Department of Surgery
School of Medicine Queen's University
 

Overview of Orthopedic Surgery


The first 24 months of residency are known as Surgical Foundations.  This is a discrete portion of the Orthopedic Surgery training program under the supervision of the Surgical Foundations Program Director, Dr Darrin Payne. Its goal is to provide a sound grounding in principles common to all surgical disciplines. It offers rotations through Orthopedic Surgery and all of the medical and surgical services that are associated with it.

Following competion of the Surgical Foundations program, residents continue in Orthopedic Surgery.  These  remaining 36 months of residency are under the direct supervision of the Orthopedic Surgery Program Director, Dr. Davide Bardana.  The program offers 3 month rotations through each of the 4 services within the Division of Orthopedics:

Service A Upper Extremity and Sports Medicine Drs. Pichora, Campbell, Bicknell, Bardana, Cruickshank
Service B Arthroplasty Drs. Harrison, Rudan, Wood, Mann
Service C Paediatrics and Spine Drs. Yen, Davidson, Borschneck, Yach
Service D Trauma Dr. Yach

The rotations are carried out sequentially for 32 of the 36 months, with three blocks for electives and research, and one block of training reserved as preparation time for the RCPS fellowship examination. In this way, graduated responsibility is possible, with final year residents in charge of the service that they are on.
 
Two blocks of the PGY3 year are dedicated elective time. This block is for in depth exposure to a subspecialty or community Orthopedic Surgery.

All residents are expected to conduct research as per the objectives of the Orthopedic Resident Research Program.

On-Call Duties

Orthopedic Surgery at Queen's has a “resident centric” view. We initiated a resident "night float" call system for the core orthopedic residents. During the evening hours there are three residents ( at various levels of training who are “on-call”. After 23:00 hours a single senior resident (PGY3 or PGY4) becomes responsible for covering  all emergency calls from the ward, the Emergency Department and Operating Room. This initiative has resulted in improved resident satisfaction while allowing us to be in compliance with the PARO contract. It continues to allow graduated responsibility and educational opportunities for  residents at various levels of training.