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OGME 3


​Goals & Objectives for PGY 3 / OGME 3​

  • ​Demonstrate mastery of all OGME-2 level goals and objectives.
  • Demonstrate understanding of the anatomy and surgical plan for:
    • ORIF of distal radius and simple hand injuries
    • ORIF of elbow injuries including olecranon fracture, monteggia fracture, and supracondylarhumerus fracture
    • ORIF of simple proximal humerus fracture
    • Intermedullary nail fixation of complex and proximal femoral fracture
    • Intermedullary nail fixation of complex proximal and distal tibia fracture
    • ORIF of ankle fractures
  • Demonstrate and understanding of criteria for establishing stability in the context of a pelvic ring injury
  • Demonstrate knowledge of the indications for operative treatment of pelvic and acetabulum fractures
  • Demonstrate and understanding of management decision making process after traumatic musculoskeletal injury including:
  • Indications for and duration of post-operative antibiotic treatment
  • Definition of weight bearing restrictions based of injury patterns and treatments employed
  • Indications for physical therapy including employment of various treatment modalities
  • Demonstrate and understanding of the process of diagnosis and treatment of basic post-traumatic disorders including:
    • Trochanteric bursitis
    • Painful hardware
    • Superficial infection
    • Deep wound infection
    • Compartment syndrome

OGME 3 – Pediatric Goals and Objectives

  • Understand, recognize, and manage simple bone cysts, and benign tumors that occur in the growing child
  • Understand the etiology, diagnosis, and treatment of clubfoot and other common foot disorders in children.
  • Understand the characteristics, pathogenesis, diagnostic features, classification and management of common neuromuscular disorders
  • Understand the clinical manifestations, treatment, and long-term prognosis of limb length inequality and deformity.

OGME 3 – Sports Medicine Reconstruction Goals and Objectives

  • Develop H&P skills to identify the typical findings of sports medicine injuries:
    • KNEE
    • ACL tears
    • PCL tears
    • MCL tears
    • LCL/PL corner injuries
    • Meniscal tears
    • Osteochondral injuries
    • IT band syndrome
    • P-F disorders
    • Extensor mechanism injuries
    • Pes bursitis
    • SHOULDER
    • Glenohumeralinstablity
    • Labral/SLAP tears
    • Bicep tendon injuries/instability
    • RC tendinitis/impingment
    • RC tears
    • AC joint injuries
    • Glenohumeral arthritis
    • Internal impingment
  • Develop H&P skills to identify the typical findings of sports medicine injuries:
    • ELBOW
    • Ulna collateral ligament tears
    • Posterolateralrotatoryinstablity
    • Flexor/Pronator tendinitis/epicondylitis
    • Lateral epicondylitis
    • Distal bicep tendon injuries
    • Tricep tendon injuries
    • Osteochondral injuries
    • Elbow arthritis
  • Procedural Responsibilities:
    • Able to perform single invasive procedures including
    • Knee joint aspiration/injection
    • GH joint aspiration/injection
    • SA space injection
    • Pes anserine bursa injection
    • Leg compartment pressure monitoring
  • Demonstrate competence in the OR to:
    • Position patients for knee, shoulder, elbow, ankle/foot procedures
    • Prep and drape of the operative field
    • Have a pre-op plan and be able to perform a diagnostic arthroscopy of the knee, shoulder, and ankle with the ability to make the correct diagnosis of associated pathology
    • Perform basic surgical exposures of open procedures
    • Close the surgical wound
    • Apply the post-op dressing

OGME 3 – Adult Reconstruction Goals and Objectives

The resident will:

  • Obtain a comprehensive history
  • Perform a thorough physical examination.
  • Formulate a differential diagnosis and make an accurate final diagnosis.
  • Discuss the theology and natural history of the specific condition.
  • Describe non-operative treatment options.
  • Describe operative treatment options.
  • Discuss complications of operative and non operative treatment.
  • Discuss the prognosis of operative and non operative treatment.
  • Demonstrate competency in primary joint arthroplasty techniques.
  • Outline a rehabilitation program.
  • Demonstrate competency with surgical approaches to the hip and knee.
  • Effectively supervise post operative care and manage postoperative operations.
  • PGY-3 demonstrates basic knowledge of hip and knee implant design. Demonstrates basic knowledge of anatomy of the hip and knee.
  • Demonstrates knowledge of preoperative templating techniques.
  • Demonstrates knowledge of diagnosis and treatment of complications related to reconstructive procedures of the hip and knee.
  • Demonstrates development of case presentation skills.
  • Reads and understands material developed in the OKU Specialty Series on Hip and Knee Reconstruction.
  • Satisfactorily completes the OKU Self Assessment Examination for Hip and Knee Reconstruction.
  • Completes the reference syllabus for hip and knee reconstruction.
  • The PGY-3 resident is responsible for rounding on all of the orthopaedic patients assigned to the Adult Reconstruction Service on a daily basis. The resident will report, round and/or coordinate with the Chief Resident and/or attending orthopaedic surgeon regarding the patient's status on a daily basis. Daily progress notes will be recorded in the patient's chart and postoperative checks will be performed on the day of surgery.
  • In the operating room the PGY-3 resident will assist the attending orthopaedic surgeon in surgery and demonstrate familiarity with the anatomy and the operative approaches for primary total hip and total knee arthroplasty. With progress, the resident will be able to perform surgical approaches under the direct supervision of the attending orthopaedic surgeon. In time the PGY-3 resident will perform an increasing percentage of the case under the direct supervision of the attending orthopaedic surgeon as his/her skills progress.

OGME 3 – Spine Goals and Objectives

Demonstrate knowledge of appropriate emergent care for patients with acute neurological syndromes associated with:

  • Fractures and dislocations
  • Spinal infections
  • Metastatic tumors
  • cauda equine and conus medullaris syndrome

Demonstrate knowledge of the indications for surgical procedures:

  • cervical and lumbar decompression
  • spinal fusion
  • degenerative conditions
  • spondylolisthesis
  • scoliosis
  • traumatic instability
  • Identify relevant anatomy during surgical procedures involving the spine from both anterior and posterior approaches
  • Demonstrate an understanding of potential complications of intra-operative positioning related to spinal procedures
  • Demonstrate familiarity and understanding of the classic and contemporary literature pertaining to the spine through self-guided study and participation in Journal club and Friday lectures

If requested, present pre-operative patient histories at weekly teaching conferences and be familiar with the details of the particulars of the case to be performed relating to:

  • Symptom onset
  • Duration
  • Previous treatment
  • Neurological status
  • Collect and maintain imaging studies so that they are available for teaching conferences and operating room

OGME 3 – Hand/Upper Extremity Goals and Objectives

  • Able to perform a thorough and accurate history and physical examination for a patient seen for Hand/Upper Extremity complaints. This includes the history of the chief complaint, history of injury, and the mechanism of injury, past medical and surgical history, as well as social history.
  • The physical examination should include an exam for the identification of peripheral nerve compression at the carpal, cubital, and radial tunnels, common tendinitis/tendonopathies (DeQuervain's tendinitis, ECU tendinitis, or A-1 pulley stenosis) as well as the presence of arthritis (CMC arthritis, PIP, DIP, or MCP arthritis).
  • Effectively able to evaluate the following conditions via a thorough history and physical examination and to perform most or all of their corrective surgical procedures:
  • Arthritis of the thumb-carpometacarpal joint, animal bites, carpal tunnel syndrome, DeQuervain's tenosynovitis, extensor tendon injuries and amputations, fractures of the metacarpals, infections of the flexor tendon sheath, ganglion of the wrist and hand, human bites, mallet finger, sprains and dislocations of the CMP, MCP, and PIP joints, static carpal instability, trigger finger and cubital tunnel syndrome.
  • Competent in developing initial management plan for patients with hand-related injuries and/or other complaints.
  • Demonstrates knowledge and application of knowledge of nonoperative treatment, which includes anti-inflammatories, hand therapy, applications of heat and cold as well as basics of splinting.
  • Able to perform simple invasive procedures for patients with hand-related complaints such as injections of trigger-finger, carpal tunnel, and base of thumb arthritis at the CMC joint.
  • Demonstrates the ability to perform commonly-encountered surgical procedures in hand surgical procedures in hand surgery such as carpal tunnel release, trigger finger release, release of first dorsal compartment for DeQuervain's tenosynovitis and excision of dorsal/volar carpal ganglion.
  • Possesses an understanding of the scientific basis of the diagnosis and treatment of commonly-encountered hand conditions.
  • Demonstrates knowledge of the indications for basic surgical procedures in hand surgery such as carpal tunnel release, trigger finger release, release of the first dorsal compartment, and excision of dorsal and volar ganglion.
  • Demonstrates knowledge of nonoperative treatment, hand therapy, application of heat and cold as well as the basics of splinting.
  • Demonstrates familiarity and understanding of reading materials described in diagnosis and treatment of carpal tunnel, trigger finger, tendinopathies, and thumb base arthritis.
  • Has successfully completed and mastered the concepts outlined in the OKU Subspecialty Series: Hand Surgery.
  • Has successfully completed the OKU Subspecialty Series Self Assessment Examination: Hand Surgery.
  • Has successfully read and understand the principles and concepts outlined in the Hand/Upper Extremity Reading Reference List.
  • The PGY-2/PGY-3 resident will see patients with Attendings in the Hand/Upper Extremity Clinic. Duties will include pre and postoperative evaluation of patients, preoperative work-up of patients, follow-up evaluation of operative patients and management of nonoperative hand and upper extremity problems.
  • PGY-2/PGY-3 Resident's responsibilities include floor rounds twice daily on patients admitted through the Hand and Upper Extremity Service. The activities of the PGY-2/PGY-3 resident are supervised by the Chief Resident and/or the Attending Orthopaedic Surgeon.
  • In the operating room, the PGY2/PGY-3 Resident is responsible for assisting the attending orthopaedic surgeon. The resident will perform appropriate portions of the surgical procedure as directed by the attending orthopaedic surgeon and under the direct supervision of the attending orthopaedic surgeon.