The Department of Orthopedics and Rehabilitation offers a Master of Science degree in athletic training as well as a training program for residents.
Graduate Program of Study
The department offers a five-year integrated clinical program for postgraduate trainees, in which interns and residents participate simultaneously in inpatient and outpatient care, surgery, and sciences related to the neuromusculoskeletal system.
Trainees enter this program directly from medical school through the National Residency Matching Program.
During the first year, trainees gain experience not only in clinical orthopedics but also in surgical specialties, intensive care, radiology, and surgical skills.
During years two through five, residents gain experience in the diagnosis and management of adult and pediatric orthopedic disorders, including joint reconstruction; trauma, including multisystem trauma; surgery of the spine, including disk surgery, spinal trauma and deformities; hand and foot surgeries; athletic injuries and orthopedic rehabilitation; orthopedic oncology, including metastatic disease; and amputations as well as post-amputation care and nonoperative outpatient diagnosis and care, including all orthopedic anatomic areas.
The Department of Orthopedics and Rehabilitation is housed in the John Pappajohn Pavilion of University of Iowa Hospitals and Clinics and has an active service in the Iowa City VA Health Care System. The department's facilities include 48 orthopedic beds, ten outpatient clinics, inpatient and outpatient operating rooms, a specialty library, a specialty radiology unit, and physical therapy and rehabilitation facilities. Its specialty clinics deal with virtually every orthopedic disorder known, including, but not limited to scoliosis, club feet, congenital dislocated hip, neuromuscular disease, metabolic disease, amputation, neoplasm, trauma, and neck, back, hip, foot, knee, and hand problems. Physicians in the outpatient clinic see approximately 280 patients per day and over 70,000 patients per year. Approximately 7,000 surgeries are performed each year.
The department's Institute for Orthopaedics, Sports Medicine, and Rehabilitation provides MRI, X-ray, and physical therapy services, and a full range of nonoperative orthopedic ambulatory care services.
The orthopedics laboratories deal with problems in these major subject areas.
Biochemistry: the biochemistry of proteoglycans, collagens, and matrix proteins, both normal and altered in musculoskeletal disorders
Biomechanics: problems of the upper extremity; biomechanics of the spine, hip, and gait; total joint replacements (in conjunction with the College of Engineering)
Cell and molecular biology: studies of normal bone, cartilage, tendon, muscle, and tissues altered by experiment and disease
Bone healing: research toward better ways to heal bones
ORTH:8301 Clinical Orthopedicsarr.
ORTH:8401 Advanced Clinical Orthopedics2,4 s.h.
Requirements: fourth-year M.D. enrollment.
ORTH:8402 Musculoskeletal Traumaarr.
Requirements: fourth-year M.D. enrollment.
ORTH:8403 Subinternship in Orthopedics4 s.h.
Opportunity to enhance clinical skills by taking intern-level responsibility for management of a limited number of orthopedic patients; proficiency in perioperative patient assessment and management, including assisting in procedures and using laboratory diagnosis and radiologic studies pertinent to one faculty member's clinical practice.
ORTH:8404 Introduction to Physical Medicine and Rehabilitation2 s.h.
Management of a wide range of common acute and chronic neuro-musculoskeletal pain conditions (shoulder, back, knee pain) to more devastating neuromuscular injuries (spinal cord injuries, brain injury, strokes, amputations). Requirements: M.D. enrollment.
ORTH:8405 Advanced Physical Medicine and Rehabilitation4 s.h.
Management of a wide range of common acute and chronic neuro-musculoskeletal pain conditions (shoulder, back, or knee pain) to more devastating neuromuscular injuries (spinal cord injuries, brain injury, strokes, amputations); students work-up individual patients in outpatient clinics and perform inpatient consultations at subintern level. Prerequisites: ORTH:8404. Requirements: M.D. enrollment.
ORTH:8406 Physical Medicine and Rehabilitation Acute Inpatient Rehab, Cedar Rapids2 s.h.
Physical medicine and rehabilitation clerkship; participation in daily clinical activities including inpatient rounds, interdisciplinary team meetings, observing a variety of therapy sessions, and inpatient consults.
ORTH:8498 Orthopedics On Campusarr.
Requirements: fourth-year M.D. enrollment.
ORTH:8499 Orthopedics Off Campusarr.
Requirements: fourth-year M.D. enrollment.
AT:3060 Advanced Anatomy for Athletic Training4 s.h.
Extremities and relevant body cavity anatomy; anatomical terminology, anatomical relationships of human body, 3-D view of anatomy, clinical relevance of anatomy; basic science lectures, radiologic imaging discussions, introduction to clinically relevant anatomy, gross anatomy dissection laboratories, small group learning and teaching, and computer-assisted resources.
AT:4000 Foundations of Athletic Training Practice3 s.h.
Introduction to athletic training; basic components of a prevention program; injury/illness assessment process including general injury classifications, medical terminology, and patient documentation skills); anatomical basis and technical aspects of applying clinical proficiencies relating to orthopedic applications in the care and prevention of injuries relating to physically active individuals including taping, wrapping, and pad fabrication; basic evaluation skills including goniometric measurements, manual muscle testing, and anatomical palpations.
AT:4075 Medical Emergency Techniques2 s.h.
Educational competencies and clinical proficiencies; focus on emergency medical practice in athletic training using current evidence-based interventions for medical, orthopedic, and environmental emergencies; knowledge of Emergency Medical Service (EMS) system and role athletic trainers play in the acute-care process; emergency pharmacological interventions and other advanced care skills.
AT:4125 Clinical Experience I3 s.h.
Integration of clinical competencies through a supervised field experience in athletic training to link theory with practice; exposure of athletic training students to real-life situations relating to evaluation and management of patient injuries/illnesses; development and application of critical thinking skills; first in a four-part series.
AT:4200 Orthopedic Pathology and Clinical Examination I4 s.h.
Pathomechanics, clinical examination, diagnosis, and appropriate basic treatment plans for orthopedic injuries to the lower extremity and spine; application of theories and skill practice through real-patient interactions and documentation; surgical observation and physician interactions; first in a two-part series.
AT:4250 Orthopedic Pathology and Clinical Examination II4 s.h.
Pathomechanics, clinical examination, diagnosis, and appropriate basic treatment plans for orthopedic injuries to the upper extremity, head, and C-spine; application of theories and skill practice through real-patient interactions and documentation; surgical observation and physician interactions; second in a two-part series. Prerequisites: AT:4200.
AT:4300 Therapeutic Interventions2 s.h.
Introduction to theory, application, and treatment of orthopedic conditions using common therapeutic modalities; application of evidence-based research in planning, implementation, documentation, and evaluation of the efficacy of each therapeutic modality in treatment of injuries and illnesses of patients involved in physical activity; emphasis on indications, contraindications, and precautions; integration of patient-based outcome measures to aid in appropriate clinical decision making.
AT:4375 Nutrition for Athletic Training2 s.h.
Interaction between nutrition, exercise, and athletic performance; biomechanical and physiological aspects of nutrition and exercise; nutrition for training and competition; impact of nutrition on healing processes, nutritional supplements, and ergogenic aids; nutritional aspects of body composition and weight control; demonstration of ability to plan and implement proper sport nutrition.
AT:4400 Rehabilitation Techniques3 s.h.
Rehabilitation for athletic trainers based on theory and principles of therapeutic exercise using current evidence-based concepts; focus on pathology and mechanics of exercise therapy in treatment of musculoskeletal injuries; use of mechanical exercise equipment, stressing safety and use of proper body mechanics during exercise, as well as indications and contraindications for different exercises.
AT:4450 Applied Rehabilitation Concepts3 s.h.
Functional, scientific approach to designing strength and conditioning programs for various populations; testing protocols used for measuring fitness, body composition, flexibility, strength, power, speed, and endurance; evaluation of posture and workplace ergonomics; manual therapy theory and techniques for orthopedic injuries, indications and contradictions, skill development in soft tissue assessment, application of manual and tool-assisted techniques; review of resistance training and program prescription based on literature. Prerequisites: AT:4400.
AT:4525 Clinical Experience II4 s.h.
Integration of clinical competencies through a supervised field experience in athletic training to link theory with practice; exposure of athletic training students to real-life situations relating to evaluation and management of patient injuries/illnesses; development and application of critical thinking skills; second of a four-part series. Prerequisites: AT:4125.
AT:5000 Pathology and Assessment of Non-Orthopedic Conditions3 s.h.
Introduction to recognition, assessment, and appropriate intervention or referral strategies for non-orthopedic conditions and disabilities; pathophysiology at cellular, organ, and total body levels applied in each organ system; systems may include cardiovascular, pulmonary, renal, dermatologic, reproductive, endocrine, neurologic, and gastrointestinal; additional topics include gender and pediatric pathology, ENT/ophthalmology, abdominal evaluation, and common contagious illnesses.
AT:5075 Diagnostic Imaging and Lab Studies1 s.h.
Common diagnostic tests and radiological techniques used commonly by medical community in assessment and diagnosis of common orthopedic and non-orthopedic conditions; students gain knowledge and skills to identify anatomy, pathology, and proper terminology used by health care professionals when discussing diagnostic tests/results; coverage of multiple biological systems and organs of the human body to understand indications, contraindications, and clinical implications for each technique.
AT:5200 Pathophysiology and Pharmacology in Sports Medicine2 s.h.
Pharmacologic applications for injury/illness sustained by various physically active populations; therapeutic drug classifications, indications, contraindications, interactions of medications, drug testing in sport, and relevant governing regulations; emphasis on drugs commonly used for orthopedic injuries, common conditions and illnesses, mental health and their effects on sport performance, and tissue healing.
AT:6100 Research in Athletic Training2 s.h.
Identification of an athletic training problem/issue and examination through theories and research; analysis of literature and derivation of evidence-based concepts for clinical decision making and data-informed practice; use of appropriate academic writing style; differentiation between quantitative and qualitative research; critically responding to research dilemma in a way that aligns professional ethics and values; first in a two-part series.
AT:6125 Clinical Experience III6 s.h.
Complete professional immersive clinical experience; integration of basic and complex clinical competencies through a supervised clinical experience in athletic training to link theory with practice; exposure of athletic training students to real-life situations relating to evaluation and management of patient injuries/illnesses; development and application of critical thinking skills; third in a four-part series. Prerequisites: AT:4525.
AT:6200 Administration and Leadership2 s.h.
Overview of organization and administration of athletic training services; topics include organizational structures, human resources, information management, budget and finance, risk management, legal and ethical considerations in health care, purchasing and maintenance of equipment and facilities, and development of policies and procedures for daily operation of athletic training services.
AT:6250 Applied Research in Athletic Training2 s.h.
Application of research models to athletic training topics; use of appropriate academic writing style; application of basic statistical measures to address clinical problems; continuation and completion of research projects from AT:6100; culminates with dissemination of research findings; second in a two-part series. Prerequisites: AT:6100.
AT:6300 Psychosocial Recognition and Referral2 s.h.
Psychological factors relative to injury, rehabilitation, and performance; strategies for identifying problems, intervening, and making referrals especially related to psychological disorders, decreased performance, and health/substance abuse; exploration of various theories and models of cultural competence through the lens of sports medicine; students examine and analyze roles of cultural differences including cultural attitudes, beliefs, and expectations as they pertain to effective health care in diverse settings.
AT:6400 Seminar in Athletic Training2 s.h.
Knowledge, skills, and abilities for successful pursuit of the athletic training credential and processes to obtain employment; résumé development and interviewing skills; emphasis on regulation of practice; professional and ethical responsibilities contributing to practice of athletic training; creation of a professional development plan; preparation for transition to practice.
AT:6450 Advanced Topics in Athletic Training1 s.h.
Investigation and discussion of current events and advanced topics in athletic training and related health professions; evaluation of current professional and legislative issues in athletic training; discussions vary depending on current relevant topics.
AT:6525 Clinical Experience IV5 s.h.
Integration of clinical competencies through a supervised clinical experience in athletic training to link theory with practice; exposure of athletic training students to real-life situations relating to evaluation and management of patient injuries/illnesses; development and application of critical thinking skills; last in a four-part series. Prerequisites: AT:6125.