Visiting Medical Students: Advanced Clerkships

The 140.01 Orthopaedic Surgery Clerkship is a four-week clinical experience for advanced medical students with prior experience in orthopaedics.  The objective of the rotations are as follows:
Understand basic anatomy and physiology of the musculoskeletal system
Be able to perform an orthopaedic history and physical examination
Diagnoses and differential diagnosis of common orthopaedic issues
Be an integral part of each team

UCSF will only be accepting applications submitted on-line through the Association of American Medical Colleges (AAMC) Visiting Student Application Service (VSAS), available at https://www.aamc.org/students/medstudents/vsas/. We currently do not accept International or Canadian medical students.

We begin reviewing applications for the 2018-2019 academic year after April 1, 2018. Applications can be submitted through VSAS as early as February 1.

Educational Objectives
-Describe and identify surgically and clinically relevant anatomy of the musculoskeletal system
-Obtain an orthopedic history, diagnose discipline-specific common musculoskeletal problems, and describe common surgical indications
-Perform an orthopedic physical examination, including both a basic orthopedic post-operative examination and discipline-specific examination
-Identify the basic components of an orthopedic post-operative plan and management strategies for common post-operative problems and emergencies
Functional Objectives
-Investigate and present a case-based orthopedic question to the department with support of existing literature
-Take overnight trauma call and assist in preparation and execution of bedside procedures
-Understand the basic components of an orthopedic consult and identify ways to effectively contribute to the work-up and treatment of orthopedic patients
-Assist with patient-relevant data collection and clinical, perioperative, and surgical management
-Be a helpful and enthusiastic team member
-Obtain mid-rotation feedback from orthopedic team

There are six different month-long sub-internships available for medical student rotators in the Department of Orthopaedic Surgery, available on a first-come-first-served basis with preference given to UCSF students. Students will rotate either at San Francisco General Hospital (SFGH) for four weeks or two,two week block rotations at the Parnassus Campus. The first four rotations are on at Parnassus campus.

These rotations have sub-specialty focus including: Arthroplasty, Spine, Sports, and Hand. Students from all four rotations will participate in a call pool with San Francisco General Hospital Trauma (SFGH) call pool (q4-7). SFGH has a sub-specialty focus on trauma, but also provides exposure to arthroplasty, sports and spine. Lastly, a broad-based, general orthopaedic surgery rotation may be completed at Veterans Hospital, a VA hospital located at Fort Miley.

As a student on the service, you will be required to complete a 10-15-minute case presentation at the end of your rotation. Details of the presentation will be distributed to you once your application has been approved and scheduled for your rotation.
 
Service Specific Details: 
ZSFG Trauma Service
Faculty: Ted Miclau, MD, Richard Coughlin, MD, Saam Morshed, MD, PhD, Trigg McClellan, MD, Utku Kandemir, MD, Amir Matityahu, MD, Meir Marmor, MD, Eric Meinberg, MD, Nicole Schroeder, MD, Nico Lee, MD, Paul Toogood, MD, and Dave Shearer, MD
Number of students: 4
Location: Zuckerberg San Francisco General Hospital
The ZFGH rotation is primarily focus on orthopaedic trauma with additional exposure to sports, hand, spine, foot and ankle, and arthroplasty.  As an integral member of the orthopaedic team, the student will actively participate all aspect of patient care in a various settings including the operating room, emergency room, clinics, and during rounds. Most of the time will be spent in the operating room, clinics, and the emergency room seeing new consults.  Students will be exposed to fracture reduction techniques, application of casts and splints, and general care of orthopaedic patients.
The basic schedule begins with ward rounds starting between 5:45-6AM, followed by a fracture board review at 7:00 am where all consults from the prior day are reviewed. This is followed by teaching conferences on Monday through Friday. These conferences have a large didactic component as well as hand on learning in the Surgical Training Facility with “saw bone” labs and wet cadeveric labs. The student will be expected to take one 24 hour call shift per week with the overnight on call junior resident.
 
Spine: 
Faculty: Bobby Tay, MD; Vedat Deviren, MD; Shane Burch, MD; Sigurd Berven, MD, Lionel Metz, MD
Number of students: 1
Location: UCSF Medical Center (Parnassus)
The UCSF Orthopaedic Spine service treats a wide variety of spine disorders ranging from spinal stenosis through complex deformity correction.  As a sub-I, you will be an integral part of the team and will have the opportunity to work closely with residents, fellows, and attendings in the OR, clinic, and wards.  This is a busy service often with complicated patients, and you will get the chance to see and do a great deal. Active participation and initiative are highly encouraged.
Inpatient rounds typically begin around 5:30-6AM followed by fracture conference at 6:30 or 6:45 (depending on the day of the week), afterwards we have subspecialty conferences from 7-8 with the other orthopaedic teams at the medical center.  The service consists of a PGY-3 and PGY-2. Mondays and Fridays are primarily clinic days where you will be presenting directly to attendings; Tuesdays and Thursdays are OR days where you will generally be scrubbed in with an attending +/- a fellow/resident.  Every effort will be made to maximize your time in the OR and clinic.  On Friday mornings before clinic there will be a short teaching session during which an attending will usually present a brief overview on a common spinal condition. You will be expected to know basic surgical spine anatomy and the neurologic exam as well as clinical signs and symptoms of common conditions.  

Arthroplasty:
Faculty: Thomas Vail, MD, Erik Hansen, MD, Stefano Bini, MD, Derek Ward, MD, Thomas Barber, MD
Number of students: 1
Location: UCSF Medical Center (Parnassus), Orthopaedic Institute
This rotation provides a comprehensive experience in the care and treatment arthroplasty patients.  The rotation provides a mix of cases: primary and complex revision arthroplasties of the knee and hip, as well as hip arthroscopy.  You will be exposed to and participate in all facets of care including morning rounds (start between 5:30 to 6:00AM), OR, clinic examination and treatment, and taking care of patients on the floor. The service consists of a chief resident and a PGY-2. There are no overnight call expectations at Parnassus however students may elect to take trauma call at the Zuckerberg San Francisco General Hospital on a limited basis. (to be worked out with other sub-interns at SFGH and Parnassus).

Sports Rotation:
Faculty: Benjamin Ma, MD, Christy Allen, MD, Brian Feeley, MD, Drew Lansdown, MD and Alan Zhang, MD
Number of students: 1
Location: UCSF Medical Center (Parnassus), Orthopaedic Institute
This rotation provides a comprehensive experience in the care and treatment of sports patients.  The rotation provides a mix of cases: shoulder and knee arthroscopies, ligament reconstructions, total shoulder arthroplasty, and hip arthroscopy.  You will be exposed to and participate in all facets of care including morning rounds, OR, clinic examination, and outpatient treatments. The service consists of a PGY-4 and PGY-2. There is a weekly indications conference on Monday evenings.  Students may have the opportunity to assist residents and/or faculty in a local outreach program providing on field coverage of San Francisco Unified School District football games.  There are no overnight call expectations at Parnassus however students may elect to take trauma call at the Zuckerberg San Francisco General Hospital on a limited basis. (to be worked out with other sub-interns at SFGH and Parnassus).

VA Rotation:
Faculty: Hubert Kim, MD, Alfred Kuo, MD, Alexis Dang, MD, and Alan Dang, MD
Number of students: 1
Location: VA Hospital
This rotation provides a comprehensive experience in the care and treatment of general orthopaedic patients in the VA population.  The rotation provides a mix of cases which include shoulder and knee arthroscopy, primary and revision arthroplasty, foot and ankle, hand, spine, and trauma cases.  You will be exposed to and participate in all facets of care including morning rounds, OR (3-4 days a week), clinic examination, outpatient treatments, and taking care of patients on the floor. The service consists of a chief resident and a PGY-3. There is a weekly indications conference on Mondays.  There are no overnight call expectations at the VA however students may elect to take trauma call at the Zuckerberg San Francisco General Hospital on a limited basis. (to be worked out with other sub-interns at SFGH and Parnassus).

University Service Rotation:
Faculty: Saam Morshed, MD, PhD, Utku Kandemir, MD, David Shearer, MD, Paul Toogood, MD
Number of students: 1
Location: UCSF Medical Center (Parnassus), Orthopaedic Institute
This rotation provides a comprehensive experience in acute and cold trauma and orthopaedic consults. The rotation provides a mix of cases including acute fractures, infected nonunions, malunions, and other general orthopaedic consults. The student will be exposed to and participate in all facets of care including morning rounds, OR, and consult management. The service consists of a chief resident and intern. When not in the operating room, the student will spend time with the residents seeing consults. There is a weekly pre and postoperative conference on Friday morning.  There are no overnight call expectations at Parnassus however students may elect to take trauma call at the Zuckerberg San Francisco General Hospital on a limited basis. (to be worked out with other sub-interns at SFGH and Parnassus).

Foot and Ankle Rotation:
Faculty: Kirstina Olson, MD, Daniel Thuillier, MD, Michael Coughlin, MD
Number of students: 1
Location: UCSF Medical Center (Parnassus), Orthopaedic Institute
This rotation provides a comprehensive experience in the care and treatment of foot and ankle disorders. The rotation provides a mix of cases including acute fractures, foot and ankle arthrodesis for degenerative conditions, ligament reconstruction, ankle arthroscopy, ankle arthroplasty, and forefoot procedures. The student will be exposed to and participate in all facets of care including morning rounds, OR, and clinic. The service consists of a chief resident and a PGY-2.  There is a weekly preoperative conference on Tuesday mornings and didactics on Thursday mornings.  There are no overnight call expectations at Parnassus however students may elect to take trauma call at the Zuckerberg San Francisco General Hospital on a limited basis. (to be worked out with other sub-interns at SFGH and Parnassus).

Oncology Rotation:
Faculty: Richard O’Donnell, MD, Rosanna Wustrack, MD, Melissa Zimel, MD
Number of students: 1
Location: UCSF Medical Center (Parnassus, Mission Bay)
This rotation provides a comprehensive experience in orthopaedic oncology. The rotation provides a mix of cases including soft tissue tumors and primary and metastatic bone tumors. The student will be exposed to and participate in all facets of care including morning rounds, OR, and clinic. The service consists of a PGY-3 and PGY-2.  There are no overnight call expectations at Parnassus however students may elect to take trauma call at the Zuckerberg San Francisco General Hospital on a limited basis. (to be worked out with other sub-interns at SFGH and Parnassus).

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