Clinical Experience

Your residency program exposes you to the seven major subspecialties. You will rotate with each faculty member at least once in your five-year program, and you will have experience in all of the orthopedic subspecialties as both a junior and senior level resident.
 
All rotations take place at the University of Wisconsin Hospital and Clinics or at nearby hospitals.
 
Health Elective:  Residents may choose to participate in a one-week global health elective rotation as a senior resident.

Rotation Schedule

Rotation PGY-1 PGY-2 PGY-3 PGY-4 PGY-5
Orthopedics
Adult Reconstruction (Joints/Tumor) UW  UW   UW UW
Community     MH    
Foot and Ankle
  MH   MH  
Hand UW
  UW/MH   UW/MH
Night Float (two 5-week blocks)   UW      
Pediatric
UW

UW   UW
Research       UW  
Spine   UW   UW  
Sports   UW   UW  
Trauma
UW
UW UW UW UW
VA
  VA
VA
Non-Orthopedics (required by ACGME)
Anesthesiology UW        
Emergency Medicine UW        
General Surgery MH        
Musculoskeletal Imaging UW        
Surgical Critical Care
UW        
Trauma UW        
Surgical Skills UW
 
MH = Meriter Hospital (approximately 3 miles from UW Hospital)
UW = University of Wisconsin Hospital and Clinics
VA = Veterans Administration Hospital (adjoins UW Hospital)

On Call and Emergency Room Coverage

ER coverage is a 24-hour resident responsibility that is shared during the weekday hours with a physician’s assistant. Coverage by the junior resident (first call) is divided into several categories: weekday, night and weekend coverage.
 
Weekday coverage Monday through Friday begins at 7:00 a.m. and ends at 6:00 p.m. Weekday coverage is the primary responsibility of the designated physician assistant with the assistance of the Trauma service.
 
Night call coverage begins at 6:00 p.m. Sunday through Thursday and ends at 7:00 a.m. the following morning. Night call will be covered by the PG-2 night float resident.
 
Weekend coverage has 3 shifts: 1) Friday from 5:00 p.m. until the following morning at 7:00 a.m., 2) Saturday from 7:00 a.m. until Sunday 7:00 a.m., and 3) Sunday 7:00 a.m. until 7:00 p.m.
 
In addition to first call or junior call, a senior resident (PG-4 or PG-5) will be on second call.
 
On designated days within the Anesthesia, MSK Radiology, and Ortho Adult Reconstruction rotations, PG-1 residents will experience real-time trauma, emergency room, and orthopedic consult experience to simulate call duties which begin with the PG-2 year.  These sessions are directly supervised by upper level orthopedic residents such that appropriate consult, triage, and fracture management skills are obtained.
 
A second resident will also be on backup call. This is designed primarily to provide ER coverage when the first call residents are in the OR or when extra help is deemed necessary by the attending physician on call. Backup should be used as a last resort. When the first call resident requires help, the senior resident (second call) should be the next resident involved.
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