Spine Surgery Fellowship

The Spine Specialists at Washington University Orthopedics:

 

Dr. Bridwell
Dr. Bridwell

Dr. Buchowski

Dr. Gupta
 
Dr. Kelly

Dr. Luhmann

Dr. Ray
 
Dr. Wright
 Dr. Zebala
Dr. Zebala
 

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE/
BARNES-JEWISH HOSPITAL
SPINE FELLOWSHIP

FACULTY:
Keith H. Bridwell, MD
Jacob M. Buchowski, MD, MS (Director)
Munish C. Gupta, MD
Michael P. Kelly, MD, MSc
Scott J. Luhmann, MD
Wilson Z. Ray, MD
Neill M. Wright, MD, FAANS
Lukas P. Zebala, MD

LENGTH:
1 year
DATES: August 1 through July 31
STIPEND: PGY-6 (ORTHO) or PGY-7 (NEURO)

INSTITUTIONS: Barnes-Jewish Hospital, St. Louis Children's Hospital, Shriners Hospital for Children

EDUCATIONAL GOALS & CHARACTERISTICS:
The fellowship began in 1991. Four fellows are trained for all spinal diseases and conditions of the cervical, thoracic, and lumbar spine: both degenerative and deformity; trauma and tumor; pediatric and adult. Individuals completing the fellowship will be well-suited for either a career in academics or in private practice. As of August 1, 2017, 74 fellows have been trained.

Clinical and basic science research projects are ongoing, and the fellows are encouraged to participate and complete at least two projects/papers. Surgical, out-patient and in-hospital care of the spinal patient is stressed; this fellowship is exclusively spine. The aspects to be covered are:

  • cervical, thoracic, and lumbar spine disease
  • deformity of the spine
  • cervical, thoracic, and lumbar degenerative disease
  • cervical, thoracic, and lumbar tumors of the spine
  • fractures of the spine
  • cervical, thoracic, and lumbar infections of the spine
  • anterior and posterior approaches to the cervical, thoracic, lumbar, and sacral spine
  • anterior and posterior segmental instrumentation
  • several forms of segmental fixation (screws, hooks and wires)

Each fellow can anticipate doing approximately 250-300 cases per year. Each fellow will operate and see patients with eight attendings. Over 90% of the cases will be "complex." The overall case load profile is 50% deformity, 35% degenerative, and 15% tumor/fracture.  40% of cases are cervical, while 60% are thoracic/lumbar in nature. Age distribution equates to 70% adult and 30% pediatric. Each of the four spine fellows rotates twice with four services of the eight participating faculty.

There is no in-house call. There are fifteen working days of vacation. It is anticipated that the fellows will attend one or two meetings a year, typically the annual meeting of the Scoliosis Research Society or the Cervical Spine Research Society, or potentially the American Academy of Orthopaedic Surgeons or the North American Spine Society. Another meeting could also conceivably be substituted.

The fellows are also involved in the following teaching conferences:

  • Fellow Core/Monday Morning Conference (6:30 - 7:15 am) - Fellows' core curriculum (approximately 30 lectures) alternating with journal clubs every week
  • Tuesday Morning Conference (6:30 to 7:15 am) - Combined spine center conference and research meeting monthly.
  • Thursday Morning Pediatric Spine Indications Conference (6:15-7:15 am) - Once a month presentation of pediatric operative cases
  • Friday Morning Indications Conference (6:30-7:15 am) - Preoperative planning every week
  • Grand Rounds - Every Wednesday   
  • Resident Core Curriculum - Tuesday/Thursday. Spine is about 15% of the resident Core curriculum

For information about St. Louis, CLICK the following: Information About St. Louis

APPLICATION:
For academic year 2019/20, the fellowship is participating in the Spine Fellowship Match administered by SF Match (www.sfmatch.org). Simply complete the on-line registration (opening approximately July 1), utilizing the Central Application Service (mandatory for applicants and programs), and provide the required documents as posted.  The fellowship application deadline is November 10, 2017.  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 date is Saturday, February 3, 2018. Applicants selected to interview will be contacted well in advance.

The fellow must have completed his/her orthopaedic or neurosurgical 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 (http://pr.mo.gov/healingarts.asp) prior to making application.


For more information on the fellowship, please contact 
(via email preferred):

Terri Iffrig
Spine Fellowship Coordinator
Campus Box 8233
660 S. Euclid Avenue
St. Louis, MO 63110
(314) 747-2536  (direct line)
(314) 747-2600 (facsimile)
iffrigt@wudosis.wustl.edu

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