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The residency program at Florida Hospital East Orlando
is a resource-based, competency-driven, assessment-validated
program which is hospital based and consists of postgraduate
training in both inpatient and outpatient medical and
surgical patient management. The program provides training
resources that facilitate the resident’s sequential
and progressive achievement of specific competencies.
While significant structuring of the path towards achieving
these goals is necessary, residents are allowed to tailor
their education to meet their specific interests.
Diagnostic
modalities
Medical imaging: Through participation
in both the hospital and outpatient setting, the resident
will gain direct exposure to and participation in plain
radiography, fluoroscopy, nuclear medicine, MRI, CT, ultrasonography
and vascular imaging.
Pathology: In the hospital environment,
the resident will participate in laboratory studies in
hematology, serology/immunology, toxicology, blood chemistries,
drug screens, coagulations studies, blood gases, synovial
fluid analysis, urinalysis, microbiology and anatomic
and cellular pathology.
Medicine
and Medical subspecialties
Medicine:
Includes both hospital based and outpatient medical evaluation
and management of patients. This rotation is supervised
by the Family Medicine Residency Program and residents
will be expected to perform comprehensive medical histories
and physical examinations as well as formulate appropriate
differential diagnoses, become proficient at ordering
and interpreting diagnostic studies and formulating appropriate
management plans.
Behavioral
Science: The resident will become more knowledgeable
and gain a better understanding of the psychosociospiritual
aspects of health care delivery including the implications
of prevention and wellness.
Dermatology:
The resident will participate in the diagnosis and treatment
of general dermatological conditions primarily in the
office setting.
Emergency
Medicine: Resident will participate in the
evaluation and management of the emergent patient in the
hospital setting. Special emphasis will be placed on disorders
of the lower extremity. In addition to the Emergency Medicine
rotation, each resident will be on call for foot and ankle
trauma 26 weeks per year.
Infectious Disease/ Hyperbarric Medicine:
The resident will become familiar with the care and management
of the infected patient including performance of a comprehensive
history and physical examination ordering and interpretation
of diagnostic studies. The resident will also become familiar
with the care and management of chronic wound patients
and the hyperbarric chamber.
Neurology:
The resident will participate in the evaluation and management
of neurological disorders with specific focus on the pathogenesis
of neurological disorders with lower extremity manifestations.
Podiatric Medicine: The resident
will be expected to participate in the care of the podiatric
patient in both the inpatient and outpatient settings.
Evaluation and management of podiatric patients in the
inpatient setting will include performing and interpreting
the findings of a thorough problem focused history and
physical examination, performing and interpreting appropriate
diagnostic studies and formulating an appropriate diagnosis
and treatment plan. Residents will also be expected to
attend to patients in the outpatient clinic. Evaluation
and management of patients in the faculty office setting
will also be expected. This rotation is ongoing throughout
the entire residency period.
General
Surgery and the surgical subspecialties
General Surgery: The resident
will directly participate in the care and management of
the surgical patient including the preoperative and postoperative
period. Emphasis will be placed on enhancing surgical
skills and the understanding of surgical procedures and
principles.
Orthopedic Surgery: The resident
will directly participate in the care and management of
the general orthopedic patient. This includes management
of orthopedic trauma, joint replacement and sports related
surgeries. Understanding of preoperative and postoperative
care is included.
Plastic Surgery: The resident
will become familiar with the plastic surgical aspects
of the acute and chronic trauma patient as well as care
and management of the cosmetic surgical patient and directly
participate in the care of these patients.
Vascular Surgery: The resident
will participate in the care of the vascularly compromised
patient including recognizing and diagnosing vascular
disease, formulating a treatment plan and actively participating
in vascular surgical cases and rounds.
Podiatric
Surgery:
The resident will directly participate in surgical treatment
of lower extremity pathology. Training experiences emphasize
evaluation, diagnosis, selection of appropriate treatment
and avoidance of complications, structured in a manner
to achieve the competencies identified by the COPME. By
way of comparison, below is the minimum activity volume
as defined by the COMPE as well as the most recent volume
(2002-2003) for residents at this program.
COPME
MAV |
PM&S
24 |
PM&S
36 |
Podiatric
Surgical cases |
150 |
300 |
B
& C level procedures (total) |
350 |
525 |
C
level procedures |
|
|
Digital |
80 |
100 |
First
ray |
60 |
80 |
Other
soft tissue foot surgery |
45 |
65 |
Other
osseous foot surgery |
40 |
60 |
Reconstructive
rearfoot and ankle procedures |
0 |
50 |
Other
procedures |
0 |
0 |
Trauma |
25 |
50 |
Florida
Hospital Podiatric Resident surgical activity for the
2003-2004 academic year.
|
Resident
1 |
Resident
2 |
Resident
3 |
Resident
4 |
| CATEGORY
OF PROCEDURE |
|
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| |
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|
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2.
Digital Surgery |
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|
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3.
Lesser mentatarsal |
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4.
First ray surgery |
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5.
Rearfoot-ankle |
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| Totals
(B & C) |
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|
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Total
Number of Procedures |
1011 |
1006 |
774 |
634 |
Total
number of individual patients |
646 |
618 |
409 |
481 |
*Residents
1 and 2 are second year, and 3 and 4 are first year. This
is not a rollup and represents resident activity only
for the 12 month period listed.
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