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Orthopedics - OSUR 548


Successful completion of Junior Internal Medicine and Junior Surgery Clerkships.


University of Maryland


The orthopaedic subinternship offers students an opportunity to acquire and demonstrate advanced clinical responsibilities at the level of an intern within the context of a hospitalized orthopaedic patient population. The majority of the patients will be post-operative following recent spine, hip, or knee reconstructive surgery and are admitted to the orthopaedic inpatient unit. The Subinternship will provide an educational curriculum that emphasizes the teaching of the fundamental concepts of patient care. The subintern will work closely with the Orthopaedic intern at the University Hospital or the PGY-2 orthopaedic resident at the Baltimore Veteran’s Administration Hospital. The Subintern will be assigned a faculty mentor for the entire rotation based on the patient group for which he/she is responsible (spine, hip & knee, or VA). The sub-intern may accompany his/her faculty mentor to the operating room and will function as the primary point of contact for all care issues for these specific patients. The subintern will attend all Orthopaedic Department conferences, specialty specific conference for their team, and morning trauma intake conference. The subintern will take in-house call at least once per week with the call day established by the orthopaedic team to maximize the subintern’s educational experience.

Transportation to and from sites are the responsibility of the student.

Goal #1

The Sub-intern will develop a comprehensive approach to the care of hospitalized acutely ill orthopaedic patients, beginning with admission and culminating with either discharge or transfer to a rehabilitation service.


The student, acting in the role of intern, will:

  • Demonstrate the ability to apply basic and clinical science knowledge in the patient care setting.
  • Strengthen basic history and physical diagnostic skills in the care of his/her patients.
  • Enhance problem-solving skills in the daily evaluation and management of his/her patients.
  • Enhance the learning of clinical reasoning and judgment.
  • Demonstrate an understanding of the post-operative rehabilitation plans for orthopaedic patients
  • Demonstrate team work and effective interpersonal communication skills working with nurses, therapists, case managers, and other clinicians for the advancement of his/her patients.

Goal #2

The student will learn to function in the role of house officer.


The student will:

  • Demonstrate an ability to effectively integrate himself/herself as a member of the house officer team treating acutely ill patients on the orthopaedic service.
  • Successfully complete in-house call responsibilities at the level of an intern, including learning to cross-cover patients on their primary service.
  • Demonstrate effective oral and written communication skills as they relate to patients, patients' medical records, families, colleagues, consultants, and community health providers.
  • Demonstrate professionalism in all interactions with patients, families, colleagues, consultants, and community health providers.
  • Demonstrate an ability to synthesize patient data within a biopsychosocial context and effectively incorporate this information into an assessment and ongoing plan of treatment.
  • Understand physiologic changes associated with post-operative patients and demonstrate an understanding of the effective treatment of these clinical scenarios.

Number of Students:


Time of Year Available:

Academic weeks 1-48


Monday through Friday - Yes
Shiftwork - No
Evenings - Yes
Weekends - Yes
Call - Yes

Faculty Responsible:

Robert Sterling, MD

Administrative Contact:

Tanya Johnson
(410) 328-4808
(410) 328-9304 fax 


Last Revision: April 16, 2013