The Department of Orthopaedic Surgery at Truman Medical Center and the University of Missouri—Kansas City (UMKC) School of Medicine has entered a new and exciting era. The newest addition to the Hospital Hill Campus is the University Health Ambulatory Care Center, where the Orthopaedic Surgery Department’s clinicians provide the majority of our outpatient musculoskeletal care. This state-of the-art facility is downtown Kansas City’s only outpatient clinic and surgery center.
The Department is pleased to provide a variety of articles which we think are of interest to physicians in this edition of Missouri Medicine. As the Chairman of the Department of Orthopaedic Surgery, I am proud to showcase our outstanding faculty and some of our medical student and orthopaedic residency registrants. The topics include a small “biopsy” of our faculty’s many clinical and academic interests.
Akin Cil, MD, is an Associate Professor at UMKC and the Vice-Chairman of the Department of Orthopaedic Surgery at Truman Medical Center (TMC). Dr. Cil is the Director of Shoulder and Elbow Surgery at TMC, a faculty member in the UMKC Orthopaedic Sports Medicine Fellowship, the Franklin D. Dickson Professor of Orthopaedic Research, and collaborates with the mechanical engineers at UMKC on the Volker Campus, where he holds an adjunct faculty appointment. Dr. Cil and I collaborated with Richard Butin, MD, Department of Internal Medicine at TMC and UMKC, in describing the many adverse effects of smoking on the musculoskeletal system and its repair. All physicians and patients are aware of the negative health effects of smoking on the pulmonary and cardiovascular systems in our bodies. Most patients and many physicians, however, are not aware of the significant adverse health effects of smoking on the musculoskeletal system. In another article Dr. Cil, the immediate past-president of the Missouri State Orthopedic Association, and I and colleagues summarize the results of a survey of Missouri orthopaedic surgeons, showing the tremendous economic impact of orthopaedists in the Show-Me state.
James Bogener, MD, Associate Professor at UMKC, is the UMKC Orthopaedic Surgery Residency Program Director. Dr. Bogener is also the Director of Foot and Ankle Surgery and the Director of the Franklin D. Dickson Laboratory at TMC. Dr. Bogener and colleagues review the changing “landscape” of surgical training, from its beginnings in America with William Halsted, MD, to the creation of the Accreditation Council for Graduate Medical Education (ACGME) and to the current requirements of the Next Accreditation System (NAS), with a shift from process-based to outcomes-based education and important emphases on patient safety and measurement of clinical competencies of trainees.
Jonathan Dubin, MD, is an Assistant Professor at UMKC, an Associate Program Director of the UMKC Orthopaedic Surgery Residency Program, and the Director of Musculoskeletal Trauma at TMC. Dr. Dubin and coauthors review the process of device regulation by the FDA. It is important to understand this regulatory process so that we can advocate for our patients and advise them about the safety and efficacy of the implants which are used in their care.
Suhel Kotwal, MD, Associate Professor at UMKC, is a specialist in Musculoskeletal Oncology and Hip and Knee Arthroplasty at TMC and the Director of Joint Replacement at TMC-Hospital Hill. Dr. Kotwal and colleagues present a systematic approach to the successful evaluation and management of a common problem for clinicians, the assessment of the patient with a “lump or bump” on the body.
The Director of Hand Surgery at TMC is Amelia Sorenson, MD, an Assistant Professor at UMKC. Dr. Sorenson and coauthor discuss the pervasive problem of osteoporosis and describe the elements of a Fracture Liaison Service, a multidisciplinary effort and cost-effective way to identify patients at risk, work them up, and manage and follow these patients in order to prevent “the next fracture.”
Christopher Shaw, MD, is an Assistant Professor at UMKC and faculty member in the UMKC Orthopaedic Sports Medicine Fellowship Program. Dr. Shaw shares with us his special interest and expertise in the evaluation and management of femoral-acetabular impingement, a common and probably underrecognized disease.
Drs. Jordan Barker, Dane Church, Madelyn Lauer, John Krumme, Joanne Marasigan, and Kirsten Norrell are current UMKC orthopaedic surgery residents and helped author these works. Sean Bonanni, Abhishek Kantamneni, Mitchell Solano, and Belal Tarakji are current or former UMKC medical students who also participated in these academic projects.
We hope you enjoy reading this issue of Missouri Medicine as much we have enjoyed contributing to it.
Biography
Mark Bernhardt, MD, is the Rex L. Diveley Professor and Chairman of the Department of Orthopaedics at the University of Missouri – Kansas City School of Medicine and University Health Orthopaedics.
Contact: BernhardtM@umkc.edu
