The first year as an intern gives residents the opportunity to learn orthopaedics from the start. Half the year is dedicated to orthopaedic surgery and related specialties, including physical medicine and rehabilitation, rheumatology and musculoskeletal radiology. The other half is focused on subspecialties of general surgery relevant to orthopaedics, such as vascular surgery, trauma ICU, trauma surgery, plastic surgery, emergency medicine and pediatric surgery.
Orthopaedic interns are encouraged to attend orthopaedic Grand Rounds, teaching conferences and journal clubs. Interns also have sufficient time outside the hospital to explore everything that Portland and the beautiful surrounding areas have to offer.
These years are dedicated to the study of orthopaedics. This part of the program is set up as a mentorship program, with each resident working with 1-3 attendings on each rotation. This helps individualize training and helps residents develop surgical skills. Residents also have early exposure to the operating room to learn these skills. As an example of the number of procedures residents might do, one OHSU orthopaedics resident had 682 CPT codes recorded by the end of the R2 year. Most of these came from operating room cases; however, this number also included some fracture reductions and other minor procedures in the emergency department. Furthermore, the only surgical fellowship that the Department of Orthopaedics offers is in spine surgery, which leaves a widerange of educational experiences open to residents only. The rotation cycle (see below) is designed to expose residents to all orthopaedic subspecialties by the end of their 3rd year. This training is useful when residents decide whether to pursue fellowship training, and in what specialty. Finally, the orthopaedics residency includes a dedicated research rotation. Residents have protected time to focus on this important component of our resident education program.