Loma Linda University Medical Center’s Orthopedic Surgery Residency Program provides resident physicians with the knowledge, clinical and surgical skills in every area of orthopedic surgery. Our program’s curriculum balances theory with hands-on practice and is facilitated by diverse and dedicated faculty members. We are committed to the:
- Education of competent and compassionate orthopedic surgeons
- Performance of clinically relevant research
- Provision of high quality orthopedic care to our patients
Orthopedic training begins with an integrated internship, where each resident spends time studying:
- General surgical fields for 6 months
- Musculoskeletal-related specialties for 3 months
- Orthopedic surgery for 3 months
During the second year, each resident is given first-hand operative opportunities that build the foundation for the acquisition of orthopedic knowledge and experience.
In the third year rotations to Arrowhead Regional Medical Center and the Veterans Administration Hospital strengthen each resident's surgical skills and didactic knowledge application. The program provides six months of research and administrative time during the third and fourth years.
The fifth and final year of training empowers the resident with leadership responsibilities at each of the affiliated hospitals. This particular experience refines residents’ orthopedic leadership skills.
Loma Linda University Medical Center
Our medical center is the primary teaching facility for residencies. From a clinical standpoint, services are divided by subspecialties and are supervised by full-time faculty members. During the PGY-2 rotation, residents learn the fundamental principles of orthopedics. Pediatric orthopedics is learned during the PGY-3 and PGY-4 rotations. Research experience and hypothesis testing occur during the PGY-3 and PGY-4 rotations. PGY-5 residents are given responsibility to coordinate care and teach junior residents. Most of the didactic education occurs through Loma Linda University Medical Center.
Arrowhead Regional Medical Center (ARMC)
Residents rotate to Arrowhead Regional Medical Center, a Level II Trauma Center, as PGY-3s, PGY-4s, and PGY-5s. The primary focus of this rotation is in trauma, specifically adult and pediatric aspects. Residents are given graduate responsibilities, and surgical confidence is developed through this experience. While under attending physician guidance at ARMC, residents learn decision-making skills and surgical independence. In addition to the clinical material, one didactic conference focusing on case presentations and discussions is offered every week.
Veterans Administration Hospital (VAH)
The Veterans Administration Hospital rotation is designed around the care of the veteran population. Residents are given increasing responsibilities, starting from the PGY-3 level and finishing with the PGY-5 level. Residents also learn decision-making skills and surgical independence under attending staff guidance, achieving confidence by the PGY-5 level. The VAH Indications Conference takes place once a week and focuses on case discussions regarding surgical patients. The Total Joint Conference also takes place every week where recently performed and upcoming cases and other didactic materials are discussed.
To apply to our Orthopedic Surgery Residency Program, complete and submit your application through the Electronic Residency Application Services (ERAS).
Applications are processed after Medical Student Performance Evaluations are released by the ERAS. Refer to the ERAS Timelines and Deadlines for further details.
Selection Policy and Procedures
The selection process is a multi-faceted approach, with generalized evaluations and ratings to best incorporate a cohesive orthopedic team. The selection process includes:
- Selection Committee – The committee is comprised of the residency director, the assistant program director, the department chair, one attending from Loma Linda University Medical Center orthopedics, one attending from the VAH, as well as our affiliate Arrowhead Regional Medical Center. The seventh person on the selection committee is a senior resident. Additional committee members are selected at the program director’s discretion.
- Preliminary evaluation and screening – Our medical center participates in the National Resident Matching Program (NRMP) and accepts five residents per year with inclusion of the intern year. Applicants submit their application through ERAS. We average between 250-300 applications. A step I board on the United States Medical Licensing Examination ® (USMLE) of approximately 235 is used as a general screening tool. Satisfactory completion of Part I of the Boards depends on being able to compete on the cognitive level with their peers in the orthopedic surgery residency. This screening process reduces the number of applicants to approximately 100.
The ERAS applications are then reviewed by each of the five physicians on the selection committee. Each committee member individually reviews the ERAS applications for what they feel are important characteristics including:
- USMLE scores
- Class rank
- AOA status
- Dean’s letter
- Letters of recommendation
- Personal statements
- Rotation grades
- Volunteer work
Approximately 50 students are selected for an interview.
- Interview process – Interviews are performed in one day in January. They are coordinated with other orthopedic residency programs in Southern California. Approximately 50 candidates are interviewed personally by the Residency Selection Committee members. A scoring sheet is used at the discretion of the interviewer.
- Rank order list generation – At the conclusion of the interview process, the committee meets with all participants having equal input and then decides on the rank order list using merits. By general agreement, first based on a computer-calculated score and then adjusted based on discussion, the rank order list is created after approximately two hours. The rank order list is submitted by the residency coordinator to the House Staff Office via ERAS.