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R2 Orthopedics: Madigan-FH    
Mary Bridge Rotation Information

Faculty and Resident Chair:

Faculty: Howard Uman, MD, Mark Johnson, MD


Contacts:

 

Jonathan Chalett, MD: jonathanchalett@hotmail.com (scheduling contact)

Jennifer Maya, the GME coordinator Email: jennifer.maya@multicare.org  or cell phone:  (253) 224-5962; and desk phone (253) 403-1848.

 

Please contact Jennifer Maya at least two weeks prior to your first shift to schedule an orientation.

 

Mary Bridge Children's Health Center
311 South L Street
Tacoma , WA
(253) 403-1419 or 1-800-552-1419

 

Introduction:

During the second year, each resident will spend two 4-week rotations combining pediatric emergency care at Mary Bridge Hospital in Tacoma and orthopedics at sites in Seattle.

Methods:

Each week will consist of two twelve-hour ER shifts. There is no overnight ER duty, but a room will be provided for those days when it is more convenient to stay in Tacoma (potentially 2 nights per week). During these 2 months, residents will also spend 2 full days per week in scheduled various ortho clinics. One of the clinics the residents rotate through addresses pediatric orthopedic problems specifically. An orientation packet for Marybridge ER should be provided prior to the rotation along with the ER resident schedule.

       

Weekly Schedule:

 

MB 1

 

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

AM

MB

Clinic

Clinic

Seattle Ortho & Fracture Cl.

Drs. Wilson & Falicov

Virginia Mason Sports Med. Clinic

Dr. Belfie

(see below for 

start time)

MB

Off

PM

MB

Didactics

Clinic

Casting Workshop

First Hill cast room

3:00 - 5:00

Chris Fletcher (weeks 1 & 3)

 

Seattle Hand Group

Dr. Keck

(weeks 2 & 4)

 

 Seattle Hand Group

Dr. Keck

 

MB

Off


 


 

MB 2

 

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

AM

Olympic PT

John Rumpeltes, PT 

(see below for 

start time) 

Clinic

MB

Seattle Orthopedic Associates

Dr. Pepper Toomey

8:00am-2/2:30pm  

Clinic

Off

MB

PM

Orthopedics International 

Dr. Weyant

starts at 1:00 

(see below for 

new location)  

Didactics

MB

Casting Workshop

First Hill cast room

3:00 - 5:00

Chris Fletcher (weeks 1 & 3)

 

(weeks 2 & 4 open)

 

Clinic

Off

MB

 

 

Readings:

 

Please review the Mary Bridge google group before your rotation to access the upcoming schedules for the MB ER.  The reading objectives are included listed on the google group below updated by the Mary Bridge teaching physicians:

 

http://groups.google.com/group/marybridgeed?lnk

 

 

RRC Requirements:

 

"There must be a structured educational experience to train the resident to deliver emergency care that includes didactic teaching, skills training, and clinical experience in caring for patients of all ages with acute illnesses and injuries in an emergency care setting. Residents should receive structured skills training in all standard current life support skills (e.g. ACLS and PALS) and should learn procedures for both trauma and medical emergencies in patients of all ages. This clinical experience should encompass the equivalent of at least two months on an emergency medicine rotation. The setting used for this training must offer the full spectrum of emergency services, and on-site faculty supervision must be available at all times. Suitable facilities and adequate support personnel must be present for resident training. A minimum patient care experience would include an average of two visits per hour for the resident. The patients seen by family practice residents should be representative of the patient population served by the emergency care facility overall."



Driving directions

  • From I-5, take the City Center exit onto I-705

  • Follow directions to Schuster Parkway

  • Exit on Stadium Way

  • Turn RIGHT onto STADIUM WAY

  • Follow approximately 1/2 mile

  • Turn LEFT onto DIVISION AVE.

  • Continue on DIVISION for 5 blocks

  • Turn LEFT on MARTIN LUTHER KING JR. WAY

  Please park in the Baker Center Garage located directly across the street from the main entrance of the hospital.

 

 

Orthopedics Rotation Information

 

Faculty and Resident Chair:

Faculty: Jorge Garcia, MD

Resident:

 

Orthopedics rotation paired with Mary Bridge (formerly known as Madigan) can now be scheduled in Seattle.  There are a number of orthopedic teachers that are happy to work with us and have agreed to teach.  Please review your schedule the week prior to the start of your rotation, and if you are unable to attend please contact faculty chair and ortho site.

 

Orthopedic Options

 

Carleton A. Keck, MD, et al

Seattle Hand Surgery Group

600 Broadway Medical Building, Suite 440

Phone: (206) 292-6252

Email: ckeck2@comcast.net

Comments: Fridays are best. Other days with other surgeons in group: all agreed to teach. Excellent teaching.

 

David Belfie, MD

Virginia Mason Sports Medicine Clinic

1201 Terry Ave. (1st Floor)

Seattle, WA 98101

Phone: (206) 223-6487

Email: David.belfie@vmmc.org

Contact Person: Randi L Laitala 206-625-7373 ext 66458 or Randi.Laitala@vmmc.org    

Comments: *Belfie's first patient of the morning is at 8:00am. He normally gets here around 7:45am. If the residents wanted to show up around 7:45 they could be included in our "morning huddle" where we go over the days schedule and anticipate any x-rays or special needs. But if they show up as little later that would be no problem. His last patient of the morning is at 11:30/11:45. 

 

Bill Wilson, MD

Alexis Falicov MD
Charles Peterson, II MD

Seattle Orthopedic Institute

601 Broadway, Suite 600

Seattle, WA 98122

Email:

Scheduler: Jeff (206) 386-2600 ext. 359 

(206) 386-2600

Dr. Wilson's clinic start times are as follows: 8:30AM for morning clinic and 1:00PM for afternoon clinic.

 

Maxine Weyant, MD

Orthopedics International, Ltd/Jefferson
1600 E Jefferson #400; Robin Gutafson
Seattle, WA 98122
Ph: 206 323-1900
Fax: 206 323-6868

Email: weyantm@msn.com

 

*New Office Location Starting the End of January 2009:

Cabrini Medical Tower

901 Boren, Suite 900

Seattle, WA 98104 

Comments: Family Medicine physician with Sports Medicine training and experience, doing lots of spine work as well as other programs.  Considered one of the better teachers. Available all day Mondays, Tuesdays and Thursdays.  

 

John Rumpeltes, PT

Olympic Physical Therapy

Cabrini Medical Tower

901 Boren Ave., Ste. 410

Seattle, WA 98104

Phone: (206) 447-1570

Email: jrumpeltes@olympicpt.com

Comments: Excellent teacher of PT, many subspecialty fields in office, very willing to work with us.  

*John's first patient comes at 8:30, please be ready by then.

 

Pepper Toomey, MD

Orthopedic Physician Assoc. - Broadway
601 Broadway
Seattle, WA 98122-5330
Ph: 206 386-2600  
Fax: 206 622-1644

etoomey762@aol.com

Scheduler: Meghan at 694-6680, m.walters@proliancesurgeons.com  

Comments: Summer schedule is noon to 2:30. He works straight through lunch, so residents can get there as soon as they can Thursdays to gain more exposure, and take their lunches after 2:30.

 

Chris Fletcher

Casting Workshop

First Hill cast room

Thursdays 3:00 - 5:00 for weeks 1 and 3 of each block only.

Excellent hands on casting and splinting experience

Phone:(206) 618-3231

Email: tibfib@comcast.net

 

 

Each of these doctors practices in a group whose other members can teach if the primary contact is unavailable. The resident should place a call to their office the day before the clinic to confirm the schedule.

 

RRC Requirements:

Musculoskeletal and Sports Medicine:

"All residents must have two-block months or 200 hours experience in the care of patients with orthopedic and musculoskeletal problems, including experience in sports medicine. The curriculum should include non-articular rheumatic disorders, infectious, suppurative and degenerative arthritic conditions, acquired and congenital abnormalities of bones and joints, musculoskeletal and connective tissue disorders, evaluation and management of common sprains, fractures and dislocations, preventive care, rehabilitation and restorative function. Clinical experience should include acute evaluation of musculoskeletal trauma and acute pain syndromes. Sports medicine must be a clear and separate curriculum within the two-month/200 hours of experience and must include non-orthopedic aspects of sports medicine with emphasis on care of athletes of all ages, both genders, and persons active or anticipating exercise activities. The care of the athlete includes performance of pre-participation sports physicals, assessment of common injuries, knowledge of treatment and rehabilitation. Both curricula must include performance of procedures common in the evaluation and care of orthopedic and sports medicine patients and participation in the rehabilitation required for these patients. These include interpretation of radiographs, aspiration and injection of joints, and splinting."

 

Driving directions

 

Office of Carleton Keck, MD

    600 Broadway Medical Building, Suite 440

    Easy walking distance from Swedish Family Medicine First Hill.

 

Office of David Belfie, MD

    About a 6 blocks walk from SFM, corner of Terry and Seneca

 

Office of Bill Wilson, MD

    801 Broadway, Suite 1000

    Easy walking distance from Swedish Family Medicine First Hill.

 

Office of Pepper Toomey, MD

    1229 Madison

    Easy walking distance from Swedish Family Medicine First Hill.

 

Other Resources:

Scott Hormel, MD

Primary Clinic

Orthopedics International, Ltd/Jefferson

1600 E. Jefferson #400

Seattle, WA 98122

Phone: (206)323-1900

Contact Person: Sheila Cayhill

Fax: 206-323-6868

Specialty: Knees and Shoulders

Best Clinic: Monday afternoons

 

Pretest

 

Pretest Answers

 

Orthorama

 

Orthopedics Goals and Objectives

 

Attitudes

Facilitate rapid, accurate and efficient diagnosis and treatment of orthopedic problems.

Understand the conditions that require urgent treatment of referral.

Knowledge

Radiology

Radiologic evaluation with knowledge of pitfalls: upper extremity

Radiologic evaluation with knowledge of pitfalls: lower extremity

Commonly missed ortho problems

Metabolic

Gout

Peds

Slipped Cap Femoral Epiphysis

Avascular Necrosis of Fem Head

Gait Evaluation in Children

Nursemaid's elbow

Shoulder

Shoulder impingement syndrome and rotator cuff tear

Adhesive Capsulitis

Shoulder instability

Upper Extremity Bursitis

Hand

Navicular Fracture

Hip

Hip Osteoarthritis

Hip Fracture

Hip Fracture: case report with films

Chronic Hip Pain

Knee

Understanding the Ottawa Rules for ordering films of the knee

Evaluation of acute knee injuries: AAFP

UCSD Guidelines for Osteoarthritis of knee

Patellofemoral Pain Syndrome

Ankle

Evidence based approach to ankle sprains

Ottawa Ankle Rules Calculator

Foot

Plantar Fasciitis

Ottawa Foot Rules Calculator

Metatarsal Fracture

Wrist

Carpal Tunnel Diagnosis

Determination of Work Relation to Carpal Tunnel

Spine

Chronic neck pain evaluation and treatment

Cervical Spine Trauma: radiographic evaluation

Evidence based approach to Low Back Pain

AAFP Guidelines for Evaluation of Low Back Pain

Exercises for Low Back Pain

Spinal Stenosis AAFP

Skills

Competent exam of the neck.

Competent exam of the low back.

Competent exam of the knee

Competent exam of the ankle

Competent exam of the foot

Competent evaluation of the arm and forearm

Competent evaluation of the wrist and hand

Competent injection of knees

Competent injection of shoulder

Competent taping of the ankle

Competent casting of common injuries

 


Ortho Clinical Cases 

http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/clcasehp.htm

UW Ortho Radiology Cases

Interactive Atlas in Ortho and Radiology

 

Archive links of Curriculum Website

Knowledge/Skills/Attitudes

Version: 
1 message about this page
Jul 6 2009 by jorge
Please note changes: casting workshop for both MB1 and MB2 1st and 3rd
Thursdays. --Jorge

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