Research Teaching Conferences
A series of lectures are given on Monday afternoons to the research residents, fellows and graduate students. These cover the orthopaedic research aspects of physiology, bioengineering, biochemistry, and statistics.
There is a weekly dedicated teaching session every Wednesday from 7 am to noon. Grand rounds is every other Wednesday from 7-8 am and covers topics including basic science, subspecialty clinical updates, radiology, and visiting speakers. 8-10 am lectures are led by faculty and cover all clinical areas, which rotate every 2 years. 10 am to noon lectures are resident led, and also cover various clinical topics. Prior to the OITE, there is a dedicated 2 month block for review of in-training topics.
A morbidity and mortality conference takes place once a month prior to grand rounds. This is one of the most educational conferences as it allows for learning and growth based on group discussion.
There is a 2-3 month block of weekly anatomy dissections, every week being a different anatomic region. The dissections are led by faculty and the residents have ample opportunity for hands on experience.
There are quarterly saw bones for fracture fixation as well as total joint arthroplasty, usually including a brief didactic lecture from faculty, followed by using the supplied implants in simulated fractures and arthroplasty.
Throughout the year, there are opportunities with cadavers using arthroscopy, either sponsored by industry, or at UCSD or the Navy hospital.
Related Educational Activities
Teaching and/or work rounds at the UCSD Medical Centers are held by the attending faculty regularly on the acute (trauma) service and daily in the specialty services.
The Hand service has weekly teaching conferences. There is a weekly regional anatomical dissection and functional anatomy conference consisting of a 13 week series from fingertips to the shoulder with an associated syllabus of reading material. There is a weekly journal club reviewing hand and upper extremity current and historically pertinent literature. There is an every other week indications case conference and/or didactic lecture. Participants in the conferences are Hand Surgery faculty, community Hand Surgeons, Hand Therapists, Orthopedic and Plastic Surgery residents, fellows and medical students.
The Foot and Ankle Surgery rotation is characterized by exposure to a wide variety of foot and ankle pathologies. Acute and chronic conditions are reviewed. Educational emphasis is placed upon established proven concepts in the care of common foot and ankle conditions. These fundamentals form the basis of a progressive clinical application to increasingly complex reconstruction cases. Clinic is held twice per week with the attending surgeon, and the operative case experience encompasses a high volume of both outpatient and inpatient procedures. Upcoming surgical cases are reviewed weekly prior to scheduled surgeries.
The spine service rounds are made with faculty, residents, fellows and nurse practitioners regularly on all patients, Additionally, medical students, the head nurse on the Orthopaedic / Neurosurgical floors, physical and occupational therapists, and nurse practitioners involved with the patients attend a weekly patient care conference where inpatients and all planned operations are discussed by the residents. All UCSD and Navy residents as well as community physicians are invited to these conferences.
The trauma service is comprised of three attendings, a trauma fellow (with attending privileges), a chief resident, senior resident, rotating Navy junior resident, UCSD junior resident, and intern. We also work with a physician assistant in clinic. Didactics include daily bone board, which is attended by all team members, during which time all consults from the prior 24 hours are presented and discussed. There is a bi-monthly combined general surgery trauma and orthopedic trauma conference. This is usually presented by a resident or fellow and a team approach is discussed on a shared poly-trauma patient. There is a monthly trauma journal club. There is a bimonthly subspecialty specific trauma conference, usually comprised of article review and case presentations. There are saw bone labs throughout the academic year. There is a weekly indications conference where upcoming cases are discussed, including indications, surgical approaches, fixation options, and postoperative rehabilitation.
San Diego has many military outposts, and as such the Veterans Administration provides a unique exposure to a mix of the healthy sports population and the chronic, degenerative population. Teaching and indication rounds for all the residents at the VA are held Monday morning with the entire faculty. All imaging and preoperative cases for the following week, as well as postoperative cases from the prior week are discussed in a formal conference. Clinics are held three times a week and staffed by UCSD/VA faculty. Additionally, there are specialty interest conferences focused on various subspecialties, including a combined orthopaedic surgery/radiology monthly conference attended by faculty from both departments.
Rady Children's Hospital has a number of conferences headed by Peter O Newton, MD, Chief of the Division of Pediatric Orthopaedics, and other full-time, clinical faculty. Daily rounds are made with the faculty in the morning. An Indications conference occurs each Monday and is staffed by a number of community physicians who volunteer their time. Interesting patients and x-rays are presented by the residents to the faculty in attendance, discussed by the residents and faculty, and appropriate treatment selected. Additionally, a weekly Journal Club of selected classic as well as recent articles is held with the residents, fellows, and faculty at Rady Children’s Hospital. There are weekly specialty clinics staffed by faculty with interest in the specific disorder (e.g., scoliosis, cerebral palsy, myelodysplasia, muscular dystrophy, etc.).