New Application: Orthopaedic Trauma Review Committee for Orthopaedic Surgery ACGME Fellows and Other Postgraduate Trainees Enter the number of any type of residents and/or fellows assigned to each site for any type of orthopaedic surgery training each year. Add rows as necessary. Type of Orthopaedic Training Site #1 Site #2 Site #3 Site #4 Site #5 Total/ Year Present at any one time Total/ Year Present at any one time Total/ Year Present at any one time Total/ Year Present at any one time Total/ Year Present at any one time Clinical Research Other Provide the following information regarding orthopaedic surgery residents who are assigned to each site for training in orthopaedic trauma each year. Add rows as necessary. Name of Program Site #1 Site #2 Site #3 Site #4 Site #5 Total/ Year Present at any one time Total/ Year Present at any one time Total/ Year Present at any one time Total/ Year Present at any one time Total/ Year Present at any one time Narrative Summary of Compliance with Accreditation Requirements The questions that follow provide programs with an opportunity to systematically describe the manner in which they comply with accreditation requirements. Responses should be concise and focused. During the site visit, fellows, faculty members, and others will be asked for comment on the information provided. As such, those who will be interviewed should read the application form prior to their meeting with the site visitor. Fellow Appointment How will the program demonstrate its committment to promoting the inclusion of qualified women and under-represented minorities in the profession through its recruiting? [PR III.A.2.] Responsibilities of the Program Director
Open treatment of radial AND ulnar shaft fractures, with internal fixation when performed; of radius AND ulna 25575 Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid when performed; without manipulation 25600 Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation 25606 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation 25607 Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments 25608 Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments 25609 Closed treatment of carpal scaphoid (navicular) fracture; without manipulation 25622 Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation when performed 25628 Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone 25630 Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone 25645 Closed treatment of ulnar styloid fracture 25650 Percutaneous skeletal fixation of ulnar styloid fracture 25651 Open treatment of ulnar styloid fracture 25652 Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones 25670 Percutaneous skeletal fixation of distal radioulnar dislocation 25671 Open treatment of distal radioulnar dislocation, acute or chronic 25676 Open treatment of trans-scaphoperilunar type of fracture dislocation 25685 Open treatment of lunate dislocation 25695 TOTAL Pelvis/Hip - Fracture and/or Dislocation Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; without manipulation 27193 Closed treatment of coccygeal fracture 27200 Open treatment of coccygeal fracture 27202 Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not 27215
pilon or tibial plafond), with internal fixation when performed; of both tibia and fibula Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation when performed 27829 Open treatment of proximal tibiofibular joint dislocation, includes internal fixation when performed, or with excision of proximal fibula 27832 Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation 27846 Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation 27848 TOTAL Foot/Toes - Fracture and/or Dislocation Closed treatment of calcaneal fracture; without manipulation 28400 Percutaneous skeletal fixation of calcaneal fracture, with manipulation 28406 Open treatment of calcaneal fracture, includes internal fixation when performed; 28415 Open treatment of calcaneal fracture, includes internal fixation when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) 28420 Closed treatment of talus fracture; without manipulation 28430 Percutaneous skeletal fixation of talus fracture, with manipulation 28436 Open treatment of talus fracture, includes internal fixation when performed 28445 Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each 28450 Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each 28456 Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation when performed, each 28465 Closed treatment of metatarsal fracture; without manipulation, each 28470 Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each 28476 Open treatment of metatarsal fracture, includes internal fixation when performed, each 28485 Closed treatment of fracture great toe, phalanx or phalanges; without manipulation 28490 Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation 28496
performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum) TOTAL Acetabulum Open treatment of posterior or anterior acetabular wall fracture, with internal fixation 27226 Open treatment of acetabular fracture(s) involving anterior or posterior (one) column or a fracture running transversely across the acetabulum, with internal fixation 27227 Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation 27228 TOTAL Bicondylar Tibial Plateau Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation 27536 Pilon/Plafond Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), with internal fixation when performed; of fibula only 27826 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), with internal fixation when performed; of tibia only 27827 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), with internal fixation when performed; of both tibia and fibula 27828 TOTAL