"To see patients without reading is like going to sea without
Dr. William Osler
The teaching conferences
at UTMB cover a broad variety of topics, and are scheduled to
minimize conflicts with clinical responsibilities.
surgery teaching conference is held every Tuesday evening for three
hours. Residents and faculty are expected to
make presentations and the responsibility rotates among the
different services each month. Cases are presented
during the conference and residents are called on to describe radiographs
and discuss differential diagnoses, final diagnoses, and treatment options. A morbidity and mortality conference
is conducted monthly.
Fracture Conference is held every
Monday morning to discuss management of recent trauma cases.
This conference is structured to demand active participation
from the residents to help them prepare for their oral Board
Most of the services hold weekly
planning conferences to review recent operative cases and discuss
preoperative planning for upcoming cases. The
services hold motor skills training sessions
including osteotomy and implant techniques on artificial bones and
an arthroscopy wet lab every three months for the new residents
coming onto the service.
Journal Club is held monthly to
review selected articles of interest in leading orthopaedic
The orthopaedic research committee meets
weekly on Tuesdays. Ongoing research activities are
discussed, with teaching staff and residents participating when
their projects are under discussion.
Many of the services have organized
teaching sessions for the residents rotating on the service.
They meet on a weekly basis.
orthopaedic surgery residents PGY 2 and above are funded to attend
an educational conference each year. PGY 2
residents attend a resident’s basic fracture course to learn
techniques of internal fixation. PGY 3 residents
attend a prosthetics and orthotics course or an advanced resident’s
basic fracture course. PGY 4 residents attend
Dr. William Enneking’s orthopaedic pathology course held in
PGY 5 residents
attend the annual meeting of the
of Orthopaedic Surgeons.
Every year, the entering PGY 1’s
receive several textbooks from the department, including
Rockwood and Green’s Fractures in Adults and Children (all
three volumes), Miller’s Review of Orthopaedics, and Hoppenfeld’s
Surgical Exposures in Orthopaedics. In the
subsequent four years, residents receive a generous allotment of
textbooks appropriate to the clinical services through which they
The G.W.N. Egger’s lectureship is
held each spring. Egger’s weekend is a three-day
program with a variety of speakers. Recent
topics have included the spine, the knee, sports medicine, oncology,
and pediatric orthopaedics. A number of outside
speakers as well as local faculty and program alumni contribute to
the program. The Egger’s conference also serves
as the annual reunion for the orthopaedic alumni of UTMB.
In addition, a sports medicine conference is held each
summer, covering a variety of sports-related topics.
Feedback is an important component of
any educational experience. Students need to
know what they are doing well and what they need to improve.
At the end of each three-month rotation, the faculty will
evaluate each resident’s performance, complete an evaluation form,
and review it with each resident. The evaluation
is based on the ACGME core competencies (medical knowledge, patient
care, practice-based learning and improvement, interpersonal and
communication skills, professionalism, and system-based practice)
with some additional questions unique to orthopaedic residents.
Residents, likewise, are given the opportunity to anonymously
evaluate the educational experience of each rotation and critique
the teaching skills of the faculty members.
important measure of each resident’s progress is the annual
Orthopaedic In Training Examination (OITE) developed by the
of Orthopaedic Surgeons. Studies have demonstrated that success on
the OITE correlates well with success in passing the written
certifying examination given by the American Board of Orthopaedic
Surgery. Residents whose performance on the OITE
is less than expected will be given additional remedial course work
to help them improve their knowledge of orthopaedics.
A library with current texts,
CD-ROMs, and journals is available in the orthopaedic residents’
office 24 hours a day. Eight IBM compatible
computers with appropriate software are available for use by the
residents. These computers are connected to the
campus broadband network, allowing access to the Internet and the
National Library of Medicine.
All residents are given a
subscription to the American and British volumes of The Journal of
Bone and Joint Surgery. In addition, PGY 4 and
PGY 5 residents are eligible to become candidate members of the
Orthopaedic Surgeons. Candidate members receive
the Academy’s Instructional Course Lecture volume as benefit of
their status. Residents are awarded with
incentives for doing well on the Orthopaedic In Training