Curriculum

PGY-1 (Internship)

PGY-1 residents, also known as interns, rotate every 4 weeks and spend 1 month on intern skills and 5 months on orthopaedic surgery. The remaining six months include rotations in vascular surgery, pediatric surgery, SICU, ACS, general surgery, and plastic surgery. These rotations take place at University of Michigan Hospital as well as St. Joseph Mercy Hospital.

PGY-2 through -5

PGY-2 through PGY-5 residents, will rotate every 6 weeks through several sub-specialties including trauma, adult reconstruction, spine, pediatric orthopaedics, hand & upper extremity, foot & ankle, orthopaedic oncology, and sports medicine. You will also have dedicated research blocks where you are given the opportunity to develop a greater understanding of the scientific literature and participate in the advancement of orthopaedic science. Rotations during these years add in the Veterans Administration (VA) Hospital.

Click the link below for a sample rotation schedule:

Structure of Rotations

Residents rotate on ten different services. In general, each service consists of a chief, a mid-level resident and a junior resident. Most of the services have advance practice providers (either a physician assistant or nurse practitioner) who assist in clinic and occasionally in the OR.

When rotating on a University Hospital service and at the VA, the residents are responsible for their attending’s clinic and OR. The chief resident on each service assigns resident coverage according to educational value and equitable exposure to operative and clinical experience.

Joint Reconstruction

The Joint Reconstruction service has three attending’s - Drs. Brian Hallstrom, Andrew Urquhart, and Aidin Eslam-Pour and. The Joint Reconstruction service (SJO) consists of a first, second, fourth and fifth year resident along with four physician assistants and two nurse practitioners. This service performs complex adult reconstructive cases including total hip and knee arthroplasty.

Spine

The Spine service (SMO) currently has two attending’s - Drs. Rakesh Patel and Ilyas Aleem. The Spine service consists of a second and fourth year resident along with a nurse practitioner and physician assistant. Graduating residents will have completed three months on the adult spine service.

Foot and Ankle

The Foot and Ankle service has three attending’s - Drs. James Holmes, Paul Talusan and David Walton. The Foot and Ankle service consists of a second and fourth year resident and three physician assistants. Graduating residents will have completed three months on the Foot and Ankle Service.

Hand

The Hand Service (SHO) has three attending’s - Drs. Jeff Lawton, Kagen Ozer and John Lien. The service consists of a third and fifth year resident and four physician assistants. Hand call is divided between this service and plastic surgery. The Hand service takes care of everything from simple hand cases, such as trigger fingers and carpel tunnel to complex cases such as digital replants. Additionally, residents will perform simple wrist cases such as scaphoid fractures to complex wrist cases, such as wrist instability. Furthermore, a resident’s operative experience will include simple elbow cases, such as non-displaced radial head fractures, to complex elbow reconstructions including total elbow arthroplasty. This service also takes care of congenital hand disorders and obstetric brachial plexus palsies.

Tumor

The Tumor service has two attending’s - Drs. Sybil Biermann and Geoff Siegel. Residents rotate on the oncology service as a fourth year working with a physician assistant. The Tumor service manages benign and malignant primary bone and soft tissue tumors, as well as bone metastasis. This service does large limb salvage procedures using implants and/or allograft.

Trauma

The Trauma service currently has three attending’s - Drs. James Goulet, Aaron Perdue and Mark Hake. The service consists of a first, second, third, and fifth year resident and three physician assistants. The trauma service manages acute trauma such as tibia and femur fractures, as well as complex pelvic and acetabular fractures. In addition, other elective reconstructive procedures are done, such as periacetabular osteotomies and adult limb lengthening. The PGY II is assigned to cover the ER and emergency consults during the daytime hours, with a night float system providing night call coverage that is the PGY III’s responsibility.

Pediatric Orthopaedics

The Pediatric orthopaedic service has five attending’s - Drs. Michelle Caird, Clifford Craig, Frances Farley, Robert Hensinger and Ying Li. The service consists of a second, third, fourth and fifth year resident. There is also a nurse practitioner and physician assistant who help with clinic as well as inpatient responsibilities. On this service, you will take care of the entire spectrum of pediatric orthopaedics, including scoliosis (idiopathic, congenital, neuromuscular), developmental dysplasia of the hip, clubfeet, trauma and adolescent sports medicine.

Sports Medicine

The Sports Medicine service has seven attending’s - Drs. Asheesh Bedi, James Carpenter, Eileen Crawford, John Grant, Bruce Miller, Edward Wojtys and Mike Freehill. The service consists of a third, fourth and fifth year resident as well as several physician assistants. In addition, Drs. Tariq Awan, Jeff Housner, and David Alvarez, fellowship trained in non-operative sports medicine, participate in the care of UM and EMU athletes and the USA Hockey program. The Sports service takes care of patients with knee ligament injuries (ACL or PCL tears), shoulder instability and arthritis, ankle and elbow injuries. The clinic is located off-site in Domino’s Farms and is known as MedSport. It is connected with the physical therapy facilities there. The service provides care for the sports teams for the University of Michigan and Eastern Michigan University as well as the USA Junior National Hockey team. Graduating residents will have spent four and a half months on the sports service.

VAMC

The orthopaedic service at the Ann Arbor VA is directed by Dr. David Patterson. Other UM orthopaedic faculty are available for special cases and clinics as needed. Residents rotate at the VA during their second and fifth year.

A&R (Anatomy and Research)

Prior to graduation, you are required to complete a publishable quality research project, which can be either a clinical or basic science project. Residents in their third year are given six weeks to work on clinical or bench research, or an anatomy project may be completed. This is not enough time to complete a major project, but it is expected that most of the setup work would have been done prior to and the completion of the manuscript after these six months.