We offer this training along with the UBC Department of Orthopedics, Division of Pediatrics.

See Canadian Resident Matching Service (CaRMS).

Selectives

Phase V Transitional Clerkship Selectives

• University of British Columbia

Phase V Transitional Clerkship

Athletic Injuries / Arthroscopic Selective

• UBC Hospital
• Number of students: 1 per rotation
• Supervisor: Dr. J.P. McConkey
• Participants: Drs. W.D. Regan, R.H. Hawkins, J.M. Leith
• Setting:
• Hospital and/or Sports Medicine Ambulatory Clinic
• Operating Room - UBC Site

Objectives:

• Learn to take meaningful history/physical examination techniques applied to athletic injuries - particularly L.E.
• Learn to develop a diagnosis and management plan for athletic injuries - including appropriate imaging techniques.
• Learn about surgical management techniques in the OR.

Educational Experience: Ambulatory clinic - 2-3 days/week.

Special features: Operative exposure - 1 day/week.

Academic activities:

• Case presentation and literature review @ Thursday a.m. Orthopaedic teaching sessions.
• Case discussions during and after ambulatory care sessions with supervisor/preceptor.
• 1.5 days/week for case preparation reading on appropriate subjects.

Night/weekend call: 1 day + night in 4; 1 weekend in 4 - with resident/fellow supervisor.

Percentage grade:

• Clinical: 50%
• Case reports 50%
• Overall grade: Pass/Fail/Honours

University of British Columbia

Phase V - Transitional Clerkship

Pediatric Orthopedics, BC Children's Hospital

• Number of students: 1 per rotation
• Supervisor(s):
• Dr. Christopher W. Reilly
• Dr. Kenneth L. Brown
• Setting: Hospital outpatient clinic

Objectives: The student will gain experience in evaluation and management of common pediatric orthopedic problems on an outpatient basis. Appropriate assessment of pediatric patients and common pediatric conditions will be stressed.

Academic activities: The student will participate in a daily academic round. On a weekly basis, the student will organize a case presentation at Indication Rounds. A formal case report will also be required during the rotation.

Direct patient care: The student will be involved in ward decision-making and patient care.

Responsibilities: under the direct supervision of the Resident staff, one night of call per week under the supervision of a Resident will be required.

Percentage grade: (criteria to be used):

1. Clinical: 50% of the grade will be based on the student's clinical performance
2. Case: 25% will be based on daily round and weekly case review.
3. Final Exam: 25% will be based on the formal case report
4. Other methods of evaluation: Pass/Fail

University of British Columbia

Phase V Transitional Clerkship

Upper Extremity Selective, UBC Hospital Knee Surgery

• Number of students: 1 per rotation
• Supervisor(s): Drs. W.D. Regan, R. H. Hawkins, J. Leith
• Setting: Hospital ambulatory and surgical exposure

Objectives: The student will gain experience in the diagnosis and management of common orthopedic problems affecting the upper extremity (excluding hand) and the knee. Physical examination and the use of imaging techniques will be stressed. Operative exposure will be available.

Educational experience: Ambulatory clinic - patient contact 1.0 days per week

Special features:

1. Pre-operative assessment
2. Operative exposure - 1.5 days per week

Academic activities:

1. The student will participate in student-preceptor case oral quizzes on a daily basis.
2. The student will be responsible to present one case presentation and review of the literature at Thursday morning Orthopaedic Seminar.
3. One other case report will be required for presentation to the preceptor.

Scholarly activity: The student will have 1.5 days per week for case preparation, literature search and case review preparation. Reading on selected subjects will also be encouraged.

Night/weekend call: The student will be on call one night in four (1:4) and one weekend of the month. The student will be on call with a resident.

In-patient care responsibilities will be restricted to those patients admitted by the student.

Percentage grade:

1. Clinical: 50%
2. Case reports: 50%
3. Overall grade: Pass/Fail/Honours
4. Written/narrative comments will be provided for the students.

University of British Columbia

Phase V Transitional Clerkship

General Orthopedic Elective, Royal Columbian Hospital

• Number of students: 1 per rotation
• Supervisor: Dr. R.L. Loomer
• Setting: Royal Columbian Hospital Emergency, orthopedic ward cast room, ambulant care ward, and private offices of associated orthopedic surgeons

Objectives: The student will gain experience in diagnosis and management of the entire spectrum of orthopedic, i.e. musculoskeletal, problems including trauma, upper extremity, lower extremity, sports injuries, pediatrics, and arthritis.

Educational experience: A very busy orthopedic trauma emergency

Special features:

1. Weekly ambulatory clinic where new patients are seen with a spectrum of problems
2. Daily cast room experience where experience may be gained putting on casts
3. Potential for visiting consultants' offices to see ambulatory patients
4. An opportunity to view the entire spectrum of musculoskeletal disease from the point of view of the orthopaedic surgeon

Academic activities:

1. Daily academic teaching sessions Monday through Friday varying from group exposure at orthopaedic rounds to small group teaching by staff men
2. The student will be responsible during the month for presenting at least two cases to orthopedic rounds and more if they choose
3. The morning teaching rounds are usually announced ahead of time so that academic preparation is possible for them

Scholarly activity: The student will be encouraged to do routine reading and literature search around a particular topic which he/she finds interesting

Night/weekend call: The student will be on call one night in four and one weekend of the month. The student will have a resident back up but depending upon his/her level of competence may well have direct access to the staff man on call. During this time he/she will be expected to see cases in the Emergency Department, evaluate them and report to the next person of authority. He/she will also be expected to follow that patient to the operating room for definitive orthopedic surgical management.

In-patient care responsibilities will be restricted to those patients admitted by the student.

Percentage grade:

1. Clinical: 60%
2. Case presentations: 40%
3. Overall grade: Pass/Fail/Honours
4. Written/narrative comments will be provided for the student

University of British Columbia

Phase V - Transitional Clerkship

Adult Reconstructive Orthopedics Selective, Vancouver General Hospital

• Number of students: 1 per rotation
• Supervisor(s): Drs. B.A. Masri, C.P. Duncan, D.S. Garbuz, N.V. Greidanus

Objectives: The student will gain experience in the diagnosis and management of inflammatory, degenerative and arthritic conditions of the lower limb, as well as neoplastic conditions of the musculoskeletal system. Physical examination, radiographic review and non-operative management will be emphasized. There will also be exposure to surgical management in terms of deciding when to refer. Exposure to surgical procedures will also be available.

Educational experience/special features:

1. Complex Joint Reconstruction Clinic: a unique tertiary care clinic for the management of the complex case.
2. British Columbia Cancer musculoskeletal tumour clinic: a unique tertiary care clinic for the practice of musculoskeletal oncology. Almost every patient with a musculoskeletal malignancy from the entire province is referred to this clinic.
3. Private physician offices: a mix of secondary and tertiary cases. The office experience will stress physical examination and radiographic diagnosis.
4. Operative exposure: There are two operating rooms three to four days per week, and one operating room one day per week.

Academic activities:

1. There will be direct questioning on a daily basis.
2. There are weekly reconstructive orthopedics formal rounds.
3. There are weekly Orthopedic Grand Rounds.
4. There will be access to other formal teaching rounds affiliated with other orthopaedic sub-specialties.
5. The student will be expected to perform a complete patient assessment with a formal presentation on an ongoing basis.

Scholarly activity: The student will be encouraged to read around the cases seen. 1.5 days per week will be available for independent reading and case preparation.

Night/weekend call: The student is not expected to be on call for reconstructive orthopedics. Participation with the trauma call schedule is possible, depending on the interest of the student.

Percentage grade:

1. 50% clinical and basic science knowledge skills
2. 50% attitude, professional behaviour and interest
3. Overall grade: Pass/Fail/Honours
4. Written/narrative comments will be provided for the student