Curriculum
Our residency provides 5 positions per year. Rotations are centered at three main campuses in Lexington, all within three miles of each other. We provide both mentorship and team models during the rotations. The PGY-1 year is constructed of 12 one-month rotations, and the PGY2-5 years are constructed of 5 ten-week rotations. 

PGY-1
The PGY-1 year involves twelve 1-month rotations on the following services:

• Orthopaedic Trauma – 4 total months
• Orthopaedic Reconstruction and Spine – 2 total months
• Orthopaedic Skills month
• General Trauma Surgery ICU
• General Trauma Surgery Floor
• MSK Radiology
• Plastic Surgery
• Emergency Medicine

PGY-3
The PGY-3 year involves 5 ten-week rotations on the following services:

• Trauma – includes 5 weeks of night float
• Orthopaedic Spine – 5 week block
• Foot and Ankle – 5 week block
• Pediatric Trauma
• Sports
• Veteran’s Administration

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​PGY-5
The PGY-5 year involves 5 ten-week rotations on the following services:

• Trauma
• Adult reconstruction
• Veteran’s Administration
• Sports
• Administrative/Community Shoulder and Elbow

Chief administrative duties are broken up between blocks, but mainly fall upon the PGY-5 on administrative rotation. These include on-call scheduling, weekly assignments, and education planning.

PGY-2
The PGY-2 year involves 5 ten-week rotations on the following services:

• Trauma – includes 5 weeks of night float
• Hand/Upper Extremity
• Adult Reconstruction
• Pediatrics
• Research Block

PGY-4​
The PGY-4 year involves 5 ten-week rotations on the following services:

• Trauma
• Orthopaedic Spine – 5 week block
• Foot and Ankle – 5 week block
• Pediatrics
• Tumor/Reconstruction
• Hand/Upper Extremity

​Beginning of the PGY-4 year, residents are now in the chief call pool and begin rotations with more significant administrative responsibilities. 

Call
We use a Night Float system for in house consult call Sunday through Thursday that consists of the PGY-2 or PGY-3 on trauma and an intern. There is a backup PGY-2 or 3 on call each night, as well as a chief PGY4 or 5 available for any operative cases overnight.
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Courses and Conferences
During the PGY-2 year, residents are required to attend the AO Basic Fracture Management course at departmental cost. Required conference days are not counted against vacation.
Residents are encouraged to present research at national meetings. Time spent presenting a paper is in addition to the standard four weeks of leave.