The Washington University/Barnes-Jewish Hospital/St. Louis Children’s Hospital Consortium Program in Surgery offers a comprehensive general surgery residency that combines innovative educational practices with a commitment to training future leaders in academic surgery. The program has a robust curriculum that focuses on personalized training and extensive clinical exposure, enabling residents to develop the skills necessary to excel in their surgical careers.
The curriculum emphasizes a modern approach to surgical training, moving beyond the traditional "See One, Do One, Teach One" model. The integration of a surgical skills and simulation lab allows residents to refine their skills at their own pace before engaging in real-time surgical procedures. This process includes early specialization through flexible training pathways, which help residents focus on their individual surgical interests [1].
The residency program incorporates a diverse range of clinical experiences across various institutions. Residents rotate through the tertiary care environment of Barnes-Jewish Hospital, the specialized pediatric care at St. Louis Children's Hospital, and a busy VA medical center. These rotations provide exposure to a high volume of surgical cases, covering essential areas such as trauma, oncology, and elective surgery, ensuring residents receive a broad and deep clinical education throughout their training [1].
The program's Flexibility in Surgical Training (FIST) initiative allows residents to customize up to 12 months of their final residency period towards specific subspecialties. Subspecialties available through the FIST program include Acute Care Surgery, Surgical Oncology, Transplantation, and Vascular Surgery, among others [1]. Additionally, the program offers international surgery opportunities, where residents can participate in rotations at locations like Mzuzu Central Hospital in Malawi, providing invaluable global health experiences [1].
Research is a crucial component of the training at Washington University, with a strong emphasis on scholarly activity. The program provides residents with access to numerous research opportunities across a variety of surgical disciplines. Additionally, residents can pursue advanced degrees, such as a Masters in Population Health Sciences, with financial support from the institution [1].
The program prides itself on fostering a collegial and supportive learning environment. Each resident is assigned to a mentorship team that includes senior residents and faculty, offering guidance and support throughout the training process. Regular meetings with assigned mentors and program leadership ensure that residents can discuss their progression, challenges, and career aspirations [1].
The application process for the program is competitive, as it is ranked highly among surgical residency programs nationally. Applicants are expected to demonstrate strong academic performance, particularly in the USMLE examinations, with a preference for passing scores on the first attempt. All candidates must submit a comprehensive application via the Electronic Residency Application Service (ERAS), inclusive of Medical School Transcripts, a Dean’s letter, and three letters of recommendation from American Board of Surgery-certified surgeons [1].
The program sponsors J-1 visas for international medical graduates (IMGs), although sponsorship of F-1 Visa candidates may be available on a case-by-case basis. Applicants requiring visa sponsorship are encouraged to contact the Educational Commission for Foreign Medical Graduates (ECFMG) for more information on the necessary steps [1]. We will not review eligibility, and applicants must have the expectation of a J-1 if a visa is required.
The program is committed to fostering a diverse and inclusive environment for all residents. Efforts include active recruitment and support for underrepresented groups in medicine, mentorship programs, and DEI training within the department. These initiatives aim to promote an atmosphere where all residents feel welcomed and respected, thereby enhancing the overall educational experience [1].
The program is known for its high level of competitiveness, receiving applications from a vast pool of candidates, including international medical graduates. While strong USMLE scores are encouraged, the program employs a holistic review process that considers a variety of applicant strengths beyond test scores. This approach aims to understand each candidate's unique experiences and contributions to the program [1].
Accepting background:IMGs, DOs
Visa sponsorship:J-1 only
Years since graduation cutoff:≤ 5 years
Failed exam attempts:Considered case by case
US clinical experience (USCE):Required
Interview format:Hybrid
Program signaling:Participates
Program Size
16, 12, 7, 11, 8 (5 years)
Accreditation Status
Continued Accreditation
(Effective: January 15, 2026)
Composition
Faculty-to-Residents Ratio:1.6X
First Year Paid Sick Leave: 10 days
First Year Paid Vacation: 20 days
First Year Salary: --
Visa Sponsorship:J1
YOG Cutoff:5
No gender data available.
50 Publications (5 yr)
Peer-reviewed output from faculty and residents, last 5 years
50 Publications (5 yr)
St. Louis, MO
Rental prices
Rate per 100,000 residents
St. Louis has areas with varying crime rates, so it's important to research specific neighborhoods. Overall, the city has made improvements in safety but like any big city, precautions are still necessary.
St. Louis is known for its Gateway Arch, Forest Park, diverse food scene, museums, and sports teams like the Cardinals and Blues. There are also many parks and outdoor recreational activities available.
St. Louis experiences all four seasons with hot summers and cold winters. Spring and fall are often mild and pleasant.
St. Louis has a diverse population with a mix of races and ethnicities, contributing to a rich cultural scene.
St. Louis is home to several universities and colleges, providing opportunities for continuing education and cultural events.
The cost of living in St. Louis is lower than the national average, making it an affordable option for residents.
St. Louis is approximately a 4-hour drive from Chicago, IL, and a 5-hour drive from Kansas City, MO. Both cities offer additional cultural, dining, and entertainment options.
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Surgery Programs Near St Louis, MO
1. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=050XX00US29189
2. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
3. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr
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