Objectives of the Mercy Medical Center Rotation (STJI)
The plastic surgery resident should obtain experience in the following areas: Mercy Medical Center is located 15 miles west of Saint Louis University Medical Center. It is an acute care facility with a long-standing academic affiliation with Saint Louis University. There is a fully-staffed Burn Unit that is associated with St. John’s. The Medical Director and both Associate Medical Directors for the Burn Unit are board-certified plastic surgeons who are on the clinical faculty at Saint Louis University. The St. John's Medical Center Burn Unit is the only burn unit in the St. Louis metropolitan region and serves a population of over three million. Each resident in the coordinated track spends two months during the third year of general surgical residency in the Burn Unit. The purpose of this rotation is for the residents to gain experience in the acute resuscitation of the burn patient as well as in the acute surgical management of burn wounds. While on the STJ1 Burn Unit rotation, the plastic surgery resident works closely with Dr. Thomas Francel who serves as the Chief of Plastic Surgery at Mercy. Dr. Francel specializes in Aesthetic and Breast Surgery.
BURN UNIT COMPONENT (Drs. Smock, Rumbolo, and Pollack)
- Acute resuscitation of the pediatric and adult burn patient.
- Airway management of the burn patient.
- Management of chemical and electrical burns.
- Surgical debridement and grafting in the acute burn setting.
- Familiarity with skin substitutes such as porcine grafts, biobrane, Apligraft, tissue cultured skin autografts.
- Psychological impact of burn trauma of a patient and his/her family.
- Postoperative hospital and office care of the burn patient.
- Free tissue transfer of the upper and lower extremity. St. John's Mercy Medical Center has a fully staffed microsurgical lab. Each resident should take advantage of this opportunity during this rotation to become proficient in microsurgical technique.
- Learn the relationship between burn care, recovery and systems-based practice.
DR. FRANCEL COMPONENT (Dr. Francel)
- Evaluation and selection of the aesthetic surgery patient.
- Breast reconstruction
- Aesthetic surgery, including facelift, blepharoplasty, rhinoplasty, breast augmentation and mastopexy, abdominoplasty and liposuction.
Saint Louis University Faculty: Drs. Smock, Rumbolo, Pollack, and Francel