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Residency Information

Last updated Tuesday, December 04, 2007

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Veterans' Administration Medical Center

About the rotation

The VA is a general orthopedic rotation.

  • General orthopedics is directed by Dr. Chansky with the assistance of Dr. Greenlee. Doctors Fred Huang and Craig Arntz also attend on a monthly basis.
  • The hand service at the VA is directed by Dr. Sack and has the same goals for resident education as the rest of the university hand rotations.
  • The PACT service is directed by Dr. Sangeorzan and is focused on the care of veterans with vascular disease and diabetes as well as foot and ankle pathology. Dr. Sangeorzan also directs the foot and ankle service.
  • The spine service is directed by Dr. Mirza and this service has the same goals as the other university spine services.

Goals & objectives

The three rotations emphasize graduated responsibility.

The R-2 continues to manage the orthopedic inpatients and shares responsibility for covering the emergency room. In addition the R-2 covers the PACT clinic and is the primary resident covering all amputations. The R-2 typically first or second-assists on other cases.

The R-4 functions as the primary resident surgeon on most of the basic and intermediate level orthopedic cases. He or she is responsible for "templating" most of the primary total joint cases and for ensuring the presence of the necessary equipment and components.

The R-5 is the resident primarily responsible for the orthopedic service, including the inpatient service and the surgical schedule. The R-5 reviews the cases of all patients scheduled for surgery by the R-4 resident and supervises the R-2 and R-4 residents in clinic. The R-5 is the primary resident surgeon on the most complicated cases. In addition the R-5 supervises the R-2 on the more basic surgical cases. It is expected that the R-5 will discuss all surgical cases with the appropriate attending.


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