university of pennsylvania department of orthopaedic surgery

University of Pennsylvania Department of Orthopaedic Surgery

University of PennsylvaniaDepartment of Orthopaedic

Surgery

Residency Training Program


Tradition of Excellence

• 1889: First free-standing Department of

Orthopaedic Surgery in the US

• 300+ residents trained

• 50+ residents with academic rank

• 8 Department Chairs


• 42 residents (8 per year, 2 in McKay Lab)• 40 full-time clinical faculty• Preceptor training model

The Residency


The Application Process

• 572 applications• 80 applicants interviewing• 4 sessions• 9 attendings, 4 residents• 5 rooms• Positions available

– Six 5-year slots– Two 6-year slots (1 year of research)

– Separate match number


Residents’ Medical Schools• Albany Med• Brown• Boston Univ.• CWRU• Columbia University• Georgetown University• Harvard• Jefferson• Mayo• MCG• Moorehouse• Mt. Sinai• Northwestern

• SUNY• Tufts• University of Chicago• UNC• UMDNJ• Univ. of Pennsylvania• University of Pittsburgh• UT-San Antonio• UVA• Vanderbilt University• Washington University• Yale


PGY - 1• Six months General Surgery

– Trauma (4 weeks)– Plastics (4 weeks)– GI (4 weeks)– Vascular (4 weeks)– ER (4 weeks)– SICU (4 weeks)

• Six months of Orthopaedics– Orthopaedics

– PAH (6 weeks)– PPMC (6 weeks)

– MICU (4 weeks)– Radiology (4 weeks)– Anesthesiology (4 weeks)


PGY - 2

• Trauma– 6 weeks @ HUP– Consult

• Adult Reconstruction– 6 weeks @ PMC– Dr. Nelson

• Upper Extremity– 6 weeks @ PMC– Dr. Glaser– Consult

• General– 3 months @ VA– Consult

• Tumor/General– 6 weeks @ PAH– Drs. Lackman,

Heppenstall, Ogilvie– Consult

• Pediatrics– 3 months @ CHOP


PGY - 3

• Adult Reconstruction– 6 weeks @ PMC– Dr. Garino

• Adult Reconstruction– 6 weeks @ PMC– Dr. Lee

• Sports– 6 weeks @ WH, PMC– Dr. Sennett

• Trauma– 6 weeks @ HUP– Drs. Esterhai, Mehta

• Neuro-Orthopaedics– 6 weeks @ HUP, PAH– Dr. Keenan

• Spine– 6 weeks @ HUP, PAH, PMC– Dr. Hebela

• Foot & Ankle– 6 weeks @ PAH– Drs. Wapner, Chao,

• Sports– 6 weeks– Dr. Kelly


PGY - 4

• General– 6 weeks @ PAH, HUP– Dr. Heppenstall

• Foot & Ankle/Trauma– 6 weeks @ HUP, PMC– Dr. Horstmann/Trauma

• Hand– 3 months @ PMC– Drs. Bozentka,

Beredjiklian, Steinberg– Hand Consult

• Tumor– 6 weeks @ PAH– Drs. Lackman, Ogilvie

• Adult Reconstruction– 6 weeks @ PMC– Dr. Israelite

• Pediatrics– 3 months @ CHOP


PGY - 5

• General– 3 months @ VA

• Sports– 3 months @ PMC– Drs. Huffman,

Tjoumakaris• Upper Extremity

– 6 weeks @ PMC– Dr. Glaser

• PMC Chief & Adult Reconstruction – 3 months– Drs. Garino, Israelite,

Nelson, Lee– Trauma– 6 weeks @ HUP– Drs. Esterhai, Mehta

University of Pennsylvania Health System

Hospital of the University of Pennsylvania

Presbyterian Hospital

Veteran’s Affairs Hospital

Children’s Hospital of Philadelphia

Pennsylvania Hospital


HUP: Faculty

• General Trauma– Dr. Esterhai– Dr. Mehta

• Hand Trauma• Spine Trauma


Presbyterian: Faculty

• Joints– Dr. Garino– Dr. Nelson– Dr. Israelite– Dr. Lee

• Sports– Dr. Sennett– Dr. Huffman– Dr. Kelly– Dr. Tjoumakaris


Presbyterian: Faculty, cont’d• Hand

– Dr. Bozentka– Dr. Steinberg– Dr. Beredjiklian

• Foot & Ankle– Dr. Horstmann

• Shoulder/Elbow– Dr. Glaser

• Spine– Dr. Hebela


Sports Medicine Center Weightman Hall

• Dr. Sennett• Dr. Huffman• Dr. Kelly• Dr. Heppenstall• Dr. Tjoumakaris


PAH: Faculty

• Tumor– Dr. Lackman– Dr. Ogilvie

• Neuro/Ortho– Dr. Keenan

• General– Dr. Heppenstall

• Foot and Ankle– Dr. Wapner– Dr. Chao


CHOP: Faculty

• Spine/Tumor– Dr. Dormans

• Spine– Dr. Flynn– Dr. Spiegel

• Sports– Dr. Ganley– Dr. Wells

• Foot and Ankle– Dr. Davidson

• General– Dr. Horn

• Hand– Dr. Cornwall– Dr. Lee– Dr. Chang


VA: Faculty• General

– Dr. Esterhai– Dr. Ecker– Dr. Bernstein

• Joints– Dr. Garino

• Hand– Dr. Steinberg– Dr. Bora

• Spine– Dr. Hebela


Non-operative Faculty

• Dr. Friedenberg

• Dr. Gentchos

• Dr. Pashman

• Dr. Levine


Call Schedule

• PGY-1– Q4-7 for General Surgery – Q3-7 for Ortho

• PGY-2– Q3-7 in-house (6 mo) – Q2-7 home (6 mo)

• PGY-3– Once weekly

• PGY-4– Once weekly PMC (home)– Q4-5 CHOP (3 mo)

• PGY-5– Once weekly HUP (home)

Fully compliant with ACGME

80-hour work week


Benefits

• Health• Dental• Disability• Malpractice• Parking on-site• On-call meals• Access to Penn Rec

facilities• White coats

• Vacations– Two non-consecutive

weeks (18 days); last 10 days during PGY-1

– Three non-consecutive weeks (27 days) per year after PGY-1

• Salary– PGY-1 $44,900 + bonus– Minor adjustments for

inflation


Fellowships Offered at Penn

• Shoulder and Elbow (1)

• Hand (1)

• Joints (1)

• Pediatrics (2)


Joints• HSS• Harvard• Anderson Clinic• Rush

Sports• HSS• Kerlin-Jobe• USC• Steadman-Hawkins• Miami• Pittsburgh• HJD• Duke• Rush• NE Baptist

Fellowship PlacementHand

• HSS• Harvard• Penn• UCLA

Pediatrics• LA Children’s• Texas Scottish Rite

Spine• HSS• CWRU• McAfee• CCF• USC

Shoulder/Elbow• Jeff• Columbia

Trauma• Harborview• Pittsburgh

Foot & Ankle• Penn• Mann• Andrews


Penn Alumni


Operative Cases

• Level I Trauma Center• Tertiary referral center• Wide range of cases• Every subspecialty

covered• Total cases by

graduation 1700


Weekly Didactic Conferences

Joints Upper Extremity• Monday 6:30 AM at PMC •Wednesday 6:30 AM at PMC

Trauma Resident Conference• Monday 7:00 AM at HUP• Friday 6:45 AM at HUP

• Thursday 6:30 AM at HUP

Tumor Grand Rounds

• Tuesday 7:00 AM at PAH •Thursday 7:30 AM at HUP

Sports Spine/Neuro Ortho• Tuesday 6:30 AM at HUP • Friday 6:45 AM at HUP

Foot / Ankle S&E Indications• Tuesday 6:30 AM at PMC • Friday 6:15 AM at PMC


Grand Rounds

• Thursday, 7:30 AM

• Morbidity and Mortality every 6 weeks

• Recent speakers– Dr. Green– Dr. Helfet– Dr. Hungerford– Dr. Iannotti– Dr. Koval– Dr. Yamaguchi


Other Didactic Conferences• Summer School

– For PGY-2 at beginning of consult year– Taught by Chief Residents– Review Orthopaedic Basics of Trauma/Acute Care

• Anatomy– Every other year – Taught by attendings– 4 residents per cadaver

• OITE review sessions• Journal Clubs• Annual Research Day

– Residents present publishable research (once during training)


Orthopaedic In-Training Exam

• Held annually each November for PGY 2-6

• Preparation for the AAOS Boards

• 97th percentile nationally in OITE score, 2007

• Complete OITE study question database

1999-2006

• Previous year’s answers/explanations

prepared by residents for study guide



POST EXAM CELEBRATION


McKay Orthopaedic Labs• 5th largest NIH funded

Orthopaedic Research Lab

• Annual budget over $5 million

• Penn Center for Musculoskeletal Disorders founded 2006

• Over 60 staff and trainees

http://www.uphs.upenn.edu/orl/


McKay Orthopaedic Labs

Faculty– Dr. Soslowsky, Director– Dr. Kaplan, Director– Dr. Elliott– Dr. Shore– Dr. Mauck– Dr. Glaser– Dr. Brighton– Dr. Clark



• Research areas– Biomechanics– Biomaterials– Tissue engineering– Tissue culture– Biochemistry– Cell & molecular

biology– Histology– Microscopy– Animal studies


McKay Orthopaedic Labs• Current projects

– Rotator Cuff Injury Model

– BMP Signaling

– FOP

– Scarless Tendon Healing

– Meniscal Repair

– Cartilage Scaffolds

– Tissue Engineering with MSCs

– Stem Cell Origins

– Degenerative Disc Disease



• Clinical faculty involvement

• Two residents per year enter lab after PGY-2 for dedicated research

• Protected research time no call responsibility

• Basic science research opportunities available to all residents


Courses Attended• Arthroplasty, PGY 2, 4/5

– (DePuy J&J)• AO Basic & Advanced, PGY

2/3, 4/5• Surgical Approaches, PGY

2/3– (Smith & Nephew)

• Advanced Surgical Approaches, PGY 5– (Smith & Nephew)

• Trauma, PGY 4/5– (Howmedica, Zimmer)

• HSS Basic Science, PGY 2-5


Philadelphia Ortho Society

• Excellent Speakers (previous year)– Dr. Myerson– Dr. Marcus– Dr. Wiesel – Dr. Vaccaro

• Resident Bowl• Meet attendings and residents from the

area in a social setting• Membership free for residents

http://www.voicenet.com/~orthop


UPOJ

• University of Pennsylvania

Orthopaedic Journal

• Entirely resident organized

• Peer-reviewed

• Distribution of 2,500

• Penn Tradition

http://www.uphs.upenn.edu/ortho/oj/


Applicant Reception


Alumni Golf Outing


The Alumni Dinner


Holidays


Celebration


And More Celebration


Philadelphia


Philadelphia: History• Independence Hall

• Liberty Bell

• Betsy Ross House

• Reading Terminal

• Italian Market

• First Bank of the US

• Congress Hall

• City Hall


Philadelphia: Sports


Philadelphia: Museums

• National Constitution Center

• Philadelphia Museum of Art

• Rodin Museum• Franklin Institute• Academy of

Natural Sciences• Mütter Museum


Philadelphia: Sights & Sounds


Additional Information

Barbara Weinraub, Resident Coordinator [email protected]

Department of Orthopaedic SurgeryHospital of the University of Pennsylvania

2 Silverstein, 3400 Spruce StreetPhiladelphia, PA 19104, 215.349.8731

mailto:[email protected]



Training Tomorrow’s Leaders Today

Thank You

university of pennsylvania department of orthopaedic surgery

Documents

vaconsulttumorgeneral6

keenanspine6 weeks

leesports6 weeks

sennetttrauma6 weeks

nelsonupper extremity6

mehtaneuroorthopaedics6

hebelafoot ankle6 weeks

vasports3 months