Pediatric Orthopedics Training for Doctors
We offer training in pediatric orthopedics for doctors specializing in orthopedic surgery, in partnership with the UBC Department of Orthopedics, Division of Pediatrics.
Selectives
Phase V transitional clerkship selectives
Athletic injuries/arthroscopic selective
- UBC Hospital
- Number of students: one 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 at Thursday morning orthopedic 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
Pediatric orthopedics, BC Children's Hospital
- Number of students: one per rotation
- Supervisor(s):
- Dr. Christopher W. Reilly
- Dr. Kenneth L. Brown
- Setting: Hospital outpatient clinic
Objectives
The student will gain experience in evaluating and managing common pediatric orthopedic problems on an outpatient basis. We stress appropriate assessment of pediatric patients and common pediatric conditions.
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. We also require a formal case report 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, we will require one night of call per week.
Percentage grade (criteria to be used)
- Clinical: 50% of the grade will be based on the student's clinical performance
- Case: 25% will be based on daily round and weekly case review
- Final exam: 25% will be based on the formal case report
- Other methods of evaluation: Pass/fail
University of British Columbia
Upper extremity selective, UBC Hospital knee surgery
- Number of students: one 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 diagnosing and managing common orthopedic problems affecting the upper extremity (excluding hand) and the knee. We stress physical examination and the use of imaging techniques. Operative exposure will be available.
Educational experience
Ambulatory clinic - patient contact 1 day per week.
Special features
- Pre-operative assessment
- Operative exposure - 1.5 days per week
Academic activities
- The student will participate in student-preceptor case oral quizzes on a daily basis
- The student will be responsible to present one case presentation and review of the literature at the Thursday morning orthopedic seminar
- 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. We also encourage reading on selected subjects.
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.
The student will only have in-patient care responsibilities for patients they admitted.
Percentage grade
- Clinical: 50%
- Case reports: 50%
- Overall grade: Pass/fail/honours
- We will provide written/narrative comments for the students
University of British Columbia
General orthopedic elective, Royal Columbian Hospital
- Number of students: one 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 diagnosing and managing the entire spectrum of orthopedics, i.e. musculoskeletal problems including trauma, upper extremity, lower extremity, sports injuries, pediatrics and arthritis.
Educational experience
A very busy orthopedic trauma emergency room.
Special features
- Weekly ambulatory clinic where new patients are seen with a spectrum of problems
- Daily cast room experience where students can gain experience putting on casts
- Potential for visiting consultants' offices to see ambulatory patients
- An opportunity to view the entire spectrum of musculoskeletal disease from the point of view of the orthopedic surgeon
Academic activities
- Daily academic teaching sessions Monday through Friday, varying from group exposure at orthopedic rounds to small group teaching by staff
- The student will be responsible during the month for presenting at least two cases to orthopedic rounds; and more if they choose
- We usually announce morning teaching rounds ahead of time so that academic preparation is possible
Scholarly activity
We encourage students to do routine reading and literature searches around a particular topic that they find 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 their level of competence may well have direct access to the staff person on call. During this time we will expect them to see cases in the Emergency Department, evaluate them and report to the next person of authority. We will also expect them to follow that patient to the operating room for definitive orthopedic surgical management.
Students will only have in-patient care responsibilities for patients they admitted.
Percentage grade
- Clinical: 60%
- Case presentations: 40%
- Overall grade: Pass/fail/honours
- Written/narrative comments will be provided for the student
University of British Columbia
Adult reconstructive orthopedics selective, Vancouver General Hospital
- Number of students: one per rotation
- Supervisor(s): Drs. B.A. Masri, C.P. Duncan, D.S. Garbuz, N.V. Greidanus
Objectives
The student will gain experience in diagnosing and managing inflammatory, degenerative and arthritic conditions of the lower limb, as well as neoplastic conditions of the musculoskeletal system. We will emphasize physical examination, radiographic review and non-operative management. 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
- Complex Joint Reconstruction Clinic: a unique tertiary care clinic for managing complex cases
- BC Cancer Musculoskeletal Tumour Clinic: a unique tertiary care clinic for practicing musculoskeletal oncology. Almost every patient with a musculoskeletal malignancy from the entire province is referred to this clinic
- Private physician offices: a mix of secondary and tertiary cases. The office experience will stress physical examination and radiographic diagnosis
- Operative exposure: two operating rooms three to four days per week, and one operating room one day per week
Academic activities
- Direct questioning on a daily basis
- Weekly reconstructive orthopedics formal rounds
- Weekly orthopedic grand rounds
- Access to other formal teaching rounds affiliated with other orthopedic sub-specialties
- We will expect the student to perform complete patient assessments with formal presentations on an ongoing basis
Scholarly activity
We encourage students 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
- 50% clinical and basic science knowledge skills
- 50% attitude, professional behaviour and interest
- Overall grade: Pass/fail/honours
- Written/narrative comments will be provided for the student