis, management, and treatment of all orthopaedic pathologies. Our program emphasizes a graduated and customized learning experience for the young physician to prepare him or her to enter either private practice or academics.

Residents have clinical rotations in all major orthopaedic subspecialties. Rotations are 10 – 11 weeks long and residents rotate on five different services each year. All rotations consist of both inpatient and outpatient care. Residents provide care for patients on each service at the bedside, in the clinic as well as in the operating room. Our orthopaedic faculty educate our residents in all of these settings. Residents typically spend 1 – 2 days in clinic and 3 – 4 days in the operating room. In addition to the education received during patient care, residents actively participate in several weekly service-specific conferences led by our faculty.

Intern Clinical Rotations

In accordance with ACGME requirements, first year orthopaedic residents spend 6 months on orthopaedic services and 6 months on non-orthopaedic services. Each intern rotation is one month long and exposes our new residents to many different services in orthopaedic surgery. Interns play an integral role in managing patient care on the floor, in clinics, and in the operating room. The education interns receive on rotations is supplemented by the intern skills curriculum that is held throughout the year.

Interns complete rotations on the following services:

  • Adult Reconstruction (2 rotations)
  • Cook County Orthopaedic Trauma (2 rotations)
  • Pediatrics
  • Trauma & Tumor (2 rotations)
  • Primary Care Sports Medicine
  • Cook County General Surgery Trauma (2 rotations)
  • General Surgery at Rush University Medical Center or Cook County (2 rotations)
  • Emergency Medicine
  • Musculoskeletal Radiology

PGY 2 – PGY 5 Clinical Rotations

Residents complete rotations in all major orthopaedic subspecialties including trauma, adult reconstruction, sports medicine, spine, foot and ankle, tumor, pediatrics, and hand. A majority of rotations are at Rush University Medical Center and Midwest Orthopaedics at Rush. Residents also rotate at the Shriners Hospital of Chicago as well as at the Ann & Robert H. Lurie Children’s Hospital of Chicago for pediatrics. For trauma, residents rotate at Rush University Medical Center (Level II), John H. Stroger Jr. Hospital of Cook County (Level I), as well as with OrthoIllinois in Rockford Illinois. OrthoIllinois is a private practice that staffs several Level I trauma centers in Rockford, Illinois and the surrounding suburbs.

PGY 2 PGY 3 PGY 4 PGY 5
Trauma
(Cook County)
Trauma & Tumor Pediatric Trauma
(Lurie Children’s)
Trauma & Tumor
Adult Reconstruction Adult Reconstruction Trauma (Rockford) Adult Reconstruction
Spine Pediatrics Spine Trauma (Rockford)
Foot & Ankle Hand Hand Foot & Ankle
Sports Research Sports Sports

Chief residents have the unique opportunity to lead and organize the consult service at Rush. As part of their responsibilities they also staff their own senior fracture clinic under the guidance of our trauma surgeon, Dr. Joel Williams. A majority of consults are seen for follow-up in the fracture clinic and are indicated by the chief resident for surgery. The chief resident then will staff that operating room for the cases they indicated. This experience provides our residents with early exposure to managing their own practice.

Clinical Volume

Rush is a prolific orthopaedic department and the residency program continually benefits from the number of cases completed each year. Each year, the Department of Orthopaedic Surgery completes over 10,000 operative cases in all orthopaedic subspecialties. Each graduating resident averages operating in over 2,000 cases over the course of their five years at Rush. Below is the average number of cases the Class of 2015 performed for each of the Accreditation Council for Graduate Medical Education (ACGME) required orthopaedic cases.

Procedure ACGME Minimum Requirement Rush Class of 2015 Average (Range)
Knee Arthroscopy 30 155 (129 – 196)
Shoulder Arthroscopy 20 86 (66 – 132)
Anterior Cruciate Ligament (ACL) Reconstruction 10 71 (62 – 91)
Total Hip Arthroplasty (THA) 30 66 (48 – 87)
Total Knee Arthroplasty (TKA) 30 122 (94 – 160)
Hip Fractures 30 44 (31 – 55)
Carpal Tunnel Release 10 54 (43 – 64)
Spine Decompression/Posterior Spinal Fusion 15 60 (51 – 76)
Ankle Fracture Fixation 15 75 (58 – 115)
Closed Reduction Forearm/Wrist Fractures 20 25 (20 – 32)
Ankle, Hindfoot, and Midfoot Arthodeses 5 15 (7 – 23)
Supracondylar Humerus Percutaneous Treatment 5 7 (5 – 11)
Operative Treatment of Femoral and Tibial Shaft Fractures 25 35 (26 – 41)
All Pediatric Procedures 200 244 (208 – 338)
All Oncology Procedures 10 63 (44 – 88)

Department of Orthopaedic Surgery Residency · 1611 W. Harrison Street Suite 201, Chicago IL, 60612

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