Rotations
Curriculum
Our residency provides 5 positions per year. Rotations are centered at three main campuses in Lexington, all within three miles of each other. We provide both mentorship and team models during the rotations. The PGY-1 year is constructed of 12 one-month rotations, and the PGY2-5 years are constructed of 5 ten-week rotations.
Rotations
PGY-1
The PGY-1 year involves twelve one-month rotations on the following services:
- Orthopaedic trauma – four total months
- Orthopaedic reconstruction and spine – two total months
- Orthopaedic skills month
- General trauma surgery ICU
- General trauma surgery Floor
- MSK radiology
- Plastic surgery
- Emergency medicine
PGY-2
The PGY-2 year involves five 10-week rotations on the following services:
- Trauma – includes five weeks of night float
- Hand/upper extremity
- Adult reconstruction
- Pediatric Orthopaedics
- Research block
PGY-3
The PGY-3 year involves 5 ten-week rotations on the following services:
- Trauma – includes five weeks of night float
- Orthopaedic spine – five week block
- Foot and ankle – five week block
- Pediatric trauma
- Sports
- Veteran’s Administration
PGY-4
The PGY-4 year involves five 10-week rotations on the following services:
- Trauma
- Orthopaedic spine – five week block
- Foot and ankle – five week block
- Pediatric Orthopaedics
- Tumor/reconstruction
- Hand/upper extremity
Beginning of the PGY-4 year, residents are now in the chief call pool and begin rotations with more significant administrative responsibilities.
PGY-5
The PGY-5 year involves five 10-week rotations on the following services:
- Trauma
- Adult reconstruction
- Veteran’s Administration
- Sports
- Administrative/community shoulder and elbow
Chief administrative duties are broken up between blocks, but mainly fall upon the PGY-5 on administrative rotation. These include on-call scheduling, weekly assignments, and education planning.
Call
We use a night float system for in-house consult call Sunday through Thursday that consists of the PGY-2 or PGY-3 on trauma and an intern. There is a backup PGY-2 or 3 on call each night, as well as a chief PGY-4 or 5 available for any operative cases overnight.
Courses and Conferences
During the PGY-2 year, residents are required to attend the AO Basic Fracture Management course at departmental cost. Required conference days are not counted against vacation.
Residents are encouraged to present research at national meetings. Time spent presenting a paper is in addition to the standard four weeks of leave.