Rotation Schedules

The order of the rotations in the R1 year are assigned by the General Surgery Department.

Each class determines the order of their rotations in the R2-R5 years.

When possible, similar rotations are scheduled sequentially (ie, in the R4 year, the Hand rotation at one hospital is followed by the Hand rotation at the other).

R1 Schedule- rotations are in four week blocks.

  • Orthopaedic trauma (three- one month blocks at Harborview Medical Center)
  • Rheumatology (multiple clinical sites)
  • ER (Harborview Medical Center)
  • Burns/ Plastics (University of Washington Medical Center or Harborview Medical Center)
  • Pediatric Surgery (Seattle Children's Hospital)
  • General Surgery/ Vascular/ Cardiac surgery (a total of five months at the University of Washington Medical Center, Harborview Medical Center, and/or VA)
  • EVATS (includes two weeks of vacation, one week of coverage, and one week of independent surgical skills)

R2 Schedule- rotations are in six week blocks

  • Adult Tumor (University of Washington Medical Center)
  • General Orthopaedics (VA)
  • Hand and Microvascular Surgery (Harborview Medical Center)
  • Spine (Harborview Medical Center)
  • Sports Medicine (University of Washington Medical Center)
  • Trauma- (three- six week blocks at Harborview Medical Center)

R3 Schedule- rotations are in six week blocks

  • Foot & Ankle (Harborview Medical Center)
  • General Orthopaedics (VA)
  • Joints (two- six week blocks at the Northwest Hospital)
  • Pediatrics (four- six week blocks at Seattle Children's)
  • Research (take call at Seattle Children's Hospital) - Publication is required

R4 Schedule- rotations are in six week blocks

  • General Orthopaedics (Virginia Mason Hospital)
  • General Orthopaedics (VA)
  • Spine (University of Washington Medical Center)
  • Spine (Harborview Medical Center)
  • Shoulder & Elbow (University of Washington Medical Center & Roosevelt Bone and Joint Surgery Center)
  • Hand and Microvascular Surgery (University of Washington Medical Center)
  • Hand and Microvascular Surgery (Harborview Medical Center)
  • Sports Medicine (University of Washington Medical Center)

R5 Schedule- rotations are in six week blocks

  • General Orthopaedics (two- six week blocks at the VA)
  • General Orthopaedics (University of Washington Medical Center)
  • Foot & Ankle (Harborview Medical Center)
  • Trauma (three- six week blocks as chief at Harborview Medical Center)
  • Night float/Research (Harborview Medical Center)

Rotations - Additional Information

  • Orthopaedic Trauma

    History of the rotation

    Our trauma orthopaedic service is one of the best in the nation. It has a well-deserved reputation for excellence. In 1966, the University of Washington assumed control of the King County Medical Center, which then became Harborview Medical Center. Donald Gunn, M.D. was the Chief of Orthopaedics at Harborview Medical Center in 1968-9, and Sigvard T. Hansen, Jr., M.D. was the Chief Resident in Orthopaedic Surgery.   In 1971, Dr. Hansen visited Gerhardt Kuntscher and learned advanced techniques of medullary nailing. He was involved in the early North American AO/ASIF development and, in particular, worked with Hans Willenegger. In 1972, Dr. Hansen became Chief of Orthopaedics at Harborview Medical Center and established the roots of aggressive management of long bone and pelvic fractures. In 1973 Drs. Clawson and Hansen attended the AO Course in Davos, Switzerland. Thereafter, stable fixation became the treatment of choice at Harborview. Dr. Robert A. Winquist began his six year Harborview tenure in 1974. He gained extensive clinical experience with closed medullary nailing of femur fractures, as well as open reduction and internal fixation of metaphyseal and articular fractures.

    About the rotation

    The trauma rotation offers an excellent experience under the supervision of fellowship-trained faculty including: Christopher H. Allan, M.D., David P. Barei, M.D., Daphne M. Beingessner, M.D., Carlo Bellabarba, M.D., Stephen K. Benirschke, M.D., Richard J. Bransford, M.D., Douglas Hanel, M.D., Robert P. Dunbar Jr., M.D., Reza Firoozabadi, M.D., Sigvard T. Hansen Jr., M.D., M. Bradford Henley, M.D., Conor P. Kleweno, M.D., Sean E. Nork, M.D., H. Claude Sagi, M.D., Bruce J. Sangeorzan, M.D., Douglas G. Smith, M.D., and Lisa A. Taitsman, M.D.

    R2s rotate through three six-week blocks on each of the three orthopaedic trauma teams at Harborview where they take primary call in the ER. This is truly a rite of passage. It is here that one perfects such skills as reducing fractures and dislocations, applying skeletal traction, and splinting. One also learns how to work efficiently with attention to detail, in even the most demanding of circumstances. Interns and nurse practitioners help complete the day to day work on the floor, however, it is the R2s responsibility to take a leadership role by knowing the events and plans for each of the patients on the floor.

    The R5s return to the HMC trauma rotation acting as chief during two eight-week blocks. In addition, they spend an eight-week block as the night float chief. There is also time for research during this rotation.

    Goals & Objectives

    The goals are to teach the essentials of orthopaedic trauma relevant to a general orthopaedic practice as well as the foundation for fellowship training.

    On the trauma services at Harborview, R2s learn: injury patterns and classification schemes of fractures; how to prioritize the treatment of patient injuries; and gain an understanding of the management algorithms for straightforward to complex trauma. There are four morning teaching conferences each week for both residents and attendings. In addition, traumatology teaching rounds are held weekly.

    When R5s return to Harborview as a chief, they are responsible for learning the nonoperative and operative management of orthopaedic trauma. In addition, it is their duty to educate the juniors.

    Harborview Medical Center is a very special place for residents. The excellent support provided by the faculty and staff, the challenging cases, and heavy work load make it an ideal place to learn orthopaedic trauma.

  • Rheumatology

    About the Rotation

    Rheumatoid Arthritis

    Residents spend one month on this service working with Gregory C. Gardner, M.D. at the UW Bone and Joint Clinic and with Mary Bach, M.D. at the VA Puget Sound.

    Goals & Objectives

    To learn the spectrum of rheumatologic diseases including osteoarthritis, rheumatoid arthritis, lupus, the spondyloarthropathies, and gout under the excellent teaching and direction of Dr. Gardner. Residents learn to diagnose and manage rheumatologic diseases by perfecting their history and physical exam skills. They also learn how to perform an arthrocentesis of multiple joints in the clinical setting.