Thomas Jefferson University


Residency Photo 2013-14

PGY - 1

The PGY-1 year is primarily spent at Thomas Jefferson University Hospital and is coordinated in conjunction with the Department of Surgery. The PGY-1 year is a transitional year that is divided into 13 four-week rotations on a variety of surgical and primary care services.

The goal of the PGY-1 year is to provide the basics of care and evaluation of the surgical patient. During the 12-week rotation on Orthopaedics, the time will split between Jefferson University and Bryn Mawr Hospital.

PGY-1 Rotation Schedule
(each 4 weeks)
Rehabilitation/Sports Medicine
Emergency Medicine
Ortho Joints - 8 weeks
OrthoTrauma/Consults - 8 weeks
Bryn Mawr General Ortho - 8 weeks
Musculoskeletal Radiology
Plastic Surgery
Vascular Surgery
Trauma Surgery

At Jefferson Hospital, the PGY-1 will learn how to care for both the Trauma and Joint services. This will be excellent preparation for the large amount of responsibilities that PGY-2's will under take. Bryn Mawr Hospital exposes the PGY-1 to basic fracture care and management. PGY-1's will become comfortable evaluating, managing, and treating fractures in the Emergency Room as well as consultations on the hospital floor.

Time spent on the orthopaedics, rehabilitation medicine, non-operative sports medicine and radiology is preparation for the clinical responsibilities of the orthopaedic resident.

Call Schedule

  • Orthopaedics (Bryn Mawr, 8 weeks) - in-house 12 hour call Friday PM and Sunday AM
  • Orthopaedics (Jefferson, 16 weeks) - Weekend AM
  • General Surgery (Plastics, Vascular, Trauma) - schedule provided by Department of Surgery


Two weeks and 10 days off at the end of June.

PGY - 2

The emphasis of the PGY-2 year is on learning the basics of general orthopaedic care and surgical principles. Responsibilities include providing the primary care for patients on both the Joint and Spine/Trauma services at the Thomas Jefferson University Hospital. Working primarily with the physicians of Rothman Orthopaedics, the residents are exposed to a large number of joint replacement and spinal cord injury patients and are expected to actively participate in all aspects of their care. The PGY-2 is also responsible for seeing all emergency and trauma consultations at Thomas Jefferson University Hospital.

PGY-2 Rotation Schedule
(each 2 months)
Spine Floor
Spine Clinical
Shriners Pediatrics
Joints Clinical
Night Float
Bryn Mawr

There are 2 two-month blocks where the PGY-2 spends time on the Joints Clinical and Spine Clinical services. The clinical residents spend half their time in the operating room and the other half attending office hours. These newly instilled rotations provide residents an opportunity to hone their surgical and diagnostic skills. There is a two month rotation as a "night float" resident at Thomas Jefferson University Hospital. Residents get early exposure to pediatric orthopedics with a two month rotations at Shriners Hospital for Children. The residents return to Bryn Mawr Hospital the final two months. Here the PGY-2's are primarily in the operating room and are exposed to a wide variety of surgical cases with fellowship trained attendings, including Hand, Sports, Foot and Ankle, and Joints.

Call Schedule

  • Thomas Jefferson University Hospital - every other week, either Friday night and Sunday day call or 24 hour Saturday call
  • Residents average about two weekends off a month


Four weeks.

PGY - 3

The PGY-3 year is focused on increasing a resident's responsibilities and developing subspecialty specific orthopaedic skills. Four months is spent at the Alfred I. du Pont Hospital for Children. This renowned children's hospital provides the house staff a firm understanding of pediatric orthopaedics. Resident responsibilities include operating, clinics and office hours.

PGY-3 Rotation Schedule
(Pediatrics - 6 months,
others 6 weeks)
Sports/Shoulder and Elbow
Hand - Rothman Orthopaedics

The other eight months are split into two month rotations on a variety of orthopaedic subspecialites. These rotations allow the resident to further define and sharpen the fundamentals of orthopaedic knowledge and technical skills acquired during the PGY-2 year. Surgical indications are emphasized as residents have a balanced commitment to both the operating room and the office.

The goal of the PGY-3 year is to prepare the resident for the responsibility and independence expected of a senior resident.

Call Schedule

  • Pediatrics (A. I. du Pont Hospital) - in-house call is divided among the residents from Jefferson and residents from other orthopaedic programs.
  • Foot/Ankle, Hand and Sports blocks averages approximately 1 weekend a month at Bryn Mawr Hospital


Four weeks.

PGY- 4

The PGY-4 resident, as a senior resident, assumes an increased independence and responsibility. There are two eight-week rotations of general orthopedics at Bryn Mawr Hospital and fracture care at Thomas Jefferson University Hospital. Here, the PGY-4 spends most of the day in the operating room, gaining the experience and skills, as well as mentoring the PGY-1's and 2's that rotate through.

PGY-4 Rotation Schedule
(each block 6 to 7 weeks)
Bryn Mawr
Musculoskeletal Oncology
Sports and Shoulder/Elbow
Hand (Philadelphia Hand to Shoulder Center)

The rest of the year comprises of further sub-specialty training including Hand Surgery, Sports Medicine, Shoulder/Elbow Surgery and Musculoskeletal Oncology. The goal of the PGY-4 year is to prepare residents for the duties of the upcoming chief year as well as developing a well rounded repertoire of surgical and clinical skills in all sub-specialties. The rest of the year comprises of further sub-specialty training including Hand Surgery, Sports Medicine, Shoulder/Elbow Surgery and Musculoskeletal Oncology. The goal of the PGY-4 year is to prepare residents for the duties of the upcoming chief year as well as developing a well rounded repertoire of surgical and clinical skills in all sub-specialties.

Call Schedule

  • Bryn Mawr Rotation - 1 weekday call/wk
  • Hand - 1 weekday call/wk, 1 weekend call/month


Four weeks.

PGY- 5

PGY-5 residents return to Thomas Jefferson University Hospital for their chief year. The year is divided equally between the three primary orthopaedic services at Jefferson. The PGY-5's main responsibility is to fine tune surgical skills in the operating room and clinical skills in the office.

Other duties include the supervising and teaching junior residents and medical students and preparing weekly clinical conferences. The chief resident also acts as the backup call to the PGY-2's.

PGY-5 Year Rotation
(each block 2 months)
Spine - two rotations
Joints - two rotations
Sports - one rotations
Shoulder/Elbow - one rotation

At the end of the PGY-5 year, the orthopaedic resident is expected to demonstrate the clinical skills and orthopaedic knowledge appropriate for a finishing chief resident.


Four weeks.