For Program Information
The PGY-1 year is primarily spent at Thomas Jefferson University Hospital (TJUH). It is a transitional year designed to teach the basics of care and evaluation of the surgical patient. Intern year includes three eight-week Orthopaedic Surgery rotations and six four-week rotations, coordinated with the Departments of Surgery, Emergency Medicine, and Nonoperative Orthopaedics.
During the 24 weeks on Orthopaedics, 16 weeks are spent at TJUH and eight weeks at Bryn Mawr Hospital. At TJUH, PGY-1s learn how to care for patients on the Ortho Trauma and Spine services. This includes managing floor patients, seeing consults, performing procedures, and scrubbing operative cases. Eight weeks at Bryn Mawr Hospital further expose the PGY-1 to basic fracture care and orthopaedic patient management. PGY-1s spend time evaluating and treating fractures in the emergency room, managing in-patients, and participating in surgeries.
Interns spend an additional four weeks on outpatient nonoperative sports medicine. This familiarizes PGY-1s with patient evaluation and work-up in the outpatient setting, and provides exposure to a wide range of nonoperative treatment modalities.
Four-weeks rotations on Vascular Surgery, Plastic Surgery, General Surgery Trauma, and in the Surgical ICU provide the PGY-1 further instruction in the management of complex surgical patients, with skillsets directly applicable to orthopaedics. Four weeks of Emergency Medicine allow additional experience seeing and triaging consults, and formulating treatment and disposition plans.
(each 4 weeks)
Ortho Joints - 8 weeks
OrthoTrauma/Consults - 8 weeks
Bryn Mawr General Ortho - 8 weeks
- Orthopaedics (BMH, 8 weeks) - In-house 12-hour call Friday PM and Sunday AM.
- Orthopaedic Trauma and Spine (TJUH, 16 weeks) – Alternating Weekends AM.
- General Surgery (Plastics, Vascular, Trauma, SICU) - Schedule provided by Department of Surgery.
- Two weeks during Rehabilitation/Nonop Sports Medicine (Step 3 recommended).
- One week during a General Surgery rotation (most often Vascular).
- Ten days off at the end of June.
The PGY-2 year provides residents graduated responsibility and progressive exposure to the orthopaedic subspecialties. It consists of seven 7-8 week rotations including general and specialty pediatric ortho, joint arthroplasty, spine surgery, foot and ankle surgery, and a dedicated night float rotation.
On subspecialty rotations, residents split their time between the operating room and clinic, learning the physical examination, work-up, decision making, pre-operative planning, surgical treatment, and aftercare of a broad range of orthopaedic conditions. As the night float resident, PGY-2s are in-house Sunday-Thursday nights at TJUH, an inner-city Level 1 trauma center, and regional spinal cord injury center, with a PGY-5 on backup call.
(each 7-8 weeks)
Shriners Pediatrics (Shriner’s Hospital)
St. Christopher’s Pediatrics (St. Christopher’s Hospital)
Spine Surgery (TJUH)
Joint Arthroplasty 1 (TJUH)
Joint Arthroplasty 2 (TJUH)
Night Float (TJUH )Foot and Ankle (Bryn Mawr Hospital)
- Spine, Joints 1 and 2 (TJUH, 21 weeks) – Every other weekend Saturday, 24-hour call OR weekly Sunday, 12-hour day call.
- Shriners and St. Chris (14 weeks) – Home call, schedule provided by sites.
- Foot and Ankle (Bryn Mawr Hospital, 7 weeks) – Call Sunday and Tuesday nights.
The PGY-3 year is focused on increasing residents’ responsibilities and developing subspecialty-specific orthopaedic skills. This year will prepare trainees for the responsibility and independence expected of a senior resident. While PGY-1 and PGY-2 residents spend much of their time on inpatient services, the PGY-3 year is more outpatient-predominant subspecialties. This includes immersive preceptor-style rotations in Foot and Ankle, Shoulder and Elbow, Hand, and Sports. Each rotation includes subspecialty specific didactics, in addition to the residency-wide didactics.
PGY-3s also spend 14 weeks at Nemours Children's Hospital in Wilmington, DE. This renowned children's hospital provides house staff a firm understanding of pediatric orthopaedics. Resident responsibilities include operating, clinics hours, and seeing inpatient and emergency room consults at this level 1 pediatric trauma center. PGY-3s work closely with rotating residents from other programs, including Mt. Sinai in NY, Seton Hall in north Jersey, Rowan in south Jersey, and Georgetown in Washington, DC. Finally, PGY-3s enjoy a protected research rotation.
(Each 7-8 weeks except Nemours)
Nemours Pediatrics (Nemours Children's Hospital) - 14 weeks
Shoulder and Elbow
Foot and Ankle
- Hand, Shoulder and Elbow, Foot and Ankle, Sports, Research (36 weeks) – In-house call, two weekends per month, either TJUH Friday night 12-hour call, or Bryn Mawr Saturday 24-hour call.
- Nemours Pediatrics (14 weeks) – In-house call divided between residents from multiple programs, average three weeknights and one weekend per month.
The PGY-4, as a senior resident, assumes increased independence and responsibility. On most rotations, PGY-4s act as service chiefs, overseeing a team of junior residents. This is the case during two rotations of general orthopedics at Bryn Mawr Hospital, with four operative days per week comprising a mixture of joint arthroplasty, spine, sports, hand surgery, and community trauma.
During an orthopaedic trauma rotation at TJUH, the PGY-4 spends most of the day in the operating room, gaining experience treating high-acuity, complex trauma. In addition, the PGY4 oversees the intern on trauma, triaging consults and assisting with procedures. An orthopaedic oncology rotation at TJUH includes robust experience in the workup and treatment of primary and metastatic bone and soft tissue lesions. As part of its NCI-designated Cancer Center, Jefferson has one of the nation’s few designated sarcoma centers. As a member of the orthopedic oncology team, residents work with subspecialized counterparts in medical and radiation oncology, musculoskeletal radiology, and pathology to treat patients.
Other PGY-4 rotations include Hand Surgery with the Philadelphia Hand to Shoulder Center, with exposure to microsurgery and replant, Sports Medicine, and a Vacation Cross-Coverage rotation covering operative days for co-residents on their scheduled vacations.
(Each block 7-8 weeks)
Bryn Mawr 1
Bryn Mawr 2
Hand (Philadelphia Hand to Shoulder Center)
- Bryn Mawr - One weeknight in-house call per week.
- Hand - One weekday home call per week; one Saturday home call per month.
PGY-5 year is designed to fine-tune decision making, surgical, and leadership skills, to equip residents with the tools needed to be successful practicing orthopaedic surgeons. The year includes rotations in trauma at a busy level 2 trauma center, spine surgery, joint arthroplasty, shoulder and elbow, sports, and an elective rotation. In addition, each PGY-5 has administrative duties and takes backup call at TJUH. At the end of the PGY-5 year, the orthopaedic resident is expected to demonstrate the clinical skills and orthopaedic knowledge appropriate for a graduating chief resident.