Residents receive a diverse exposure to the diagnosis and management of adult orthopaedic pathology at several institutions. These rotations provide an overall balanced experience in areas including Sports, Adult reconstruction, Shoulder and Elbow surgery, Foot and Ankle surgery, and musculoskeletal infections. Residents work in a variety of different settings requiring flexibility and the ability to function efficiently in a variety of hospital systems. The diversity of settings provides residents with a unique opportunity to participate in a number of different cases as well as the opportunity to see alternative procedures, equipment systems, and techniques in managing musculoskeletal pathology. Furthermore, residents receive extensive training in the non-operative management of multiple conditions through comprehensive clinic exposure. The overall experience residents at the University of Illinois at Chicago receive provides an unparalleled development of well-rounded Orthopaedic surgeons.
At the University of Illinois Medical Center, resident training is primarily in adult reconstruction, sports, and shoulder and elbow surgery. While on the UIC Orange service residents attend an average of 2 full days of adult general clinic per week with the 4th year resident on the Sports service attending an additional two half day sports clinics. Clinics typically have approximately 30 to 60 patients per half day and are covered by 2 to 4 residents depending on the patient load. While in clinic, residents work with a master orthopaedic cast technician with more than 20 years of experience providing direct instruction in proper application of a wide variety of casts and splints. Operative experience includes all areas of adult orthopaedics with particular focus in sports including both knee and shoulder arthroscopy, as well as shoulder and elbow surgery, and joint arthroplasty. Residents on both University services attend two full days in the operating theater with an additional half day each week. Two staff members function in a general orthopaedic role providing a variety of adult operative experience. Three attending staff members comprise a busy total joint arthroplasty program at UIC. A fellowship-trained joints surgeon sees a large percentage of patients with severe deformity, previous surgery, and other co-morbidities. This exposes the residents to a large number of revision arthroplasties as well as total joint arthroplasty for more advanced disease and deformity.
Skokie Hospital allows residents to participate in a large volume community based adult reconstruction practice. The attending surgeon at this institution performs over 900 total joint replacements per year. That service also produces over 15 scientific abstracts for national meetings yearly in which residents may participate. This service uniquely exposes the resident to a large multi-specialty private practice setting, and is highly instructive in terms of practice management, operative organization and planning, resource management, and operative efficiency. This offers a major contrast in terms of Systems Based Practice to the aforementioned governmental hospitals. Residents also attend one full day of clinic per week during this rotation. In addition, residents have the option to operate with a number of fellowship-trained orthopedic surgeons at the Illinois Bone and Joint Institute, which offers the senior resident the flexibility to experience additional procedures in a particular subspecialty of interest.
Advocate Christ Medical Center provides a large percentage of residents’ operative case volume in all areas of adult orthopaedics as well as trauma. Residents also work with fellowship trained sports, spine, shoulder, and foot and ankle surgeons. This primarily operative rotation allows senior residents to experience well-organized private practices with a relatively efficient operative setting and the ability to focus on honing technical skills. While at this institution residents experience additional adult reconstruction experience focused on primary joint arthroplasty in a community setting. Surgeons operating at this institution allow residents the unique opportunity to see and practice alternative surgical approaches to hip arthroplasty not seen at other hospitals. In addition, Christ Hospital will soon open an operating room dedicated to computer-navigation assisted total joint replacements. Residents on this rotation participate in one day of clinic per week focusing on adult orthopaedics and post-operative care.
At the Illinois Masonic Medical Center, residents work with several attendings in private practice focusing on general adult orthopaedics. Staff at this hospital also utilize computer navigation joint arthroplasty as well as perform unicompartmental knee arthroplasty and minimally invasive total joint replacements. The service consists of 2nd, 3rd, and 4th year residents who obtain early exposure to a variety of adult procedures in a one-on-one attending setting prior to advancing to the larger volume centers. While on this rotation, residents rotate individual coverage of three half day clinics and one full day clinic consisting of primarily adult general orthopaedics and hand.
Weiss Memorial Hospital offers another venue where both basic and advanced adult reconstructive procedures take place. A fellowship-trained adult reconstruction surgeon treats both basic and advanced disorders of the lower extremity.