Trauma Fellowship Responsibilities

Rutgers NJMS Orthopaedic Trauma Fellow Responsibilities:

Expectation: Trauma fellow is expected to transition from a chief resident to a junior attending as the year progresses.

Clinical

Rounding: Goal – the fellow transitions to attending level supervision of inpatients (able to critically and accurately assess issues with patients that require a change in level of care, patients with a change in neurovascular status, wound issues that may require repeat operations, etc).

  • Role: consultant for chief resident. Chief resident is responsible for running the team.
    • Questions and concerning problems should be discussed prior to Morning Report Conference.
  • Fellow should see appropriate patients prior to Morning Report Conference.

Call: Goal – fellow capable of making decisions regarding triage of patients pending surgery, communicating effectively with the OR personnel regarding pending patients, having comprehensive, thoughtful plans for the patients from the call period.

  • 7 days per month (One weekday per week, one weekend per month)
  • On call with trauma faculty only.
  • Fellow on call with a junior resident (consult resident) for all call days and a supervising senior resident on weekdays. A second junior resident is on call with the fellow on weekends for operating room assistance
  • Fellow is expected to be present for all emergent cases on call, and to see all patients admitted from call. Fellow also expected to be a resource to the senior resident for questions about patients.

Clinic: Goal – Fellow to be facile with the assessment and decision making on complicated patients that may require surgery (nonunions, malunions, patients with substantial medical comorbidities), and the follow up care of the severely injured patient.

    • Fellow Clinic every other Friday. Supervised by trauma attending.
      • Appropriate patients to be scheduled for Fellow Clinic:
        • Preoperative evaluations of nonunions, malunions, osteomyelitis, etc
        • Select complicated postoperative patients

Operating room: Goal – Fellow to act as junior attending, with a gradual change in the level of autonomy as the year progresses. Also for the fellow to gain the depth of understanding of complex surgical cases that comes from working side by side in the mentorship model.

  • Trauma fellow expected to be prepared for cases and submit preoperative plans when appropriate. Five postoperative learning points also to be submitted via email afterward.
  • Fellow involvement in the cases will transition as the year progresses from first assistant to junior attending.
  • In cases where attending is not scrubbed, expected to lead the resident through the operation with faculty supervision

Fellow as an Educator : Goal – Fellow to learn how to educate junior personnel in formal and informal teaching settings, as well as in the operating room.

  • Expectation: to educate the residents and medical students in formal settings, such as during academic time, and informal (the operating room, etc).
    • Didactics: will provide one hour-long lecture on a trauma topic.
    • Tutorials: will educate residents in hour-long sessions based on OKU assigned reading several times per year in a small group setting.
    • Journal Club: Responsible for assigning articles on trauma topics to residents on trauma service. Monthly Journal Club will be on a Wednesday at 730am.  Fellow will run the journal club with faculty supervision.
      • Curriculum of articles predetermined. 50 classic articles selected.

Research: Goal – Fellow to develop the skill set to take a question and subject it to rigorous scientific study.

  • one project that is ready for submission for publication in a scientific journal is expected to be completed by the end of the year.