ORTHOPAEDIC SURGERY

Department of Surgery

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We look forward to a bright future, continuing and improving upon our

Overview

The Orthopaedic Surgery postgraduate educationprogram is a five-year orthopaedic surgery specificprogram that is fully accredited by the Royal Collegeof Physicians and Surgeons of Canada. The firsttwo years of surgical residency are known asSurgical Foundations with Dr. Darrin Payne servingas the Program Director for these PGY 1 and 2 years.Dr. Davide Bardana serves as the Program Directorfor the Orthopaedic Surgery Home Program.

The Division includes thirteen faculty membersin Kingston, fifteen residents, plus clinical fellows.The program is based principally out of KingstonHealth Sciences Centre.

The Division of Orthopaedic Surgery covers a broadrange of orthopaedic surgical subspecialty disciplinesincluding; Upper Extremity, Sports Medicine,Arthroplasty, Foot & Ankle, Pediatrics, Spine,Oncology and Trauma.

Effective July 1, 2017, residents starting theQueen’s orthopaedic surgery residency programwill follow the new competence by design(CBD) curriculum. In competence by design,residency has been subdivided into 4 stages:Transition to Discipline (2 blocks), Foundationsof Discipline (17 blocks), Core of Discipline (42 blocks), and Transition to Practice (4 blocks).

Rotations

The Surgical Foundations program (PGY 1 and 2 years) includes residents from general surgery,orthopaedic surgery, obstetrics and gynecology,and urology.

It consists of a small group of residents, usually8-12 per year in total, making for a close workingrelationship. There are no training residents orFellows on the cardiovascular surgery, neurosurgery,or plastic surgery services. This allows for directinteraction with staff and an exceptional surgicalexperience.

In the PGY 1 year Residents will do clinicalrotations in vascular surgery, neurosurgery, plasticsurgery, emergency medicine, internal medicine,rehabilitation medicine, critical care medicine aswell as several rotations in orthopaedic surgery.

In 2017, we also instituted an orthopaedic bootcamp for the PGY 2/foundations level residents.This boot camp emphasizes the early acquisitionof foundational knowledge and skills necessaryfor Junior level orthopaedic residents. Itemphasizes knowledge of anatomy, surgicalexposures, and basic techniques, in order tobring the resident “up to speed” so that theycan function as primary assistant.

tradition of high quality patient care, education, and research.

Residents will rotate through each service severaltimes during their residency, with differentlearning objectives based on their level of training.This structure of repeated longitudinal exposurewill allow for graduated responsibility and clearexpectations for resident’s knowledge, andprogression in procedural skills acquisition.

The residents have no clinical duties in the finalblock before the RCPSC fellowship examinationas preparation for the Royal College certifyingexam.

The early adoption of competence by design atQueen’s has allowed us to review the currentcurriculum to ensure that residents have clearexpectations for knowledge, skills and professionalbehaviours necessary for success. In addition, ithas allowed us to focus on improving our assessmentand feedback system to ensure that residentsprogress through residency as expected.

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On-Call Duties

The Orthopaedic Surgery Program at Queen’s

University adheres to the PARO contractregarding on-call responsibilities.

The majority of orthopaedic rotations duringthe throughout residency involve home call.On-call responsibilities are a maximum of onein three nights which end at 11 pm. Therefore,residents do not miss out on academic or clinicalactivities on the following day due to beingpost-call.

There is a “night float” system for the orthopaedicresidents throughout their residency training. Thissystem has met with improved resident satisfaction.

Electives

Residents have two months of self-directedelectives which can be taken anywhere in theworld. This time may be used as dedicatedresearch time if the resident wishes. Manyresidents have used this as an opportunity toidentify possible sites for fellowship training.

Recently, our residents have arranged electives inTexas, San Diego, Vancouver and New Zealand.

There is also a two month rotation in Peterboroughfocusing on foot and ankle surgery.

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Research

The Division of Orthopaedic Surgery is wellknown for its research productivity. It hasenjoyed a very successful collaborativerelationship with the Human Mobility ResearchCentre at Queen’s University, a multidisciplinaryresearch group comprising participants fromOrthopaedic Surgery, Mechanical and MaterialsEngineering, Chemical Engineering, RehabilitationTherapy and School of Computing.

All residents are expected to conduct researchas part of their orthopaedic residency. Residentsare expected to present three research projectsduring their residency at the annual Departmentof Surgery William Ersil Resident Research Day.Residents have protected research time of half a day per week to allow them to complete theirresearch projects. The Department of Surgerydoes provide financial support to residents for them to present their research at nationaland international conferences. Generally,financial support is provided for one meetingfor each project.

Our Resident Focus

Our program strives to foster higher learning,professionalism, and independence in a collegiallearning environment. Due to the small size ofour program, the attending staff has a vestedinterest in ensuring that you progress in yourclinical, surgical and CanMEDS skills to becomean independent orthopaedic consultant. As partof our team, our residents enjoy a feeling ofbelonging in a friendly environment where wetake pride in watching their skills and knowledgeevolve. We welcome you to join our team.

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DEPARTMENT OF SURGERY

Division of Orthopaedic SurgeryVictory 3Kingston General HospitalKingston, Ontario k7l 2v7613-549-6666 ext 3678

meds.queensu.ca/surgery