Orthopedic Surgery Residency Program Rotations

The PGY-1 year consists of six months of orthopedic rotations (chief’s trauma/introduction to night float, sports, hand, pediatric orthopedics) and six months of off service rotations (neurosurgery, anesthesia ICU, emergency medicine, general surgery trauma, pediatric general surgery, vascular surgery).

As an intern on orthopedic rotations, you will have the opportunity to begin learning the fundamentals of orthopedics in a relaxed atmosphere. There will be adequate time spent in both clinic and the operating room. The intern on chief’s trauma will take some supervised day call, but will not take any call on the remainder of orthopedic rotations. The introduction to night float is a two-week rotation spent with a PGY-2/PGY-3 on night float to become more acclimated with managing adult and pediatric orthopedic consults. Every month, the interns will spend an afternoon with Chad Mathis, director of the residency program, to discuss principles of orthopedics and spend time in the cadaver lab on pertinent dissections.

Fracture Service

Attending: David Seligson, MD

The resident will be involved in morning rounds and will be expected to see all floor and ER consults and staff them with the chief on service. The resident will participate in trauma cases daily and have the opportunity to start operating independently on level-appropriate trauma cases (hardware removal, I&D, intramedullary nailing). The PGY-2 will participate in two to three half days of trauma clinic per week.

Night Float

Attendings: Hari Ankem, MD; Miguel Daccarett, MD; Syed Gilani, MBBS; David Seligson, MD, Rodolfo Zamora, MD; Jiyao Zou, MD

The PGY-2 resident on the night float rotation will be responsible for seeing all consults at two Level 1 Trauma Centers – UofL Health-Hospital and Norton Children’s Hospital. The resident will be on call from 5 p.m. to 7 a.m. Sunday-Thursday. The night float resident will be responsible for stabilizing patients and preparing them for surgery the following day. They will also participate in any emergent surgeries during the time they are on call. A chief resident is available to answer any questions, provide assistance and come in to operate on emergent patients at UofL Health-Hospital.

Pediatric Orthopedics

Attendings: Jennifer Brey, MD, Laura Jacks, MD, Josh Meier, MD, Anthony Silverio, MD, Kelly Jenkins, MD, Bailey Young, DO, James Moyer, MD, MD, Kent Walker, DO

The PGY-2 pediatric orthopedics rotation will be done with the Norton Children’s Orthopedics of Louisville Group. The resident will spend two days per week in clinic and three days per week in the OR to develop an understanding of pediatric orthopedic pathology (such as fracture management, spine deformities, hip dysplasia, spasticity, metabolic bone disorders). They will be responsible for managing all floor and ER consults three days per week.

Hand

Attendings: Ethan Blackburn, MD, David Tate, MD

The junior hand and upper extremity rotation will be spent with Louisville Arm and Hand, a Norton Healthcare group comprised of eight fellowship trained hand and upper extremity surgeons. The resident will be in the OR three- to four-days a week and in clinic one- to two-days per week. The senior resident will coordinate with the lower level residents on service to ensure that each resident is with a different attending surgeon to maximize the learning experience. The PGY-2 on service will have the opportunity to perform critical portions of routine hand and upper extremity cases (ex: carpal/cubital tunnel release, trigger finger release, LRTI, I&D).

Foot and Ankle

Attending: Todd Hockenbury, MD, Victor Anciano, MD

The resident will be in clinic evaluating patients three days a week and in the OR two days a week. Hockenbury does an excellent job of explaining the fundamentals of foot and ankle pathology/biomechanics, which is very helpful at this juncture of residency. One OR day is focused on more complex cases, such as total ankle arthroplasty and major foot/ankle reconstruction. The other OR day is spent at an outpatient surgery center with a focus on smaller cases, such as hallux valgus deformity correction and forefoot fusions. This rotation is at UofL Health Mary & Elizabeth Hospital.

Arthroplasty

Attendings: James Baker, MD, Joe Greene, MD

The resident will spend an OR day and a clinic day with Baker and one and a half OR days and one day of clinic with Greene.

Chief’s Trauma

Attendings: Miguel Daccarett, MD;  Jiyao Zou, MD

The resident will be responsible for managing all orthopedic patients on the floor. They will begin to operate independently on level-appropriate trauma cases (such as intramedullary nailing, ankle and wrist fractures). They will be responsible for seeing consults on the floor and in the ER and educating the team’s intern on how to manage these consults. Additionally, they will spend one half day in clinic per week with Dr. Roberts seeing trauma patients.

Sports

Attendings: Kevin Harreld, MD, Sam Carter, MD

The resident on service will have more involvement in the operating room and will have the opportunity to complete critical parts of orthopedic sports cases (ex: ACL graft harvest and preparation, rotator cuff repair). They will be in clinic two days per week and in the OR two days per week.

Night Float

Attendings: Hari Ankem, MD; Miguel Daccarett, MD; Syed Gilani, MBBS; David Seligson, MD; Rodolfo Zamora, MD; Jiyao Zou, MD

This rotation is identical to the PGY-2 night float rotation. Again, the night float resident will be responsible for seeing all floor and ER consults at UofL Health-Hospital and Norton Children’s Hospital from 5 p.m. to 7 a.m. Sunday-Thursday.

Jewish Adult Reconstruction

Attending: Arthur Malkani, MD

This rotation will focus on the hip and knee reconstruction and will involve robotic assisted surgery. Residents will have the opportunity to perform all critical portions of adult reconstruction surgeries. The resident will spend two days per week in clinic and three days per week in the OR.

Spine

Attendings: Mitch Campbell, MD, Charles Crawford, MD, John Dimar, MD, Mladen Djurasovic, MD, Steven Glassman, MD, Jeff Gum, MD, Rolando Puno, MD

This rotation is a comprehensive cervical to lumbar spine experience with Norton Leatherman Spine Specialists, a premier spine center in the country. The resident on service will work one-on-one with experienced attendings in clinic and the OR. There will be an opportunity to participate in Robotic-Assisted Spine Surgery. The resident on service will take three weekdays of spine call and one weekend of spine call per month.

Arthroplasty

Attendings: James Baker, MD, Jonathan Yerasimides, MD

The resident will spend two days of OR with Yerasimides and one and a half OR days and one day of clinic with Baker.

Chief’s Trauma

Attendings: Miguel Daccarett, MD;  Jiyao Zou, MD

The resident will focus on refining their operative skills and starting to participate in more challenging trauma cases, such as pelvic/acetabulum trauma and periarticular fractures. The PGY-4 resident will participate in morning rounds and see primarily orthopedic patients in the ICU. They will also spend one half day in clinic per week with Zou to further education on complex wound care management.

Fracture Service

Attending: David Seligson, MD

The PGY-4 on the fracture service will serve as the chief resident of the service. They will be involved heavily in surgical decision making, play a role in booking surgical cases and participate in trauma cases daily. The PGY-4 will be involved in morning rounds and will lead table rounds with Seligson each day. They will also supervise all orthopedic consults seen by the lower level resident on the service. The PGY-4 will participate in two to three half days of trauma clinic per week.

Musculoskeletal Oncology

Attending: Rodolfo Zamora, MD

This rotation is a continuation of the PGY-2 MSKO rotation with Zamora. The PGY-4 will have a one-on-one experience with Zamora and participate in surgical cases focused on oncology and complex adult reconstruction.

Knee

Attending: Samuel Carter, MD

This rotation will be spent with Sam Carter at Norton Brownsboro Hospital. Carter is a graduate of the UofL residency program and his practice is focused on shoulder/hip/knee arthroscopy and knee replacement. The resident on service with Carter will spend two days per week in clinic and two days per week in the OR.

Sports

Attendings: Akbar Nawab, MD, Sam Carter, MD, Ryan Eades, MD

This rotation is spent with the orthopedic specialists group at Norton Brownsboro Hospital. This rotation will focus on hip and knee reconstruction, with an emphasis placed on the increasingly popular anterior hip approach. The resident on service will spend two days per week in clinic and three days per week in the OR.

Pediatric Orthopedics

Attendings: Anthony Silverio, MD, Kelly Jenkins, MD, Bailey Young, MD, Jennifer Brey, MD, Laura Jacks, MD, Josh Meier, MD, James Moyer, MD, Kent Walker, DO

The PGY-4 on pediatric orthopedics will continue to build on their junior level pediatric experience with the Norton Children’s Orthopedics of Louisville Group. As the upper level on service, the PGY-4 will be expected to have a more thorough understanding of pediatric orthopedic pathology. They will spend two days per week in clinic and three days per week in the OR. They will be responsible for managing all floor and ER consults two days per week.

Spine/Elective

Attendings: Nicholas Ahn, MD, Trey Crawford, MD, John Dim, MD, Mladen Djurasovic, MD, Steve Glassman, MD, Jeff Gum, MD, Mitch Campbell, MD

The elective rotation will be spent with one attending orthopedic surgeon in the Louisville community. This rotation will follow a mentorship model and allow the resident to spend time focusing on a subspecialty of orthopedics that is of interest to them.

Chief’s Trauma

Attendings: Miguel Daccarett, MD;  Jiyao Zou, MD

The PGY-5 on the chief’s trauma team will serve as the chief resident of the service. Responsibilities as the chief resident include: participating in pre-operative planning for surgical cases, booking surgical cases, overseeing the management of orthopedic patients on the floor and in the ICU and participating in surgery daily. The chief resident is generally involved in more complex trauma cases and will also be involved in educating and supervising lower level residents in the operating room.

Adult Reconstruction

Attendings: Michael Salamon, MD, Lawrence Schaper MD and Andrew Duffee, MD

Ellis and Badenhausen is a private practice orthopedic group that has served the Louisville community for over 60 years. The senior resident on this service will spend two days in the OR and one day in clinic with Michael Salamon, whose areas of specialization include foot and ankle reconstruction and general orthopedics. One day a week will be spent in the OR with Lawrence Schaper, an adult reconstruction specialist. One day a week can be spent in clinic or the OR with any of the nine providers in the group.

Hand & Upper Extremity

Attendings: Amit Gupta, MD, Luke Robinson, MD

This rotation will be spent with Louisville Arm & Hand, a Norton Healthcare group comprised of eight fellowship trained hand and upper extremity surgeons. The resident will be in the OR four days a week and in clinic one day per week. The senior resident will coordinate with the lower level residents on service to ensure that each resident is with a different attending surgeon to maximize the learning experience.

Foot & Ankle

Attending: Todd Hockenbury, MD, Victor Aniciano, MD

The resident will be in clinic evaluating patients three days a week and in the OR two days a week. One OR day is focused on more complex cases, such as total ankle arthroplasty and major foot/ankle reconstruction. The other OR day is spent at an outpatient surgery center with a focus on smaller cases, such as hallux valgus deformity correction and forefoot fusions.

Elective

The senior elective is a flexible rotation that affords the PGY-5 resident the freedom to work with any of the orthopedic surgery providers in the Louisville community. The purpose of the senior elective rotation is to allow the resident to address any interests/areas of improvement prior to graduating from the program and moving into fellowship/practice. There are no specific requirements on the amount of time spent in clinic versus the OR.

Sports/Recon

Attending: Joe Greene, MD, Jonathan Yerasimides, MD

PGY-1

None while on orthopedic rotations. They will be expected to take some call while on the following off-service rotations: general surgery trauma, pediatric general surgery and vascular surgery.

PGY-2

While on the fracture service, resident will take one weekend of primary adult trauma call per month at UofL Health-Hospital. There will be no weekend call while on night float. For the remainder of the PGY-2 rotations, resident will take up to one weekend of primary pediatric orthopedic call per month at Norton Children’s Hospital.

PGY-3

While on the spine service, resident will take one weekend of primary spine call per month at UofL Health-Hospital, Norton Hospital and Norton Children’s Hospital. There will be no weekend call while on night float. For the remainder of PGY-3 rotations, resident will take up to one weekend of primary adult orthopedic call per month at UofL Health-Hospital.

PGY-4

While on the fracture service, resident will take one weekend of primary adult trauma call per month at UofL Health-Hospital. For the remainder of PGY-4 rotations, resident will take up to one weekend of primary adult orthopedic call per month at UofL Health-Hospital.

PGY-5

Resident will take up to one weekend of adult trauma call per month at UofL Health-Hospital. The resident will not carry a pager or see consults, but will only come in to participate in surgery.