Program: Jack Hughston in Phenix City, AL and Columbus, GA
http://www.hughston.com/graduate-medical-education/
General: Dr. Jack Hughston is considered to be the father of sports medicine and started the Hughston clinic and foundation. This is a world-renowned facility with premier orthopedic surgeons and medical professionals. This is where Dr. Andrews did his sports fellowship. The residency program is it’s newest addition and is now two years old with 3 PGY-1’s, 3 PGY-2’s, 3 PGY-3’s and 1 PGY-4. Looks to continue taking 3/year for the time being. The main hospital is located in Phenix City, AL (Jack Hughston Memorial) but you also work at Midtown Medical Center and The Hughston Clinic in Columbus, GA. Jack Hughston Memorial Hospital and the Hughston Clinic are orthopedic machines and are extremely efficient. The clinic has onsite PT/Rehab, Imaging and the surgery center is located on the second floor. In order to rotate need a COMLEX of 550 or greater currently.
Attendings: Dr. Harris (trauma) is the GME and head of orthopedic trauma. Dr. Harris is heavily involved in the program and has a vast amount of experience with starting and running residency program’s on the DO and MD side. Dr. MacDonald (hand/elbow) is the PD. Some other attending’s you will work with include: Dr. Pace (Assistant PD), Dr. Flandry, Dr. Floyd, Dr. Brummel, Dr. Geringer, Dr. Rehak, Dr. Ruark, Dr. Burkus, Dr. Baker Jr., Dr. Baker III, Dr. Fernicola, Dr. Tucker, Dr. Donati, Dr. Watson, Dr. Dorchak, Dr. McGrory, Dr. Pahl, Dr. Gudger, Dr. Waldrop and Dr. Antekeier (Peds Ortho). All the attendings are very gifted surgeons and the ones I worked with were enthusiastic about teaching and letting residents do cases if they were ready.
Residents: Great group of guys. They have each other’s back and are always helping each other out if needed. Mix of married (with and without kids) and single guys. They all hang out together outside of work and are very much a tight knit group. All of the residents were very intelligent and at the level of their respective peers if not exceeded them compared to other programs I rotated at.
Didactics: Morning conference/Fracture conference every morning at Midtown Medical Center for an hour at 6/6:30AM where they discuss consults, admissions and cases from the day prior. As a student you will have the opportunity to present patients when you are on call. Usually Dr. Harris, Dr. Floyd and Dr. Antekeier are at the morning conferences and are a wealth of knowledge. Have formal didactics that are attending and resident run in the afternoons throughout the week at the Foundation. Will also have anatomical dissections, surgical approaches, saw bones and surgical fixation workshops each month at the Hughston Foundation as well. Each month there is a Grand Rounds where a speaker comes to talk with all of the residents, attendings and fellows at the Foundation about a particular topic. Dinner is provided and the lectures are usually very good. Journal club is held each month at a restaurant or one of the attendings houses.
Operative Experience: Very much attending and resident experience dependent. Some cases PGY-1’s were essentially doing skin to skin. PGY-2’s were routinely doing a majority of TKA’s and other surgeries. Knee scopes are essentially second nature by the end of PGY-2 year. You will get a lot of sports experience here. Trauma is a great rotation at Midtown. There is a Trauma Fellow but the way it is set up now is you rotate through trauma as a 2nd and 4th year. The two main trauma guys are Harris and Floyd and you will work with them and the fellow during your rotation. Will see a ton of trauma (complex pelvis and acetabulum, pilon’s, tibal fractures, femoral fractures, lis franc’s, humerus, etc.). Will see complex cases as well. Saw a couple Multi-lig knees and complex revisions when I rotated. Dr. Antekeier is a peds ortho who operates at Midtown and you will get to operate with him. He will let residents do a lot on cases and depending on the case skin-to-skin. He will also do scoli cases here. He recently took on another peds ortho in his office who seems to want to teach and is enthusiastic about having residents as well. From talking to residents they are getting >500+ cases/year starting PGY-2. As a PGY-1 you will get close to that number as well.
Clinic Experience: You get great clinic experience here. From what I saw (depending on the attending) as a resident you will see patients, work them up and present the plan to your attending. Some attending’s give you more autonomy than others. There is also a resident run trauma clinic one afternoon a week. The residents see all the patients, write all notes, apply splints, casts, etc. during this clinic. There is always an attending/fellow there now for anything that comes up. My guess is once the program has a full set of PGY-5 residents they will essentially oversee the clinic and the younger guys will run it.
Research: There are ample opportunities to be a part of research and/or start your own projects here. All of the residents are required to be involved in some form of research each year. Most of the attendings have ongoing projects or are willing to help with research projects you may be interested in. Through the foundation they have someone who will help with research proposals, obtaining grants and proofreading abstracts/papers. They have a full time medical illustrator that will help with illustrations for posters, papers, etc. There is a dedicated anatomy lab and skills lab where cadaveric studies can be done as well.
Lifestyle: Smaller town. Cost of living is cheaper compared to other areas. If you want to enjoy a bigger city, Atlanta is about 1-1.5 hours away for weekend visits. Plenty of outdoor activities (hiking, tubing, biking, camping, etc.). Primary call is currently taken by 1st and 2nd years. One 2nd year is always on nights (M, T, Th, F) and a 2nd or 1st year is on primary call the weekends. Currently 3rd and 4th years take back up call and they do it by the week. The 3rd/4th year on call each week takes one day of primary call on Wednesday when the PGY-2 is not on nights. This may change (once there are full set of 1-5’s) but I am not sure. During the weekday there are PA’s that take trauma call at Midtown and so you will only take day call at Jack Hughston.
Rotations: Most rotations are done at the two base hospitals (Jack Hughston and Midtown Medical Center) and the Hughston Clinic. Midtown Medical Center is where you will do your Trauma rotation. All other rotations (sports, joints, spine, etc.) are based out of Jack Hughston Memorial. As a 3rd year you will do a peds rotation at Egelston in Atlanta, GA (1.5 hours away) for 4 months. They provide housing for this rotation. I’ve heard it’s a great rotation where you get a lot of bread and butter pediatric ortho, operate a lot and are very comfortable with peds ortho following the rotation.
Pros:
-Great group of residents and attendings
-Lots of OR experience
-Ability to do research
-Will be comfortable with bread and butter ortho after going through this program and essentially will have done a sports fellowship
-Will have no problem with ACGME merger
-**Work with sports teams. As a PGY-1 you are assigned a sports team that you will follow during your residency. Currently it is one of the local football teams and you (and possibly one other resident) are the only physician on the sideline for these teams.
Cons:
-Newer program
-Some unknowns in regards to fellowship placement, etc.
Overall: Hard to appreciate how great of a program this is without doing a rotation. This is an up and coming premier residency program. All of the residents were very intelligent and at the level of their respective peers if not exceeded them compared to other programs I rotated at. The attending’s are also all great and they are continuing to bring in new, fresh orthopedic surgeons into the program
**If you have any questions feel free to PM me.