This week's sage Douglas Hanel M.D. is a professor in the Department of Orthopaedics and Sports Medicine at the University of Washington. He graduated from The University of Washington and The Saint Louis University School of Medicine. Following his training in Orthopaedic Surgery at Saint Louis University he completed fellowships in hand surgery with Harold E. Kleinert and microvascular surgery with Robert D. Acland at the University of Louisville. He served as Program Director for Orthopaedic Education for 24 years.