Non-VSLO External Elective Process
Applied Orthopedics Principles in Lower Extremity Surgery
Successful completion of Year 2
Additional Requirements: A C-form is required within a 30 day add/drop and must be signed by Bryanna Branch (email@example.com)
Responsible Faculty Director:
Jie Chen, MD
to Report on First Day
starting on a Monday, go to OR in League City, if starting on a Tuesday, go to Ortho Clinic in League City
6A or B - 13A or B
including holiday period 8
|To learn the basic science and principles behind common orthopedic conditions afflicting the lower extremity. Will learn basics of fracture healing, implant science, mechanisms of injury, classification systems.
2. To be present in the operating room and learn including basic knowledge of setup, positioning, assisting, and closing.
3. To assist faculty/residents in the care of patients seen on call including hip fractures, femur fractures, ankle fractures. While most of the pathology will be foot and ankle conditions, there will also be other lower extremity injuries who present from the emergency room.
|Attend a thorough history and physical examination of a foot and ankle patient in clinic. Participate treatment plans for patients with a variety of lower and upper extremity conditions including hip fractures, femur fractures, tibia fractures, foot and ankle pathology|
|Description of course activities|
|Students will shadow the attending and or residents, observe, learn and practice history taking and physical exam skills. They may participate in minor procedures such as application of splint, removal of superficial hardware, wound debridement's. Students will accompany residents and faculty on daily rounding of patients. Students may scrub in and assist with surgery.|
|Type of students who would benefit from the course|
|Any student who may be interested in Orthopedics|
|Clinical Activities (estimated schedule)|
|Day of Week||AM||PM|
|Monday||Wk 1,3,5 -JS OR; Wk 2,4-LCC OR||Wk 1,3,5 -JS OR; Wk 2,4-LCC OR|
|Tuesday||League City Campus clinic||League City Campus clinic|
|Wednesday||League City Campus OR||League City Campus OR|
|Thursday||TDCJ||League City Campus OR|
|Friday||PCP Clinic||League City Campus|
|Average number of patients seen per week: 50|
|Call Schedule: No|
|Research Activities (estimated schedule)|
|Activity||Hours per Week|
|1. Clinical Observation|
|A.||Where are students observed on this elective?|
Patients simulators Other
|B.||Frequency - How often are students observed clinically?|
|C.||Format - What method(s) are used to document the student's clinical performance?|
Daily oral feedback
End of period oral feedback
|2. Oral Presentation|
|A.||Audience - To whom does the student present?|
|Faculty and Residents|
|B.||Frequency / Duration of Presentation(s)?|
|C.||Format - What guidelines are set for the student's presentation?|
|D.||Assessment - Who assesses the student's presentation performance?|
|Self-assessment Peer assessment Faculty assessment|
|E.||Method of content selection|
|Current cases Student-selected topic Assigned topic|
|3. Written Assignment (H&P's, notes, papers, abstracts, etc.)|
|A.||Frequency of written assignment(s)?|
|B.||Format - What guidelines are set for the student's written work?|
|C.||Length of written assignment(s)?|
|Abstract Annotated bibliography 1 - 2 page paper 3+ page paper|
|D.||Are recent references required? No If yes, how are they selected?|
|E.||Method of content selection - e.g. student-selected, relate to cases, etc.?|
|F.||Audience - Who assesses the student's written performance?|
|Peer Assessment Faculty Assessment Other|
Written multiple choice
Written essay / short answer
|5. Extra Course Activities|
|What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?|
|Attend Weekly didactic conference, morning rounds, Fracture conference|
|6. Additional Costs|
|Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".|
|7. Other Modes of Evaluation|
|Please explain below.|
|8. If this course is an Acting Internship, please complete the following:|
|A.||Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs).
Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are
assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.Specify how the student will be given formative feedback on their clinical skills.
Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.
List advanced clinical skills that a student will be assured an opportunity to practice.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?
An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.
Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.