Residents spend two to four months rotating on each service. Each service consists of a senior and junior resident and is based at the main campus or at an affiliate site within 30 minutes. The Orthopaedic Department also has mid-level providers to assist with inpatient, operating room, and emergency room care. While rotating on each service the senior and junior resident are responsible for the care of the patients on their service as well as coverage of the operative cases. Cases will be assigned based on educational value and equal exposure for the residents. Additionally, residents will participate in a weekly resident-run clinic under the guidance of senior faculty.
Rotations during the first year are split into one-month blocks. Residents will be provided six months of experience in orthopaedic surgery as an intern and with support will learn the basics of fracture care, inpatient care, and triage. Residents will spend a total of five months in general surgical, plastic surgical, and neurosurgical specialties. Extensive clinical exposure and didactic teaching of musculoskeletal radiology and anesthesia will be a component of the orthopaedic rotation. Four weeks of vacation will be designated during the orthopaedic rotation. Call duties will vary based on department. Residents will attend the Advanced Trauma Life Support (ATLS) course.
Rotations during the second year are split into four blocks. Residents will spend three months each on hand/sports, trauma, pediatrics/spine, and at Stamford Hospital (an affiliate) where they work with community-based orthopaedic surgeons. Residents on the hand/sports rotation will have exposure to a variety of elective hand, shoulder, elbow, knee, and hip cases including arthroscopy, soft tissue procedures, and fracture fixation. Residents on the pediatric/spine rotation will spend time in the operating room and will also have the opportunity to spend time in the outpatient setting learning outpatient management. At Stamford Hospital residents will be exposed a busy orthopaedic department and variety of elective, community-level orthopaedic procedures focusing on hand, joints, and foot and ankle in the inpatient and surgical center setting. Residents will take in-house overnight call approximately 6-7 times a month and will take no more than an average of two weekend day calls a month. Residents will attend the AO Basic Fracture course.
Rotations during the third year are split into four blocks. Residents will spend four months each on adult reconstruction and at Stamford Hospital. Residents will spend three months on the spine service and will have one month of dedicated research time. The adult reconstruction rotation is based at Montefiore New Rochelle Hospital under Steve Zelicof M.D. where residents perform approximately 15 joint reconstructions a week in addition to office hours. At Stamford Hospital residents will focus on sports and hand mainly in the surgical center setting. Residents may choose to participate in elective spine cases if interested. Residents on the spine service will be exposed to a both elective and emergent treatment of disorders of the cervical, thoracic, and lumbar spine. During the research month, residents are expected to work on a program requirement of one publishable project by graduation. Residents will not be expected to cover cases or patients during this month, but will be required to take call. Residents will take in-house overnight call approximately 6-7 times a month and will take no more than an average of two weekend day calls a month. Residents will attend the Orthotic And Prosthetic Course (Texas Scottish Rite Hospital for Children, Dallas, TX). One month is spent with a fellowship-trained foot and ankle surgeon at MidHudson Regional Hospital of Westchester Medical Center where the resident is exposed to both the operative and office-based aspects of the field.
Rotations during the fourth year are split into three blocks. Residents will spend four months each on pediatrics, tumor/sports, and at Stamford Hospital. The pediatric rotation is done at the Maria Fareri Children’s Hospital on the main campus. During this rotation, residents will have extensive experience treating congenital abnormalities of the extremities, scoliosis, as well as pediatric orthopaedic trauma. The tumor/sports rotation is based at Mount Sinai Hospital in Manhattan. During this rotation residents will spend two months learning orthopaedic oncology both in the office and operating room and two months learning sports medicine including working with dedicated shoulder and elbow faculty. At Stamford Hospital residents will focus on outpatient sports procedures. At Westchester Medical Center, residents will take at home back-up call approximately 6-7 times a month and will take no more than an average of two weekend day calls a month. At Westchester Medical Center, residents will be called for operative cases or if a junior resident requires assistance while on call. At Stamford Hospital, residents will take in-house overnight call. Residents will attend the Arthroscopy Course (Academy Learning Center, Rosemont, IL), Pathology Review Course (Mt. Sinai Hospital, New York, NY), and the AAOS annual meeting.
Rotations during the fifth year are split into five blocks. Residents will spend three months each on trauma, hand/sports, and at Stamford Hospital. Residents will spend one month each on research and spine. Residents will have the ability to choose cases as they see fit to complete their training. Residents may use this research month to complete research projects prior to graduation. At Westchester Medical Center, residents will take at home back-up call approximately 6-7 times a month and will take no more than an average of two weekend day calls a month. At Westchester Medical Center, residents will be called for operative cases or if a junior resident requires assistance while on call. At Stamford Hospital, residents will take in-house overnight call. Residents will attend the Miller Review Course (Westminster, CO).