Tag Archives: orthopaedic surgery

Medical students receive orthopaedic surgery research awards

Corey Wells and Sanju Eswaran
Corey Wells and Sanju Eswaran

Two UMKC medical students have won new research awards for students interested in orthopaedic surgery.

Corey Wells, a fifth-year B.A./M.D. student, is the first recipient of the University Orthopaedics Trauma Research Opportunity and Scholar Award. The award is given to an outstanding UMKC medical student intent on pursuing a career in orthopaedic surgery who demonstrates an interest in fracture care or management of traumatic injuries.

The $1,500 award is designed for B.A./M.D. and M.D. students in the final three years of their respective programs. Recipients are expected to commit two consecutive elective months to a research project.

The UMKC Department of Orthopaedic Surgery sponsors the award. Jonathan Dubin, M.D., assistant professor of orthopaedic surgery, said the department started the award in response to student interest in research opportunities.

“A lot of them are really great students, and we wanted to be able to set something up where we give them dedicated, actual time to do the research and a reward for their achievements,” Dubin said.

The scholar award will be drawn from a charity fund supported by orthopaedic surgery faculty members. Wells will work with Dubin, who specializes in orthopaedic trauma.

Sanju Eswaran, a fifth-year B.A./M.D. student, will receive the University Orthopaedics Hand Surgery Research Opportunity and Scholar Award. She will assist Amelia Sorensen, M.D., assistant professor of orthopaedic surgery, with research projects relating to informed consent and infections.

Sorenson, a hand surgeon, said she created the $500 award after seeing the quality of the applications for the University Orthopaedics Trauma Research Opportunity and Scholar Award. “I thought it would be a good use of my research money right now,” she said.

The UMKC Department of Orthopaedic Surgery worked with Larry Dall, M.D., and Michael Wacker, Ph.D., assistant deans for student research, to develop the scholar awards.

Wacker invited other UMKC academic departments interested in creating research awards for students to contact him or Dall. “We want to make inroads into every specialty that has interest in it,” he said.

Orthopaedic Surgical Skills Laboratory

IMG_2554Established in 2014, the Orthopaedic Surgical Skills Laboratory affords residents the opportunity to practice basic and advanced surgical motor skills in a simulated environment. The laboratory was funded by grants from the Diveley Resident Education Fund at St. Luke’s Hospital Foundation and Children’s Mercy Hospital.

IMG_2552The lab is equipped with a full range of skills simulators, specific to orthopaedic surgery.  During the PGY-1 year, residents complete 17 basic surgical skills modules, as suggested by the American Board of Orthopaedic Surgery.  These modules have been integrated into the department’s core curriculum, and residents have protected time to complete them.

The laboratory is open to all residents 24 hours a day/7 days per week with key-card access.

Equipment

Arthoscopic Equipment

The lab is equipped with a capital equipment arthroscopic tower, which includes a camera, light source, arthroscopic shaver, and fluid pump. This setup allows “dry lab” experiences with models and the AANA FAST system, as well as the ability to perform arthroscopic procedures on cadaver specimens.  The lab has both 30° and 70° arthroscopes available.

ABOS/AANA/AAOS FAST System

The lab also has 2 complete FAST (Fundamentals of Arthroscopic Surgery Training) systems allowing simulated arthroscopic skills that build hand-eye coordination for arthroscopic surgery.  Included is a laptop, which functions as camera and light source, a 30° scope, all eight FAST modules, and a FAST knot tester.

Orthopaedic Trauma

The lab houses several orthopaedic implant tools for residents to become familiar with and to practice proper technique.  These include: two complete Stryker Operating Room power hand pieces, a small fragment fixation set, external fixation set, traction bows and pins, Gardner-Wells tongs, and K-wires. The lab is also equipped with a variety of simulated bones which can be used for tactile feedback.

Microsurgery

The lab is equipped to teach the basic principles of microsurgery using fine suture and latex tissue analog. Residents are provided surgical loops during their PGY-1 year for microsurgery training and surgery.

Operating Room Equipment

Residents can practice prepping, draping, casting, and suturing in the lab. The lab has an OR table and the availability of C-arm fluoroscopy.

Joint Injections

Available in the lab are joint injection models for shoulders, elbows, wrists, hips, knees, and ankles. There is also a compartment syndrome tester to develop the ability to correctly place a needle in each of the four compartments of the lower leg.  A Stryker intra-compartmental pressure monitor is available to obtain accurate pressure readings.

Residents

Chief Residents
Sam-BaxterSam Baxter, M.D.
Sam is from Little Rock, Arkansas and completed his biology degree from the University of Arkansas.  He graduated from University of Arkansas for Medical Sciences medical school.  Sam enjoy playing music as well as going to Razorback games with his wife in his free time.
HarveyMichael Harvey, M.D.
Michael was born and raised in Chicago. He attended the University of Iowa as an undergraduate, and obtained his medical degree at Chicago Medical School. He enjoys being active outdoors, boating, weightlifting, and spending time with family. He is pretty sure the Cubs will win the World Series this year.
Maddy-LauerMadelyn Lauer, M.D.
Maddy is originally from the Twin Cities and is an avid Minnesota sports fan. She attended Carleton College where she competed as a student-athlete on the volleyball team. During her time at the University of Minnesota Medical School, she was active in several organizations focused on improving patient safety and interprofessional development. She and her husband enjoy traveling as well as exploring all Kansas City has to offer.

 

 

 

Senior Residents
BachmanDaniel Bachman, M.D.
Born in Williamstown, KY, Daniel did both his undergraduate work in bioengineering and his medical degree at the University of Louisville.  He has participated in medical missions in Kenya and Egypt.  He spent the last couple of years doing orthopedic research at Mayo Clinic.  He enjoys golf, volleyball, hiking and college athletics.
ChernoffDaniel Chernoff, M.D.
Dan obtained his B.A. in biology and theology from Saint Louis University and his medical degree from the University of Kansas.  During his time in St. Louis, he founded an organization that mentored inner city children after school through teaching them photography.  He likes the outdoors, including golf, basketball, tennis, and running.  He also plays the piano.
MetoxenAlex Metoxen, M.D.
Born in Milwaukee, WI, Alex completed his undergraduate studies in Biology from the University of Notre Dame, where he was also a member of the waterski team with a focus on the trick event.  He graduates from the University of Colorado with his medical degree.  Alex has obtained the rank of Eagle Scout in the Boy Scouts of America.  Alex’s hobbies include snowboarding, cooking, piano, home brewing beer and wine and traveling.
NorrellKirsten Norrell, M.D.
Kirsten was born in Norfolk, VA and attended St. Bonaventure University in New York to obtain her B.S. in Biology, as well as being president and captain of the Women’s Rugby Football Club.  She completed her medical degree at George Washington University.  She did a preliminary internship at Penn State. Kirsten’s interests include running, hiking, Zumba, yoga, rowing, travel, cooking and baking, reading, snowboarding.

 

 

 

PGY-3
Daniel Cherian, M.D.
Daniel was born in Houston, TX and attended The University of Texas at Austin to obtain his BBA in Finance/Investment Banking. He worked briefly before becoming a San Antonio Firefighter and EMT for 5 years, including during the first half of medical school.  He completed his medical degree at UT Health San Antonio.  His interests include cryptocurrencies, camping, UT sports (Hook ‘Em), and spending time with his wife, who is an Anesthesiology resident at KU.
Patrick Murray, M.D.
Born in the Chicago suburbs, Patrick moved to Rocklin, CA when he was 11 years old. He obtained a degree in Biochemistry from Saint Mary’s College of California. He then went on to medical school at Creighton University in Omaha, NE. He is an avid sports fan, especially the Chicago White Sox, Bears, Blackhawks and the St. Mary’s Gaels. His hobbies include guitar, photography and exploring the outdoors.
Bryan Perkins, M.D.
Bryan was born and raised in the Twin Cities of Minnesota, where he grew up playing soccer and ice hockey. He attended St. Olaf College, where he obtained a B.A. in chemistry and biology. From there, he went on to attain his medical degree from Creighton University School of Medicine. He has been to Peru on a medical mission trip. He still enjoys playing soccer and ice hockey, and other hobbies include slalom waterskiing, weightlifting, and disc golfing. He and his wife Holly, a family medicine resident at UMKC, look forward to exploring Kansas City
Jake Sneddon, M.D.
Jake Sneddon is originally from Magna, Utah. He graduated Summa Cum Laude from the University of Utah with a degree in exercise physiology and received his medical degree from the University of Utah School of Medicine. He enjoys playing softball, snowboarding, camping, hunting, and spending time with his family.

 

 

 

PGY-2
Sean BonanniSean Bonanni
Sean attended the University of Kansas for his undergraduate studies and UMKC for medical school. He spends his free time he staying involved with his rugby team, Kansas City Rugby Football Club. He and his wife are huge Kansas Jayhawks fans and enjoy traveling.
Daniel HagamanDaniel Hagaman
Daniel grew up in Nashville, Tennessee and attended Vanderbilt University for his undergraduate degree where he played collegiate football. He went on to receive his doctor of medicine from East Tennessee State Quillen College of Medicine. He enjoys athletics and a number of outdoor activities including fishing, hiking, golf, and skiing.
Hiba IbadHiba Ibad
Hiba is from Dallas, Texas. She graduated from Southern Methodist University with a B.A. in Human Rights and B.S. in Biochemistry. She completed her medical degree at Baylor College of Medicine where she was on the Ethics Track. She is a nationally recognized functional ceramist. She enjoys running, tennis, and gardening.
J. Taylor LackeyJ Taylor Lackey
Taylor grew up in Temple, Texas playing football and powerlifting. He attended the University of Texas at Austin, where he obtained a B.S. in Exercise Science with Highest Honors. He completed his medical training at Baylor College of Medicine, where he had the opportunity work on a team that designed 3D-printed wrist splints for astronauts. He loves spending time with his soon-to-be wife and is an avid Texas Longhorn sports fan, outdoor enthusiast, carpenter, and technology follower.

 

PGY-1
Held, MichaelMichael Held
Born and raised in Detroit, Michael graduated with honors from the University of Michigan. Following a brief stop in Baltimore where he obtained a Master’s degree at Johns Hopkins, Michael attended Creighton University for medical school. While at Creighton he developed and presented research on the long-term complications of reverse total shoulder replacements. His interests outside of medicine include spikeball as well as baseball, hiking and hockey. He would like to thank his parents, Mike and Sherry, along with his siblings, Andi, Casey and Matthew, for their continuous guidance and support.
Mitchell, GarrettGarrett Mitchell
Garrett grew up all over California, but mainly lived in the Sacramento area. He majored in Neurobiology, Physiology, and Behavioral Science at the University of California- Davis, with a minor in history. He decided that California was no longer for him and wanted to leave for medical school, landing at the University of Missouri- Columbia for that. The Midwest has been a great fit for him, and he’s very excited to be able to remain in Missouri for another 5 years. He and his fiancée love to go on new adventures, whether that is a nearby hiking trail or another country. They want to do more medical mission work in the future. He loves learning and is a very curious person, especially about WWII and ancient civilizations. He enjoys going fishing, hunting, and camping whenever possible, anything to get him outside.
De Ruyter, MattMatt De Ruyter
Matt was born in Rochester, Minnesota but moved to Jacksonville, Florida and then to Kansas City during middle school. He attended the University of Oklahoma for his undergraduate degree in Biology and returned to Kansas City for medical school at the University of Kansas.  In his free time, Matt enjoys trail running, hiking, reading, traveling, and going to Chiefs games.
Watkins, AndrewAndy Watkins
Andy was born and raised in Bossier City, Louisiana and attended LSU in Baton Rouge for his undergraduate studies. He then moved back home for medical school at LSUHSC-Shreveport. He is a diehard Louisiana sports fan, including LSU (Geaux Tigers) and the New Orleans Saints (Who Dat). In his free time he enjoys all things related to the outdoors including hunting, fishing, golf, and snow skiing. He also enjoys cooking, especially Louisiana foods like gumbo and crawfish boils.

 

Program Overview

About

The UMKC School of Medicine’s Orthopaedic Surgery program is a five-year orthopaedic residency as required by the American Board of Orthopaedic Surgery (ABOS), with four residents in each year.

Teaching

The faculty are dedicated to the active education of our residents. We use interactive techniques in conference and rounds which will require all residents in attendance to participate. Residents are expected to develop treament plans for their patients and be able to defend their thought processes in developing the plan. High academic achievement and the ability to utilize a fund of knowledge is stressed.

Educational Benefits

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  • Fully funded, department-sponsored meeting every year
  • Optional industry-sponsored meeting or conference yearly
  • Orthopaedic textbook provided to every resident on a yearly basis
  • PGY-1 residents receive personalized surgical loupes
  • Resident with highest OITE score each year recieves personalized OR lead
  • Stipend for travel to present research at local, regional or national meeting
  • Protected time to work on basic surgical skills
  • Full integration of the ABOS’s 17 basic surgical skills modules
Conferences

The bulk of the formal teaching conferences are held at Truman Medical Center on Wednesday mornings, 6:30 to 9:30 a.m. The ten-week Anatomy Module comprises the bulk of the Wednesday morning conferences during the first quarter of the academic year. Wednesday morning conferences include orthopaedic faculty presentations, resident presentations, hands-on surgical skills sessions, and other invited speakers. Almost every month (10 times per year), the Wednesday conferences are held at Children’s Mercy Hospital for pediatric orthopaedic surgery grand rounds. At Children’s Mercy, the hospital’s faculty present a review and update of cogent topics covering the gamut of pediatric orthopaedics over a two-year period. PGY-2 through PGY-5 residents are required to present at least one formal grand rounds presentation per year at the Truman Medical Center Grand Rounds, usually sometime after the annual Orthopaedic In-Training Examination in November. PGY-1 residents are able to attend the department’s formal teaching conferences during their internship.

A one-hour conference is held every Thursday morning, 6:30 to 7:30 a.m., usually at TMC. Thursday is a late OR start day at Children’s Mercy and Saint Luke’s, allowing residents to be present for first-case starts on those days. Journal Club is held on the first Thursday of each month at TMC. The Saint Luke’s orthopaedic grand rounds is held the second Thursday of each month at Saint Luke’s and is a review and update of a myriad of adult musculoskeletal topics by the hospital’s faculty.

A regular Saturday morning case conference is held on the first and third Saturdays of each month, August through May, at Saint Luke’s, 7:00 – 8:00 a.m. The senior residents and sports medicine fellow present cases for review by the faculty to help become better prepared for their oral board examinations.

Rotations

PGY-1 residents are assigned to a series of rotations which will fulfill the new ABOS requirements. The internship schedule; includes six months of orthopaedic surgery (three months at TMC and six weeks each at Saint Luke’s and Children’s Mercy), one-month rotations in neurosurgery, anesthesiology, and musculskeletal radiology; and three months of  general surgery and critical care.

The PGY-2 residents are assigned three-month rotations at TMC – Hospital Hill, TMC – Lakewood, Children’s Mercy, and Saint Luke’s (Spine Service). The PGY 3 resident will spend three months at TMC and Children’s Mercy. Additonally, there will be three-month rotations on the joint service and three months on the arthroscopy service at Saint Luke’s. As a PGY-4 the rotations will be: two months on a research rotation; one month of musculoskeltal oncology at the University of Kansas, three months of sports medicine at the Kansas City Orthopaedic Institute; 3 months at TMC – Lakewood; and three months at Saint Luke’s (foot and ankle surgery). As a PGY-5, the resident will be the chief resident for three months at Saint Luke’s and Children’s Mercy, and spend six months at TMC. Our residents graduate with exceptional surgical experience. Most seniors will have more than 2400 major surgical cases by the time they graduate. Our residents become quite talented in the OR, with good technique and surgical judgement.

Resident Research

All residents are expected to complete a research project prior to graduation. In the PGY-2 year, the resident is to present a grand rounds presentation, hopefully on a subject which may lead to a research topic. By the end of the PYG-2 year, a research topic and faculty research collaborator are to be selected. By the end of the PGY-3 year the project is designed, IRB approvals garnered and funding obtained. A dedicated two-month research rotation occurs during the PGY-4 year. During the PGY-5 year, the resident is to present the project at our Department Research Day and submit for other local, regional, and national or international presentations. The research project must be submitted ready for publication and presented at an orthopaedic meeting as a requirement for graduation.

Work Hours/Call

Residents’ duty hours are carefully regulated to ensure compliance with the 80-hour work week requirements of the Accreditation Council for Graduate Medical Education (ACGME). The rotations use alternate shift schedules and at-home call to achieve this goal. Residents are not on call more often than every third night on average and receive a 24-hour period free of clinical responsibility every seven days. Because of these work-hour requirements, moonlighting is NOT allowed in this program.

Contract

A sample resident contract is available for review at:
http://med.umkc.edu/gme/salary_benefits/UMKC_Resident_Contract.pdf

Salaries

Residents are employees of the University of Missouri. Current salaries are competitive with midwestern programs.

2016-2017 Resident Salaries By PGY
PGY-1 $51,005
PGY-2 $52,867
PGY-3 $54,590
PGY-4 $56,620
PGY-5 $58,385
PGY-6 $60,547
Benefits

More information on benefits is available here.

  • Three weeks paid vacation (21 calendar days, including weekends)
  • Professional liability coverage
  • Sick leave (1 day per month for each month of employment, up to 72 days)
  • Health insurance (2 plans)
  • Dental and vision benefits
  • Long-term disability
  • Tax deferred annuity program controlled by the resident
  • Accidental death and dismemberment Program
  • Life Insurance, 1x annual salary, at no cost – with options to increase at variable costs
  • Flexible benefits program through health care and dependent Ccare spending accounts
  • Pharmacy-residents can utilize the Truman Medical Center pharmacy and receive employee discount savings
Evaluations

Every six months residents are evaluated on their progress toward the understanding of 16 orthopaedic surgery milestones, defined by the ACGME and the ABOS. These milestones are:

1. Anterior Cruciate Ligament 9. Adult Elbow Fracture
2. Ankle Arthritis 10. Hip and Knee Osteoarthritis
3. Ankle Fracture 11. Hip Fracture
4. Carpal Tunnel 12. Metastatic Bone Lesion
5. Degenerative Spinal Conditions 13. Meniscal Tear
6. Diabetic Foot 14. Pediatric Septic Hip
7. Diaphyseal Femur and Tibia Fractures 15. Rotator Cuff Injury
8. Distal Radius Fracture 16. Pediatric Supracondylar Humerus Fracture

Each of these 16 milestones is evaluated for medical knowledge and patient care.

In addition, residents are evaluated four times a year, immediately following each three-month rotation in the following areas, as recommended by the ACGME:

    • Systems-based practice
    • Practice-based learning and improvements
    • Professionalism
    • Interpersonal/communication skills

Additionally, a resident’s demonstration of morals and ethics are to be rated as either satisfactory or unsatisfactory.

One month prior to the evaluation meeting, the faculty are sent the evaluation form and asked to score the resident on a scale of 1-4 (unsatisfactory-outstanding). Faculty members are also asked to record any comments on the form, specifically necessary for a score of 1 or 2.

The faculty member signs and dates the form and returns it to the program director on or before the day of the evaluation meeting. All faculty members are invited to attend the evaluation meeting.

At the evaluation meeting, each resident’s performance is discussed in detail. Comments are recorded and used in combination with the completed evaluation form by the program director to complete an evaluation of the resident for the rotation.

Each resident meets with the program director to discuss the evaluation. Residents are asked to sign the faculty evaluation and are given a copy of all written evaluations and forms.

For complete details on the evaluation rubric and details of what these terms mean, as well as expanded details of each milestone, please visit the ACGME’s website.

Following the final evaluation of the year, the program director determines if the resident will be promoted and/or graduated. All resident appointments are for 12-month periods. Residents not reappointed as a result of poor performance may utilize the grievance process.

Clinical Competency Committee

The UMKC Orthopaedic Surgery Clinical Competency Committee (CCC) consists of Program Director Dr. James Bogener, Department Chairman Dr. Mark Bernhardt, Department Vice-Chairman Dr. Akin Cil, Associate Program Director Dr. Tim Badwey, Associate Program Director Dr. Nigel Price, Dr. Charles Rhoades, and Dr. John Anderson.  The CCC meets periodically and determines the residents progress in the 16 orthopaedic surgery milestones.

Orthopaedic Surgery

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Staff-2014
Casting
Residents-2014

Welcome

The Department of Orthopaedic Surgery welcomes you. We hope you will find our web site helpful as you search for the best residency program suited to your needs. We take great pride in graduating highly qualified orthopaedic surgeons from our program. Our residents train at three Level I trauma centers in Kansas City and receive a broad education in all areas of orthopaedics, treating patients across a spectrum of all age groups with great cultural diversity.

Our application process is highly competitive and we encourage you to apply if you are committed to acquiring the best in orthopaedic education. As you check out our web site, be sure to click on Residents and meet those who are currently working to maintain our exemplary standards. They come from across the country, and when they leave us, they move on to equally competitive, highly-respected fellowship programs.

We look forward to meeting you soon!

Mark Bernhardt, M.D.
Professor and Chairman, Department of Orthopaedic Surgery

James W. Bogener, M.D.
Program Director

 

We have designed this web site to give you access to the information you might want to know about our department. We have tried to provide information about each of our associated hospitals and our staff, as well as information about our residency program and the application process for our residency. If you do not find the information you are looking for, please contact Carolyn Holtman.