The Orthopaedic Surgery Training Programme at Queen’s University
David Yen, M.D., FRCSC
Kingston, ON
Queen’s University is located in Kingston, Ontario which is found where the Rideau Canal meets Lake Ontario at the mouth of the St. Lawrence River. Kingston was the first capital of the united Upper and Lower Canadas before the national seat of government was moved to Ottawa in the 1840’s. The School of Medicine at Queen’s was established in 1854. Post graduate training in orthopaedic surgery began in the mid 1960’s. Initially, the Royal College granted Queen’s recognition for one year of training in orthopaedic surgery with the second year taking place at the University of Toronto. Within three years, after an on-site review by the Royal College, accreditation for full training at Queen’s was granted, with teaching taking place under the supervision of Drs. Michael Simurda and Charles Sorbie at the Kingston General Hospital and Dr. John Hazlett at the Hotel Dieu Hospital.
Over the years, orthopaedic surgery training at Queen’s has evolved into a five-year programme. The first 24 months are spent in the core surgery programme. Its goal is to provide a sound grounding in principles common to all surgical disciplines. In the PGY1 year, there are two-month rotations through general surgery, vascular surgery, thoracic surgery, orthopaedic surgery and one-month rotations through emergency medicine, cardiology, rheumatology and radiology, rehab medicine & pathology. In the PGY2 year, there are two-month rotations through neurosurgery, ICU, plastic surgery with the last six months spent in orthopaedic surgery.
The final 36 months offer rotations through each of the four services within the Division of Orthopaedic Surgery. The rotations are carried out sequentially, allowing for graduated responsibility. The PGY3 year consists of three-month rotations through upper extremity & microsurgery and sports medicine, spine and paediatrics, arthroplasty and lower extremity reconstruction, elective and research. The three-month elective and research block is dedicated to research and in depth exposure to a subspecialty or community orthopaedic surgery. The PGY4 year consists of three-month rotations through upper extremity & microsurgery and sports medicine, spine and paediatrics, arthroplasty and lower extremity reconstruction, trauma. The PGY5 year consists of four-month rotations through upper extremity & microsurgery and sports medicine, arthroplasty and lower extremity reconstruction, a three-month rotation through spine and paediatrics, and ends with one month of consolidation time in preparation for the Royal College Fellowship Examination.
Institutional affiliates with the training programme are the Kingston General Hospital where all of the inpatient and emergency services are located, the Hotel Dieu Hospital which provides ambulatory care, St. Mary’s on the Lake Hospital which offers rehabilitation services, and The Human Mobility Research Centre where there are resources for orthopaedic research.
There is a weekly Academic Half Day. It takes place on Wednesday morning with rounds, labs, meetings, and oral examinations slotted into this protected time for residents and faculty.
Three residents are taken into the programme each year. Currently, there are 10 faculty and one Fellow. Subspecialty Fellowship training is offered in upper extremity and microsurgery, arthroplasty and lower extremity reconstruction, trauma, and spine.
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