The Orthopaedic Surgery Department at the University of Missouri – Kansas City welcomes senior medical students to participate in a four-week sub-internship. During this month, students will gain an in-depth exposure to musculoskeletal medicine and orthopaedic care. This experience is designed to provide an overview of orthopaedic surgery by engaging students on the various sub-specialty services provided by our institutions, including Adult Reconstruction, Adult Hand, Adult Foot and Ankle, Trauma, Spine, Oncology, and Sports Medicine. Students interested in participating on a pediatric rotation are welcome to apply at Children’s Mercy Hospital, our flagship hospital for the pediatric experience in the UMKC Residency Program.
The University of Missouri – Kansas City Orthopaedic Surgery Department welcomes visiting medical students to rotate with us. Rotations are available each summer and fall for qualified, fourth-year medical students from LCME-accredited medical schools. Interested students should contact our coordinator, Carolyn Holtman, with the following information: name, medical school, USMLE Step 1 score, brief explanation (one to two paragraphs) of interest in the program, and requested dates of rotation. Tentative approval will be granted after application review by our clerkship director Jonathan Dubin, M.D. However, formal approval requires that an application be submitted and verified through VSAS to secure the rotation. Students who do not submit a complete VSAS application will not be permitted to rotate. Requests will be reviewed and rotations will be scheduled in the order they are received.
A general outline of the rotation can be seen below.
Truman Medical Center
Four weeks will be spent at this busy, urban Level-1 Trauma Center in the heart of Jackson County, Missouri. Students will have the opportunity to participate on a care-team ran by the chief resident. Students will receive roughly equal exposure to inpatient management, outpatient clinic and the operating room. While this is a trauma center, students will work with faculty from various orthopaedic sub-specialties.
This is our brand-new, state-of-art outpatient ambulatory care center across the street from Truman Medical Center-Hospital Hill. Students will have the opportunity to participate in clinics and outpatient surgeries at this facility during their rotation.
Taking call is not mandatory during this rotation. However, for those interested in learning about the call responsibility, the experience can be arranged by working out a schedule with our chief resident. Students should not attempt more than five calls for the month.
Students are expected to attend the dedicated didactics for the residents on Wednesdays from 6:30-9:30 a.m. at Truman Medical Center, as well Morning Grand Rounds/Journal Club on Thursdays from 6:30-7:30 a.m. Students also are encouraged to join the Case Conferences, held the first and third Saturday of the month from 7-8 a.m. in the Crocket Conference Room at St. Luke’s Hospital. In addition, Program Director Dr. James Bogener hosts a surgical skills lab for PGY-1 and PGY-2 residents on Tuesdays from 6:30-7:30 a.m. in the Orthopaedic Surgical Skills Lab. Students are welcome to participate.
Students are asked to present a topic for grand rounds at the end of their rotation. It is a power-point presentation and can cover any area of interest; however, students are encouraged to seek guidance from senior residents and/or faculty.
Specific Goals of the Sub-Internship
- Develop skills in history and physical examination in patients presenting with musculoskeletal complaints
- Understand the assessment and principles of early management in poly-trauma patients
- Carry-out routine patient care tasks, i.e. post-operative dressing changes, surgical retraction, simple superficial wound closure, simple reductions and splinting under direct supervision
- Present a routine orthopaedic patient concisely and accurately to an attending
- Develop team work skills and communicate effectively
- Learn. ENJOY!
Students will be evaluated by the faculty members who worked extensively with that student. In addition, the chief resident on service is asked to perform an evaluation. Written evaluations are completed at the end of the four-week rotation. An exit interview will be performed to provide direct, oral feedback. For mid-rotation feedback, students may contact a staff member or chief resident for comments so that improvements can be made prior to the end of the rotation. Evaluation will be based on multiple factors, including: patient care, knowledge, professionalism, interpersonal communication skills and work ethic.
In addition to the global evaluation, we ask that medical students seek evaluation on two of seven milestones based off the ACGME resident milestones. The criteria for each of these milestones can be seen by clicking here.
- Hip Fracture
- Tibia / Femur Fracture
- Carpal Tunnel
- Knee / Hip Osteoarthritis
- Degenerative Spinal Conditions
- Rotator Cuff
- Acute Traumatic Knee Pain
Students will also be asked to write an evaluation of their experience and the faculty they worked with during their rotation.
*Students matriculating at UMKC will have the opportunity to rotate through St. Luke’s Hospital, if desired. Unfortunately, this exposure is not available to visiting students.
**UMKC students are always welcome to attend the Wednesday or Saturday morning conferences, as we believe these are invaluable learning opportunities.