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Welcome to your
M4 Clerkship and
Welcome to
Department of Orthopaedic Surgery
Omaha and Rehabilitation
Introduction
Welcome
Expectations and goals
General considerations for Orthopaedic history
and physical exam
Introduction to reading x-rays
Trauma/Open Fractures
Compartment Syndrome
WELCOME
Welcome to UNMC and your Orthopaedic
clerkship
We are here to teach you the basic foundations
of Orthopaedics.
With that, you should be able to gain a feel for
what a career in Orthopaedics may be like.
We are happy to have you as a part of our team
for the next month and hope you gain a lot of
useful information while you are here
Expectations: General
Show up on time, be available, and work hard
Read before surgical cases (anatomy and surgical
plan)
Be helpful, be inquisitive, ask questions
Learn basic management of common musculoskeletal
problems
Participate actively in rounds, clinics, conference, and
general discussions about Orthopaedic problems
Expectations Cont.
Be able to access knowledge about Orthopaedics
from books, internet, journals, etc..
Be able to answer questions about musculoskeletal
anatomy, common injuries, treaments, etc..
Especially when asked to look it up beforehand.
Clinical functioning at the level of an intern
Think about the patient care plan:
Pre-op planning
Medical workup before surgery
Antibiotics
Pain control
DVT prophylaxis
Therapy goals & restrictions
Dressing changes / drain output
Discharge planning & clinic follow-up
Read other consult service notes for their plan
Goals
At the end of your rotation you should be able
to:
1. Read basic x-rays appropriately
2. Perform an orthopaedic history and physical
3. Recognize common fractures, their classification,
and know how to acutely manage them
4. Understand basic patient care for the Orthopaedic
patient
5. Be able to diagnose common musculoskeletal
problems
CALL
Divide call on trauma nights between the
students such that you average no more
frequently than q4 during your month.
Be sure to get at least one full weekend off.
Wed like you to be able to both have a life and
also get to know a little about our city.
The actual schedule is left up to the students to
arrange. Be fair to each other.
Carry the on-call pager and notify the junior
resident on-call that you will be taking call with
them that evening
The best opportunity to learn how to suture,
splint, cast, and possibly do reductions as a
medical student takes place on-call and in the
ER/trauma bay.
CONFERENCES
Conference Schedules
Three rules
If there is an assigned reading for a conference,
be sure to get a copy and read it.
No scrubs in conference, dress appropriately.
Be on time. Tardiness to conference will be
looked upon very poorly.
Conference Schedules
Mon Tues Wed Thurs Fri
600am 530am 600am 600am 600am
Textbook Medical Pediatric Trauma Hand
Conference Student Ortho Conference Conference
Lectures Conference
630am
Grand 630am
Rounds Gold Joint
Conference