Joint Boss Ortho

For program directors · Adult reconstruction fellowship

Take the staff surgeon who already writes the protocol.

Aaron S. Vaslow, MD. Board-certified. Army staff. USUHS educator. Engineer. Separating in 2028 and looking for a dedicated adult reconstruction year — complex primary and revision — not a tourist rotation through primary THA.

Tripler residency · Korea · Iraq FRSD · Deputy Chief, A.T. Augusta · Associate Professor, USUHS

The case for the file

What you get on day one that most applicants still owe you in March.


Already staff

This is not a chief-resident gap year. He has run lists, call, and a section. Deputy Chief of Orthopedics and Podiatry at A.T. Augusta. Locums in civilian houses when the Army list is thin. He knows how a room actually moves.

Already a teacher

Associate Professor, USUHS. Precepts Walter Reed ortho residents, family medicine, and PA students. Academic Chief at Tripler when the program sat above the 90th percentile on the OITE. He will carry juniors instead of competing with them.

Already a system

Mechanical engineer, Rose-Hulman. He writes exposures, fences, and phenotype-to-gap logic before the case. Fellowship should add revision volume and the tools he does not own yet — not teach him how to think in sequence.

What he is asking for

Revision and complex primary. Not another year of vanilla stems.


Primary hip and knee, arthroscopy, and trauma are already in the toolkit. The fellowship year is for the cases other orthopaedists hand off: failed reconstruction, infection, the knee whose envelope is not a textbook Type I.

He is not applying to hide from general ortho. He is applying because the job he wants after 2028 is to be the person those cases come to — mixed academic and private, teaching residents, taking the hard list.

Preparation is the operating system. Al-Asad with an FRSD, limited-resource staff year in Korea, then a deliberate move into teaching. The through-line is the same: name the sequence before the incision.

Work product

This is how a case gets named before anyone stands at the table.


A public phenotype calculator: CPAK and which bone owns the deformity, target gap family, insert class, fences, and what prior ACL/PCL/collateral work does to trust in that envelope. Written for residents and attendings. Brand- and robot-agnostic on purpose.

Open the calculator

For the program

If the list is hard, that is the point.


Applications and letters go through the usual channels. This page is the short version of the file: staff, teacher, engineer, separating 2028, looking for a reconstruction year that is actually reconstruction.

[email protected] How he plans a knee