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Orthopaedic surgery resident consultations at a level I trauma center

Snoap, Tyler, MDa; Walbridge, Joseph, BScb; Albright, Patrick, BScb; Weistroffer, Joseph, MDa; Kenter, Keith, MDa

doi: 10.1097/BCO.0000000000000699
SPECIAL FOCUS: Sports Medicine Rotation

Background: The responsibilities of an on-call orthopaedic surgery resident has been minimally described in the literature. The most common diagnoses, procedures, and surgical cases that occur during an on-call shift would be of interest to an incoming resident. This study was designed to provide insight as to the knowledge and skills necessary to be a competent orthopaedic surgery resident on call.

Methods: An electronic databank was created for the on-call residents to prospectively log inpatient and emergency department consultations at a level I trauma center over a 3-month period. Pertinent information was gathered about each consultation such as the diagnosis, treatment required in the emergency department or formal operative suite, type of anesthetic used to complete a reduction or procedure if necessary, duration of consultation, and more.

Results: Over 500 consults were recorded during the collection period. The top three most common diagnoses included distal radial and/or distal ulnar fracture (8.2%), hand laceration (8.0%), and compression, burst, transverse process, or fracture dislocation of the spine (5.7%). The top three most common procedures or reductions performed in the emergency department included closed reduction of a fracture (38.9%), irrigation and debridement (24.0%), and closed reduction of a fracture dislocation or isolated dislocation (15.7%).

Conclusions: This is the first study to evaluate the most common diagnoses and procedures encountered by orthopaedic residents on call at a level I trauma center. The results of the study can be utilized by orthopaedic program directors and department chairs, residents in training, and medical students.

aWestern Michigan University Homer Stryker M.D. School of Medicine Department of Orthopaedics, Kalamazoo, MI

bWestern Michigan University Home Stryker M.D. School of Medicine, Kalamazoo, MI

Financial Disclosure: Dr. Kenter discloses a financial relationship with Schwanz Biomedical outside this work. The authors report no conflicts of interest.

Correspondence to Tyler Snoap, MD, Western Michigan University Homer Stryker M.D., School of Medicine Department of Orthopaedics, 1000 Oakland Drive, Kalamazoo, MI Tel: +616-890-6916; fax: +269-337-6441; e-mail:

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