E L E C T I V E S
DEPARTMENT OF ORTHOPAEDIC
SURGERY
A504 Pediatric
Orthopaedic and Spinal Deformity | A505 Adult
Orthopaedic Surgery | A506
Orthopaedic Surgical Pathology/ Orthopaedic Surgical Pathology |A507
Orthopaedic Sports Medicine |A508
Reconstructive Surgery |A509
Adult Spine Surgery |A510
Orthopaedic Trauma Surgery (JMC) |A511
Hand Surgery |
A512 Podiatry |A513
Orthopaedic Foot & Ankle Surgery|
A718 Orthopaedic Surgery- LIJ
The Department of Orthopaedic Surgery at
Montefiore Medical Center
offers electives in general Orthopaedic Surgery, Pediatric Orthopaedic
Surgery and numerous Orthopaedic subspecialties. The rotations include
direct involvement with the full time Orthopaedic faculty at Montefiore,
Weiler and Jacobi Medical Center. The electives can be a variable
experience for students planning careers in both Orthopaedic and
non-Orthopaedic fields. The rotations are arranged and coordinated by
Dr. Paul Levin and scheduled through the Registrar's Office. Students
scheduled for rotations are requested to contact Dr. Levin (718-920-5820 or
plevin@montefiore.org ) at least
two weeks prior to the start of the module.
Students considering
careers in Pediatrics, Family Practice, Emergency Medicine and Orthopaedic
Surgery will benefit from this elective. Students will spend time in the
faculty office hours as well as the pediatric Orthopaedic clinic.
The emphasis of the elective is on the principals underlying the
diagnosis and management of musculoskeletal and spinal disorders in
infants, children and adolescents. Students will take one call per
week until 11:00PM to gain additional experience in the evaluation of
acute pediatric musculoskeletal traumas. Basic principals of
splinting and immobilization of injured and painful extremities will be
learned. The students will rotate with the pediatric Orthopaedic
team each morning and observe in the operative room. Students will
attend the monthly Orthopaedic journal club/conference and will be given
the opportunity to either present a patient or give a brief review of a
current article from the pediatric Orthopaedic literature
Dr. Terry
Amaral, Dr. Vishal Sarwahi, Dr. Leonard Seimon
Maximum 2
All Modules
The
rotation in general Orthopaedic Surgery is designed to expose students
to the evaluation and management of the most commonly seen
musculoskeletal conditions. Individuals planning careers in Family
Medicine, General Medicine, Pediatrics, Emergency Medicine, Rheumatology
and Orthopaedics can benefit from this initial Orthopaedic exposure.
Students will observe both the initial evaluation of patients during the
faculty's office hours and will also be given the opportunity to
evaluate patients in the Orthopaedic clinic. A specific focus will
be given to obtaining an appropriate history and performing a
musculoskeletal physical examination. The indications for
diagnostic testing as well as the interpretation and clinical
significance of the testing will be reviewed. Students will be
requested to take one call per week until 11:00PM to allow for an
exposure to the evaluation and management of acute musculoskeletal
problems.
Dr. Paul
Levin
Maximum 2
All Modules
This elective in
Orthopaedic Surgical Pathology and in Orthopaedic Pathology Research is
recommended to students considering careers in Orthopaedic Surgery, Pathology,
Rheumatology or Radiology. Students will review
surgical/pathological specimens with a special emphasis on
clinical-radiological correlation in patients with musculoskeletal
disorders. Patients presenting with a suspicion for having an
acute musculoskeletal malignancy will be examined with an Orthopaedic
Musculoskeletal Tumor specialist. The students will observe any
operative interventions including biopsies and definitive operative
treatment. A large collection of study cases is utilized in an
organized teaching program which includes periods of independent study.
Cases sent for consultation are reviewed daily with Orthopaedic
Pathology fellow and the head of the department of Orthopaedic
Pathology. Students assist in the preparation of teaching material
and are expected to complete an assigned project
Dr. H. Dorfman, Dr. David Geller
Maximum 2
All Modules
Students
rotating on the Orthopaedics Sports Medicine service will spend time in
the faculty office hours as well as in the operating room. An
emphasis will be placed on obtaining an appropriate history and
performing a physical examination to establish the correct working
diagnosis. Students will be instructed in the options of
management of the most common sports related musculoskeletal conditions
(traumatic and non-traumatic). In the operating room students will
observe orthoscopic treatment of disorders of the shoulder, knee and
ankle. Students on the sports medicine service will evaluate
patients in the Orthopaedic clinic with a Sports Medicine specialist and
whenever possible observe the patients subsequent operative procedure.
Students will be expected to either present a patient at the monthly
sports medicine conference or prepare a review of a current journal
article.
Dr. I. Martin Levy
Maximum 2
All Modules
The
Orthopaedic Reconstruction Service is located at Weiler Hospital.
It is an extremely active service performing both primary and revision
hip and knee replacement surgery. Students will learn the
indications for joint replacement surgery and be given an opportunity to
assist in the operating room. Students will round daily with the
joint replacement team and learn to evaluate and manage post operative
patients. Students will spend time in the faculty office hours and
learn to evaluate a patient for possible joint replacement surgery.
In the Orthopaedic clinic they will evaluate patients who are candidates
for joint replacement surgery and present the patients to the joint
replacement faculty. Students will prepare a review of a recent
article in the reconstructive joint literature for presentation at the
monthly joint replacement conference,
Dr. Neil Cobelli, Dr. David
Hirsh, Dr. Steven Kim
Maximum 2
All Modules
Neck and
back pain are extremely common conditions in western society.
Individuals seek attention from a wide variety of health practitioners
in an attempt to resolve their problems. The focus of the spine
surgery service is to teach the student the appropriate evaluation and
management of this common condition, Students will learn the
indications for MR imaging and electrodiagnostic testing.
Indications for operative and non-operative management of spinal
problems will be taught. Students will evaluate patients with back
problems in the Orthopaedic clinic and present the patients to the spin
surgery faculty. Students will assist in the operating room,
observe the use of kyphoplasty for treatment of spinal compression
fractures.
Dr. Alok Sharan and Dr. Adam
Wollowick
Maximum 2
All Modules
Jacobi
Medical Center is a level one trauma center. As a regional trauma
center it evaluates and treats a large volume of patients with multiple
injuries. Students rotating on the Orthopaedics trauma service
work as an integral part of the service. They will assist in the
initial evaluation and management of the patients in the Emergency
Department and observe the patients operative interventions.
Students will round with the trauma team daily and learn to evaluate and
manage post injury and operative patients. Students will be
required to take two calls per week until 11:00PM to maximize their
exposure to emergency treatment. They will be given the
opportunity to present the new patients to the attending staff and
encouraged to perform literature reviews on patients who they have
evaluated. Students will attend monthly Orthopaedic trauma journal
club/conference and either presents a patient or a short review of a
recent article from the Journal of Orthopaedic Trauma.
Dr. Monroe Szporn and Dr. Jose
Toro
Maximum 2
All Modules
The hand
surgery rotation will teach students to evaluate and treat both
traumatic and non-traumatic hand problems. It will be an extremely
valuable experience for both future Orthopaedic surgeons as well as
those individuals interested in primary and emergency care.
Students will observe the evaluation of patients during the faculty
office hours and learn basic principals in obtaining a history and
performing a physical examination to establish an accurate diagnoses.
Patients will be evaluated by students in Orthopaedic clinic and the
cases will be presented to the Orthopaedic Hand attending.
Students will select a patient in the clinic for presentation at the
monthly Orthopaedic hand conference and will be expected to perform a
literature review and discussion as part of their patient presentation.
Students will observe operative treatment of the most common hand
problems.
Dr. Roy Kullick and Dr.
Albert Panozzo
Maximum 2
All Modules
Diabetes
Mellitus has become an endemic in our society. Along with it's
increasing prevalence is a marked increase in diabetic foot problems.
These problems frequently lead to the loss of an extremity.
Individuals pursuing a careers in Primary Care, General Surgery,
Vascular Surgery and Orthopaedic Surgery will gain an invaluable
background in caring for these patients. The podiatry rotation
will introduce students to the basic principles of diabetic foot care as
well as the management of diabetic foot complications. In
addition, students will be introduced to the evaluation of the most
common foot problems and will learn common treatment strategies.
Dr. Dominic Cantanese and Dr.
Elizabeth Elsinger
Maximum 2
All Modules
A513 Orthopaedic Foot and Ankle
Surgery
The Orthopaedic
foot and ankle rotation is an excellent experience for students planning
careers in Emergency medicine, primary care, and Orthopedics. The month
long rotation will be spent both in the office and in the operating room
focusing on the care of both common and complex foot and ankle problems.
Students will have the opportunity to
evaluate the
most common foot and ankle pathology seen in the ED and primary care offices
such as sprains, minor fractures and tendon problems. In addition, more
complex foot and ankle problems will be evaluated and appropriate management
discussed.
Dr. Chai Kulsak
One student per
module
Electives
are offered in the Department of Orthopaedic Surgery at Long Island
Jewish Medical Center. These may be Adult, Pediatric or Trauma
Orthopaedics. The Adult elective is at Long Island Jewish Hospital
and is designed as an in-depth exposure to a private, tertiary care
Orthopaedic service. Principles of elective reconstructive surgery
of the knee and hip and sports medicine and arthroscopy will be
discussed. The Pediatric Elective is a Schneider Children's
Hospital and emphasizes the principles of identifying and managing those
conditions unique to the growing child, neuromuscular conditions, as
well as, developmental, acquired, metabolic and traumatic disorders will
be covered. The Trauma Orthopaedic Elective is a North Shore
University Hospital. The management of a wide variety of fractures
and acute Orthopaedic conditions seen at a Level 1 Trauma Center is
emphasized.
The elective is for one month. The student is encouraged to spend
the entire elective at one institution, although time may be split among
the three components. All three experiences include inpatient,
outpatient and Operating Room exposure. Attendance at daily
rounds, conferences and care presentations is expected.
David M. Dines, MD; Chairman
Scott E. Marwin, MD; Assistant
Professor of Orthopaedic Surgery
(718) 470-7020
Students will call and arrange
the time and place of meeting for the first day.
