Curriculum

PGY1:
Introduction to the resident clinical environment includes 13 four-week block rotations, split between orthopaedic (6 blocks ortho trauma, 1 block ortho hand) and non-orthopaedic services (1 block each: vascular surgery, general trauma surgery, surgical ICU, plastics, emergency medicine, anesthesia). Interns regularly participate in the inpatient (Guerilla/Gorilla) call pool, assisting with care for all inpatients across the surgical services (exempt while rotating on ortho hand, SICU, EM, anesthesia).

PGY2:
Residents begin to take on more responsibility as the primary coordinator of the orthopaedic trauma team (two 6-week blocks). Residents also participate in 3-month rotations off site, including pediatric orthopaedics at Valley Children’s Hospital and orthopaedic oncology at UCSF Mission Bay & Parnassus campuses.  

PGY2 residents also begin taking primary, overnight in-house call for orthopaedics during their trauma, and hand, rotations (separate call schedules exist while on pediatrics and oncology). Post-call days are provided.

PGY3:
Additional subspecialties in adult reconstruction, spine, foot & ankle, and sports are explored during PGY3 year, as well as one elective rotation. PGY3 residents continue to participate in the primary ortho call pool.

PGY4:
PGY4s revisit the hand, spine, and pediatric ortho services, where they function as chief residents. Ortho trauma and a 6-week elective block provide additional opportunities for in-depth surgical exposure.

PGY4/5 residents do not take primary ortho call; instead, joining the ortho senior call pool to provide operative coverage for the CRMC trauma faculty on an approximately 7 weekend-only basis.

In addition, residents are supported as they apply for fellowship in the subspecialty of their choice during their PGY4 year.

PGY5:
Four 3-month rotations designed to increase confidence and allow independence in the OR and clinic settings. The orthopaedic trauma chief guides the trauma team and provides oversight of the service. Chief of sports/general functions to gain more experience with arthroscopy, subacute trauma, and other cases as desired. The adult reconstruction chief solidifies their skill with primary, revision, and complex hip & knee arthroplasty. Finally, the “Clovis Chief” provides operative coverage to post-call faculty at Clovis Community Medical Center (CCMC), and are encouraged to gain further independence by participating in any additional cases as desired.

In addition to honing surgical skills, PGY5s are expected to provide support, supervision, and teaching to PGYs 1-4. During their time as trauma chief, each PGY5 coordinates with the other services to construct the ortho call schedules.

Current rotation schedule, as of September 2026:

Residents are required to attend conferences held during their specialty rotations, as part of an active involvement in scholarly activities.

Orthopaedic Surgery Grand Rounds

Orthopaedic Surgery Grand Rounds are tailored to be a comprehensive academic lecture series designed to advance residents’ knowledge across the full spectrum of orthopaedic surgery.  Topics span all major orthopaedic subspecialties, including spine, orthopaedic trauma, adult reconstruction, sports medicine, foot and ankle, hand and upper extremity, pediatrics, and musculoskeletal oncology. Grand Rounds provides an integrated educational experience that complements clinical training and promotes critical appraisal of the literature, interdisciplinary discussion, and lifelong academic development.

Orthopaedic Journal Club

Orthopaedic Journal Club provides residents with a structured forum for critical appraisal of the orthopaedic literature. Residents review and discuss research articles with subspecialty faculty, focusing on study design, methodology, evidence quality, clinical relevance, and application to patient care.

Fracture Conference

Fracture Conference provides residents with an interactive forum for radiographic review and discussion of common and complex orthopaedic injuries. Faculty and residents collaboratively evaluate imaging, discuss treatment options and surgical strategies, and explore differing approaches to fracture management through case-based discussion.

Specialty Conferences

Specialty Conferences provide a structured academic curriculum focused on major orthopaedic subspecialties, including spine, foot and ankle, hand and upper extremity, and shoulder surgery. The curriculum systematically divides each subspecialty into core topics and provides in-depth didactic instruction to develop a comprehensive foundation of orthopaedic knowledge and clinical understanding.

Basic Surgical Skills Lab

Residents learn skills used in the initial management of injured patients, including splinting, casting, application of traction devices, and other types of immobilization; and basic operative skills, including soft tissue management, suturing, bone management, arthroscopy, fluoroscopy, and use of basic orthopaedic equipment.

Anatomy Lab

The Anatomy Lab is held twice a year, when available. Residents have the opportunity study and dissect anatomic specimens under the supervision of faculty. Lab agendas include:

• Shoulder
• Humerus & Elbow
• Forearm
• Wrist & Hand
• Pelvis
• Hip
• Femur & Knee
• Distal Tibia, Foot & Ankle
• Spine