Pediatric Orthopaedics – Program Structure

Rotation Structure

Fellows are regarded as trainees with graduated responsibilities in a mentorship model. The fellow rotates for a specific period of time with each faculty member, essentially shadowing him or her during daily activities. The fellow evaluates patients in the office with the faculty member and performs surgeries with the faculty member. The fellow is directly supervised by the faculty in all activities. Independent practice is advanced depending on the progress the fellow has demonstrated in acquiring clinical and technical skills. The following faculty members serve as mentors:

Sonia Chaudhry, M.D.
Pediatric Sports

Mark Lee, M.D.
Spine/Pediatric Hip

Philip Mack, M.D.
Pediatric Hip/Foot

Kristan Pierz, M.D.
Limb Deformity/Sports

Jeff Thomson, M.D.
Spine/Spina Bifida

Clinical Responsibilities

Fellows work in the office with the faculty member, examining patients and taking histories from patients under faculty supervision. Inpatient and emergency room consultations are performed under direct and indirect faculty supervision.

Pediatric Orthopedic patient with doctor

2 doctors standing by computer

The fellow will have a shared responsibility for all surgical patients from the Department of Pediatric Orthopaedics on the inpatient floors. Patients are evaluated during daily rounds by a faculty member and the fellow or resident. Discussions of current and continued patient management are undertaken during these rounds. The fellow is expected to work as a team with residents and mid-level providers.

Fellows are expected to instruct residents, medical students, and allied health professionals in the office setting, the inpatient ward, the emergency room and the operating room. In addition, the fellow is required to prepare cases for conference weekly, give a didactic lecture to residents every two months, and organize the monthly journal club.

During the fellowship year, the fellow serves as a first assistant to faculty in a wide range of pediatric orthopaedic cases. The fellow's roles in each case gradually increases as the fellow gains proficiency in each surgical procedure. Through this method of training, the fellow learns to become a technically precise, confident surgeon who can work efficiently and independently.

Call is OPTIONAL but may be elected, as it gives the fellow additional exposure to pediatric trauma.

Didactics and Conference Schedule

Type Time Location
Grand Rounds

  • Pediatric
  • University of Conn. Orthopaedics
  • Alumni Day
 

Every Tues AM

Monthly

Annually

 

Conklin Auditorium

Medical Arts Building (UConn)

Bone and Joint Institute

Basic Science

  • Faculty Lectures
  • Resident Presentations
 

Mon/Tues AM

Thurs AM

Conference Room (Connecticut Children’s)
Morbidity and Mortality

  • Pediatric Orthopaedics
  • Hospital Wide
 

Monthly

Quarterly

Conference Room (Connecticut Children’s)
Journal Club Monthly Local Venue
Clinical Conferences

  • Indications (Pre-op/Post-op)
  • Faculty Lectures
  • Spine Conference
 

Every Thurs AM

Every Mon/Tues AM

Monthly

 

Conference Room (Connecticut Children's)

* Faculty didactic lectures are given on a rotating basis covering the gamut of topics. The lectures are given every Monday and Tuesday in the morning, save for holidays and when the faculty members are absent for conferences or vacations.

^ The Fellow is expected to sign in at each of these conferences and didactic lectures to receive credit for the lecture. The Fellow must attend 80% of all conferences outlined in order to meet requirements as outlined by the Fellowship Director.

Evaluations

Twice a year, fellows are given feedback in a formal meeting. Fellows are evaluated based upon the six core competencies outlined by the ACGME (patient care, medical knowledge, interpersonal and communication skills, practice-based learning and improvement, professionalism, and systems-based practice) and through faculty estimation of acquisition of specific surgical skills. In turn, the fellow is asked to evaluate individual faculty members after each rotation and is asked for summary opinions of the program during the formal meetings with the fellowship director.

Case Volume

The following is a brief summary of the number of area-specific cases performed between January 1, 2019 and January 1, 2020:

Spine Fusions - 59 (50 PSF, 1 ASF, 8 Growing Rod (Manual or Magnetic))
Frames for Deformity – 5
Pediatric Hand - 180
Fracture Cases - 347
Hip Cases - 48 (16 Varus/Valgus Osteotomies, 10 PAO/Innominate Osteotomies, 22 SCFE)
Arthroscopy/Sports Cases - 295

  • Total Number of Pediatric Orthopaedic Cases (Exclusive of Sports - 934)