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In the last episode of the R5 Retrospective series, I interviewed Dr. Colm McCarthy, an alumnus of the Mac Ortho program, who is currently completing his fellowship in Arthroplasty at Harvard Medical School (Brigham & Women's Hospital). Our fascinating conversation started by talking about why he chose Arthroplasty, and Harvard, how CBME will shape Orthopaedic Surgery training, and how to maximize your chances of being successful in the SF Match (US Fellowships). Enjoy!
1:50 - Harvard Arthroplasty Fellowship (4/5+ days in OR, fellow-specific teaching & networking, mentorship/career guidance)
3:10 - Why Harvard (complex primaries/revisions, double constructs)
3:35 - Why Arthroplasty (similar to choosing a specialty, based on personality types, QALY/QoL outcomes)
5:10 - Why an Arthroplasty Fellowship (more revisions, seeing complex cases gives you tools, develop skills)
7:10 - Where do you envision yourself (MEd = academic, Cross-trained in arthroplasty/trauma = highly employable, options open)
8:05 - Surgical Education (Oslerian model falls apart, Feedback based approaches on movements, Giving feedback through CBME, Exams are less helpful than competencies)
10:20 - Benchmarks for Competency (Are you prepared for Independent Practice? Skills, Boundaries, Safety, Knowledge)
10:40 - CBME (Highlight weaknesses and extend exposure [mini-fellowships])
12:05 - What Should be the Ultimate Goal of Surgical Training (Generalist v Specialization, Knowledge of how to explain/understand/counsel patients on all of Orthopaedics)
14:40 - Transition to Practice in Fellowship (Billing, Booking Clinics, Workflow, Dictations in Canada vs USA. Envisioning how to setup your practice)
18:30 - Transitioning from a Student to Colleague
20:30 - How did you know that Harvard would be right? (Right place to learn/fit in/afford, Working with Dr. Estok, Double Cup Constructs, Being Frugal, Observerships)
23:40 - Canada/US Fellowship Applications (Personality based, SF Match, Rolling Applications)
26:40 - Reflecting on Residency (Evolution of Struggles, Battle buddies, Why Orthopaedics)
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