Program Structure

Postgraduate Year 1

The PGY-1 year is performed under the direction of the Department of Orthopaedics. Interns are expected to master pre-operative evaluation and post-operative management of the surgical patient. Academic goals include mastery of basic anatomy and general principles of orthopaedic fracture care and fixation. Rotations include three months on the Orthopaedics service, three months of differing General Surgery subspecialties, one month of Orthopaedic Oncology, one month of Surgical ICU, one month of Anesthesia, one month of Musculoskeletal Radiology, one month of Rheumatology, and one month of Infectious Disease.

Call responsibilities are largely within the Department of Orthopaedics, allowing first year residents significant early orthopaedic exposure. Operative experience is ample, with a focus on basic surgical techniques.

Postgraduate Year 2

The second year of residency begins formal orthopaedic education, focusing on patient assessment, work-up and triage of orthopaedic injuries, and their initial management. The principal objective of the PGY-2 year is development of skills related to primary assessment and outpatient care of the orthopaedic patient. Faculty teach residents the cognitive aspects of preoperative evaluation, formulation of a surgical plan, fundamental surgical indications, and postoperative care skills.

Beginning in the PGY-2 year, all rotations are ten weeks in length. Residents spend three rotations at Grady Memorial Hospital, one rotation on the Musculoskeletal Oncology Service, and one rotation on the Spine Service.

Postgraduate Years 3 and 4

During the third and fourth years of training, the resident's responsibilities in patient management increase, as does their exposure to subspecialty orthopaedics. Surgical autonomy increases based on each resident’s skill set.

As PGY-3s, residents spend one block at Grady Memorial Hospital, in addition to rotations in pediatrics, hand and upper extremity, sports medicine / foot and ankle, and adult reconstruction. PGY-4 rotations include Grady Memorial Hospital, the VA, sports medicine / foot and ankle, spine, and pediatrics.

Postgraduate Year 5

To ease the transition into independent clinical practice, the department gives chief residents in their year of training considerable patient care responsibilities, enabling them to refine their diagnostic, surgical, and decision-making skills, especially at Grady Memorial Hospital. All services have direct faculty supervision, but the chief resident is responsible for all aspects of patient care, including outpatient assessment and preoperative planning, surgical procedures, acute postoperative care, and rehabilitation.

Two residents are elected Administrative Chief Residents and have significant responsibility in organizing and overseeing the academic schedule for the residency.