Locations & Expectations for the Rotation

University of Iowa Hospitals and Clinics

1. Orthopaedic Clinic (A through F), lower level of JPP
2. Main operating rooms and ambulatory surgery center (ASC) located on 5th floor JCP

Veterans Administration Medical Center

1. Report first to the Surgical Services office, 4 East, Room 4E15, to sign-up for computer services, then
2. Orthopaedic clinic, 2 South, 2nd floor, the Orthopaedic Clinic, (next to Physical Therapy), and contact Holly Lair (phone no. 338-0581, extension 5801), or page one of the residents, whose name and pager number will be given to you at your orientation before going to the V.A.

On your 1st day

Report to the Orthopaedic Small Conference room, # 01084 JPP at 7:15 a.m., which is located in the lower level of south Pappajohn Pavilion. You can take Elevator I down to the lower level, walk straight and you will see the Orthopaedic main reception desk. You turn left then a quick right and you will be going down the main hallway. The second hall on your left, turn and it is third door on your on the left. You will NOT receive anything in your mailboxes. You will be receiving your information packets at orientation. (Team assignments are made randomly assigned for your first week on Orthopaedics to make it equal and fair to everyone. The second week you have requested a team in Orthopaedics and we will do our best to honor your request; someone will be assigned to the V.A. Hospital for both weeks, because of their set-up)

• If you get a chance before you start our clerkship, you should go to the operating room office area, Room 6517, Carol Werner's office to get a locker for your clerkship in Orthopaedics. BE SURE YOU HAVE YOUR ID NAME BADGE WITH YOU! There is a security system for entering the operating room suite. If they do not have your name on their list you probably will not be able to enter the O.R. suite itself.

You will receive at orientation, team assignments, lecture schedule, lecture handouts, clinic schedule, list of objectives, instructions on how to initiate on-line evaluations, that you as a student will need to initiate on your team members (staff and senior resident), plus completing evaluations on all of your team members, and of the clerkship in general, by the end of your rotation.

On following days

You will be instructed on clinical assignments by one of the residents of your assigned team. Every day there will be morning rounds to attend before participating in a student lecture, departmental conference, going to clinic or going to the operating room.

In general you will arrive before 6:30 a.m. for cases in the main operating room or Ambulatory Surgery Center. This allows time to learn about set up of the room, as well as to discuss management of the case if you have not already done so. Residents and faculty are more likely to be impressed if you arrive early.

1. You will be assigned to a team and function as an integral member. You will work with that team during the two week clerkship.
2. Second and clinical year objectives are part of a continuum. The examination at the end of the clinical clerkship covers all of the objectives.
3. The clinical clerkship emphasizes the intermediate objectives (see above).
4. One complete history and physical, per clinic, on a new or return patient to be evaluated by a senior resident or staff.
5. You are to attend all Orthopaedic Surgery conferences (a separate schedule will be provided).

Responsibilities:

1. Work up return clinic patients on your team.
2. Know your team patients on the floor and follow their course. Be prepared to present patients at team teaching rounds. You may be asked to assist with ward work. Attend team rounds.
3. Assist in surgery and plaster work on all patients you have worked up.
4. Each clinic at least one out-patient will be assigned by your senior resident. The work-up should include a thorough history with significant positives and negatives. A complete musculoskeletal exam is required. Include a differential diagnosis, final impression and recommendation for treatment. Staff will evaluate the work-up.
5. Written examinations will be at the end of the 2 week period. You are responsible for all assigned reading, lecture handouts and your M2 notes.
6. Reading: Each student must assume personal responsibility for learning during the clerkship. In general, students should expect to spend a minimum of one hour reading each day to prepare for the next day's conference and to build their orthopaedic knowledge base. Patient care responsibilities will demand additional daily reading, as will case presentation on various services.

Required reading

• A review of your relevant notes from Gross Anatomy, Systemic Pathology, Foundations of Clinical Practice, and Physical Diagnosis.
• Objectives for Orthopaedics
• See Reading List