Orthopaedic Electives

1. Orthopaedic Electives 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 the incidence 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 Orthopaedics ORTHP 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