UCSF is a respected and established orthotic and prosthetic residency site. UCSF provides residents with unique opportunities for learning in an academic hospital setting. The hospital is ranked nationally (US News & World Report) in 11 adult and 9 pediatric specialties. Three residency positions are filled annually: two in orthotics and one in prosthetics. Due to the institutional and teaching hospital setting, the residencies are specific to one discipline (either orthotics or prosthetics) and are 1-year positions. The resident’s directed study is required to be research based.
In a UCSF residency, the resident will work closely with a certified practitioner and collaborate with the patient, clinician, referring physician, allied health professionals and administrative team to formulate a comprehensive orthotic or prosthetic care plan. Residents have access to a vast research resource and medical care team through the University system.
The orthotic residents rotate between 2 locations, spending 6 months at San Francisco General Hospital and 6 months at the UCSF Medical Center. Our orthotic practice spans the full range of pathologies and prescriptions. Through the hospital referral base, the patient population includes both outpatient clinics (pediatrics, orthopedics, rehabilitation, neurology/neurosurgery, trauma, vascular medicine, family practice, etc.) and inpatient care. Some of the mentoring practitioner specialties are scoliosis, pediatrics, rehabilitation, orthopedics, and trauma.
Prosthetic residents divide their time between the UCSF Orthopedic Institute and San Francisco General Hospital. Residents are involved in both traditional and specialized prosthetic care. Pediatric, upper extremity and trauma clinics and physicians are part of the referral base, and the Amputee Comprehensive Training (ACT) program offers unique opportunities to interact with high-performing active amputees. Microprocessor and myoelectrically controlled prostheses are included in the range of specialization of the mentors.
UCSF does not (yet) house a central fabrication facility. The resident will have the opportunity for some fabrication exposure but the majority of custom items are fabricated outside the facility.
The resident will also learn to work closely with the administrative staff to perform appropriate documentation and billing procedures in a timely manner. The UCSF hospital system uses electronic medical records, which allows comprehensive treatment of the patient through access to physician, therapist, and admission notes. Imaging, including MRI, x-ray and fluoroscope, is also linked to the patient’s record.
During the residency period, quarterly exams are administered to assess the resident’s clinical and academic knowledge and aid in board exam preparation. Residents regularly present case studies and special topic subjects in the O&P staff meetings. The residency cycle and research project culminates with a Resident Research Symposium; an opportunity to present the project other residents, students, and practitioners in the community.