ACCELERATEDPATHWAYINORTHOPAEDICSDukeUniversitySchoolofMedicineColleenO’ConnorGrochowski,PhD,AssociateDeanforCurricularAffairs

ProgramOverviewTheAcceleratedPathwayinOrthopaedics(APO)isauniqueopportunityforinterestedDukestudentstopursueaclinicalexperienceinorthopaedicsurgeryasathird-yearstudentandtodemonstratethepotential(competency,quality,maturity,etc.)forenteringthePGY-1DukeOrthopaedicSurgeryresidencyclassthefollowingyear,therebygraduatingfromDukeUniversitySchoolofMedicineaftertheir3rdyearofmedicalschool.

TheGoalsoftheAPOareto:• Enhanceeffectivenessandefficiencyoforthopaedicsurgerytraining

• Streamlinethenumberofrequiredyears

• Providestructuredpreparationfororthopaedicsurgeryresidencytraining

• Promoteskillsinleadership,professionalism,research,ethics,andpractice- andsystems-basedmedicine

FeatureoftheAPO:• Combinesthreeyearsofmedical

schoolwithfiveyearsofresidencytraining

• StudentsgetMDdegreeatendofthirdyear

• DirectadmissionsintoDukeOrthopaedicresidencyprogram

• Providesfocusedmentorshipandcoaching

• ApprovedbyAmericanBoardofOrthopaedicSurgeryandLCME

AdviceforOtherInstitutions•Acceleratedpathwayscanworkforsubspecialtyfields•Activementorshipandcoachinginthesub-internshipyearisvital•Clearlydefinedtimelinefordecelerationallowsforre-entrytotraditionalcurriculuminordertograduateontime

ProgramCurriculum

ProgramContactFraserLeversedge,MDViceChairforEducation,DepartmentofOrthopaedicSurgeryDukeUniversitySchoolofMedicinehttps://registrar.duke.edu/sites/default/files/bulletins/2016-17/medbltn2016-17.pdf

ProgramStatus&Accomplishments• Firstcohortcompletedin2016-2017;startedresidencyin2017

• SecondcohortabouttobeginAcceleratedPathwayinOrthopaedicthirdyearsub-internships

CurriculumChartorGraphicLinktothenextslide

ProgramCurriculum

AdmissionsModel Photos

MDdegreeMSK Radiology Basic Surgical

Skills, Physical Medicine and Rehab

Orthopaedic Surgery - Subinternship

SICU Community Orthopaedics I -- Duke Raleigh

General Surgery Trauma

Sportsmedicine Basic Arthroplasty and Arthroscopy -- VAMC

Orthopaedic Surgery Trauma

Community Orthopaedics II -- Duke Raleigh

HipPreserv

AdultRecon

Foot/Ankle Trauma Oncology Sports

GenOrtho(VA)

GenOrtho(VA)

Trauma Spine HandGenOrtho(DRH) Sports

AdultRecon

OrthoScience

OrthoScience

PediatricOrtho

PediatricOrtho

PediatricOrtho

PediatricOrtho Trauma

Sports/Shoulder

GenOrtho(VA)

GenOrtho(VA)

Trauma/Admin Trauma

GenOrtho(VA)

GenOrtho(VA)

Sports/Hand

AdultReconOncology

Spine/SportsShoulder

Foot/AnkleHipPre.

DukeUniversitySchoolofMedicineAcceleratedPathwayinOrthopaedics

ProgramCurriculum

Graphicofprogramcurriculum

MSK Radiology Basic Surgical Skills, Physical Medicine and Rehab

Orthopaedic Surgery - Subinternship

SICU Community Orthopaedics I -- Duke Raleigh

General Surgery Trauma

Sportsmedicine Basic Arthroplasty and Arthroscopy -- VAMC

Orthopaedic Surgery Trauma

Community Orthopaedics II -- Duke Raleigh

HipPreserv

AdultRecon

Foot/Ankle Trauma Oncology Sports

GenOrtho(VA)

GenOrtho(VA)

Trauma Spine HandGenOrtho(DRH) Sports

AdultRecon

OrthoScience

OrthoScience

PediatricOrtho

PediatricOrtho

PediatricOrtho

PediatricOrtho Trauma

Sports/Shoulder

GenOrtho(VA)

GenOrtho(VA)

Trauma/Admin Trauma

GenOrtho(VA)

GenOrtho(VA)

Sports/Hand

AdultReconOncology

Spine/SportsShoulder

Foot/AnkleHipPre.

August June

*LongitudinalCORECurriculum:• Professionalism• Diversity• Ethics• Practice-based• Systems-based• Research• PatientSafety• Leadership

Thirdyearmilestones:• Commitmenttotakestudenttoresidency– December• Step1– January• Step2CKand2CS- February

Description• Defined3rdyearrotations/sub-internships• Inpatientandcommunity-based• LongitudinalCOREcurriculum*• Intensementorship

ADMISSIONSMODEL

• Allsecondyearstudentsallinvitedtoapply• SpringYear2

• Informationsessionstodescribetheprogram• Writtenapplication(similartoregularapplication)• Lettersofrecommendationand“dean’sletter”• Interviews(orthopaedic faculty,Dean’srepresentative,residents)• Miniorthopaedic clinicalexperienceoverSpringBreak• Committee(facultyandresidents)makefinalselection

• DecemberYear3• Decisiontoadmittoresidencyprogrammadeordeceleration

Texthereasneeded

ProgramTeam

• BenjaminA.Alman,MD,ChairofOrthopaedicSurgery• FraserLeversedge,MD,ViceChairforEducation,DepartmentofOrthopaedicSurgery• BrianE.Brigman,MD,Director,ResidentProgram,DepartmentofOrthopaedicSurgery• WilliamHardaker,MD(deceased),formerProfessorofOrthopaedicSurgery• EdwardG.Buckley,MD,ViceChairforEducation,DukeUniversitySchoolofMedicine• CatherineKuhn,MD,DirectorofGraduateMedicalEducationandDesignatedInstitutional

Official,DukeUniversityHospitalandHealthSystem• ColleenO’ConnorGrochowski,PhD,AssociateDeanforCurricularAffairs,DukeUniversity

SchoolofMedicine