Southwest Campus

Orthopedic Surgery

Clinics and Hospitals in Bismarck, ND

SURG 9104

Faculty Director:  Joseph W. Carlson, M.D.

Participating Faculty:
Timothy J. Bopp, M.D.
Charles P. Dahl, M.D.
Ernie N. Godfread, M.D.
Raymond S. Gruby, M.D.
Mark B. Hart, M.D.
David H. Larsen, D.O.
Michael R. Moore, M.D.
Troy D. Pierce, M.D.

Offered: All periods
Positions: 2

Objectives of the Elective:

  1. Diagnosis of orthopaedic conditions of office and emergency room patients.
  2. Evaluation of progress of hospitalized patients including surgical and non-surgical.
  3. Development of rationale for evaluation and treatment of open and closed fractures with particular attention to pitfalls in management.
  4. Critical evaluation of orthopaedic conditions in pediatric patients regarding deformities and growth patterns.
  5. Correlation of physician treatment with ancillary services including physical therapy, occupational therapy, laboratory, radiology and other clinical services.
  6. Learning to cooperate and be helpful with other services of social and economic significance in the life of the patient in his setting in the family and community.

Instructional Activities:

  1. The 7:30 a.m. conference among orthopaedists, residents, student, orthopaedic physician assistants and guests, also the 6:30 a.m. orthopaedic lecture given during third year medical student electives.
  2. Regular attendance at the clinic on three afternoons or three mornings per week.
  3. Two surgical sessions per week.
  4. Evaluation of patients seen in consultation and emergency room work both scheduled and on call.
  5. Participation in scoliosis screening clinic.
  6. Attendance at ancillary sessions including once or twice sessions with physical therapists, occupational therapists, social workers, speech therapists and one session in Sports Medicine.
  7. Rotation with three preceptors or more is highly recommended to achieve a balanced view of orthopaedics in subspecialty areas; e.g., hip, hand, knee arthroscopy, spine, foot.
  8. Optional activities would be that of attendance at orthopaedic outpatient satellite clinics.

Standards of performance (Outcomes) Indicating Attainment of Objectives:

  1. By personal observation of student's capacity to take history, perform orthopaedic examinations and propose treatment with knowledge of complications of such treatment.
  2. Evaluation of the student's oral presentation and critical analysis of the patient's orthopaedic condition.
  3. A written examination to ascertain the student's knowledge at the start and end of the rotation.
  4. An evaluation of the student's progress in performance of assisting the patient through his orthopaedic illness.
  5. Written evaluation of the student's performance will be sent to the assistant dean of the southwest campus.

Background Necessary for Student to Address Objectives:

  1. The general orthopaedic text by Gartland, Salter or Shands.
  2. Specific orthopaedic texts, videotapes, sound slides available in the orthopaedic library of the Bone and Joint Center.

Criteria for Grading:

  1. Knowledge given during rotation gauged on oral and written testing.
  2. Interaction with patients and staff of clinics and hospital.
  3. Professional appearance and organizational abilities.