Orthopedic Residency Training

The Training Program

PGY-I – Consists of a rotational internship. It grants exposure to services helpful in preparing for orthopaedic surgery. Rotations include one month blocks in general surgical trauma, plastics, infectious diseases, burns/icu, vascular and neurosurgery as well as orthopaedic surgical services.

– Residents are actively involved in the orthopaedic trauma service. They also have exposure to pediatric orthopaedics and hand surgery

PGY-III – Provides residents with experience in sports medicine, spine, foot and ankle surgery and general orthopaedics. . A research block is available for pursuing clinical or basic science research.

PGY-IV – Residents spend three months as the chief resident on the pediatric orthopaedic service. The resident also learns the intricacies of tumor as well as adult reconstructive surgery. Another research block is available for continuing clinical or basic science research.

PGY-V – During the chief resident year it is expected that the knowledge gained over the previous four years will be applied in clinical decision making as well as the applied operative technique with staff supervision. Three months are spent on the general orthopaedic service and three months on the trauma service. The remaining six months consists of three months as administrative chief and three months of elective rotations in various areas of interest to the individual resident. The off-service chief resident also has administrative responsibility as well as clinical responsibilities.

There is a dedicated hour of conference every day except for Friday in which there is a two hour grand rounds. Our conferences are very important to us and are protected time and uninterrupted by other services or responsibilities for their entirety. Conferences are well balanced to cover the essential learning objectives that are required for success on board style exams such as OITE and licensure examination. Our academic calendar is a 2 year rotating curriculum of orthopaedic essentials, such as pediatric orthopaedics and basic science, interspersed with case conferences and morbidity and mortality presentations. Lectures are given by attendings as well as residents to keep the resident actively involved in learning and teaching orthopaedics.

Orthopaedic Rotations
Adult orthopaedics/Trauma, including multisystem trauma;
Diagnosis and management of adult orthopaedic problems is particularly emphasized on the general orthopaedic service rotation with Drs. Haidukewych, Koval, Munro, Kupiszewski and Langford. The trauma experience is quite extensive since we are a Level I system and one of the busiest in the Southeast. The exposure to the surgery of the spine, as well as disk surgery, spinal trauma and deformities is obtained both during the pediatric rotation where a great deal of scoliosis and congenital spine problems are managed and also during a dedicated rotation with the spine surgeons.

Adult Reconstruction
Led by George Haidukewych, MD the joint reconstructive service offers a comprehensive experience for the resident in both clinical and surgical joint reconstruction. Residents are exposed to a variety of joint disorders, which include but are not limited to total joint procedures, degenerative osteoarthritis, rheumatoid arthritis, posttraumatic arthritis, osteonecrosis, dysplasia, and hemophilic/sickle cell arthroses.

Pediatric orthopaedics, including pediatric trauma
Pediatric orthopaedics has traditionally been a strong aspect of the residency going back to the original founding of the program in 1957. Led by Jose Herrera-Soto, MD as well as a very competent traditional faculty of four fellowship trained pediatric orthopaedic surgeons it is based at Arnold Palmer Hospital for Children and Women.

Foot and Ankle
Office, surgical and non-surgical experience is gained by a dedicated rotation with Steven Choung, M.D., who is a foot and ankle fellowship trained orthopaedist. Dr. Choung’s practice is quite extensive in that there are only two fellowship trained orthopaedists in the metro Orlando area. Foot and ankle surgery of children is also learned during the rotation with the pediatric orthopaedic service as well as, to a limited extent on the several rotations of the general orthopaedic service.

Hand surgery
The Hand surgery rotation is led by Brett Lewellyn, MD. During this time residents have an opportunity to practice their microsurgical skills in an in vitro model usually done in our laboratory on Friday afternoons.

Metastatic disease
Diagnosis and management of metastatic disease is included in the general orthopaedic service rotation and during a musculoskeletal tumor rotation at the Moffitt Cancer Center in Tampa. While there they work with Doug Letson, M.D., and Odion Binitie, M.D., both fellowship trained in this specialty. Lectures in musculoskeletal pathology and treatment are given throughout the year by these individuals and in addition the residents attend a musculoskeletal conference off campus yearly directed by Dr. Letson. At ORMC the general orthopaedic service will attend with these individuals as well as Craig Jones, M.D. who is a community faculty member fellowship trained in this discipline.

Spine/Spine Trauma
The exposure to surgery of the spine, including disk surgery, spinal trauma and deformities is obtained both during the pediatric rotation where a great deal of scoliosis and congenital spine problems are managed and also during the dedicated rotation with Drs. Flynn, Stewart and Broom, the adult orthopaedic spine surgeons. The resident experience includes clinic time in the spine surgeons’ offices where the assessment and management are defined by the resident and attending. The resident experience in adult spine trauma is included in the spine rotation. Well trained spine trauma surgeons have joined our clinical faculty to teach this aspect. They are Nizam Razack, MD neurosurgeon and the University of Florida Neurological Surgery at OH group consisting of 5 fellowship trained neurosurgeons.

Led by Daryl Osbahr, MD, and our sports medicine faculty including, Tom Winters, M.D., Kevin Nowicki M.D., and Robert Murrah, M.D., all of whom are fellowship trained. The Sports rotation focus is on skill and experience in the diagnosis and management of athletic injuries. As part of this rotation the resident attends various sporting events. As with all specialties extensive lectures are also part of the rotation. The residents receive training in arthroscopy not only on this rotation but also on the general orthopaedic rotation.

View the Complete Schedule

Approximate Cases:

Adult reconstruction including (total hip, total knee, total shoulder and arthroplasties) - 400
Sports Medicine including arthroscopy and open reconstructions - 600
Trauma including foot and ankle - 600
Hand and Upper Extremity - 500
Spine - 100
Foot and Ankle Reconstruction - 70
Pediatrics - 200
Tumor* - 20
Total Cases - 2,470