The Washington University Plastic and Orthopedic Reconstructive Microsurgery Fellowship Program is a one-year fellowship training program.

We are currently accepting applications for the 2022-23 academic year to start July 1, 2022.  

This fellowship aims to provide exceptional interdisciplinary microvascular surgery training which is strengthened by the collaborative expertise of Plastic and Orthopedic Microsurgeons.

Prerequisite Training/Selection Criteria:

Prior to starting the fellowship July 1, 2022, candidates must:

  • have completed an ACGME-accredited Plastic Surgery residency program,
  • be American Board of Plastic Surgery eligible,
  • be eligible for employment, and
  • be eligible for a Missouri medical license.

*The program does not offer visa sponsorship

Application Procedure:

Interested candidates are invited to apply by sending required documents listed below to the Microsurgery Fellowship Program Coordinator at: pamela.wolf@wustl.edu

Required documents to applying:

  • Curriculum Vitae (most recent)
  • Letter of Interest
  • 3 References (name and contact information). CV and Letter of interest can initiate the application process secondary to timing.
Program Description

The Microsurgery Fellow will have an instructor level appointment within the Division of Plastic and Reconstructive Surgery. In addition to a program of didactic and clinical/technical education, fellows will receive mentorship in clinical and/or translational research, and will have opportunities to participate in resident education.

While the clinical opportunities and curriculum of this fellowship are comprehensive, the intended emphasis of this fellowship is upon orthoplastic reconstruction of the limbs, lymphedema surgery, and cancer reconstruction. This opportunity is best suited to a surgeon seeking a broad-based microsurgical education emphasizing limb reconstruction and salvage. 

Program Certifications: Non- ACGME accredited fellowship

Resources

Program Directors

Justin Sacks, MD, MBA, FACS 

Martin Boyer, MD, FRCS(C)

Teaching Staff

Facilities

Educational Program

Clinical Scope (In order of Emphasis/Volume):

  • Lower Extremity Reconstruction
    • Post-Traumatic 
    • Diabetic/Vascular Limb Salvage 
  • Upper Extremity Reconstruction 
  • Microsurgical Breast Reconstruction 
  • Lymphatic Surgery 
  • Microsurgical Reconstruction of the Trunk 
  • Microsurgical Reconstruction of the Head and Neck

Procedural Requirements:

The surgeon who successfully complete this fellowship should demonstrate competency in:

  • Evaluation and management of patient’s requiring free flap reconstruction
  • Harvest of skin, muscle, bone flaps
  • Preparation of recipient site vessels throughout the body
  • End-to-side and end-to-side microsurgical anastomosis of arteries and veins
  • Management of microsurgical complications including postoperative vascular thrombosis
  • Lymphaticovenous anastomosis and vascularized lymph node transfer
  • Teaching microsurgical techniques
  • The planning and execution of microsurgical clinical in translational research studies

Clinical Responsibilities:

  • Fellowship structure will be a combination of didactic and clinical teaching in the OR and clinic.
  • Fellows will be assigned on a rotating basis to work with attending microvascular surgeons in Orthopedic and Plastic Surgery.
    • It is a goal of this fellowship to maintain approximately equal exposure to orthopedic and plastic surgical perspectives, and to leverage the advantages of interdisciplinary collaboration
  • Fellows will be expected to see and evaluate patients in clinic, independently and with attending physicians, in order to diagnose a range of complex clinical reconstructive problems.
  • Fellows will be expected to assume graduated responsibility in the operating room for harvest and microvascular anastomosis of a range of free and pedicle tissue transfers.
  • The fellow will receive summative feedback quarterly in scheduled meetings with the fellowship director to foster personal growth and improvement.

Education:

  • Education will involve didactics at a bi-weekly multi-disciplinary conference with attendees from orthopedic and plastic surgery
  • The fellow will be responsible for identifying upcoming microsurgical cases and presenting them for an indications conference to facilitate discussion amongst team members.
  • Selected assigned readings along with self-directed readings will assist the fellow in preparation for the operating room.

Research:

  • Fellows will be expected to complete a minimum of 1 research project during the course of their fellowship. The scope and quality of the project should be such that it is suitable for publication in a high impact journal.
  • Fellows are expected to submit at least one abstract to the American Society of Reconstructive Microsurgery Annual Meeting by the conclusion of their fellowship
  • Fellows regularly meet with and discuss research topics with attending faculty to assist in gathering and analysis of clinical data from ongoing projects.
  • Fellows will participate in ongoing translational research projects pertinent to microsurgery

Teaching:

Fellows will be expected to participate in the education of orthopedic and plastic surgery residents. This will include hands-on teaching in the OR in addition to didactic presentations pertinent to microsurgery.

Contact

Program Coordinator: Pamela Wolf

Program Email: pamela.wolf@wustl.edu