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Adult Reconstruction Fellowship

Adult Reconstruction Fellowship Director Message

On behalf of the Adult Reconstruction Fellowship at Mississippi Sports Medicine and Orthopaedic Center (MSMOC), I want to personally welcome you to our fellowship website. Our adult reconstruction fellowship is a 12-month program offering 3 SF match approved positions. Our adult reconstruction faculty physicians are committed to the highest quality care for our patients and to the education and training of our fellows. The MSMOC Adult Reconstruction Fellowship provides a broad clinical exposure to include primary hip and knee arthroplasty along with a high volume of complex revision surgery.

The fellowship has been designed to offer a wide variety of procedures, approaches and technologies to our fellows. Much of the fellowship is spent in a private practice setting but the fellows also rotate through the University of Mississippi Medical Center. This creates unique efficiencies for our fellows to learn and develop their arthroplasty skills in a high volume private practice setting, while also fostering opportunities to become proficient in revision arthroplasty and participate in resident education in an academic setting. As a result, each fellow can expect to directly participate in approximately 800 surgical cases during their fellowship year. Fellows are offered a well-diversified year of education to include sponsored travel for meeting and training courses, clinical research opportunities and extensive operative experience. This includes but is not limited to outpatient arthroplasty, unicompartmental knee arthroplasty, anterior approach hip arthroplasty, computer navigation and complex revision arthroplasty. We also place the highest value on preparing our fellows for their upcoming practice and so we provide a focus on the business of arthroplasty along how to establish and maintain a successful practice.

Kerk Mehrle, MD

MSMOC Adult Reconstruction Fellowship Program Director

Program Overview and Strengths

We offer our fellows a high volume and wide variety of arthroplasty cases in diverse clinical settings to include outpatient arthroplasty in an ambulatory surgery center and inpatient arthroplasty in a tertiary private hospital and academic institution. We also provide a high volume revision arthroplasty experience. Our goal is to rapidly provide autonomy to the fellow as your skills progress and this is a very “hands on” year where you will be the primary surgeon with faculty supervision on the majority of cases in which you are involved. You will work with a total of four high volume surgeons (three  private practice, one academic) during your year.

Your Role on the Team

Each faculty surgeon involved in the fellowship has a full team to provide clinical and operative care on a daily basis. Your role on the team is to gain as much experience and exposure to arthroplasty in your time with us as possible. This places you in clinic and in the operating room. You will not be making early morning rounds or handling “scut” work. You are wanted, not needed and each surgeon functions independently when they do not have a fellow.

Information About Our Rotations

The fellowship is currently amongst three arthroplasty surgeons at MS Sports Medicine Orthopaedic Clinic (MSMOC) and one arthroplasty surgeon at University of Mississippi Medical Center (UMMC). You will rotate with each provider an equal amount of time for two 6 week rotations. In the first six months, you will rotate with each surgeon and in the second six months you will work with each provider once again. This allows you an opportunity to learn everyone’s different practice patterns and techniques and then refine your skills and understanding on the second visit.

Dr. Kerk Mehrle

Total Joint Specialist

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Dr. Jeff Almand

Total Joint Specialist

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Dr. Trevor Pickering

Total Joint Specialist

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Dr. Benjamin Stronach

Total Joint Specialist

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Information About Our Fellowship

We offer a comprehensive education program during your time with us. We have a monthly conference to discuss a topic of interest based on our curriculum. We also hold regular journal clubs. MSMOC has a cadaver lab in the facility that is assessable during your training and you will have a knee anatomy cadaver lab and a hip anatomy cadaver lab conducted in conjunction with the faculty. Each fellow is provided with multiple educational travel opportunities and this is paid for by the fellowship. Each fellow typically attends 2-3 events throughout the year to include  the AAHKS Annual Fall Meeting and Spring Meeting, the AAOS Annual Meeting and industry sponsored educational courses. This typically includes a visit to Warsaw, Indiana to visit a major orthopaedic implant manufacturer and a fellow-level industry course. The events you participate in during the year are determined based on fellow interests.

We  provide the fellows with a high volume of cases but also a large variety of cases. This includes primary arthroplasty surgery to include partial knee replacement along with total hip and  knee arthroplasty. We also have a diverse revision population. You will perform anterior, anterolateral and posterior total hip replacements during your year with us. You will utilize traditional instrumentation, computer navigation and accelerometer technology to perform partial and total knee replacement and be exposed to measured resection and gap balancing techniques. You will also see a diverse mix of revision arthroplasty. This will include massive acetabular reconstructions with custom tri-flange devices and acetabular augmentation, complex femoral reconstructions with proximal femoral replacement and revision femoral implantation. We also frequently perform complex revision knee arthroplasty to include augmentation for bone loss, use of constraint and hinged devices. You will be well trained in the treatment of geriatric trauma to include revision and fixation of periprosthetic acetabulum and femur fractures along with hip fracture management with arthroplasty and fixation.

Hospital Settings: You will operate in multiple hospital settings to include a large volume inpatient community hospital, ambulatory surgical center, and an academic inpatient hospital. This will give you a broad exposure to all of the different settings in which arthroplasty is currently performed across the United States.

You will take paid call at a tertiary community hospital. This is in conjunction with the sports fellowship and is typically three to five calls a month. It is rare to have to come into the hospital during a weekday night and typically only happens two to three times per year. The majority of call entails answering phones calls and triaging patients over the phone. There typically is surgery that needs to be performed on weekend call. There is also the opportunity to cover football games. This is not mandatory for the arthroplasty fellows; you will be paid to cover football games if you wish to do this.

  • Salary – $55,000
  • Paid Call Coverage
  • $450/night $750/weekend
  • Professional Liability insurance
  • Family Health insurance coverage
  • Complimentary Family gym membership to Healthplex

2014-2015

David M. Waespe, M.D.
Residency: University of Mississippi Medical Center
Current Practice: Georgetown Community Hospital
Georgetown, KY

2016-2017

Adam R. Smith, M.D.
Residency: University of Mississippi Medical Center
Current Practice: Arkansas Specialty Orthopaedics
Little Rock, AR

Grant Zarzour, M.D.
Residency : University of South Alabama Medical Center
Current Practice: Alabama Orthopedic Clinic
Mobile, AL

2017-2018

Louis B. Jones, M.D.
Residency : University of Mississippi Medical Center
Current Practice: U.C. Davis Medical Center
Sacramento, CA

Matthew M. Miller, M.D.
Residency: University of Mississippi Medical Center
Current Practice: Specialty Orthopaedic Group
Tupelo, MS

Dustin M. Price, M.D.
Residency: Greenville Health System
Current Practice: Watauga Orthopaedics
Johnson City, TN