About NOSM Education Research Communities

NOSM Orthopedic Surgery Program


The NOSM Orthopedic Surgery Program is a developed comprehensive learning experience that is designed to prepare trainees for a successful career in orthopedic surgery.

The program provides trainees with exposure to the practices of orthopedic surgeons in regional clinical settings throughout Northern Ontario. Graduates can expect to gain valuable experience in diverse areas of clinical practice having spent a portion of their training in a Northern rural environment. Trainees will benefit from this distributed learning approach with additional experiences and proficiency in subspecialty areas that are integral to community practice.

Many aspects of NOSM's programs set it apart from more traditional residency routes, including:

  • Early surgical skill training
  • Superior hands-on learning experiences within a variety of practices and clinical approaches through multiple levels of health care delivery
  • Early integration as a key member of a health care team
  • Community-based, clinical learning experiences
  • Self-directed, and learner-centred training
  • A team of dedicated preceptors committed to enhancing resident learning opportunities and clinical experiences
  • Exceptional lifestyle balance with a multitude of recreational opportunities unique to Northern Ontario
  • Exposure to the culture and social fabric of Francophone and Aboriginal communities
  • Access to the most advanced, state-of- the-art technologies in the industry
  • Travel support and accommodation for rotations away from residents' home base
  • A strong commitment to resident education rather than resident service

 

Curriculum

The program includes core rotations in Orthopedic Surgery and subspecialty rotations selected to incorporate a diversity of experience and proficiency in subspecialty areas integral to community based practice but less commonly emphasized in traditional Orthopedic Surgery residency programs.

Based on the resident's personal learning plan, the content, sequence of training and schedule of movement between teaching sites may vary. Residents are required to provide their own vehicle. The majority of rotations will be completed in Thunder Bay depending on preceptor and clinical resources. It is strongly recommended that residents have a laptop computer. 

Sample Rotation Plan (rotations in Thunder Bay or northern hospitals unless noted otherwise; blocks are 4 weeks in length).


Program
Year


       Content and Sequence of Rotations
      Number of 4-week Blocks


  1 2 3 4 5 6 7 8 9 10 11 12 13
First

OS

bootcamp

OS

LL

OS

LL

OS

LL

OS

LL

Emerg

Med / Research

Emerg

Med

/Research

IM

CTU

IM

ID 

OS

Gen

Surg

OS -Neuro Anes
Second ICU ICU

OS

Upp ext

OS

Upp ext

OS-Jr Trauma CBD OS-Jr Trauma CBD

OS

sports

OS

sports

OS

Foot & ankle

OS

Foot & ankle

OS

Trauma TO

OS

Trauma TO

  OS
Third  

OS

Jr Peds Toronto

OS

Foot & Ankle

OS

Upper Limb

 

OS

Electives

Fourth  

OS

Trauma Toronto

OS-CBD

Hip & Knee

OS

Sports Medicine

OS

Electives

Fifth  

OS

Sr Peds Toronto

OS-CBD

Spine

OS

Oncology Toronto

 

OS

Community Expert


b) Mandatory Content of Training


Description


 


Duration
Rotation = 
4 weeks

     Sites in which this training
may be taken
PGY1 – Junior Resident       
Orthopedic Surgery (2 are neuro;4 are lower limb)   7 Rotations      Thunder Bay (1 block Bootcamp in TO)
Emergency Medicine / Research   2 Rotations      Thunder Bay
Internal Medicine (CTU)   1 Rotation      Thunder Bay
Internal Medicine – Infectious Disease   1 Rotation      Thunder Bay
General Surgery   1 Rotation      Thunder Bay
Anesthesia   1 Rotation        Thunder Bay
        
PGY2 – Junior Resident       
Intensive Care Unit (ICU)   2 Rotations      Thunder Bay
Orthopedic Surgery   1 Rotation        Thunder Bay
Orthopedic Surgery – Upper Extremity   2 Rotations      Thunder Bay
Trauma – Junior – Competency based   2 Rotations      Thunder Bay
Orthopedic Surgery - Sports   2 Rotations        Thunder Bay
Orthopedic Surgery – foot and ankle   2 Rotations        Thunder Bay
Trauma – Junior - Toronto   2 Rotations      Toronto
        
PGY3       
Orthopedic Surgery  - Pediatric Junior   3 Rotations      Toronto
Orthopedic Surgery - Foot & Ankle   3 Rotations      Thunder Bay
Orthopedic Surgery  -Upper Limb   3 Rotations      Thunder Bay
Orthopedic Surgery  -Elective   4 Rotations      Thunder Bay or Northern Ontario if possible
        
PGY4       
Senior Trauma   3 Rotations      Toronto
Orthopedic Surgery- Hip & Knee Competency based   3 Rotations      Thunder Bay
Orthopedic Surgery - Sports Medicine   3 Rotations      Thunder Bay
Orthopedic Surgery  -Elective   4 Rotations      Thunder Bay or Northern Ontario if possible
        
PGY5 – Senior Resident       
Orthopedic Surgery - Pediatric Senior   3 Rotations      Toronto
Orthopedic Surgery  - Spine   3 Rotations      Thunder Bay
Orthopedic Surgery - Oncology   3 Rotations      Toronto
Orthopedic Surgery – Community Expert   4 Rotations      Thunder Bay


Academic Half Days

Academic half day sessions occur weekly throughout the year during protected time from clinical duties. Residents will also have the opportunity to participate in educational rounds, presentations, journal clubs and rounds through the Ontario Telemedicine Network.


PG Office Funded Courses   

ATLS (PGY1-2)

        OR

ACLS (PGY1-2)

        AND

AMLS (Registration Fee Covered Only, Not Travel)


External Mandatory Courses 

(Resident responsibility to register and submit leave approval well in advance)


PGY1:

Principles and Practice of Clinical Research

Basic Principles and Techniques of Operative Fracture Management Course

PGY2 (pick any two):

Advanced Trauma Techniques Course for Residents

AOSNA Principles and Treatment of Spinal Disorders for Residents

Fundamentals in Arthroscopy – AANA Course for Residents (on the course schedule, it is usually called “Resident”)


PGY3 (pick any two):

Current Concepts in Joint Replacement

Canadian Orthopaedic Foot and Ankle Symposium (in Toronto, offered every second year)

Fundamentals in Arthroscopy – AANA Course for Residents (on the course schedule, it is usually called “Resident”)


PGY4 (pick any two):

Canadian Orthopaedic Association (COA) Basic Science Course

Sainte-Justine Pediatric Orthopedic Review Course

Orthopedic Resident Review in Trauma for Residents

or any review course


PGY5:

AOSSM & AAOS Review Course for Subspecialty Certification in Orthopaedic Sports Medicine or Upper Extremity (2013 link for example) 

Canadian Orthopaedic Resident Forum (CORF) (usually in Calgary) 


Application Information

To apply to this program, visit www.carms.ca and select the Northern Ontario School of Medicine's Orthopedic Surgery program.

Contact Information

Dr. Kurt Droll
Program Director, NOSM Orthopedic Surgery

Cyndy MacKenzie
Coordinator, Postgraduate Specialty Medicine
Tel: (807) 766-7444
E-mail: cmackenzie@nosm.ca

 

 

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