SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship—Pediatric Orthopedic Surgery in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
Cform submitted to Judy Terlik at
Responsible Faculty Director:
Catherine Sargent, MD
Other Faculty:
Tony Kahn, MD John Williams, MD, Robert Dehne, MD, M. Jay Shapiro, MD Ryan Murdock, MD Hilton Gottschalk, MD
Location to Report on First Day
Contact Judy Terlik at or 512-324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 To gain experience in the evaluation and treatment of patients with pediatric orthopedic problems including those involving trauma and reconstruction with emphasis on non-operative fracture care and the treatment of congenital, developmental, neuromuscular, and spinal disorders.

  To learn how to examine the spine and extremities. To learn how to apply splints. To perform pediatric orthopedic initial and subsequent assessments; write appropriate notes and orders; and to develop appropriate diagnostic and management plans. To gain technical skills in examination, diagnosis, and operative technique to pediatric orthopedic patients. Demonstrate understanding of common pediatric orthopedic conditions.

Description of course activities
 The student will attend ambulatory clinics approximately 3 days a week and surgery approximately 2 days a week (generally 4 to 6 hours are spent in surgery). Active study and participation is required. Students are also expected to independently read about their patients’ orthopedic conditions prior to participation in surgical cases. Students will also see and evaluate patients independently or in collaboration with faculty members. They will be expected to organize patient information for oral presentations. The weekly schedule will be developed in consultation with the course director and other facutly. Daily schedule may vary regarding clinic vs. surgery time and call frequency is 1 day per week. Every other week, students will also participate in orthopedic radiology conference. Student will also round with the physician on hospital patients.

Type of students who would benefit from the course
 All students. This course meets the requirements for the Senior Acting Internship in Surgery. This course would be especially beneficial for students with career interests in Orthopedics and Pediatric Orthopedics. To enroll, UTMB students should submit a C-form to Judy Terlik at for approval. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PEDU 4044 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday Clinic (8am) Clinic (5pm)
  Tuesday Surgery (varies) Surgery (varies)
  Wednesday Surgery (varies) Clinic (5pm)
  Thursday Surgery (varies) Surgery (varies)
  Friday Clinic (8am) Clinic (5pm)
  Average number of patients seen per week: 100  
  Call Schedule:   Per Dr. Sharpio; Overnight frequency = 1 night from home.  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Pediatric Orthopedic faculty members (primarily), Pediatric and Surgical residents (secondary, if applicable)
  B. Frequency / duration of presentation(s)?
    Monthly journal club: students will be expected to present a peer-review original research article in pediatric orthopedics. Students will also be expected to organize and present patient information to faculty members for discussion and critique—daily.
  C. Format - What guidelines are set for the student's presentation?
    Subject and article and presentation format to be decided in consultation with the faculty. For patient information presentations—standard format; SOAP note format.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    History and Physical Notes. Progress Notes.
  B. Format - What guidelines are set for the student's written work?
    Standard format. SOAP notes
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the student’s written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Rotating students will be expected to attend and participate in biweekly fracture conference and weekly spine conference. In addition, rotating students may have the opportunity to attend the quarterly multidisciplinay musculoskeletal tumor conference.

6.  Other Modes of Evaluation
  Please explain below.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
    The student will receive hands on instruction in splinting, physical exam and surgical techniques and receive verbal feedback in real time and post rotation written assessment regarding his/her performance.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
    Student will have the opportunity to observe and participate in reductions and splinting/casting in ER and assist in surgery.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
    The student may have the opportunity to participate in fracture reduction and/or fixation and arthroscopic procedures, assuming cases are available.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
    The student rotators will have the opportunity to function as a PGY-1 resident but will not be required to take in house or q4 call.
  E. How will this course help prepare a student enter an internship in this field or a related field?
    This course will help familiarize rotating students with pediatric orthopedic conditions. The students will increase their ability to read pediatric imaging and prepare the student to assess and participate in the care of pediatric patients with orthopedic conditions.
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
    The supervising physician will provide verbal feedback weekly and at the midpoint of the rotation a written assessment will be reviewed with the student and submitted to the program director. Any deficiencies will be addressed and a remediation plan developed in conjunction with the program director.
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.
    The student will have attending supervision and contact every weekday. There are currently 7 attending with who the student may work. However, each student will be assigned to a primary attending based on interest and availability. That primary attending will be responsible for gathering feedback and assessment from the other attending surgeons and generating the midpoint and end of rotation evaluations.