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The residents work in close association with the two full-time faculty members in a preceptorship-like environment located mainly at , performing both primary and complex revision arthroplasty.

The residents work in close association with a full-time faculty member in a preceptorship-like environment located mainly at SSM Health St. Mary’s Hospital and SSM Health Saint Louis University Hospital.

The hand and upper extremity rotation takes place at SSM Health ÌìÃÀ´«Ã½ÖÆƬ³§ Hospital, and SSM Health Cardinal Glennon Children's Hospital. This rotation provides residents with a broad exposure to congenital disorders of the upper extremity, upper extremity trauma, industrial and occupational medicine involving the upper extremity, endoscopy and microvascular reconstruction and reimplantation.

Residents are actively involved in both the outpatient setting and the surgical management of these disorders. 

ÌìÃÀ´«Ã½ÖÆƬ³§ is an established sarcoma center. Residents regularly participate in interdisciplinary conferences and care of patients. They are exposed to a wide variety of benign and malignant musculoskeletal tumors.  They are also exposed to and participate in limb salvage techniques.

Residents rotate at our level one pediatric trauma center and tertiary/quaternary care referral center for the region, SSM Health Cardinal Glennon Children's Hospital. During this rotation, residents rotate with five full-time faculty and are exposed to a broad variety of inpatient and outpatient pediatric orthopaedic conditions including congenital and developmental abnormalities, pediatric trauma and metabolic, endocrine, infectious and neuromuscular diseases. During this rotation, the orthopaedic surgery resident is also exposed to pediatric spine cases.

Residents rotate with three full-time faculty on their spine rotation. The Orthopaedic Surgery spine service manages all varieties of diseases, disorders and trauma involving the cervical, thoracic, lumbar and sacral spine. This rotation is based at SSM Health ÌìÃÀ´«Ã½ÖÆƬ³§ Hospital, SSM Health Cardinal Glennon Children's Hospital, and SSM Health St. Mary's Hospital. Residents rotate at the PGY-1, PGY-3 and PGY-4 levels and the orthopaedic surgery resident is an active participant in all spine service cases.

The sports medicine and shoulder surgery rotations take place at SSM Health Saint Louis University Hospital, SSM Health Cardinal Glennon Children's Hospital, SSM Health St. Mary’s Hospital, and SSM Health Saint Clare Hospital. This rotation provides residents with a broad exposure to sports-related injuries, including arthroscopy, shoulder trauma, arthroplasty and multiligament knee injuries.

Extensive one-on-one training is provided in both the inpatient and outpatient settings, as well as with SLU athletics. Exposure to the care of numerous high school and collegiate athletes is also available through the rotation. A new simulation laboratory has been opened to assist residents in arthroscopy skills. 

This rotation is based at SSM Health ÌìÃÀ´«Ã½ÖÆƬ³§ Hospital, an American College of Surgeons verified Level I Trauma Center and a tertiary/quaternary care referral center for the region.

During this rotation, residents are involved with the management of the full variety of musculoskeletal trauma, including industrial injuries, geriatric fractures, penetrating and blunt trauma and polytraumatic injuries.  In addition, residents obtain broad exposure to inpatient and outpatient elective adult trauma (i.e., malunion, nonunion) and foot and ankle reconstruction orthopaedic practice. Residents rotate through trauma at multiple levels during their training.

Orthopaedic Surgery Basic Science/M and M Conference is a mandatory weekly conference in which presentations are required of both faculty and residents.