NCC Orthopaedic Clerkship, Internship and Residency
Our Program
Walter Reed National Military Medical Center (WRNMMC) in Bethesda, Maryland is home to the National Capital Consortium (NCC) GME training program. The three major military hospitals in the area include WRNMMC, Fort Belvoir Community Hospital and Malcolm Grow Medical Clinics & Surgery Center. Numerous satellite clinics are located throughout the region that provide a system of referral to the major hospitals. The National Capital Area includes nearly 400,000 beneficiaries.
The Orthopaedic Surgery Program at Walter Reed National Military Medical Center (WRNMMC) develops young physicians to be world-class orthopaedic surgeons. Our home hospital is WRNMMC, the flagship institution for the Military Health System. WRNMMC is an academic medical center serving as the tertiary care referral center for mid-Atlantic region and beyond. It is a Level II Trauma Center, though we receive Medevac Missions from overseas with some of the most complicated orthopaedic injuries in the world. The program is designed to maximize exposure to all orthopaedic sub-specialties in order to create well-rounded competent surgeons.
The Orthopaedic Surgery Department at WRNMMC has at least one fellowship trained attending in every subspecialty: Total Joint Reconstruction, Trauma, Spine, Foot/Ankle, Hand/Microsurgery, Sports, Shoulder/Elbow, Oncology, Pediatrics. In addition, we rotate at ten other facilities to provide exposure to unique practice types, such as high volume arthroplasty and Level I Trauma.
Our Hospitals
Year |
Abbreviation |
Months |
Hospital |
Location |
1 |
WHC |
1 |
Washington Hospital Center |
Bethesda, MD |
1 |
CNMC |
2 |
Children's National Medical Center |
Washington, DC |
1 |
WRNMMC |
9 |
Walter Reed National Military Medical Center |
Bethesda, MD |
2 |
USNA |
2 |
United States Naval Academy |
Annapolis, MD |
2 |
WRNMMC |
10 |
Walter Reed National Military Medical Center |
Bethesda, MD |
3 |
Fairfax |
2 |
Inova Fairfax Hospital |
Fairfax, VA |
3 |
WRNMMC |
2 |
Walter Reed National Military Medical Center |
Bethesda, MD |
3 |
CNMC or CHOP |
4 |
Children's National Medical Center or
Children's Hospital of Philadelphia |
Washington, DC or
Philadelphia, PA |
3 |
STC |
4 |
Shock Trauma Center, University of Maryland |
Baltimore, MD |
4 |
Research |
12 |
Research Year: Walter Reed National Military Medical Center |
Bethesda, MD |
5 |
Sibley |
2 |
Sibley Memorial Hospital, Johns Hopkins University |
Washington, DC |
5 |
WAMC |
2 |
Womack Army Medical Center |
Fort Bragg, NC |
5 |
Fairfax-Sports |
2 |
Inova Fairfax Hospital |
Fairfax, VA |
5 |
Fairfax-Trauma |
2 |
Inova Fairfax Hospital |
Fairfax, VA |
5 |
WRNMMC |
4 |
Walter Reed National Military Medical Center |
Bethesda, MD |
6 |
FBCH |
2 |
Fort Belvoir Community Hospital |
Belvoir, VA |
6 |
WRNMMC |
10 |
Walter Reed National Military Medical Center |
Bethesda, MD |
Our Curriculum
PGY 1 Year:
First year of residency and the transition from medical student to resident physician is challenging. This is when, under the guidance of your chief residents, you learn how to doctor. Residents take ownership of patients and patient care. At the same time, residents begin their formal training in orthopaedic surgery. They complete six 1-month rotations in orthopaedics. There are six non-orthopaedic 4-week blocks which include the following: plastic surgery, radiology/rheumatology, physical medicine & rehabilitation, general surgery trauma, neurosurgery, surgical intensive care unit. Finally, there is one 4-week block where interns are free from clinical duties and are immersed in foundations of orthopaedics. They learn the basics of plates and screws, they perform knee replacements and labral repairs on cadaveric specimens and compete to see who can perform the most robust fixation of a model forearm fracture.
PGY 2 Year:
Second year is largely regarded as the hardest year during residency. Residents are responsible for taking primary in house call while simultaneously starting to master surgical skills and clinical decision making. All 6 residents split the call responsibilities evenly, and are backed up by their chief residents. Ten of the 12 months during this year are completed at Walter Reed National Military Medical Center (WRNMMC). The remaining two months are completed at the United States Naval Academy. The USNA is an invaluable learning experience for treating high level Division 1 Athletes. There is a huge volume of sports injuries, most notably ACL tears and shoulder instability. Residents work with the team physicians and attend USNA football games to learn how to manage athletes and on field injuries.
PGY 3 Year:
As a mid-level resident, responsibilities primarily focus on refining surgical skills. Most rotations are outside of WRNMMC except for 2 months which are spent on the trauma/oncology team. Four months of pediatric orthopaedic surgery is completed at either Children’s Hospital of Philadelphia, University of Pennsylvania (3 of 6 residents) or Children’s National Medical Center (3 of 6 residents). Four months of orthopaedic trauma is completed at Shock Trauma Center, University of Maryland. Two months of general orthopaedic surgery with an emphasis on trauma, sports and arthroplasty is completed at Inova Fairfax Hospital.
PGY 4 Year:
One unique opportunity at WRNMMC is the research year. One of the reason’s WRNMMC matches so many top tier fellowships spots each year is because of the emphasis on high quality research. There are pre-arranged research tracks available or you can create your own based on interests and passion. One resident is able to work in a peripheral nerve laboratory at Uniformed Services University which is supported by multiple post-doctoral fellows and research staff. Another will work with the DOD Trauma Database to continue to expand and learn from our war injuries. Another is able to conduct biomechanical and cadaveric studies. This is one of the most fun and productive years for residents.
PGY 5 Year:
During PGY 5 year, residents assume the senior resident role. The year is heavily operative but residents also begin to teach and mentor junior trainees. Each resident will complete either four months of total joints or four months of sports. The remaining 8 months are split evenly among a trauma rotation at Inova Fairfax (Fairfax, VA. Level I Trauma Center), a general rotation at Fr. Bragg (Fort Bragg, NC), a general rotation at Sibley Memorial Hospital (Washington, DC), and a sports rotation at Inova Sports Medicine (Fairfax, VA). The Inova Sports Medicine rotation offers residents the chance to work with the Washington Redskins and the Washington Nationals.
PGY 6 Year:
The chief year at WRNMMC is spent refining surgical skills and orthopaedic knowledge as well as serving as mentors for junior residents. Each resident will complete either four months of total joints or four months of sports, which ever one they did not complete during PGY 5 year. Six months are split among rotations at WRNMMC. These include 2 months on the Foot/Ankle and Oncology service, 2 months on the Hand service, and 2 months of the Pediatrics and Spine service. The final 2 months are completed at Fort Belvoir Hospital where chiefs are given autonomy to operate with an emphasis on sports and arthroplasty. Chief year allows residents to master surgical skills, prepare for the American Boards of Orthopaedic Surgery, and move forward to either work as an orthopaedic generalist or completing additional fellowship training.