MD Courses — Orthopaedic Surgery

Third year

THE MUSCULOSKELETAL CLERKSHIP: A PART OF THE COMPREHENSIVE SURGICAL CLERKSHIP
The objective of this rotation is to convey to the student appropriate knowledge, skills and attitudes for the recognition, diagnosis, investigation and treatment of conditions affecting the musculoskeletal system.

Most students at Washington University School of Medicine are not entering specialties that devote themselves to the treatment of diseases of the musculoskeletal system. It is noteworthy, though, that greater than one-third of complaints directed toward primary caregivers and general internists are related to the musculoskeletal system: the actual volume of these complaints presented to primary care physicians, general internists and pediatricians is second only to complaints related to the cardiovascular system (and for pediatricians, presentations related to infectious diseases).

Musculoskeletal signs and symptoms are encountered commonly in emergency medicine, trauma surgery, internal medicine, oncology, neurology, pediatrics and endocrinology as well as many other surgical and medical specialties. Since students who enter postgraduate training in these subspecialties as well as in general primary care will be required to evaluate, diagnose and treat these conditions, it is important for the undergraduate curriculum to have these topics addressed in an organized and consistent way. It is for this reason that we developed a comprehensive integrated exposure to musculoskeletal surgery and medicine during the third-year comprehensive surgical clerkship. This is a key component of the integrated third-year curriculum.

To accomplish these goals, there will be a balance between clinical, operative, emergency room and didactic (lecture and small group) experiences. Didactic sessions will be in several formats: lectures, physical examination demonstrations and small group discussions. Only instructor or assistant-, associate- or professor-level members of the full-time Washington University School of Medicine staff will deliver formal lectures to the students. Lecturers will be from the Department of Orthopedic Surgery’s full-time faculty.

The following lecture topics will be scheduled monthly:
– Spinal Disorders
– Musculoskeletal Emergencies
– Common Fractures
– Adult Disorders of the Hip and Knee
– Adult Disorders of the Shoulder and Elbow
– Sports Injuries and Conditions in Adults and Children
– Adult Conditions of the Foot and Ankle
– Cancer

The clinical experience is one month in duration, and takes place during the comprehensive surgical clerkship for all Washington University medical students during either the first, second or third months of the 12-week clerkship. The one-month block is divided into two two-week sessions wherein the students would spend time with staff from the following specialties: orthopaedic surgery, rheumatology, physical medicine and rehabilitation, sports medicine, neurosurgery, and bone and mineral physiology.

The experience can be combined inpatient and outpatient, clinic and operating room, emergent and non-emergent care as well as both surgical and nonsurgical, based upon the student’s own choosing. The following rotations are offered:

Hand (2 weeks)
Joint Reconstruction (2 weeks)
Shoulder and Elbow (2 weeks)
Oncology (2 weeks)
Physical Medicine and Rehabilitation (2 weeks)
Spine (2 weeks)
Rheumatology/Bone (2 weeks)
Pediatric Orthopaedic Surgery (2 weeks)
VA Orthopaedic Service (2 weeks)
Sports Medicine (2 weeks)
Sports Surgery (2 weeks)
Trauma (2 weeks)
Foot and Ankle/ (2 weeks)

The following Washington University School of Medicine full-time attending staff mentors are available to have students rotate with them during the rotation:

– Martin Boyer (Hand)
– Charles Goldfarb (Hand)
– Ryan Calfee (Hand)
– Daniel Osei (Hand)
– Christopher Dy (Hand)
– Lindley Wall (Hand)
– Matthew Matava (Sports Surgery)
– Mark Halstead (Sports Medicine)
– Robert Brophy (Sports Surgery)
– Matt Smith (Sports Surgery)
– Heidi Prather and Devyani Hunt (Physical Medicine and Rehabilitation)
– John Metzler and Adam Labore (Physical Medicine and Rehabilitation)
– Eric Gordon (Pediatric Orthopaedic Surgery)
– Jeff Nepple (Pediatric Orthopaedic Surgery)
– Mark Miller (Pediatric Orthopaedic Surgery)
– Gary Miller (VA Orthopaedic Surgery Service)
– Ryan Nunley (Joint Reconstruction)
– Denis Nam (Joint Reconstruction)
– Richard Brasington and Kathy Diemer (Rheumatology, Bone and Mineral)
– Jacob Buchowski (Spine)
– Luke Zebala (Spine)
– Mike Kelly (Spine)
– Munish Gupta (Spine)
– Paul Santiago (Neurosurgery Spine)
– Zach Ray (Neurosurgery Spine)
– Douglas McDonald (Orthopaedic Oncology)
– Cara Cipriano (Orthopedic Oncology)
– Regis O’Keefe (Orthopedic Oncology)
– Jay Keener (Shoulder and Elbow)
– Jeremy McCormick (Foot and Ankle)
– Sandra Klein (Foot and Ankle)
– William Ricci (Trauma)
– Chris McAndrew (Trauma)

There should only be ONE student per attending staff in order to promote one-on-one teaching; however, exceptions can be made in the event of vacations, illness, conference travel, etc. on the part of the attending staff.

The learning of physical examination skills by the students is a critical part of the musculoskeletal block. The Coursemaster and other attendings will meet weekly with the students to demonstrate physical examination of the neck and spine, shoulder and elbow, hip and knee, and the hand and foot. The normal examination will be covered, and relevant common conditions and provocative tests will be covered as well.

Fourth year

Electives

M95 –ORTHOPAEDIC SURGERY

M95 838 / PEDIATRIC ORTHOPAEDIC SPINE & SPORTS SURGERY
Instructor(s): Scott J. Luhmann, MD, 314-454-2045
Location: Washington University Orthopedics– Center for Advanced Medicine and Chesterfield; St. Louis Children’s Hospital; Shriners Hospital for Children.
Elective Contact: Tracy Line, linet@wudosis.wustl.edu, 314-454-5219, or Kathy Jones, jones.k@wustl.edu, 314-747-2813 for questions.

Other Information: Students should contact either Tracy Line or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available for four weeks during which time the student will work with attending surgeon primarily at St. Louis Children’s Hospital observing and assisting in outpatient and inpatient care. To be included are activities in the OR, ER, and outpatient clinics. In addition to general pediatric orthopaedics, Dr. Luhmann has special interests in the treatment of pediatric spinal injuries and disorders as well as pediatric sports medicine.  Attendance at and participation in the weekly pediatric orthopaedic conference activities required.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: : Varies — generally one weekend call and two weekday calls during the rotation.

M95 839 / ORTHOPAEDIC SPORTS MEDICINE
Instructor(s): Matthew Smith, MD, 314-514-3584
Location: Washington University/ Barnes-Jewish Hospital; VA Hospital; Washington University Orthopedics – Chesterfield
Elective Contact: Denise Andre, andred@wudosis.wustl.edu, 314-514-3584 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.
Other Information: Students should contact Denise Andre or Kathy Jones prior to the first day of the elective.

Enrollment limit per period: 1
Valid start weeks for four-week blocks are:  Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This clinical elective is available for four weeks during which the student participates in orthopaedic conferences, outpatient clinics, surgical cases, and patient rounds on the Sports Medicine service.

Student time distribution: Inpatient 5%; Outpatient 90%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attending and fellow/resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 840A / ORTHOPAEDIC SURGERY – FOOT/ANKLE
Instructor(s): Jeremy J. McCormick, MD, 314-514-3569
Location: Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Karen Jaboor, jaboork@wudosis.wustl.edu, 314-514-3569, or Kathy Jones, jones.k@wustl.edu, 747-2813.

Other Information: Students should contact Karen Jaboor or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This four week clinical elective is available to medical students looking to further their knowledge/experience in orthopaedics, specifically foot and ankle surgery.  Students will participate in surgical cases, outpatient clinics, inpatient care and weekly didactic sessions/conferences.  At the completion of the elective students should have gained a basic knowledge of foot and ankle problems as well as their operative and non-operative care.

Student time distribution: Inpatient 20%; Outpatient 75%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and fellow/resident mentors
Patients seen/weekly: 80
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 840B / ORTHOPAEDIC SURGERY – FOOT/ANKLE
Instructor(s): Sandra Klein, MD, 314-514-2535
Location: Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Vicki Goldman, goldmanv@wudosis.wustl.edu, 314-514-2535 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Vicki Goldman or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

This four week clinical elective is available to medical students looking to further their knowledge/experience in orthopaedics, specifically foot and ankle surgery.  Students will participate in surgical cases, outpatient clinics, inpatient care and weekly didactic sessions/conferences.  At the completion of the elective students should have gained a basic knowledge of foot and ankle problems as well as their operative and non-operative care.

Student time distribution: Inpatient 20%; Outpatient 75%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and fellow/resident mentors
Patients seen/weekly: 80
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 842C / ORTHOPAEDIC SHOULDER/ELBOW SURGERY
Instructor(s): Jay D. Keener, MD, 314-747-2639
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Linda Burnworth, burnworthl@wudosis.wustl.edu, 314-747-2639 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Linda Burnworth or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with attending surgeons primarily at Barnes-Jewish Hospital. Activities will include participation in the care of hospitalized inpatients, participation in inpatient and outpatient procedures, attendance at designated attending office hours, attendance at designated orthopaedic conferences, and dissection of upper-extremity anatomical specimens.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 845A / ORTHOPAEDIC HAND AND UPPER EXTREMITY SURGERY
Instructor(s): Ryan P. Calfee, MD, 314-747-4705
Location: Washington University/ Barnes-Jewish Hospital; Shriners Hospital for Children; and St. Louis Children’s Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Emily Camden, camdene@wudosis.wustl.edu, 314-362-9369, or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Emily Camden or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with attending surgeons primarily at Barnes-Jewish Hospital, St Louis Children’s Hospital, and Shriner’s Hospital. The service includes care of adult and pediatric patients with traumatic, sports (arthroscopy), nerve, and degenerative disease. Activities will include participation in outpatient procedures, attendance at faculty clinic office hours, and attendance at orthopaedic conferences.

Student time distribution:  Inpatient 5%; Outpatient 85%; Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellow and resident mentors
Patients seen/weekly: 70+
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 845B / ORTHOPAEDIC HAND AND UPPER EXTREMITY SURGERY
Instructor(s): Charles Goldfarb, MD, 314-747-4705
Location: Washington University/ Barnes-Jewish Hospital; Shriners Hospital for Children; St. Louis Children’s Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine, St. Louis Children’s Specialty Care Center
Elective Contact: Karen Addison, addisonk@wudosis.wustl.edu, 314-747-4705 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Karen Addison or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with attending surgeons primarily at Barnes-Jewish Hospital, St Louis Children’s Hospital, and Shriner’s Hospital. The service includes care of adult and pediatric patients with congenital, traumatic, sports (arthroscopy), nerve, and degenerative disease. Activities will include participation in outpatient procedures, attendance at faculty clinic office hours, attendance at orthopaedic conferences, and dissection of upper-extremity anatomical specimens.

Student time distribution: Inpatient 5%; Outpatient 85%; Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellow and resident mentors
Patients seen/weekly: 100+
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 845C / ORTHOPAEDIC HAND AND UPPER EXTREMITY SURGERY
Instructor(s): Richard H. Gelberman, MD, 314-747-2531
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Kally Coleman, colemank@wudosis.wustl.edu, 314-747-2531 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Kally Coleman or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with attending surgeon primarily at Barnes-Jewish Hospital. Activities will include participation in the care of hospitalized inpatients, participation in inpatient and outpatient procedures, attendance at designated attending office hours, attendance at designated orthopaedic conferences, and dissection of upper-extremity anatomical specimens.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Richard Gelberman, MD
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 845D / ORTHOPAEDIC HAND AND UPPER EXTREMITY SURGERY

Instructor(s): Daniel A. Osei, MD, 314-747-2813
Location: Washington University/ Barnes-Jewish Hospital; Shriners Hospital for Children; and St. Louis Children’s Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Kathy Jones, 314-747-2813, jones.k@wustl.edu

Other Information: Contact Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with attending surgeons primarily at Barnes-Jewish Hospital and St. Louis Children’s Hospital.  The service includes care of adult and pediatric patients with traumatic, sports (arthroscopy), nerve, and degenerative disease.  Activities will include participation in outpatient procedures, attendance at faculty clinic office hours, and attendance at orthopaedic conferences.

Student time distribution: Inpatient 5%; Outpatient 85%; Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Faculty attending and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 845E / ORTHOPAEDIC HAND AND UPPER EXTREMITY SURGERY
Instructor(s): Lindley B. Wall, MD, 314-362-9369
Location: Washington University/ Barnes-Jewish Hospital; Shriners Hospital for Children; and St. Louis Children’s Hospital, Center for Advanced Medicine.
Elective Contact: Emily Camden, camdene@wudosis.wustl.edu, 314-362-9369, or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Emily Camden or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with attending surgeons primarily at Barnes-Jewish Hospital, St Louis Children’s Hospital, and Shriner’s Hospital. The service includes care of adult and pediatric patients with congenital, traumatic, sports (arthroscopy), nerve, and degenerative disease. Activities will include participation in outpatient procedures, attendance at faculty clinic office hours, attendance at orthopaedic conferences, and dissection of upper-extremity anatomical specimens.

Student time distribution: Inpatient 5%; Outpatient 85%; Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellow and resident mentors
Patients seen/weekly: 60+
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 846 / ORTHOPAEDIC TRAUMA
Instructor(s): William Ricci, MD and Christopher McAndrew, MD; 314-747-2811
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Center for Advanced Medicine.
Elective Contact: Karen O’Dell, odellk@wudosis.wustl.edu, 314-747-2811 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Karen O’Dell or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 2
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Clinical elective available for a four-week period, during which time the student will work in orthopaedic trauma at Barnes-Jewish Hospital. The student will work with a team of attendings, residents, PA’s, and NP’s to provide care for orthopaedic trauma patients. Activities include participation in the care of hospitalized inpatients, inpatient surgical procedures, outpatient office visits and daily conferences.

Student time distribution: Inpatient 60%; Outpatient 35%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 848A / ORTHOPAEDIC PEDIATRIC SURGERY
Instructor(s): Eric Gordon, MD, 314-454-2045
Location: Washington University/St. Louis Children’s Hospital; Shriners Hospital for Children; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine, St. Louis Children’s Specialty Care Center
Elective Contact: Barb Haegele, haegele.b@wudosis.wustl.edu, 314-454-2045 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Barb Haegele or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available for four weeks during which time the student will work with attending surgeon primarily at St. Louis Children’s Hospital observing and assisting in outpatient and inpatient care. To be included are activities in the OR, ER, and outpatient clinics. Attendance at and participation in the weekly pediatric orthopaedic conference activities required.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 849A / ORTHOPAEDIC SPINE SURGERY IN ADULT PATIENTS
Instructor(s): Michael Kelly, MD, 314-747-2535
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Tricia Nester, nestert@wudosis.wustl.edu, 314-362-7140, or Kathy Jones, jones.k@wustl.edu, 747-2813.

Other Information: Students should contact Tricia Nester or Kathy Jones, 314-747-2813, jones.k@wustl.edu, prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This clinical elective is available for four weeks during which time the student will work with the attending surgeon primarily at Barnes-Jewish Hospital observing and assisting when appropriate in outpatient and inpatient care. To be included are activities in the OR, ER, and outpatient clinics. Attendance at and participation in the weekly orthopaedic conference activities is required. The spine fellow assigned to this service will serve as a primary contributor to the student’s education experience on this rotation.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attending, spine fellow assigned to this service and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 849B / ORTHOPAEDIC SPINE SURGERY IN ADULT PATIENTS
Instructor(s): Jacob Buchowski, MD, MS, 314-747-4950
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Amy Akers, akersa@wudosis.wustl.edu, 314-747-4950 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Amy Akers or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

This clinical elective is available for four weeks during which time the student will work with the attending surgeon primarily at Barnes-Jewish Hospital observing and assisting when appropriate in outpatient and inpatient care. To be included are activities in the OR, ER, and outpatient clinics. Attendance at and participation in the weekly orthopaedic conference activities is required. The spine fellow assigned to this service will serve as a primary contributor to the student’s education experience on this rotation.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attending, spine fellow assigned to this service and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 855A / RECONSTRUCTIVE AND JOINT PRESERVATION SURGERY
Instructor(s): Robert L. Barrack, MD, 314-747-2562
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Christine Cucchi, cucchic@wudosis.wustl.edu, 314-747-2562 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Christine Cucchi or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with the attending physician on the Adult Reconstruction and Joint Preservation/Replacement service. This rotation is primarily centered at Barnes-Jewish Hospital and includes care of hospitalized inpatients, participant in inpatient and outpatient procedures, attendance at designated office hours, and attendance at and participation in orthopaedic educational conferences and anatomy sessions.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellow and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 855B / RECONSTRUCTIVE AND JOINT PRESERVATION SURGERY
Instructor(s): John C. Clohisy, MD, 314-747-2566
Location: Washington University/ Barnes-Jewish Hospital; Shriners Hospital for Children; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Debbie Long, longd@wudosis.wustl.edu, 314-747-2566 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Debbie Long or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with the attending physician on the Adult Reconstruction and Joint Preservation/Replacement service. This rotation is primarily centered at Barnes-Jewish Hospital and includes care of hospitalized inpatients, participant in inpatient and outpatient procedures, attendance at designated office hours, and attendance at and participation in orthopaedic educational conferences and anatomy sessions.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellow and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 855C / RECONSTRUCTIVE AND JOINT PRESERVATION SURGERY
Instructor(s): Ryan M. Nunley, MD, 314-747-2523
Location: Washington University/ Barnes-Jewish Hospital; VA Hospital; Washington University Orthopedics – Chesterfield
Elective Contact: Melissa Stanley, stanleym@wudosis.wustl.edu, 314-747-2523 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact  Melissa Stanley or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

Clinical elective available, during which time the student will work with the attending physician on the Adult Reconstruction and Joint Preservation/Replacement service. This rotation is primarily centered at Barnes-Jewish Hospital and includes care of young patients with hip impingement pathology and older patients with end stage joint arthritis, hospitalized inpatients, participant in inpatient and outpatient procedures, attendance at designated office hours, and attendance at and participation in orthopaedic educational conferences and anatomy sessions.

Student time distribution: Surgical 60%; Clinics 30%; Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellow and resident mentors
Patients seen/weekly: 40-60 patients in clinic, 8-12 surgeries
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 855D / RECONSTRUCTIVE AND JOINT PRESERVATION SURGERY
Instructor(s): Denis Nam, MD, MSc
Location: Washington University/Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield
Elective Contact: Kelly Barriger, barrigerk@wudosis.wustl.edu, or Kathy Jones, jones.k@wustl.edu

Other Information: Student should contact either Kelly Barriger or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

This clinical elective is available for four weeks during which the student participates in orthopaedic conferences, outpatient clinics, surgical cases, and patient rounds on the Reconstructive and Joint Preservation Surgery service.

Student time distribution: Inpatient 45%; Outpatient 45%; Conferences/Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings, fellows, and resident mentors
Patients seen/weekly: 120
On call/weekend responsibility: Varies – generally one weekend call and two weekday calls during each rotation.

M95 859 / ORTHOPAEDIC ONCOLOGY
Instructor(s): Douglas J. McDonald, MD, 314-747-2563
Location: Washington University/ Barnes-Jewish Hospital; Center for Advanced Medicine.
Elective Contact: Carrie Heineman, heinemanc@wudosis.wustl.edu, 314-747-2563 or Kathy Jones, jones.k@wustl.edu, 314-747-2813.

Other Information: Students should contact Carrie Heineman or Kathy Jones prior to the first day of the elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 25, 29, 33, 37, and 41.

This clinical elective, centered primarily at Barnes-Jewish Hospital, is available for four weeks during which the student participates in orthopaedic conferences, outpatient clinics, surgical cases, and patient rounds on the Musculoskeletal Oncology service.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Douglas J. McDonald, MD
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.

M95 8991 / ORTHOPAEDIC SURGERY EXTERNSHIP (Visiting Students Only)
Instructor(s): Rick Wright, MD; Martin I. Boyer, MD; Jacob Buchowski, MD; Charles A. Goldfarb, MD; Ryan P. Calfee, MD; Eric Gordon, MD; Jay Keener, MD; Douglas McDonald, MD; Ryan Nunley, MD; Sandra Klein, MD; John C. Clohisy, MD; Scott Luhmann, MD; and Denis Nam, MD
Location: Washington University/ Barnes-Jewish Hospital; Washington University Orthopedics – Chesterfield and Center for Advanced Medicine.
Elective Contact: Heather Robinson, robinsonh@wudosis.wustl.edu,314-747-2996.

Other Information: Students meet in the Education Office, 8:30 a.m. first day of the elective.
Enrollment limit per period: Varies
Flexible scheduling is available for this externship.

Students rotate on Orthopaedic Services in four-week blocks. During their rotations students are assigned to two different services for two weeks each. Some sub-specialties that students may rotate on include  sports medicine, hand and upper extremity, foot and ankle, musculoskeletal oncology, adult reconstructive surgery, pediatric orthopaedics, shoulder and elbow, and spine.

Student time distribution: Inpatient 48%; Outpatient 47%; Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Faculty attendings and resident mentors
Patients seen/weekly: Varies
On call/weekend responsibility: Varies — generally one weekend call and two weekday calls during the rotation.