About the Program
The working year is defined as July 1 to June 30 inclusive. Residents will be expected to be present during the time period stipulated on their contracts.
While on rotations at UMC residents will take in-house call. A call room is provided. Residents are required to report for emergency room consults within 20 minutes of being called.
The PGY-4 and 5 residents will be responsible for senior trauma call coverage at UMC. Resident work hours are defined in the "Duty Hours Policy" following the guidelines put together by the ACGME. Residents not on call are expected to be available between 7:00 a.m. and 5:00 p.m. Monday through Friday unless they are away on approved leave. Residents absent on approved leave will be responsible for obtaining resident coverage for any inpatients for whom they are responsible, notifying their attending surgeon that they will be away on leave, and attempting to obtain cross coverage for surgical and outpatient responsibilities if possible.
A resident's clinical responsibility will be one of graduated independence in terms of patient evaluation and management. Residents will be directly supervised throughout their residency, but the amount of such supervision varies with the stage of the resident's career, competence as judged by the faculty, and complexity of the task.
Trauma or On-Call Junior Resident On-call Responsibilities:
- Completing the admission orders, H&P examination, or consultation on all patients seen by or admitted to the orthopaedic service.
- Scheduling of emergency cases and assuring availability of implants and instruments.
- Obtaining consent for surgery.
- Being present for all emergency operative procedures, unless a more emergent patient condition requires their presence in the Emergency Department or nursing unit.
Trauma Chief and On-Call Senior Resident Responsibilities:
- Available as a first-line resource for the junior resident.
- Should arrive in time to coordinate planning and equipment setup for all trauma cases (i.e., prior to the patient being in the operating room).
- Should be prepared to discuss treatment options with the attending for all trauma cases.
- Should assist the junior resident in performing the operative procedure, depending on the chief resident's and attending's comfort level.
- Must have daily morning rounds with all junior-level residents on all inpatients and be prepared to discuss individual patients with the attendings.
The orthopaedic surgery teaching conference schedule will be distributed every six months. These educational conferences are mandatory; arriving late is rarely excusable behavior and usually indicates poor planning and organization of time.
The Orthopaedic In-Training Examination is mandatory with no exceptions. This exam is administered in November and must be taken on the date scheduled. Residents' performance should reflect an adequate level of knowledge and outside reading. PGY 1 residents will not have call or clinical responsibilities on the day of the exam.
To improve resident research opportunities, residents will be asked to identify a faculty mentor before June 30th, of the PGY-2 academic year. By this time, a letter of intent will have been submitted to the residency program director identifying the faculty mentor(s), title, and brief (one page) summary explaining the objective, hypothesis, and goals of the research project. Next, a formal research proposal summarizing materials and methods and a literature review will be submitted to the program director. This proposal should include projected expenses of the project. If necessary, a power analysis should be included. The resident should also identify potential sources of funding to support this project. For example, many of the orthopaedic specialty societies and orthopaedic companies have research grants available, which are often directed to residents/young investigators. The program director will then have two faculty review and critique the proposal prior to the project commencing. The goal of this is to identify methodologic errors and potential duplication of studies. This review will also help identify problems with the IRB application process.
Faculty participation is paramount to the success of resident research. Faculty will be asked to keep a list of potential projects. For example, topics may be kept as basic science/anatomy, clinical studies (retrospective and prospective) studies, review papers (including techniques/technical tips), and case reports. This will help residents identify potential mentors and projects. Faculty will be asked to review the research proposals, assist in funding, and assist in IRB preparation. There will also be lectures (Grand Rounds and basic science) on research methodology and statistics. Updates on resident research will be discussed at the monthly faculty meetings.
Prior to graduation, a full paper manuscript must be submitted to the faculty prior to June 1st of the PGY-5 year. The research will be presented by the PGY-5 at the graduation day in June. Presentation of research at local, regional, and national meetings is encouraged. Ultimately, the goal is submission to a peer reviewed journal for publication.
Each resident is responsible for completing a publishable quality project prior to graduation. If an acceptable project is not submitted, completion of the residency will be delayed. While original research in the form of a basic or clinical research study is mandatory, a second paper in the form of a review article, technique paper, or case report is highly encouraged of all residents. This second paper would hopefully be written as soon as possible in the residency. This would help the resident by thoroughly reviewing the literature on the topic, help improve writing skills, familiarize one with an expedited IRB application (in the event of a case report). An early publication should help the resident with fellowship and job application process.
Evaluation of Resident Progress
Each resident will be evaluated at the completion of all rotations using a rotation-specific evaluation tool. Residents will also be formally evaluated on their assigned case presentations. This tool will evaluate the general competencies and whether or not the resident accomplished the rotation-specific objectives. Observation data during the rotation will come from resident-patient interactions in the outpatient clinic, at the hospital bedside and in the operating room. Resident knowledge will be assessed based on responses to verbal questioning in all venues including grand rounds, outpatient clinic, operating room and hospital ward. Residents are expected to give a monthly case presentation which will be evaluated by attendings. The other core competencies; professionalism patient care, practice-based learning and improvement, interpersonal and communication skills and system-based practice will be evaluated by the program attendings using a rotation-specific tool and by nursing staff and peers using the 360° evaluation (see below). Residents will review and sign their evaluations at the end of each rotation. Regarding 4 month rotations, the resident will meet with the Rotation Director at the halfway point to discuss their progress on the rotation. All residents will meet individually with the program director at least twice a year to discuss their progress and provide feedback on completed rotations. Residents will meet as a group biannually with the program director to discuss general issues concerning the residency program. Formal disciplinary action and resident grievances will be the responsibility of the Program Director.
360 Degree Evaluation by Nursing Staff, Peers
Each resident will be evaluated twice yearly on a paper form that will be emailed by the Program Coordinator as prepared by the American Orthopaedic Association. You will be notified by e-mail when these evaluations are due and when they can be reviewed.
Meal money will be electronically added to your UMC ID badge with up to a maximum of $11.00 per call night. This money is to be used for the on-call resident only and not shared with other residents or staff. Residents should not use their meal card to purchase food or other non-food items to take home. At the end of each academic year the balance on the meal card will be zeroed out. You must have your card to make purchases at the UMC cafeteria.
Vacation, Sick Leave, Maternity/Paternity Leave
The University of Arizona provides 22 working days per year as vacation. Accrued vacation time must be used during the 12 month academic year and shall not be carried forward to subsequent academic years.
Residents will accrue one sick day per month during their residency training. No accumulated sick leave compensation shall be paid to the resident upon completion of the residency program.
Maternity/paternity leave shall be granted to residents who are in need of such leave. All requests are to be made to the program director. You will use vacation and sick days for paid leave. Unpaid medical leave may be granted for a period not to exceed six months. The residency training program may require extension to fulfill board certification requirements.
PGY 2 level residents will attend the AO ASIF and SWOTA Principles of Fracture Management Course for Residents.
PGY 3 level residents may attend the Four Corners Residency Conference.
PGY 4 residents may attend an arthroscopy course.
PGY 5 level residents will attend the AAOS annual meeting and a pathology course, as well as the Masters segment of the SWOTA course.
The Department will fund a maximum number of two nights per out-of-town meeting at which the resident is presenting a paper, poster or exhibit. Meetings in which the resident does not present will be counted as vacation time and funding must be sought elsewhere.
There is four month rotation in Pediatric Orthopaedics at the Shriners Hospital in Salt Lake City for the PGY-2 residents. The Department provides an apartment during the rotation.