Rotations and Clinical Sites | Orthopedic Surgery Residency
Intern Rotation Schedule
The first year of the orthopaedic residency (postgraduate year 1 (PGY-1)) at the University of Maryland Medical Center provides a diverse 12-month experience that has been developed in accordance with the regulations of the American Board of Orthopaedic Surgery to ensure a balanced year for the orthopaedic resident. Each rotation block is 1 month in length. The PGY-1 year is structured to ensure compliance with the Accreditation Council for Graduate Medical Education (ACGME) duty hour rules. Our interns enjoy 7 months of orthopaedics and 5 months of general surgery.
Midtown: 2 blocks. Interns are in the OR every day during this rotation and work with our trauma, foot and ankle, sports, and joints faculty.
UMROI/VA: 2 blocks. Interns gain a broad exposure to spine, sports, and hand surgery on this rotation. There is a mixture of clinic, OR, and rounding responsibilities that prepare our residents well for their junior level rotations.
Ortho Trauma Call: 2 blocks. This is a "buddy call" rotation overnight at Shock Trauma (Level 1) where our interns assist senior residents with trauma consult responsibilities. Interns directly participate in the care of polytrauma patients including performing reductions, splinting, and overall trauma care.
Intern School: A month-long formal surgical skills educational program that is run in collaboration with other local orthopaedic surgery institutions. Daily didactics include splinting, casting and suturing workshops, sawbones, cadaver, and arthroscopy labs, and chalk talk style lectures with faculty from around the Baltimore/DC metro area. This is often the favorite rotation of intern year as you get hands on experience and meet colleagues from every program in the region.
General Surgery services: Acute Care Emergency Surgery, Vascular Surgery, Pediatric Surgery, BWMC Community General Surgery, Trauma Surgery
PGY2-5 Rotation Curriculum
Rotations throughout residency at the University of Maryland incorporate a combination of mentorship and service based models. Mentorship models allow for residents to work 1 on 1 with attendings to get an individualized experience. Service models allow for residents to work on a team with a senior resident, fellows and multiple attendings. This allows for longitudinal learning as you rotate on service multiple times throughout residency. Service based rotations also embody team work. All services are assisted by a variety of support staff including NPs and PAs to optimize resident education.
Adult Reconstruction Rotation: PGY-3 and PGY-5
Baltimore Veterans Administration Medical Center (BVAMC) Rotation: PGY-2 and PGY-5
Baltimore Washington Medical Center (BWMC) Rotation: Rotation in community orthopaedics including hand, sports and adult reconstruction for PGY-3 and PGY-4
Foot and Ankle: The Foot and Ankle rotation is completed during the PGY-3 year at Mercy, but residents gain foot and ankle experience throughout all 5 years while working with our foot and ankle faculty.
Pediatrics: Hopkins PGY-3, UMMC and Sinai Institute for Limb Lengthening PGY-4
Oncology: UMMC PGY-2, Sinai PGY-4
Spine: UMMC PGY-2 and PGY-4
Sports including University of Maryland Athletics: PGY-3 and PGY-5
Trauma (Shock Trauma and UM Capital Region Medical Center): PGY-2, PGY-3, PGY-5 years
Upper Extremity: Residents rotate on the Shoulder/Elbow Service as a PGY-2. Residents also have dedicated hand exposure during BWMC, VA and Shock Trauma rotations.
Electives are available in the PGY 5 year.
Clinical Sites
University of Maryland Medical Center / R Adams Cowley Shock Trauma Center: UMMC/Shock Trauma is our downtown flagship medical center. UMMC is a 757 bed teaching hospital with 20+ ORs where our inpatient, spine, and complex joint procedures are performed. Shock Trauma is our world renowned 100+ bed Level 1 trauma only hospital with 11 ORs specifically dedicated to trauma surgery and care of the multiply injured patient. This facility is connected directly to UMMC is where our most complex ortho trauma surgery is performed.
UM Rehabilitation and Orthopaedic Institute: This is an orthopaedic only rehabilitation hospital with 6 ORs. Many of our outpatient sports, joints and upper extremity procedures are performed.
UM Capital Region Medical Center: This is a Level II Trauma center where residents rotate for a high volume orthopaedic trauma experience.
Baltimore Veterans Administration Medical Center: A number of our faculty staff cases at the VA including, total joints, spine, hand, sports, shoulder, and low energy trauma. The VA rotations also include a resident run clinic for both juniors and senior residents.
UM Baltimore Washington Medical Center: This is a community hospital within the University of Maryland system where residents gain valuable exposure to a community and private practice setting.
Johns Hopkins Hospital: Residents rotate here for one block as PGY3s for a broader exposure to pediatric orthopaedics. Residents work with world renowned faculty including Dr. Sponseller.
UM St. Joseph Medical Center: This community hospital is an affiliate of UMMC staffed by the private practice group Towson Orthopaedics. Residents rotate here as part of their joints rotations to see a different care model of elective arthroplasty.
Mercy Medical Center: Mercy's Institute for Foot and Ankle Reconstruction is a division of The Orthopedic Specialty Hospital at Mercy Medical Center, and home to their nationally recognized fellowship program. Residents have the opportunity to work one on one with nationally recognized faculty in a private practice setting.
Midtown: This is a smaller UMMC hospital within the downtown Baltimore area where the majority of our elective trauma cases are performed. Many of our trauma, joints, foot and ankle, and sports staff operate here. A new surgery center is currently being built within this complex and is scheduled to be completed in 2022.