Traumatology Service Fellowship
Orthopaedic Traumatology Advanced Clinical Experience (TACE)
The Orthopaedic Traumatology Advanced Clinical Experience (TACE) is a 12 month program designed for board eligible orthopaedic surgeons, after their residency training. The TACE curriculum satisfies the developing criteria for a Certificate for Specific Expertise in Orthopaedic Traumatology. This experience exposes the orthopaedist to the organization and management of a trauma center, and to the function of the orthopaedic traumatologist in this setting.
The Advanced Clinical Experience in Orthopaedic Traumatology goal is to facilitate the development of an outstanding orthopaedic trauma surgeon. The TACE can organize a trauma team that adequately manages problems of polytraumatized patients, in academic or non-academic settings. The TACE possesses a solid clinical foundation, as well as advanced traumatology skills.
Duration: One year (August 1-July 31).
Locations: Harborview Medical Center, University of Washington Medical Center
The twelve month Advanced Clinical Experience in Orthopaedic Traumatology is a complete experience involving patient care, teaching, and opportunities for basic and clinical research. The Orthopaedic Trauma ACE rotates through three individual clinical services. The clinical rotations are 3 months in duration. Each service or team consists of the TACE, a chief resident, two junior residents, and medical students. Ten full-time experienced faculty members are divided among the teams. Each team has subspecialty emphasis and dedication. Trauma related team subspecialty areas include spine, foot/ankle, complex articular, pelvic/acetabular, amputation, soft tissue reconstruction, upper extremity, deformity reconstruction, among others.
Clinical experience and teaching are profuse. The clinical component of the TACE introduces the orthopaedist to many operative and nonoperative techniques used in polytrauma with special emphasis on stable internal fixation. Advanced and innovative techniques of internal fixation are emphasized.
The TACE takes call on average every third night for 9 months. The primary on-call responsibilities in the hospital belong to the junior and senior UW HMC orthopaedic residents. One junior resident is assigned to the ward, and one to the Emergency Department. The TACE may take call from home, or in the hospital with the team. An attending faculty member participates on call with the team each night.
The TACE works in the assigned team's orthopaedic clinic one day per week. The TACEs clinical responsibilities include operative procedures as surgeon and assistant, daily ward rounds, and emergency patient care along with the chief or junior resident. The average ward census for an ACE is fifteen to twenty patients covered primarily by the junior orthopaedic resident, supervised by the chief resident. One elective operating day per attending is assigned, and other operative procedures are scheduled throughout the week.
The fourth three month rotation is dedicated to research. At least one basic science or clinical project is required during the year. Ideally, a clinical project is a prospective clinical trial. A trauma data base facilitates other clinical projects. Biomechanical studies related to internal fixation of numerous fractures have been designed and implemented by former OTACEs. Similarly, almost any investigation can be developed.