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CORR® Curriculum - Orthopaedic Education: Turning the Overlooked Rotation-specific Objective Document into a Valued Agreement Between Faculty and Residents.

Around April of each year, residency program directors of all specialties begin their Accreditation Council for Graduate Medical Education (ACGME) required annual program review and update. As part of this review, faculty and residents update their rotation specific objectives (RSO) for each residency rotation. The RSO is a part of the overall resident curriculum and is meant to outline each rotation’s educational experience, as well as to define the skills, knowledge, and attitudes expected on each rotation. The experiences provided on each rotation should comply with the ACGME core competencies that are mandated by the Residency Review Committee. In many programs, there is a lapse of several years between RSO updates, which means that RSOs run behind the current educational experiences. And when program directors send out existing RSOs to faculty for updates and revisions, they generally get back status quo.RSOs often are built upon previous examples or templates that are outdated, fail to reflect the true resident experience, or do not properly outline actual objectives for each specific rotation. In my experience, RSOs often are afterthoughts. I think they should be taken more seriously.