Fellow Interaction with the Residency Program
Commitment to Excellence in Education
The Arthur J Stein Memorial Lectureship Series
The Outpatient Experience
In Patient Care
The Operative Experience
On-Call Assignments and Responsibilities
Conference Schedule
Rotation or Sample Daily Schedule

Fellow Interaction with the Residency Program

Hand

RESIDENT	LEVEL OF TRAINING	USUAL LENGTH OF ROTATION
Junior Resident	PGY-3	10-- 11 weeks
Senior Resident	PGY-4	10 - 11 weeks
Fellow	PGY-6	3 months per faculty team*
		*see schedule below for further information on faculty teams

Shoulder and Elbow

RESIDENT	LEVEL OF TRAINING	USUAL LENGTH OF ROTATION
Junior Resident	PGY-4	12 - 13 weeks
Fellow	PGY-6	average of 1 - 3 months

Commitment to Excellence in Education

In conjunction with the Department's mission to actively involve fellows in the educational process of resident physicians in training, hand fellows are called upon and are responsible for presentations at departmental educational conferences. These include, but are not limited to presentations at Grand Rounds, Distinguished Lecture events and the Arthur J Stein Memorial Lecture which is hosted by the Upper Extremity Services in the Spring of each year.

The Arthur J. Stein Memorial Lecture Series

This lecture series is hosted by the Upper Extremity Service in the Department of Orthopaedic Surgery and is typically held on a Wednesday in the Spring of each year.

The lecture series provides the fellows, residents and faculty with the opportunity to learn more about advanced topics in Orthopaedic Surgery from internationally distinguished surgeons. The day is comprised of both formal and informal educational forums.

Recent Stein Lecturers include:
Dr. Richard Eaton (1998)
Dr. James Strickland (1999)
Dr. Peter Stern (2000)
Dr. James Herndon (2001)
Dr. Robert Szabo (2002)
Dr. Harry Rubash (2003)
Dr. James Beaty (2004)
Dr. Roy Meals (2005)
Dr. Terry Light (2006)
Dr. Graham King (2007)
Dr. James Nunley (2008)

The Outpatient Experience

The fellow functions in two types of outpatient clinic settings - private practice and hospital-based clinics.

Private Practice
Fellows see and evaluate all "new", postoperative and follow-up patients with non-operative upper extremity musculoskeletal problems in the private practice outpatient clinics of the eight attending surgeons.

Presentations include history and examination, diagnosis, and proposed treatment plan. In this setting, the fellow is expected to participate in the education of the residents and fourth year medical students who are also present in the private outpatient clinic.

Hospital-based Clinics
Barnes-Jewish Hospital has one adult hand clinics; in this setting, the fellows are the patients' primary physicians for their hand-related conditions. Patients seen in the hospital-based clinics are reviewed with the attending physician, particularly those who are candidates for a surgery.

In Patient Care

The fellow participates in the care of all hand surgery inpatients on the hospital wards. Under the supervision and guidance of the attending surgeon, the fellow is responsible for the coordination of preoperative testing, treatment and postoperative decisions. The fellow also teaches and supervises the junior and senior level residents assigned to the Hand and Upper Extremity Service.

The Operative Experience

Responsibilities include:

• Assisting the attend hand surgeon at surgery
• Performing surgery under the direct supervision of the faculty attending surgeon
• Performing surgery independently after discussion of case with and approval from the faculty attending

The fellows are allowed increasing levels of responsibility commensurate with experience, competence and technical skills.

On Call Assignments and Responsibilities

• The Department of Orthopaedic Surgery and the Division of Plastic Surgery alternate Emergency Room Call Coverage at Barnes-Jewish Hospital and Saint Louis Children's Hospital from home on an every-other-night basis. With two Hand Fellows from Orthopaedics and two from Plastics, an Orthopaedic fellow can expect to cover call from home one out of four evenings in this capacity

• The Orthopaedic Surgery Hand Fellows share the responsibility of answering after-hours calls from patients of the Orthopaedic faculty attendings. Call of this nature is also taken from home by the Fellows. Fellows alternate weekday and weekend call coverage.

 

Click here for a PDF version of the Conference Schedule.

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