Adult Reconstructive Surgery Fellowship

Fellowship Training

Program Overview

Robert Barrack, MD (Program Director)
Kimberly Bartosiak, MD (Associate Program Director)
Ilya Bendich, MD, MBA
John Clohisy, MD (Chief of Service)
Ryan Nunley, MD
Cecilia Pascual-Garrido, MD, PhD
Andrew Schneider, MD

Length: 1 year

Dates: August 1 through July 31

Stipend: PGY-6 (ORTHO) 

Institutions: Washington University and Barnes-Jewish Hospital

Patient care locations: Progress West Hospital, Barnes-Jewish West County Hospital, Center for Advanced Medicine (CAM), Center for Advanced Medicine (CAM) - South County, Washington University and Barnes-Jewish Orthopedic Center (OC), Center for Outpatient Health (COH), Veterans Affairs Medical Center (VA), Shriners Hospital for Children - St. Louis

Why Choose Washington University Orthopedics for Fellowship Training


For over 20 years the Washington University/Barnes-Jewish Fellowship in Joint Preservation, Resurfacing, and Replacement has offered elite level training to prepare for fellows for all practice settings. 30-50% of trainees have successfully entered full-time academic practice or a group affiliated with a teaching hospital with interactions with residents or fellows. Fellows work closely with residents and medical students from Washington University School of Medicine on all clinical rotations. Fellows are assigned to one of three senior faculty mentors on each rotation and have interaction with three other younger faculty. The focus is on involvement in the entire continuum of care from pre-operative diagnosis and planning in clinic, perioperative care, and post-operative management. Fellows perform or assist in 500-750 in an average year with an emphasis on rapid attainment of autonomy and surgical experience under staff guidance. Other substantial opportunities for autonomy in clinical decision making and surgical experience include supervision of residents at the V.A. Hospital and the resident’s clinic cases and trauma call (which is optional) when fellows function as junior faculty.

Unique educational opportunities for fellows include support for attending AAHKS (Dallas), CCJR (Orlando), the St. Louis Hip Skills course (chaired by Dr. John Clohisy) and the young surgeons course (on the business side of Orthopaedics, in Austin, TX), chaired by Dr. Ryan Nunley.  

In addition to pre-eminent experience in young Adult Hip/Preservation, unique aspects of the clinical experience in Hip Arthroplasty include approaches: posterior (traditional, mini-posterior, super-mini-posterior) and DA (supine and lateral), Birmingham Hip Resurfacing and functional imaging to customize component placement based on hip-spine relationship (EOS) as well as intraoperative digital imaging (Radlink) to confirm optimum reconstructions.

On the knee side, in addition to a wide breadth of revision experience (including rotating hinge and distal femoral replacement) and robotic UKA/TKA, fellows gain experience in cemented and cementless TKA, traditional mechanical alignment and kinematic/individualized alignment, with and without patellar resurfacing.

Living in St. Louis

Downtown St. Louis, St. Louis Arch

St. Louis is a vibrant city with unexpected amount of character and cultural flair. Offering affordable living, unique neighborhoods and an infinite amount of restaurants and attractions, St. Louis is an ideal place for young medical professionals to live, work and play.


For academic year 2025/26, the fellowship is participating in the Joint Preservation, Resurfacing and Replacement Fellowship Match administered by SF Match. Simply complete the on-line registration, utilizing the Central Application Service (mandatory for applicants and programs), and provide the required documents as posted. The fellowship application deadline is November 1, 2023. Applications received after this date will be reviewed at the discretion of the fellowship director. Early applications are encouraged.

Orthopaedic residents in their PGY-4 year (in most cases) and neurosurgical residents in their PGY-5 year (in most cases), as well as graduates of both programs, are encouraged to apply.

The interview dates are Thursday, January 25, 2024 and Thursday, February 8, 2024. Applicants selected to interview will be contacted well in advance. The fellow must have completed his/her orthopaedic training.  The fellow is a member of the orthopaedic surgery faculty at Washington University School of Medicine with an appointment as an Instructor. All fellows within orthopaedic surgery must be eligible for work within the United States as well as a permanent Missouri medical license, BNDD and DEA. For questions regarding eligibility for a permanent Missouri medical license, please contact the Missouri Board of Registration for the Healing Arts at (573) 751-0098 prior to making application.

For more information on the fellowship, please contact (via email preferred):
Debbie Long
Recon Fellowship Coordinator
Campus Box 8233
660 S. Euclid Avenue
St. Louis, MO 63110
[email protected] | (314) 747-2566

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