Orthopaedic Electives

Clerkship Coordinator:
Amanda Schwanz
amands4@u.washington.edu
Preceptorship in Orthopaedics
ORTHP 675
Local and away sites possible

Clerkship coordinator: Amanda Schwanz

amands4@u.washington.edu
 Preceptorship in Orthopaedics
ORTHP 675
Objectives:
 Obtain a history and perform a physical examination focusing

on the musculoskeletal system

 Perform a screening musculoskeletal examination

 Perform a basic peripheral nerve exam for the upper and lower

extremities
 Summarize and present a patient’s chief complaint in an

ordered and succinct fashion

 Discuss diagnosis and management of musculoskeletal

problems
 Discuss basic principles of surgical management of common

musculoskeletal problems
Musculoskeletal Trauma
ORTHP 677
Harborview Medical Center

Clerkship Director - Lisa Taitsman, MD

Musculoskeletal Emergencies
 Fractures
 Dislocations
 Infections
 Neurovascular
injuries
 Compartment
syndrome
 Objectives:
 Students will be able to:
 Diagnosis and manage
musculoskeletal injuries.
 Perform a musculoskeletal evaluation
including neurologic function.
 Interpret x-rays of the
musculoskeletal system including
fractures and dislocations.
 List those traumatic musculoskeletal
emergencies requiring immediate
treatment
 Describe the multi-organ involvement
typical of the polytrauma patient
Musculoskeletal Trauma
ORTHP 677
 Multiple students per 4 week rotation
 Usually no more than two per team
 Call encouraged
 Frequent morning conferences
 Multiple choice examination
 Typical clerkship choice for those wanting
to go into orthopaedics
 Warning – this can resemble a one month
audition or interview
 Pediatric Orthopaedics
ORTHP 676
 Clerkship Director:

Greg Schmale, MD
Pager 469-6595
 Pediatric Orthopaedics
ORTHP 676
 Objectives: Students will be able to:
 Make a reasonable and appropriate
differential diagnosis for the common
pediatric musculoskeletal conditions
 Describe the pertinent diagnostic
categories and the likelihood of each.
 Perform a basic but thorough evaluation,
including physical examination, imaging
studies, laboratories.
 Provide the standard of care in the
community.
 Determine what you’re comfortable

treating, and what should be

referred.
Pediatric Orthopaedics
 One student per 4 week rotation
 No call required
 No pager required
 One or two days per week in OR, the rest
in clinic
 Daily morning conferences
 Long answer final based on clinical
exposure
 Optional presentation for honors
 Great for primary care practitioners to be
ORTHP 680 P- General
Orthopædic Clerkship
 VA Hospital
 Dr. Sangeorzan
 Foot ankle conditions
 Amputation service
 Dr. Sack
 Hand service
 Degenerative and
traumatic conditions of
the hand
 Dr. Chansky
 General orthopaedics
 ORTHP 680 P- General
Orthopædic Clerkship
 Work-up for low back pain, appropriate
used of imaging, and non operative treatment
 Primary and secondary osteoarthritis of the
should, knee and hip
 Learn to perform a focused history and
physical examination for osteoarthritis,
including determination of risk factors
 Utilize medical evidence to devise treatment
plans for osteoarthritis, including the use of
medications and assistive devices
 Demonstrate basic skills in suturing,
applying dressings/casts, and patient
positioning, prepping and draping
Musculoskeletal Oncology
ORTHP 678

 Clerkship Director

Jason Weisstein, MD
 Musculoskeletal Oncology
Objectives:
 Identify characteristics of primary
sarcomas of bone and soft tissue
 Describe the incidence of metastatic
disease involving the skeleton in
adults and children
 Describe diagnostic characteristics of
each sarcoma subtype
 Discuss principles of evaluation and
staging of musculoskeletal cancers
 Describe typical treatments and their
complications
Musculoskeletal Oncology
 A broad exposure to the work-up, diagnosis
and treatment of bone and soft tissue tumors
 Up to 2 students
 No required call
 The student is not expected to carry a pager
 50/50 split between time devoted to inpatient
and outpatient care
 Attend all morning rounds, clinics, tumor
conferences, and operative cases.
 Outpatient Orthopaedics
ORTHP 682
Carol Teitz, MD, Clerkship Director
Objectives:
 Perform a focused evaluation of orthopaedic problems
presented in the outpatient setting, including physical
examination, the selection of imaging studies and
laboratory tests.
 Develop a diagnosis, based on a careful consideration of
all aspects of the case.
 Provide the standard of care in the community.
 Determine what you’re comfortable treating, and what
should be referred.
Outpatient Orthopaedics
ORTHP 682
 1 student at a time
 Attend didactics on Monday mornings
 No call, no pager
 All outpatient; duty hours 8-5
 Final exam written multiple choice
 Best for students interested in primary
care.
 Sports Medicine - ORTHP 681
Objectives:
 Perform and present a history and directed physical exam of
patients presenting with sports related musculoskeletal
complaints.
 Develop a differential diagnosis for knee pain in the active
patient (with and without a history of injury):
 Develop a differential diagnosis for shoulder pain in the active
patient (with and without a history of injury).
 Describe the differential diagnosis for post-traumatic
hemarthrosis of the knee.
 Discuss the common treatment recommendations for a patient
with patellofemoral pain.
 Describe the expected history and physical findings in a patient
with tendonitis, stress fracture, torn meniscus, ACL tear, rotator
cuff tear, shoulder dislocation, AC separation, ankle sprain.
Sports Medicine - ORTHP 681

 Trey Green, MD
Clerkship Director

 1-2 students at a time

 Attend didactics on Monday mornings
 Outpatient and inpatient
 Final exam - written multiple choice
Adult Reconstructive
Spine Surgery – ORTHP 684
Objectives:
 Perform a thorough history and physical

examination of a patient presenting with a

spine abnormality
 Determine appropriate diagnostic tests

based on a differential diagnosis

 Discuss differences between surgical &

nonsurgical disorders
 Adult Reconstructive
Spine Surgery – ORTHP 684
Objectives –cont-
 Identify disorders constituting a surgical emergency

 Determine problems that are appropriate for primary

care management and those spine problems that

require referral to a spine surgeon
 Describe the complete spectrum of nonsurgical

management of spine disorders

 Adult Reconstructive
Surgery – ORTHP 685
Objectives
 Perform a thorough history and physical examination of

the older adult patient presenting with hip or knee

pain.
 Suggest appropriate diagnostic tests based on a

differential diagnosis
 Describe the basic anatomical and pathophysiological

aspects of hip and knee arthritis

 Suggest an appropriate course of non-surgical treatment

for a patient presenting with hip or knee arthritis

 Adult Reconstructive
Surgery – ORTHP 685
Objectives –cont-
 Discuss the selection of patients and the expected

outcomes of surgery for hip and knee arthritis.

 Identify patients for whom surgery would not be

appropriate
Shoulder and Elbow Orthopædics
Clerkship - ORTHP 687
Objectives
 Evaluate and develop management plans for
patients with shoulder and elbow problems by
conducting a thorough/efficient clinical history and
physical examination
 Develop basic treatment options, including home
exercises, medications and surgery along with the
alternatives and risks of each.
 Learn to diagnosis and plan treatment for a core
group of shoulder problems
 Orthopædics External Elective -
ORTHP 697
Orthopædics WWAMI Special Electives – ORTHP 699
New Electives:
Spokane
Pediatric Orthopaedics at the Shriner’s Hospital for Children
Physician Contact: Paul Caskey, MD
General Orthopaedics: Orthopaedic Specialty Clinic of
Spokane
Physician Contact: Kurt Anderson, MD
Thank you for your attention!
Questions?
gschmale@u.washington.edu

amands4@u.washington.edu