Western Reserve Hospital offers a 5 year residency program in Orthopedic Surgery as outlined by the American Osteopathic Association Committee on Post Doctoral Training and the American Osteopathic Board of Orthopedic Surgery. The WRH administration, Graduate Medical Education Department, and orthopedic faculty are committed to provide the necessary training and resources in the development of competent Osteopathic specialists in Orthopedic Surgery. Past graduates have obtained fellowship training opportunities in total joint, sports medicine, spine, hand/upper extremity, trauma and pediatric orthopedics.
The mission of the WRH Orthopedic Surgery residency program is to develop a competent osteopathic physician, skilled in the practice of Orthopedic Surgery and surgical techniques. This is accomplished by meeting or exceeding educational goals and objectives through competency based, compassionate, patient-centered learning strategies. WRH provides an opportunity to become academically and procedurally proficient through training in general orthopedics and fracture care, along with proficiency in the subspecialties of spine, hand and upper extremity, total joint replacement, foot / ankle surgery, and arthroscopy. Clinical exposure to all age groups, along with instruction in text, journal, and electronic resources is accomplished throughout the 5 years. The ultimate goal of our training program is excellence in patient care, recognized by colleagues and patients alike.
The WRH Orthopedic Surgery Residency is a highly competitive, excellence-driven program where residents develop efficient, comprehensive, diagnostic and clinical reasoning skills in a progressive fashion during their 5 years of training. Beginning the first week of residency, residents are taught to develop an understanding and correlation of laboratory procedures, including clinical laboratory, radiological, pathological, and nuclear departments. The program teaches the understanding of the musculoskeletal system and the roles that pathologic processes play in the development of disease, along with inclusion of osteopathic tenets in patient care.
From the first weeks of residency training the orthopedic resident actively participates in the pre- and post-operative care of all orthopedic patients, along with operative interventions appropriate for the level of training. There is exposure at all levels of training to radiologic procedures and their relevance to orthopedic patient care. There is a monthly orthopedic clinic session where residents assume control, with attending supervision, of their patients' care for a variety of orthopedic complaints.
The WRH Orthopedic Surgery Residency Training faculty practice a wide variety of general and subspecialty orthopedic procedures and are able to provide an encompassing training experience. To complement this, time is spent at area facilities to expand knowledge in the areas of orthopedic trauma, pediatrics, and musculoskeletal oncology. Through the other Residency Programs at WRH, orthopedic residents can learn the inter-disciplinary components to quality patient care, and interactions between subspecialties that they will encounter in private practice.
Throughout the 5 year orthopedic residency training program, residents participate in monthly orthopedic clinic at WRH. In addition, there are assigned times for resident participation in patient care in private offices.
The following is the schedule for the WRH Orthopedic Surgery program:
The initial year of orthopedic residency follows the AOA and the AOAO rotational guidelines for the OGME-1 year. Six months are spent in general orthopedics with exposure to the preliminary casework and techniques necessary for an orthopedic physician. There are two months spent on General Surgery rotation with focus on the pre-operative and post-operative care of patients. There are scheduled simulation experiences to build skills in the insertion of central lines, chest tubes, and inter-operative procedures.
There is also one month of each of the following, Internal Medicine, Internal Medicine - Nights, Emergency Medicine, and Intensive Care. All rotations are done at WRH.
The second year of training in orthopedic surgery will provide the resident with the basic knowledge of orthopedic surgical instruments, operating room technique, x-ray positioning and interpretation, and pre- and post-operative patient care. Residents will be exposed to a variety of clinical scenarios and orthopedic complaints to build clinical knowledge and surgical experience, both in the office setting and operating room.
During the third year of orthopedic training, the resident will continue participation directly in the management of cases in both the operating suite and in pre- and post-operative care of patients. The resident performs all operative procedures under supervision and will participate in the care of Emergency Department and other outpatient cases.
Three months are spent at Akron Children’s Hospital on the Pediatric Orthopedics Service. Here they will assist with overnight call in the emergency room and spend time in both the operating room and physician offices. This provides an excellent introduction to pediatric trauma and a variety of specialties within pediatrics. With the close proximity, residents can continue to participate in WRH orthopedic educational experiences during this time.
During the fourth year of orthopedic training, the resident will perform major surgical procedures under scrubbed supervision depending upon the resident's demonstrated ability. Increasing levels of resident responsibility are given, with the expectation of quality patient care and proper professionalism at all times.
Six months will include rotation of the resident to other hospitals in the area where additional exposure and training can be obtained in sub-specialty areas of orthopedic surgery. Three months are spent at Metro Health in Cleveland for Orthopedic trauma with experiences in re-construction, upper extremity, and major fracture care. Three months are spent again in Pediatric Orthopaedics, this time at Cincinnati Childrens Hospital. These rotations may be altered by the Orthopedic Surgery Program Director, the Department Chairman or Director of Medical Education based on availability or educational need.
The final year of orthopedic residency training focuses on preparing each candidate for successful future practice. Senior level residents will participate in a majority of surgical experiences and will be expected to function independently with appropriate attending supervision. There is continued exposure to private office practices with enhanced instruction on office management and systems-based practice topics. The entire year is spent at WRH both in the operating room and in faculty offices.
Throughout each year, there are numerous didactic activities which are required. Through a statewide affiliation, there are monthly Resident Program and Advisory Committee (RPAC) educational meetings, which cover practice management, evidence-based medicine, cervical and lumbar spine surgical skills, upper and lower extremity surgery, and Orthopedic In-Training Exam Review. These sessions are collaborated by the Ohio University College of Osteopathic Medicine and CORE Orthopedic Surgery Residency programs from across the state of Ohio.
There is weekly board review covering a selected text, or electronic resource. The material reviewed, as well as the accompanying board review is chosen on a yearly basis, and the session is coordinated by orthopedic attending physician faculty. All residents must participate in the Orthopedic In-Training Examination yearly.
Didactics take place on most days of the week which include weekly fracture conference, and journal reviews of new literature and review articles. Time is also allocated to weekly group OITE preparation and formal lecture didactics. Once each month there is journal club, which cover relevant topics in the field of orthopedics, attended by multiple faculty members. Each junior resident is assigned an article to present at journal club each month.
There is also noon lecture, grand rounds, OMM, and morning report lectures each Tuesday through Thursday on a rotating basis. Orthopedic topics are represented multiple times throughout the year.
Orthopedic Surgery Didactics 2015-2016
Dr.Rhea Richardson: Nemours Children's Clinic, Jackson, Fl (Pediatrics)
Dr.Sergio Ulloa: Cleveland Clinic Foundation, Cleveland, OH (Sports Medicine)
Dr.Tom Nienke: Florida Orthopaedic Institute, Tampa, FL (Spine)
Dr.Chad Poage: Andrews Research and Education Foundation, Gulf Breeze, FL (Sports Medicine)
Dr.Sean Keyes: Cincinnati Children's Hospital Medical Center, Cincinnati, OH (Pediatrics)
Dr.Caleb Pinegar: Andrews Research and Education Foundation, Gulf Breeze, FL (Sports Medicine)
Western Reserve Hospital Physicians:
Gregory Hill, DO, FAOAOProgram DirectorHand and Upper Extremity
Metro Health Physicians:
Akron Childrens Physicians (Pediatric Orthopaedics):
Cincinnati Childrens Hospital (Pediatric Orthopedics)
John Burger, DOPGY-V
Philadelphia College of Osteopathic Medicine
Jarred Holt, DOPGY-V
Erik Close, DOPGY-IV
Rocky Vista University College of Osteopathic Medicine
Kristin Cola, DOPGY-IV
Ohio University College of Osteopathic Medicine
Michael Fisher, DOPGY-III
Arizona College of Osteopathic Medicine of Midwestern University
Mark Rose, DOPGY-III
Koan Heindel DOPGY-II
Gordon Preston, DOPGY-II
Heather Seedhouse, DOPGY-II
Reed Lambert, DOPGY-I
Ohio University College of Osteopathic Medicine