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Research | Resident Education Fund | Qualifications | Benefits | About JHMI
Five applicants are admitted each year into the first postgraduate year (PGY- 1) of clinical training for a total of five years of residency.
During six months of the PGY- 1 year, each of the five residents rotates through non-orthopaedic surgical services at Johns Hopkins and affiliated hospitals. PGY- 1 residents have six one-month rotations in Orthopaedics.
During the four-year orthopaedic phase of their training, each resident rotates through the same services at The Johns Hopkins Hospital, Maryland Institute for Emergency Medical Services Systems (Shock Trauma), the Johns Hopkins Bayview Medical Center, and the Good Samaritan Hospital. The emphasis in clinical training is placed on giving each house officer sufficient responsibility to assure that on completion of training he/she will have had ample opportunity to make important clinical decisions and to perform an extensive variety of major/minor orthopaedic procedures within the supportive and protective environment of a hospital with a very experienced and academically-involved attending staff.
The teaching program is centered upon activities at The Johns Hopkins Hospital. A formal two-year curriculum for basic and clinical sciences is taught by the faculty with an emphasis on resident participation. To supplement these sessions, Grand Rounds are conducted each Thursday. Several additional courses on subjects such as pathology, anatomy, and OITE review are given throughout the year. Each participating hospital also has its own series of teaching conferences which the residents attend when they are there on rotation. Travel time between all of the hospitals is minimized by their proximity.
The clinical rotations at The Johns Hopkins Hospital are comprised of two adult and one pediatric service. The trauma services are headed by two chief residents (PGY5) and includes a junior resident. Residents at the PGY 2,3,4 levels rotate on three adult reconstructive services and the spine service. Residents rotate 30 weeks on the Pediatrics service.
Rotations for adult reconstructive orthopaedics also are located at the Johns Hopkins Bayview Medical Center, and the Good Samaritan Hospital. Exposure to trauma is obtained at Shock Trauma and Johns Hopkins, both of which are Level I trauma centers. These rotations provide a comprehensive experience in the management of orthopaedic injuries in the context of severe multisystem trauma and foot and ankle surgery at Bayview Medical Center.
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Research
The Department of Orthopaedic Surgery maintains an active research program at the Johns Hopkins Medical Institutions and at the Good Samaritan Hospital. The general thrust of the laboratories is the dissection of the mechanical-biological interactions that occur in regenerating bone and cartilage. At Johns Hopkins, the Department of Orthopaedic Surgery has recently relocated to 7,500 square feet of new lab space in the Ross Research Building.
The O'Neill Labs at the Good Samaritan Hospital cover 7,500 square feet. Molecular biologists, biochemists, cell biologists, and biomechanical engineers are situated in both labs in an effort to foster maximal interdisciplinary exchanges and growth. An Instrument Development Laboratory is located on the Bayview Campus.
All residents spend a minimum of five months during the PGY-3 year in the laboratory pursuing basic science research. The residents can choose from among several projects that span a broad range of research interests. For those who are considering a career in academics, the opportunity to spend a longer period in the laboratory is both encouraged and supported.
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Resident Education Fund
Resident Education Fund allowances are given to PGY-4 and 5 level residents. The allowances range from $900 to $1,800 annually and are used for travel to orthopaedic meetings. On approval by the chairman, residents giving papers at peer-reviewed meetings receive direct support for travel to the meetings over and above the normal resident education allowance.
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Qualifications
Graduation from an accredited medical school is the first prerequisite for acceptance into the program. All applications are reviewed and interviews for prospective candidates are arranged on the basis of their medical school record, research experience, extracurricular activities and letters of recommendation. Competition is exceptionally high, with many more outstanding applicants than openings each year.
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Benefits
All residents are appointed Fellows of The Johns Hopkins University School of Medicine and can take advantage of graduate student discounts on many social activities and performing arts programs on and off campus. Other benefits include medical and dental care, income protection, liability insurance, uniforms and laundering, paid vacation and an annual stipend.
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The Johns Hopkins Medical Institutions
The Johns Hopkins Medical Institutions were the vision-and the gift-of Quaker merchant Johns Hopkins, who wished to unite in a single enterprise a three-fold mission: to produce superior physicians, to seek new knowledge for the advancement of medicine and to administer the finest patient care.
The Johns Hopkins Hospital opened in 1889, followed four years later by The Johns Hopkins School of Medicine. Moving from laboratory to lecture hall to the patient's bedside, students and interns brought the scientific approach to medicine and received first-hand training in the diagnosis and treatment of patients. The "Hopkins experiment" changed the pattern of medical education in the United States and had a tremendous, positive impact on patient care. Within two decades, the Hospital and the School of Medicine were models of patient care and education for the nation. That distinction remains intact after nearly 100 years.
A new era in disease prevention began when the School of Hygiene and Public Health, the third of the Hopkins Medical Institutions, was established in 1916. It was this nation's first graduate training and research institution devoted solely to public health-health promotion among groups of people, not just individuals.
Today, the Hospital, the School of Medicine, the School of Public Health and the School of Nursing constitute The Johns Hopkins Medical Institutions, which are located on a 44-acre campus in East Baltimore. The William H. Welch Medical Library, also located on this site collects the medical literature in all fields of teaching, patient care and research represented at the Medical Institutions, and contains more than 346,000 bound volumes and an excellent audiovisual section.
Two of the most far-reaching advances in medicine during the last decade were made at Hopkins. The Nobel Prize-winning discovery of restriction enzymes gave birth to the genetic engineering industry and can be compared, some say, to the first splitting of an atom. And the discovery of the brain's natural opiates has triggered an explosion of interest in neurotransmitter pathways and functions. Other significant accomplishments include the discovery of vitamin D, the identification of the three types of polio virus, the development of closed-chest heart massage (CPR), and the first "blue baby" operation, which opened the way for modern heart surgery. Hopkins was the birthplace of many medical specialties, including pediatrics, endocrinology, neurosurgery and urology.
While a heritage of excellence is important to The Johns Hopkins Medical Institutions, they do not cling to the past. The Hospital and School of Medicine have spent more than $200 million in the last decade to rebuild, with another $150 million of expansion planned for the next two years so that they can better respond to health care needs of today-and tomorrow.
The Department of Orthopaedic Surgery at Johns Hopkins is a strong academic department with numerous formal and informal relationships with preeminent faculty in other disciplines. Residents benefit from the daily interactions with recognized leaders in other medical specialties. At the School of Public Health, emphasis has shifted from the infectious diseases of an earlier era to chronic diseases, health problems related to the environment, and improvement in the organization and delivery of health services. Although Hopkins draws patients and scholars from all over the globe, the Medical Institutions remain firmly committed to serving the health needs of Baltimore and the state of Maryland.
The Hospital's domed administration building dates from 1889 and is named for John Shaw Billings, the architect/physician/librarian who designed the original Hospital. Now registered as a national historic landmark, the Billings dome stands as a familiar symbol of The Johns Hopkins Medical Institutions, a symbol of the many people working daily to provide the best possible care to patients, to train tomorrow's specialists in health care and to challenge the frontiers of biomedical science through research.
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