Resident Rotation Schedule

Call Responsibilities

Campbell Clinic Resident call coverage is divided into multiple call pools by year and rotation. PGY-1 residents gain early and in-depth exposure to orthopaedic call while on the 6-week day time Regional One Health consult pager. The intern serves as the first call for all orthopaedic consults, and acutely manages high-energy trauma in the emergency setting. PGY-2 call is divided between approximately 6 months of trauma call at Regional One, where many high-autonomy cases are performed overnight under the guidance of a senior resident. An additional 6 months of “East Call” is also done. East call covers Baptist Collierville Hospital, a level 3 ED, Baptist Children’s Hospital, and Methodist Germantown Hospital, a busy community hospital. Junior call consists of assisting the senior resident on call and operating at night. PGY-3 call is spent primarily covering the Le Bonheur Children’s Hospital; with 3 months of junior call at Regional One while on trauma rotation. PGY-4 residents cover Methodist University Hospital, a level 2 ED; and spend 3 months on senior call at Regional One. PGY-5 residents during their 3-month call duty at Regional One receive consults from the PGY-2 on primary call, formulate plans for care and operate under the direction of the attending surgeon on call. PGY-5s spend 9 months on back-up call where they are available to assist the junior residents on primary call at sites other than Regional One.

Pediatric Orthopaedics

Year: Intern (6 weeks), PGY-3 (3 months), PGY-5 (3 months)

The pediatric orthopaedic rotations take place at Le Bonheur Children’s Hospital, a tertiary pediatric referral center and ACS Level-One pediatric trauma hospital. This service offers a broad exposure to all aspects of pediatric orthopaedics, including trauma, infection, hip preservation, clubfoot and lower extremity deformity correction, congenital hand anomalies, pediatric sports medicine, and complex spinal deformity. There is a weekly pediatric subspecialty conference, bi-monthly journal clubs, and a structured reading curriculum. Ample opportunities for research are available, and a dedicated research nurse coordinator assists with IRB applications, data collection, etc.

Trauma

Years: Intern (6 weeks), PGY-2 (6 months), PGY-3–5 (3 months)

The orthopaedic trauma service serves as the keystone of the UT-Campbell Clinic Residency Program and takes advantage of the Elvis Presley Memorial Trauma Center, one of the busiest Level-1 trauma centers in the country. Our center serves as the only Level-1 trauma center for a large portion of Tennessee, Mississippi, Arkansas, and Missouri, which provides for a robust operative experience. Our trauma program is rich in tradition, being the site for the development of the Russell-Taylor IM femoral nail, Taylor Spatial Frame, and many other innovations in orthopaedic surgery. The four-attending orthopaedic traumatologists trained at diverse fellowships and each offers unique expertise in complex pelvic and acetabular fracture management, care of the polytraumatized patient, periarticular fracture care, and complex malunion and nonunion reconstructive procedures. Residents are given graduated autonomy in the OR based on demonstrated proficiency in patient care and surgical skills. There are excellent opportunities for prospective and retrospective clinical investigations. Fracture conference is held every weekday morning, and trauma morbidity and mortality conference is held once per month.
It would be difficult to find a more comprehensive and immersive trauma experience anywhere in the country.

Musculoskeletal Oncology

Year: PGY-4 (6 weeks)

The tumor rotation occurs during the PGY-4 year and offers a broad exposure to the diagnosis and management of benign bone tumors, malignant bone and soft-tissue sarcomas, and metastatic disease. The tumor resident works directly with our fellowship-trained musculoskeletal oncologist, gaining in-depth experience in both clinic and operative settings. Learning is facilitated through interactive one-on-one didactic sessions with our Orthopaedic Oncology faculty, including review of classic musculoskeletal oncology articles.

Adult Reconstruction

Years: Intern (6 weeks), PGY-2 (6 weeks), PGY-4 (6 weeks), PGY-5 (6 weeks)

The UT-Campbell Clinic residency program offers an excellent foundation in primary hip and knee arthroplasty, complex revision surgery, and hip preservation procedures. During each of the six-week rotations in the PGY-2, PGY-4, and PGY-5 years, residents rotate in a one-on-one, mentorship-style model with our fellowship-trained adult reconstruction surgeons. Throughout these rotations, Campbell Clinic residents are exposed to primary and revision arthroplasty, unicompartmental knee arthroplasty, direct anterior total hip arthroplasty, Birmingham hip resurfacing, and periacetabular osteotomies. This experience serves as an excellent foundation for either the practice of general orthopaedics or advanced subspecialty fellowship training in adult reconstruction.

Sports Medicine and Shoulder–Elbow Service

Years: PGY-2 (12 weeks), PGY-4 (6 weeks), PGY-5 (6 weeks)

The sports medicine experience at the UT-Campbell Clinic residency program prepares its residents for the most competitive and highly desired fellowships, as well as the practice of general orthopaedics, directly after graduation. Residents are exposed to and become proficient in basic knee, elbow, and shoulder arthroscopy, as well as more advanced procedures including ACL reconstruction, multiligament knee reconstruction, shoulder stabilization (arthroscopic and open), primary and revision shoulder arthroplasty, elbow arthroplasty, rotator cuff repair (open and arthroscopic), and hip arthroscopy. There is a weekly sports medicine subspecialty conference. Residents are able to become involved with high school (primary team doctor), collegiate, and professional sports team coverage (assistant team doctor). The Campbell Clinic serves as the official sports medicine provider and team physicians for the University of Memphis, Memphis Redbirds (minor league baseball), and Rhodes College athletics. Finally, the sports and shoulder services offer robust clinical, biomechanical, and basic science research opportunities with a dedicated research nurse coordinator.

Hand and Microvascular Surgery

Years: PGY-3 (6 weeks) and PGY4 (6 weeks)

The hand surgery service, a very popular service among the residents, offers excellent exposure to both common and complex cases in adults and children. Residents attend weekly hand conferences. Surgery is performed primarily at the Campbell Clinic Germantown and Midtown Surgery Centers. In addition, residents gain experience in complex pediatric upper extremity reconstruction procedures in the congenital hand service at Le Bonheur Children’s Hospital.

Foot and Ankle

Years: PGY3 (6 weeks), PGY4 (6 weeks)

The foot and ankle service covers a very diverse patient population and procedures, including treatment of acute trauma, deformity correction and reconstruction, arthroplasty, treatment of acute and chronic sports injuries, hindfoot and midfoot fusions, and forefoot reconstructive procedures. In addition to this broad exposure to the spectrum of foot and ankle pathology in both the clinic and the operating room, a weekly subspecialty conference provides an interactive format for didactic lectures and review of interesting cases sent in from community physicians. Surgery is performed primarily at the Campbell Clinic Germantown and Midtown Surgery Centers.

Spine

Year: PGY-3 (6 weeks)

The spine service provides residents with a solid foundation in adult degenerative, deformity, and traumatic conditions. Broad exposure to open and minimally invasive techniques in the cervical, thoracic, and lumbar spine is readily available. On this rotation, emphasis is placed on the evaluation and diagnosis of all spine injuries, operative and non-operative treatment strategies, and the management of spinal cord injury. In addition, a strong foundation in complex pediatric spinal deformity is available to residents on the Pediatric Orthopaedic Surgery rotations.

Research

Year: PGY-2 (6 weeks), PGY-3 (6 weeks)

The research rotation occurs during the PGY-2 and PGY-3 years and provides an excellent opportunity for immersion in clinical, biomechanical, or basic science research projects. In recent years, research support infrastructure has increased dramatically, with dedicated research nurses and coordinators to assist with literature searches, IRB applications and renewals, and grant applications. Dr. William Mihalko, MD, PhD, runs a world-class biomechanics lab, exposing residents to the world of a balanced physician-scientist. Research efforts resulting in presentation are eligible for funding that enables residents to present their research at local, regional, and national meetings. One publishable research project is required by the Accreditation Council for Graduate Medical Education (ACGME) before graduation.

Methodist University & Germantown Services

Years: PGY-1 (6 weeks), PGY-2 (6 weeks), PGY-4 (6 weeks), PGY-5 (6 weeks)

The Methodist University Hospital service provides exposure to a variety of specialty cases including arthroplasty, sports, community trauma, orthopaedic oncology, and foot and ankle, with a particular focus on managing both traumatic and degenerative conditions. Led by Dr. Clayton Bettin, MD, the PGY-4 and PGY-2 residents work together to run the service and coordinate patient care across inpatient and operative settings. The PGY-4 rotation at MUH offers an excellent opportunity to serve as the chief of a hospital service, developing advanced clinical decision-making and leadership skills.
At Campbell Clinic Germantown, a PGY-5 and PGY-1 are paired, emphasizing operative experience, clinic efficiency, and team-based patient care. Both the Methodist University and Germantown services are designed to prepare residents for community-based orthopaedic practice, supported by advanced practice providers (APPs) during the day.