If I say Residency and Trauma...

If you are interested in trauma, then UMDNJ-New Jersey Medical School (the one in Newark) is a haven for trauma. Many cases and orthopaedic services will get trauma spill over, such as peds (lots of peds trauma), hand (if you like replants and the various wrist/metacarpal/phalange trauma), spine (emergent laminectomies, fusions, halo's), foot and ankle (your bread and butter ankle and calcaneal fractures), tumor (pathological fractures are not uncommon), and even sports (shoulder hemiarthorplasty and the various laceration to knee, elbow...) and there's the trauma service (femurs, tibial plateau, tib/fib, pilon, wrist pelvic/acetabulum/sacrum, open, comminuted, revision, ostemyelitis, flaps...) The residents are a great group of individuals; hard workers who like to work and play together leading to a friendly comraderie.

Most importantly, the residents operate a ton on all of these services (even as a PGY2) with great, younger approachable attendings. They are busy enough to probably benefit from a trauma fellow, but this would take away from the resident operating experience, and the only fellow is in tumor. While this program is at an academic center with six residents per year, it is less "academic" than some other large programs but the residents still have to do some research and they get good fellowships.

Elective cases are growing (arthroplasties, scopes, etc...) and many of the elective cases they get referred are the revisions and the complex stuff that community guys don't want to touch. But the elective experience could be better.

Hopefully someone will find this post useful.

The previous post is not representative of UT-San Antonio. Things are absolutely changing for the better at the program with the new vice-chair. There is still a large amount of trauma, but they now have 3 teams with call q3. The residents are much happier with this situation and now are practically free from call on almost all of their other rotations since floor calls go to the trauma consult pager.

Make sure you know your facts before you rip on a program.

If you are a real glutton for punishment try:

UT San Antonio....you will be Q2 for 3 months. Fix fractures till your eyes bulge and then be miserable with the rest of the residents for the next 5 years.

UT Houston and Southwestern fix absurd amounts of trauma
Mississippi
UM Jackson
Emory

Stanford is pretty heavy in trauma and has a trauma fellow

If you like trauma and want to operate from the word go then The University of Texas-Houston is the place to go. Herman Hospital is as busy as any Level 1 in the country, and 90% is blunt trauma which equates to loads of severe orthopaedic injuries. Majority of trauma training is in 2nd and 3rd years and you do it all from pelvis/acetab fx to severe periarticular fx. When I say you do it all, I mean you do the case with the attending instructing and no other upper levels or fellows around. Sure I'm biased since I'm a PGY 3 in the program, but I have had a tremendous experience. If you want any further information please email me and I would be glad to help.

What about Univ. of Cincinnati??? I heard they are heavy trauma AND peds. That's all you do as a PGY 2....uuggh. Anyone know how painful that year is at Cincy???

i know a couple ortho trauma guys. they say: seattle, toronto, emory, ucsf, memphis to name a few

Colorado has a heck-load of trauma. So does Mississippi and Washington. :pimp:

By the way, I just want to clarify something for those of you (Silver) who don't know. I think (correct me if I'm wrong here) that Bone_Jock's comment was kind of like saying "We have McGuyver on staff ", which in my opinion would be really sweet. McGuyver could do anything with extrememly limited resources. Also, Silver you could tell he was joking because he had a laughing smiley face after the comment. That usually means a joke or something that was said in jest.

Try Loyola in Chicago.

SPJ,

By the way, have we met? Because if not, that post again proves how stupid your are. loser. my email is [url=mailto:]'[email protected][/url]'. . . . .just in case you have anything else "profound" to say. we can both do orthogate a favor and stop polluting this thread with garbage.

SilverPubesJoe,

Based on your screen name (and that last rediculously ignorant post), I'd guess that you have about two neurons in your skull and they're both fighting each other. The fact is, I'm in a pretty sweet residency program. I'm gonna be well trained when I'm done. And the best of all, I don't have to train with idiots like yourself. As I have mentioned before, if you have nothing nice to post on orthogate, do us all a favor and don't post at all.

this reply is specifically for silver pubes joe (why on earth anyone would choose that as a screen name is just inviting pain upon yourself). i don't know if i want to buy into all of this chest beating, but if i may clarify for my fellow resident bone jock:
we have FOUR harborview fellowship trained attendings, two hss fellowship joint attendings, several very well known spine attendings, and so on. what he was trying to say is that we have other things in addition to an excellent trauma experience. i'm sure lots of programs have good trauma, as it's the basis for other principles of orthopaedic management, as dr. langland alluded to.

:tired:

I'll tell you one of the most trauma heavy places in the northeast: Boston University. These guys, when they are on call, get no sleep, they are up all night one trauma after another. If you are interested in becoming a traumatologist, you get to work with tornetta, a big name in this area.
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Bonejock you sound like the dumbest guy I've ever met, half the time I don't know what the h$%& you're talking about. You really don't make a good impression for the Case residency.

-Joe
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How about a balanced operative experience AND an exceptional trauma experience:

CWRU - there's a well known trauma guy here that could take piece of bubble gum and a drinking straw and fix just about anything .

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Grand Rapids also has one other fellowship trained traumatologist in town and has another returning this summer. They have a dedicated ortho trauma room that goes 24 hours a day.

Brown... heavy on trauma and you get to actually operate as a resident... the 6th year resident/ jr. attending is the "trauma fellow" and man is there a ton!

You can go on to do an "accredited" fellowship in trauma if you like (which i think one of our guys may be doing???)... or something else... We got Trafton (one of the Skeletal Trauma authors...)


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Grand Rapids, MI -- they have 2 Harborview fellowship trained traumatologists and one of the busiest trauma services around at Spectrum Butterworth

I would say most residencies will have an abundance of trauma, unless your are at a small community hospital. You may find out after a while, that the trauma lifestyle is pretty poor at most institutions and you lose interest in it. If you find during residency that you are really interested in becoming a trauma surgeon, then you can pursue a fellowship in it.