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Department of Orthopedics

ORTS 440 Precepteeship in Orthopaedics
Faculty: Laurance Dahners, M.D.
Prerequisites: Completion of all required clinical clerkships.
Offered: Periods 1-6
Min. Enrollment: 1
Max. Enrollment: 4
Duration: One elective period
Meeting Place: 5 Bed Tower, UNC Hospitals
Meeting Times: 6:00 a.m.
Credit Hours: 6
Learning Objectives: Upon completion of this rotation the student should be able to demonstrate competency in the following areas:
1) The ability to obtain and report a basic orthopaedic patient history for common orthopaedic conditions and injuries with particular emphasis on the chief complaint, inciting events, mechanism of injury, exacerbating and alleviating factors, timing of symptoms, and associated symptoms.
2) The ability to perform and report a basic orthopaedic physical examination of the spine, shoulder, elbow, wrist and hand, pelvis and hip, knee, and foot and ankle. Students should also be able to demonstrate an understanding of normal and abnormal anatomy as it relates to the examination of a particular body area.
3) Demonstrate an understanding of the basic science, physiology, pathophysiology, pathology, and natural history of common orthopaedic conditions and injuries.
4) The ability to develop a working differential diagnosis for common orthopaedic conditions and injuries and to demonstrate an understanding of the appropriate timing and use of common diagnostic testing modalities to assist with determining a definitive diagnosis.
5) Knowledge of the appropriate available treatment alternatives, including both non-operative and operative, for common orthopaedic conditions and injuries. Students should be able to discuss the relative merits and limitations of each type of treatment as well as any potential side effects or complications of the treatment.
6) Knowledge of possible preventative measures to avoid common orthopaedic conditions and injuries.
Learning Activities: Students will spend four weeks associated on a one-to-one basis with an attending orthopaedic surgeon at UNC Hospitals. Students work-up hospital admissions and present them to the attending for evaluation and further discussion. Students then follow these patients in the operating room where they will have the opportunity to correlate preoperative findings with operative pathology. Participating in hospital rounds and outpatient clinics will provide instruction in appropriate follow-up care and management of post-operative patients. Students attend orthopaedic conferences and seminars. When possible during the precepteeship, call should be taken with the assigned attending. Night and weekend call will be every third to fourth night depending on the number of students on the rotation. This rotation is specifically designed for senior students interested in pursuing an orthopaedic residency.
Evaluation: Students will receive a written evaluation at the end of the rotation by attendings and verbal feedback throughout the month.
Date Updated: 2/1/2006

ORTS 442 Externship in Orthopaedics
Faculty: Laurence Dahners, M.D.
Prerequisites: Completion of all required clinical clerkships
Offered: Period 1-6
Min. Enrollment: 1
Max. Enrollment: 2
Duration: One elective period
Meeting Place: 5 Bedtower, Orthopaedics, UNC Hospitals
Meeting Times: 6:00 a.m.
Credit Hours: 6
Learning Objectives: Upon completion of this rotation the student should be able to demonstrate competency in the following areas:
1) the ability to obtain and report a basic orthopaedic patient history for common orthopaedic conditions and injuries with particular emphasis on the chief complaint, inciting events, mechanism of injury, exacerbating and alleviating factors, timing of symptoms, and associated symptoms.
2) The ability to perform and report a basic orthopaedic physical examination of the spine, shoulder, elbow, wrist and hand, pelvis and hip, knee, and foot and ankle. Students should be able to demonstrate an understanding of normal and abnormal anatomy as it relates to the examination of a particular body area.
3) Demonstrate an understanding of the basic science, physiology, pathophysiology, pathology, and natural history of common orthopaedic conditions and injuries.
4) The ability to develop a working differential diagnosis for common orthopaedic conditions and injuries and to demonstrate an understanding of the appropriate timing and use of common diagnostic testing modalities to assist with determining a definitive diagnosis.
5) Knowledge of the appropriate available treatment alternatives, including both non-operative and operative, for common orthopaedic conditions and injuries. Students should be able to discuss the relative merits and limitations of each type of treatment as well as any potential side effects or complications of the treatment.
6) Knowledge of possible preventative measures to avoid common orthopaedic conditions and injuries.
Learning Activities: Students will spend four weeks associated on a one-to-one basis with an attending orthopaedic surgeon at UNC Hospitals. Student work-up hospital admissions and present them to the attending for evaluation and further discussion. Students then follow these patients in the operating room where they will have the opportunity to correlate pre-operative findings with operative pathology. Participating in hospital rounds and outpatient clinics will provide instruction in appropriate follow-up care and management of post-operative patients. Students attend orthopaedic conferences and seminars. When possible during the precepteeship, call should be taken with the assigned attending. Night and weekend call will be every third to fourth night depending on the number of students on the rotation. This clerkship is the only rotation suggested for external students interested in pursuing an orthopaedic residency position at UNC.
Evaluation: Student will receive a written evaluation at the end of the rotation by attendings and verbal feedback throughout the month.
Special Notes: Prior approval of outside students by department. In addition to a completed application to Student Affairs, please send your current CV and medical school transcripts to: Karen Gilliam, Residency Coordinator, UNC School of Medicine, Department of Orthopaedics, CB# 7055, Chapel Hill, NC 27599 -7055
Date Updated: 3/10/2008

ORTS 444 Precepteeship in Orthopaedic Research
Faculty: Drs. Dahners
Prerequisites: Admission to medical school
Offered: All elective periods by arrangement
Min. Enrollment: 1
Max. Enrollment: 2
Duration: Two elective periods
Meeting Place: Orthopaedic Research Labs
Meeting Times: 8:30 a.m.
Credit Hours: 12
Learning Objectives: Understanding of how to participate in or undertake a research project pertaining to the physiology, biochemistry, and biomechanics, or ultrastucture of bone, cartilage, or connective tissue.
Learning Activities: Students are associated with one of the faculty members in the Orthopaedic Research Laboratories. Specifically, the student will participate in or undertake a research project pertaining to the physiology, biochemistry, and biomechanics, or ultrastructure of bone, cartilage, or connective tissue. At the start of the period the student will work closely with a faculty member and/or their research staff, but will as rapidly as possible, branch off into an independent research project. Time is provided for library study and attendance at seminars relating to research.

To find more information on what medical students will need to rotate on the service, students should visit the following link: http://www.med.unc.edu/ortho/EDUCPROGRAM/conflist.html Go to the medical student section at the bottom of the page, click on "information" under the class you are interested in and after reading that page of general information click on "read this information" (in the body of the text) for more specifics. Information on where to go, a tutorial to read and all conference information is located in that section.
Evaluation: Student will receive a written evaluation at the end of the rotation by attendings and verbal feedback throughout the month.
Date Updated: 3/10/2008

ORTS 445 Pediatric Orthopaedics
Faculty: Drs. Henderson and Campion
Prerequisites: Completion of all required clinical ckerkships
Offered: Periods 6 - 10
Min. Enrollment: 1
Max. Enrollment: 2
Duration: One elective period
Meeting Place: 5 Bedtower, Orthopaedics, UNC Hospitals
Meeting Times: 6:00 a.m.
Credit Hours: 6
Learning Objectives: Upon completion of this rotation the student should be able to demonstrate competency in the following areas:
1) The ability to obtain and report a basic patient history for common outpatient pediatric conditions and injuries.
2) The ability to perform and report a basic orthopaedic physical examination of the spine, shoulder, elbow, wrist and hand, pelvis and hip, knee, and foot and ankle. Students should also be able to demonstrate an understanding of normal and abnormal anatomy as it relates to the examination of a particular body area.
3) Demonstrate an understanding of the basic science, physiology, pathophysiology, pathology, and natural history of common sports conditions and injuries associated with athletic participation.
4) The ability to develop a working differential diagnosis for common sports conditions and injuries associated with athletic participation and to demonstrate an understanding of the appropriate timing and use of common diagnostic testing modalities to assist with determining a definitive diagnosis.
5) Knowledge of the appropriate available treatment alternatives, including an extensive understanding of non-operative modalities and a basic understanding of operative modalities, for common sports conditions and injuries associated with athletic participation. Students should be able to discuss the relative merits and limitations of each type of treatment as well as any potential side effects or complications of the treatment. Students should have an understanding of the appropriate timing of a referral for surgical treatment.
6) Knowledge of possible preventative measures to avoid common sports conditions and injuries associated with athletic participation.
Learning Activities: This elective is designed primarily for the student planning a career in Pediatrics, Family Medicine or a combined Medicine/Pediatric residency. The student will attend up to six weekly pediatric orthopaedic clinics covering a broad spectrum of disorders including birth defects, hemophilia, children's feet, and scoliosis. In addition, he/she will have the opportunity to work-up and follow pediatric inpatients on the orthopaedic service. The student may also visit state crippled children's clinics during the month and attend all teaching activities relating to children's orthopaedics. Reading will be encouraged and library time provided.

To find more information on what medical students will need to rotate on the service, students should visit the following link: http://www.med.unc.edu/ortho/EDUCPROGRAM/conflist.html Go to the medical student section at the bottom of the page, click on "information" under the class you are interested in and after reading that page of general information click on "read this information" (in the body of the text) for more specifics. Information on where to go, a tutorial to read and all conference information is located in that section.
Evaluation: Student will receive a written evaluation at the end of the rotation by attendings and verbal feedback throughout the month.
Date Updated: 3/10/2008

ORTS 446 Sports Medicine
Faculty: Drs. Taft, Smith, Brickner, and Staff
Prerequisites: Completion of all clinical clerkships
Offered: Periods 3-5; 7-10
Min. Enrollment: 1
Max. Enrollment: 1
Duration: One elective period
Meeting Place: Sports Medicine Clinic, Student Health Service
Meeting Times: 8:30 A.M.
Credit Hours: 6
Learning Objectives: Upon completion of this rotation the student should be able to demonstrate competency in the following areas:
1) The ability to obtain and report a basic patient history for common sports conditions and injuries associated with athletic participation with particular emphasis on the chief complaint, inciting events, mechanism of injury, exarcerbating and alleviating factors, timing of symptoms, and associated symptoms.
2) The ability to perform and report a basic orthopaedic physical examination of the spine, shoulder, elbow, wrist and hand, pelvis and hip, knee, and foot and ankle. Students should also be able to demonstrate an understanding of normal and abnormal anatomy as it relates to the examination of a particular body area.
3) Demonstrate an understanding of the basic science, physiology, pathophysiology, pathology, and natural history of common sports conditions and injuries associated with athletic participation.
4) The ability to develop a working differential diagnosis for common sports conditions and injuries associated with athletic participation and to demonstrate an understanding of the appropriate timing and use of common diagnostic testing modalities to assist with determining a definitive diagnosis.
5) Knowledge of the appropriate available treatment alternatives, including an extensive understanding of non-operative modalities and a basic understanding of operative modalities, for common sports conditions and injuries associated with athletic participation. Students should be able to discuss the relative merits and limitations of each type of treatment as well as any potential side effects or complications of the treatment. Students should have an understanding of the appropriate timing of a referral for surgical treatment.
6) Knowledge of possible preventative measures to avoid common sports conditions and injuries associated with athletic participation.
Learning Activities: This program offers experience in the management of injury and illness in student athletes for students with a primary care focus (Family Medicine, Internal Medicine). The focus is not surgical. The examination, diagnosis, and treatment of students injured in athletic participation are stressed. Participation in the care of UNC intercollegiate, organized intramural, and free play recreation teams is offered. The Sports Medicine elective is primarily an outpatient experience. The student has the opportunity to participate in on-the-field care as well as treatment in the sports medicine rehabilitation units and the in-patient service. There is sufficient flexibility in this elective to tailor this experience to the individual student's goal.

To find more information on what medical students will need to rotate on the service, students should visit the following link: http://www.med.unc.edu/ortho/EDUCPROGRAM/conflist.html Go to the medical student section at the bottom of the page, click on "information" under the class you are interested in and after reading that page of general information click on "read this information" (in the body of the text) for more specifics. Information on where to go, a tutorial to read and all conference information is located in that section.
Evaluation: Student will receive a written evaluation at the end of the rotation by attendings and verbal feedback throughout the month.
Date Updated: 6/19/2008