Orthopedic Surgery Residency

Our program is led by fellowship-trained faculty and offers comprehensive care at a Level 1 Trauma Center.

The Texas A&M Health Science Center College of Medicine - Scott & White Orthopedic Surgery Residency is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Our five-year program offers large faculty-to-resident ratios with faculty members who offer training in sports medicine, spine surgery, hand and upper extremity surgery, joint replacement, foot and ankle surgery, pediatric orthopedics, musculoskeletal oncology and orthopedic trauma at a high-volume facility.

We accept four residents per year.


Through one-on-one rotations with fellowship-trained faculty, a "mentorship" model provides residents with the optimal training environment, allowing for appropriate supervision, education and continuity of care. The rotation schedule creates a balanced experience with rotations in all subspecialties, including at least two in the major orthopedic subspecialties of trauma, total joint replacement, sports, pediatrics and hand.


PGY-1 interns complete the following 12 one-month rotations:

  • Musculoskeletal radiology
  • Vascular surgery
  • Plastic surgery
  • Pediatric surgery
  • Surgical intensive care
  • Orthopedic research
  • Orthopedics
  • Emergency trauma services

PGY-2 through PGY-5

These years are composed of four rotations per year, each lasting three months. The rotation schedule is designed to enable residents to experience the majority of rotations during both lower-level and upper-level years. There are no fellows in the department.

With few exceptions, residents spend three months with a single faculty member on each rotation. We believe this arrangement best facilitates resident education, graduated responsibility and continuity of care.


  • Sports
  • Hand
  • Spine
  • Trauma


  • Joints
  • Trauma
  • Pediatrics
  • Research


  • Foot and ankle
  • Pathology/oncology
  • Joints
  • Pediatrics


The PGY-5 year includes two rotations that represent exceptions to the above-described mentorship model of training. During the trauma chief rotation, the PGY-5 resident has a significant role in leading the orthopedic trauma services. The trauma chief operates every weekday without clinic responsibilities and enjoys a greater amount of autonomy.

The administrative chief rotation enables PGY-5 residents to fine-tune their operative skills in areas of interest or self-perceived deficiency by “cherry picking” cases they find beneficial to their educational experience. In addition, this three-month block provides the PGY-5 resident with time to address licensure issues and prepare for the written board exam.

  • Trauma chief
  • Sports
  • Hand
  • Administrative chief

A structured, repeating two-year curriculum of daily conferences provides residents with a solid knowledge base with lectures by orthopedic attending physicians, outside speakers and residents. Residents attend an annual educational conference or meeting supported by the department.

The success of this curriculum is demonstrated in residents’ outstanding Orthopaedic In-Training Exam (OITE) scores in recent years.

Monday – Trauma Conference

Residents are challenged to discuss interesting cases seen in the prior week, addressing initial emergency department care, non-operative and operative treatment options and post-operative management. The conference is moderated by various faculty members, who provide additional complementary perspectives for each case.

Tuesday – Core Curriculum

Orthopedic faculty, as well as faculty from departments such as radiology, infectious diseases and endocrinology, give lectures on topics ranging from revision total knee arthroplasty and flexor tendon injuries to osteoporosis and antibiotic prophylaxis in orthopedics.

Wednesday – Basic Science, Pathology and OITE Review

PGY-4 residents give lectures once per month in orthopedic basic science and orthopedic pathology/tumor, both of which are moderated by orthopedic faculty. The remaining two Wednesdays of the month are used for OITE review, during which time residents review topics and practice questions as a group.

Thursday – Grand Rounds

Orthopedic faculty, residents and visiting speakers discuss interesting cases, new developments and controversial topics in these weekly conferences attended by the entire department.

Friday – Anatomy

PGY-3 residents are provided with a cadaver for dissection and demonstration of surgical approaches in an anatomy lab on the medical school campus. Alternating lectures and anatomy lab sessions are given by the PGY-3 residents and overseen by appropriate faculty.

Primary Call

In-house call is divided up between PGY-2 and PGY-3 residents, with the bulk of the call being taken by the PGY-2 residents. Second-year residents average six calls per month with two weekends off, while third-year residents take two calls per month with no primary call weekend responsibilities.

Backup Call

Home call is taken mostly by the PGY-3 residents, who serve a backup role to in-house residents.

Chief Call

Chief call is taken by PGY-4 and PGY-5 classes. Weekends are split up between the fifth-year residents, who each take one weekend per month.

Research interests are fostered, and four months are provided for completion of one or more projects during residency. Presentation of resident work at regional and national conferences is encouraged and funded by the institution.

Beyond our clinical offerings, the department provides breadth in its research opportunities. Significant collaborative work has been accomplished in partnership with the Texas A&M Health Science Center’s Institute for Regenerative Medicine in the field of mesenchymal stem cell induction. On the clinical side, retrospective work is made possible by an electronic medical record that dates to 1998 while prospective opportunities are presented by our expansive integrated health care system.

  • Train at one of U.S. News & World Report's top hospitals in Texas

    Baylor Scott & White Medical Center – Temple is a 640-bed teaching and research hospital with a Level I trauma center.

How to Apply

Applications are accepted through the Electronic Residency Application Service (ERAS). Our program participates in the National Resident Matching Program (NRMP) and adheres to their policies and guidelines.

Application deadline is November 15.

Application Requirements

Eligible candidates should provide a minimum of three letters of recommendation.

Baylor Scott & White Health accepts only the J1 visa for those individuals who require a visa in order to be work-authorized.

In addition, the following are also taken into consideration:

  • Class rank
  • Election to AOA or other honors
  • USMLE steps I
  • Review of personal statement
  • Review of dean's letter, with special attention to surgery clerkship grade
  • Research/publications
  • Employment history
  • Outside interests/hobbies/activities

Learn more about Baylor Scott & White's housestaff appointment eligibility, including guidelines for international medical graduates.

Contact Us

Samantha Smith
Phone: 254.724.5455
Fax: 254.724.0764

Orthopedic Surgery Residency
Baylor Scott & White Health
2401 S. 31st St.
Temple, TX 76508

Working at Baylor Scott & White Health

Compensation and Benefits

In addition to competitive stipends, we offer our residents a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself.

Life in Temple

Temple uniquely offers a combination of access to big-city conveniences while maintaining a small-town atmosphere. Temple has also been ranked among the Top 20 Fastest Growing Cities in Texas and one of America's most affordable places of 2015.

Why Baylor Scott & White

As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White Health includes 48 hospitals, more than 900 patient care sites, more than 6,000 active physicians and more than 40,000 employees.

Check out all of our programs in North and Central Texas