Orthotics residency

The residency model that has been implemented at Children's Memorial Hospital consists of a series of designated clinical rotations designed to ensure that specific content areas are thoroughly addressed during training. For each rotation, trainees have an ABC -certified practitioner as a designated mentor to provide support, guidance and feedback.

The mentor-resident relationship

The mentor-resident relationship is one of the most important elements of the residency. During the rotations, the resident shadows the mentor including coverage of specific clinics. The process becomes a continuous learning experience whether under direct or in-direct supervision. The shift and degree to which supervision is implemented is based on previous clinical rotations, knowledge base, clinical skills and the mastery of family-practitioner skills related to feelings or emotions. In all cases, either the mentor or resident director need to sign off on patient cases.

During each clinical rotation, participants are asked to present one clinical case at the weekly staff meeting. In addition to the case study, the resident, mentor and resident director meet weekly to discuss residents' assigned research papers and evidence-based medicine related to cases seen during each rotation. For example, a resident going through the spinal rotation may see a patient with scoliosis and be assigned readings specific to scoliosis and required to respond to related clinical questions using the evidence-based model of learning.

The clinical rotations include:

  • Fabrication
  • Spinal
  • General orthopedics
  • Hand Clinic
    o Cranial molding helmets
    o Sports Medicine
  • Cerebral palsy/Neuromuscular pathologies
  • Serial casting
  • Comprehensive rotation

Evaluation/Assessment

On the first Monday of every month, the resident and resident director meet for a scheduled monthly evaluation. During this time, the resident director assesses the performance of the resident, provides feedback, and address any concerns that the resident might have.

Research/Community project

Specific time is designated each week for the resident to work on the NCOPE -required research project, and the resident and resident director meet monthly to discuss the project's progress. In addition, the resident identifies a community project (as required by NCOPE) and provides a timeline for completion.