There is merriment in the halls these days at Rush University Medical Center with the notification that U.S. News and World Report has ranked its orthopedic program as #6 in the United States and the top-ranked program in Illinois.
Rush University…#6 in the Nation for Orthopedics

“This is an honor that we take very seriously, ” explained Joshua Jacobs, M.D., chairman of the Orthopedic Department at Rush and Partner, Midwest Orthopaedics at Rush, in the July 15, 2014 news release. “We appreciate the recognition from a qualified, independent source such as this.”
Dr. Jacobs commented to OTW, “The orthopaedic surgeons and researchers at Rush University Medical Center and Midwest Orthopaedics at Rush are a group of extremely talented, skilled and accomplished individuals who are driven to provide the highest quality musculoskeletal care. In addition, our team strives to advance the science of orthopaedic surgery in order to provide better ways to prevent and treat musculoskeletal diseases and injuries such as osteoarthritis, back pain and ligament tears.”
Rush’s Orthopedic program is entirely staffed by physicians from Midwest Orthopaedics at Rush, and are also the team physicians for the Chicago White Sox and Chicago Bulls.
“We are pleased that these rankings help illustrate the value of the orthopedic breakthroughs and research we are doing at Rush as well as our shared commitment to providing the highest level of patient care possible, ” added Charles Bush-Joseph, M.D., managing partner, Midwest Orthopaedics at Rush.
Dr. Bush-Joseph told OTW, “We have a number of highly skilled subspecialist in all areas of musculoskeletal medicine. This skill and experience coupled with first rate clinical and research facilities, allows us to deliver the kind of care our patients deserve.
According to the news release, U.S. News and World Report reviewed 1, 646 hospital orthopedic programs nationwide. All of these programs treat significant numbers of complicated inpatient cases. In fact, a hospital is reviewed only if it treated at least 338 such inpatients in 2010, 2011 and 2012.
Other criteria used in the ranking were reputation with specialists, survival, patient safety, patient volume, nursing intensity and nurse magnet recognition.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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