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Residency Information

Resident Rotations

Adult Reconstruction – General Orthopaedics

The residents work in close association with the two full-time faculty in a preceptorship-like environment located mainly at SSM Health St. Mary’s Hospital, performing both primary and complex revision arthroplasty.

Foot and Ankle Service

The residents work in close association with the one full-time faculty and one adjunct faculty in a preceptorship-like environment located mainly at SSM Health St. Mary’s Hospital and SSM Health Saint Louis University Hospital.

Hand and Upper Extremity

The hand and upper extremity rotation takes place at SSM Health Saint Louis University HospitalSSM Health Cardinal Glennon Children's Hospital and Des Peres Hospital. This rotation provides residents with a broad exposure to congenital disorders of the upper extremity, upper extremity trauma, industrial and occupational medicine involving the upper extremity, endoscopy and microvascular reconstruction and reimplantation.

Residents are actively involved in both the outpatient setting and the surgical management of these disorders. 

Musculoskeletal Oncology

Saint Louis University is an emerging sarcoma center.  Residents regularly participate in interdisciplinary conferences and care of patients.  They are exposed to a wide variety of benign and malignant musculoskeletal tumors.   They are also exposed to and participate in limb salvage techniques.

Pediatric Orthopaedic Surgery

Residents rotate at our level one pediatric trauma center and tertiary/quaternary care referral center for the region,  SSM Health Cardinal Glennon Children's Hospital. During this  rotation, residents rotate with five full-time faculty and are exposed to a broad variety of inpatient and outpatient pediatric orthopaedic conditions including  congenital and developmental abnormalities, pediatric trauma and metabolic, endocrine, infectious and neuromuscular diseases. During this rotation,  the orthopaedic surgery resident is an active participant in all spine service cases.

Spine

Residents rotate with three full-time faculty on their  spine rotation.  The Orthopaedic Surgery spine service manages all varieties of diseases, disorders and trauma involving the cervical, thoracic, lumbar and sacral spine. This  rotation is based at SSM Health Saint Louis University Hospital. Residents rotate at the PGY-1, PGY-3 and PGY-4 levels and the orthopaedic surgery resident is an active participant in all spine service cases.

Sports Medicine and Shoulder Surgery

The sports medicine and shoulder surgery rotations take place at SSM Health Saint Louis University HospitalSSM Health Cardinal Glennon Children's Hospital and SSM Health St. Mary’s Hospital and its associated outpatient surgical center. This rotation provides  residents with a broad exposure to sports related injuries, including arthroscopy, shoulder trauma, arthroplasty and multiligament knee injuries.

Extensive one-on-one training is provided in both the inpatient and outpatient settings, as well as with SLU athletics. Exposure to the care of the numerous high school and collegiate athletes is also available through the rotation.  A new simluation laboratory has been opened to assist residents in arthroscopy skills.  In addition, at  St. Anthony’s Medical Center a rotation with a fellow-trained shoulder and elbow specialist is offered.

Trauma

This  rotation is based at SSM Health Saint Louis University Hospital, an American College of Surgeons verified Level I Trauma Center and a tertiary/quaternary care referral center for the region.

During this rotation, residents are involved with the management of the full variety of musculoskeletal trauma, including industrial injuries, geriatric fractures, penetrating and blunt trauma and polytraumatic injuries.   In addition, residents obtain a broad exposure to an inpatient and outpatient elective adult trauma (i.e., malunion, nonunion) and foot and ankle reconstruction orthopaedic practice. Residents rotate through trauma at multiple levels during their training.

Funded Educational Meetings

Residents are funded to attend one regional and one national meeting for each research project accepted for a poster or podium presentation. In addition:

  • Residents at the PGY-1 level of training do not attend any scheduled meetings/courses
  • Residents at the PGY-2 level are funded to attend an AO/ASIF Residents Basic Fracture course
  • Residents at the PGY-3 level are funded to attend a departmental chosen arthroplasty course
  • Residents at the PGY-4 level are funded to attend an elective course of their choice
  • Residents at the PGY-5 level are funded to attend the Annual AAOS meeting and the MD Miller review course

 

Conferences

Specialty Conferences

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Monday:
Multi-disciplinary Adult Spine Conference (Weekly) - 7:00 a.m.

Tumor/MSK Oncology Conference (Bi-monthly) - 4:00-5:00 p.m.

Orthopaedic Journal Club (Monthly) - 6:00-7:00 p.m.
*outside establishment

Tuesday:
Orthopaedic Didactics - 6:30 -7:30 a.m.

Shoulder, Elbow & Sports Medicine Indications Conference (Monthly) - 4:00-5:00 p.m.

Sports Medicine Journal Club (Monthly) - 4:00-5:00 p.m.

 

Wednesday:
Grand Rounds / Orthopaedic Didactics  (Weekly) - 7:00-9:00 a.m.

Morbidity and Mortality (third Wednesday each Month) - 7:00-8:00 a.m.

Thursday:
Orthopaedic Didactics - 6:30 -7:30 a.m.

Friday:
Trauma Educational Conference - 7:00-7:30 a.m.

Pediatric Pre/Post Operative Conference (Weekly) - 7:00-7:30 a.m.

Pediatric Spine Conference  (Monthly) - 6:30 -7:00 a.m.

Adult Reconstruction Educational Conference (Weekly) - 12:00 p.m.

Foot and Ankle Conference  - 7:30-8:30 a.m.
*outside establishment

Hand Conference - 7:30-8:30 a.m.

Specialty Conferences Schedule (*Adult and Pediatric Clinical Conference - Daily)

Residents participate in a variety of formal and informal conferences through their involvement with the Department of Orthopaedic Surgery.

Adult Fracture Conference is conducted and presented by the orthopaedic surgery chief resident rotating through adult trauma. It is supervised by at least one orthopaedic attending and is considered a mandatory conference for all residents in the program.

Orthopaedic Surgery Basic Science/M and M Conference is a mandatory weekly conference in which presentations are required of both faculty and residents.

Orthopaedic Surgery Grand Rounds occur on a weekly basis. They are mandatory for all residents in training and also mandatory for all active faculty. Didactic presentations are prepared by both faculty and residents. Pediatric Orthopaedic Surgery Conference/Grand Rounds are conducted quarterly and a didactic presentation is prepared by either a resident or faculty. This conference is mandatory for all residents and all active staff at SSM Health Cardinal Glennon Children's Hospital.

Additional subspecialty conferences are conducted on a weekly basis and residents rotating on that service actively participate in those conferences. These include weekly the Hand and Upper Extremity Conference, weekly Spine Conference, weekly Pediatric Fracture Conference, weekly Friday morning Pediatric Orthopaedic Conference.

Adult Fracture Conference
Adult Fracture Conference is conducted and presented by the orthopaedic surgery chief resident rotating through adult trauma. It is supervised by at least one orthopaedic attending and is considered a mandatory conference for all residents in the program.
Orthopaedic Surgery Basic Science/M and M Conference

Orthopaedic Surgery Basic Science/M and M Conference is a mandatory weekly conference in which presentations are required of both faculty and residents.

Orthopaedic Surgery Grand Rounds
Orthopaedic Surgery Grand Rounds occur on a weekly basis. They are mandatory for all residents in training and also mandatory for all active faculty. Didactic presentations are prepared by both faculty and residents.
Pediatric Orthopaedic Surgery Conference/Grand Rounds
Pediatric Orthopaedic Surgery Conference/Grand Rounds are conducted quarterly and a didactic presentation is prepared by either a resident or faculty. This conference is mandatory for all residents and all active staff at SSM Health Cardinal Glennon Children's Hospital.

 Anatomy and Surgical Technique Laboratory

Each week selected residents participate in human anatomy and surgical approaches to the musculoskeletal system and the surgical skills laboratory.

Overseas Rotation in Malawi

Each year, one resident from the R5 year is supported to experience a five week overseas elective in the medically underserved nation of Malawi, financially supported by the Richard J. Kemme, M.D. Endowed Professorship in Orthopaedic Surgery.

Dr. Kemme is a graduate from the SLU Medical School (’56) and the SLU Orthopaedic Residency Program (’61) and is nationally recognized for his volunteer work in Malawi through Orthopaedics Overseas. During the first week of the elective, the resident is accompanied by one of a full-time orthopaedic faculty member and helps run a fracture course for local orthopaedic assistants that is sponsored by the AO Foundation.

General Description
The resident will participate in both outpatient and inpatient evaluation of patients on the service under the direction of Dr. Nyengo Mkandawire, a fully-trained Malawian orthopaedic surgeon who serves as the head of the department of surgery and the deputy undergraduate dean of the Malawi College of Medicine. The resident will be an active participant in the surgical management of specific orthopaedic conditions and procedures deemed appropriate by the attending orthopaedic staff, as well as in all the weekly conferences and in the Malawi Orthopaedic Association Annual General Meeting and Scientific Conference.
Specific Description

 

Approximately half of the clinical time will be spent on the wards participating in teaching rounds. Topics covered will include all areas of orthopaedics, including how to take an appropriate history, conduct a physical exam on an orthopaedic patient, application of relevant clinical anatomy, interpretation of radiographs, general management principles of specific conditions and fractures as well as the timing and role of operative intervention. The remainder of the clinical time will be spent visiting the district hospitals and assisting the local orthopaedic clinical officers in the management of their patients on the ward and in the clinic.

The weekly schedule is generally as follows:

  • Monday: Assisting Professor Mkandawire in the OR.
  • Tuesday: Ward rounds in the morning, OR with Mr. Ngulube in the afternoon.
  • Wednesday: Site visits to the district hospitals.
  • Thursday: Ward rounds in the morning, clinic in the afternoon.
  • Friday: Assisting with add-on cases in the OR, teaching conference in the afternoon.
Goals  
The overall goals for the resident at this level are to master an orthopaedic history and physical exam and to be able to apply the appropriate imaging and laboratory studies to establish a diagnosis in an underserved setting. The resident is expected to have a sound knowledge of general orthopaedics, trauma care and joint reconstruction. The resident is expected to have a sound knowledge of the overall treatment principles that apply to patients with general orthopaedic maladies.
Selection Process
The participating resident is identified from those applying for the elective during the first three years of residency. The resident must be in excellent academic standing. In the case of multiple qualified applicants, the resident with the earliest application date will be given preference. However, selection is at the discretion the program director, associate program director and assistant program director.