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rotation. Clinical training is enhanced by a comprehensive didactic program that includes conferences in all areas of clinical orthopedics, fractures, basic science, and orthopedic pathology. Based on a two-year cycle, the didactic program provides each resident with at least two complete cycles during the five years of orthopedic training. Research scientists and clinical faculty work together to provide a thorough basic science didactic curriculum based on the one Year One The first residency year is a combined medical and surgical experience with rotations in a surgical skills “boot camp,” general surgery, trauma surgery, plastic surgery, adult reconstructive surgery, orthopedic trauma surgery, general orthopedics, and pediatric orthopedic surgery. In addition, rotations in the intensive care unit and the emergency room are also included. Year Two Second-year rotations offer experience in managing different orthopedic conditions in both outpatient and inpatient settings. Second-year residents provide orthopedic consultations in NYU Langone’s emergency rooms. The operating room experience emphasizes acquiring basic psychomotor technical skills and learning the fundamental principles of anatomy, surgical dissection, and orthopedic surgery. During each rotation, residents serve as the junior resident of a clinical service while developing basic orthopedic knowledge, which is paramount during this year. Year Three At this point in the program, residents should have the knowledge and experience to more actively direct the care of patients. On some rotations, residents report directly to a fellow or to the attending faculty. In the third year, the focus is on completing orthopedic subspecialty rotations, which helps residents consider which subspecialty fellowship to pursue. Experience in both inpatient and outpatient care, as well as in the operating room, increases at this level. Residents actively participate in more and increasingly complex cases, which provides preparation for the senior resident years. Year Four Responsibility for patient care continues to increase, and in some rotations, residents report directly to the fellows and attending staff. Although the fifth-year resident on each service is the chief resident, fourth-year residents have specific clinical responsibilities in which they may function as the supervising resident. This year of training is a pivotal shift from junior to senior resident, and expectations and responsibilities grow accordingly. recommended by the American Academy of Orthopaedic Surgeons (AAOS). All residents are required to complete a minimum of three writing projects to demonstrate scholarly activity, one of which must be an original basic science or clinical research project. Book chapters, review articles, and other scholarly activities, such as video projects, may fulfill the other two requirements. ORTHOPEDIC SURGERY RESIDENCY TRAINING EXPERIENCE Training in our program is based on the principle of increasing responsibility as you gain knowledge and experience in each rotation. Clinical rotations take place in several locations, including NYU Langone Orthopedic Center (LOC), NYU Langone’s Tisch Hospital, the Kimmel Pavilion, NYU Langone Orthopedic Hospital (LOH), NYU Langone Hospital—Brooklyn, Hassenfeld Children’s Hospital at NYU Langone, VA NY Harbor Healthcare System, NYC Health + Hospitals/Bellevue (BHC). and Jamaica Hospital Medical Center. Residents will become more actively involved in the development of treatment plans for both outpatients and inpatients, while moving into the roles of primary surgeon and first assistant in the operating room. Fourth-year residents are expected to make the transition to a more senior role on the care team. Year Five During the final training year residents function as the chief resident of a multiple-resident service, which varies from two to six residents depending on the rotation. Fifth-year residents are responsible for all clinical activities of the service, including inpatient and outpatient care, as well as all operating room activity. The coordination of all resident and fellow activity and the oversight of the care provided are the responsibility of the senior residents. Fifth-year residents work directly with the chief of service and other members of the teaching faculty and serving as primary surgeon and first assistant in the operating room. THE CLINICIAN SCIENTIST TRAINING PROGRAM Since 1984, our department has offered an additional year of training for those interested in pursuing a career as a clinician scientist. Each year, two medical students entering the residency program are accepted into the 6-year Clinician Scientist Training Program. The goal of the 6-year research program is to immerse the resident in an intensive year of clinical and basic science orthopedic research. This program is designed for those interested in an academic career focused on leadership and scientific discovery. This program is a rewarding experience that introduces future clinician-scientists to a wide range of orthopedic research. This 12-month program takes place within the Musculoskeletal Research Center (MRC) and begins in July of the R3 year for those residents selected. Residents are assigned a focus in basic science and clinical investigations under the mentorship of Philipp Leucht, MD, PhD, Director of Orthopedic Research. DC 9/14/2020
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