Starting a new role as an orthopaedic physician assistant (PA) requires a structured approach to mastering clinical skills, understanding departmental protocols, and integrating with the healthcare team. This 30-60-90 day plan provides a clear roadmap to help new orthopaedic PAs set achievable goals, track progress, and build confidence in their practice.
With this plan, orthopaedic PAs will be able to:
- Establish foundational knowledge of orthopaedic conditions, treatments, and surgical procedures
- Develop proficiency in patient evaluation, diagnostic testing, and clinical documentation specific to orthopaedics
- Collaborate effectively with surgeons, nurses, physical therapists, and administrative staff
- Identify areas for professional growth and continuing education in orthopaedic care
Benefits of a 30-60-90 Day Plan for Orthopaedic Physician Assistants
This customized plan helps orthopaedic PAs by:
- Providing a structured timeline to acquire critical clinical skills and knowledge
- Facilitating early engagement with multidisciplinary teams to enhance patient care coordination
- Encouraging reflection and feedback to continuously improve clinical practice
- Supporting goal-oriented development aligned with departmental expectations and patient outcomes
Key Components of the Orthopaedic PA 30-60-90 Day Plan
The plan is divided into three progressive phases, each with specific objectives and tasks:
First 30 Days
Focus on orientation, understanding the orthopaedic service line, and beginning supervised clinical practice. Tasks include:
- Reviewing hospital policies, electronic medical records, and documentation standards
- Shadowing experienced orthopaedic surgeons and PAs during patient consultations and surgeries
- Learning common orthopaedic diagnoses, treatment protocols, and postoperative care plans
- Completing mandatory training such as sterile technique and radiation safety
Days 31-60
Transition to increased autonomy in patient management and procedural skills. Key activities include:
- Conducting independent patient histories and physical exams under supervision
- Assisting in surgical procedures and performing minor interventions as permitted
- Participating in multidisciplinary rounds and case discussions
- Documenting patient encounters accurately and efficiently
- Identifying continuing education opportunities relevant to orthopaedics
Days 61-90
Aim for full integration into the orthopaedic team with demonstrated competence. Goals include:
- Managing a caseload of patients with minimal supervision
- Leading patient education on injury prevention and rehabilitation protocols
- Contributing to quality improvement initiatives within the orthopaedic department
- Seeking and incorporating feedback from supervisors and peers to refine clinical skills
- Planning long-term professional development objectives
This 30-60-90 day plan empowers orthopaedic physician assistants to confidently navigate their new role, ensuring high-quality patient care and professional growth from day one.








