Welcome to the Ortho Site
/Overview
Orthopedics and sports medicine are important topics in family medicine. The curriculum on this page not only covers what you will learn on the individual rotations, but also during your entire residency. The goal is to produce family physicians who can care for the vast array of orthopedic/sports med problems encountered in family medicine. To help make this material more manageable, the content or topics have been broken down, with specific faculty and specialist identified to concentrate on a given topic area.
During each orthopedic month, the resident must complete the following:
- Read all assigned readings (listed below) and score a 100% on the associated online quiz:
- Ortho R2 Quiz: https://ucfm.wufoo.com/forms/mm92y1205sbvw7/
- Ortho R3 Quiz: https://ucfm.wufoo.com/forms/m1hagqa918qarn5/
- View physical examination videos (posted below).
- Complete the practice self-test based upon ITE questions similar to those likely to be encountered on the family medicine boards (provided via email in the first week of your rotation).
- Meet with the overseeing family medicine faculty, Dr. Collins, to review key topics and examination skills during the rotation and answer questions on assigned readings.
Ortho R2 residents are also required to attend (via internet at Dr Rolf's Harrison office) the Sports Medicine Fellowship Lecture series on Mondays, 730am, with Dr Robert Rolf and Beacon Orthopedics. Sports Med elective residents are also encouraged to attend. Ortho R3 residents may attend as their schedule permits. Location: Beacon Orthopaedics Foundation Classroom, 500 E. Business Way, Sharonville, OH 45241. This conference may also be attended live via internet (contact Sherry Gammache for information: sgammache@beaconortho.com). Click HERE for 2012-13 conference schedule.
Please feel free to contact Dr. Collins with questions or concerns. Also please provide us feedback on how to improve the rotation.
Required Readings & Video Learning Assignments
At the beginning of your rotation, please pick up your textbook (Steinberg, Gerald G et al. Orthopaedics in Primary Care)(Please return to FMC at the end of your rotation). During your rotations, please utilize/familiarize yourself with Sarwark/AAOS/AAP, Essentials of Musculoskeletal Care 4, and The Sports Medicine Patient Advisor, located in the FMC Precepting Office (Please do not remove from FMC - sorry!). Selections from the first two books above, along with a few key articles (linked below), comprise your mandatory reading assignments each rotation. The Sports Medicine Patient Advisor has excellent one-pagers for patients on almost every orthopedic condition. Don't forget to complete the online quiz based on your readings (See link above)!
Please read or watch the following during your rotations:
- Ortho R2 (Emphasis on back and lower extremity, along with PT/rehab):
- Back
- Steinberg, Chapter 5, Back, pp139-170
- Classic article: http://www.aafp.org/afp/1999/1115/p2299.html
- Acute Low Back Pain (Click here)
- Chronic Low Back Pain (Click here)
- Video (Exam): http://www.youtube.com/watch?v=by3cBYXxXew
- Video (Review): http://www.youtube.com/watch?v=YcivUFHpKo4&feature=relmfu
- Knee
- Steinberg, Chapter 7, Knee, pp204-240
- Evaluation of Knee Pain, Pt 1 (Click here)
- Evaluation of Knee Pain, Pt 2 (Click here)
- Video (Exam): http://www.youtube.com/watch?v=eRPvoNe9Aho
- Ankle
- Ankle Injuries: http://www.aafp.org/afp/1998/0201/p474.html
- Acute Ankle Sprain (pdf): Click here
- Video (Exam): http://www.youtube.com/watch?v=3uEQVhx4mu8&feature=related
- Foot/Podiatry
- Top 10 Podiatry Pearls (Click here)
- Physical & Occupational Therapy
- Sarwak, Rehabilitation & Therapy, pp175-224 (In FMC; skim only)
- Readings from TCH OT/PT Outpatient Experience
- Back
- Ortho R3 (Emphasis on C-spine and upper extremity, along with pediatrics):
- C-Spine
- Steinberg, Chapter 1, Cervical Spine, pp1-29
- Shoulder
- Sarwak, Shoulder, pp263-268, pp291-300, pp311-316 (In FMC)
- The Painful Shoulder, Evaluation: http://www.aafp.org/afp/2000/0515/p3079.html
- The Painful Shoulder, Acute & Chronic Conditions: http://www.aafp.org/afp/2000/0601/p3291.html
- Video (Exam): http://www.youtube.com/watch?v=VSrLbzZzJU8
- Elbow
- Sarwak, Elbow, pp370-376, pp384-388 (In FMC)
- Hand & Wrist
- Hand & Wrist, Pt 1 (Click here)
- Hand & Wrist, Pt 2 (Click here)
- Pediatric Ortho
- Steinberg, Chapter 16, Pediatric Ortho, pp381-411
- C-Spine
Ortho Rotation Toolbox (extras that may be helpful to you):
RADIOLOGY REVIEW: At the start of your rotations, you may wish to review radiology tutorials on musculoskeletal xray interpretation found here: http://radiologymasterclass.co.uk/tutorials/tutorials.html.
SHOULDER & KNEE EXAM GUIDE: Many residents also find this Shoulder and Knee Exam Guide a helpful reference: One-pager on Shoulder & Knee Exams.
MOST BANG FOR BUCK ON SHOULDER EXAM: See this great little video from JAMA on most important shoulder exam tests for evaluating rotator cuff: http://jama.jamanetwork.com/multimediaPlayer.aspx?mediaid=5975016# (For full PDF article from JAMA: The Rational Shoulder Exam, JAMA 2013)
INJECTIONS GUIDE: From Dr. Holliday's Effective At Every Visit website: Injections Cheat Sheet
CONCUSSION MANAGEMENT: SCAT-3 Form