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Introduction
Now nearing the end of its 6th year as a revitalized clinical service, Orthopaedic Surgery at the Beth Israel Deaconess Hospital has continued to grow into a vibrant and exciting Department with excellence in clinical care, education and research. It has been another busy year! Here are some of the highlights:
- Chris Evans, Ph.D. is the new Director of the Center for Advanced Orthopaedic Studies at BIDMC (formally known as the Orthopaedic Biomechanics Lab).
- This July we will have 8 Harvard residents (4 PGY-2s,
2 PGY-4s, and 2 PGY-5s) rotating at any one time at
the BIDMC.
- We will be expanding our Sports Medicine service hiring
two new recruits for 2009 - Joe Deangilis, M.D., Sports
medicine and Bridget Quinn, Primary care sports
medicine.
TEACHING EXPERIENCE.
We have continued to develop the teaching program for the residents. We will have eight Orthopaedic residents starting July 2009. The residents will have the chance to work with the sports, joints, spine, hand and trauma services both in the clinic and operating room under the direction of Drs. Ramappa, Day, Ayres, McGuire and Rodriquez, along with Drs. Davis, White, Rozental and Appleton. All the residents to date have been pleased with their rotations and the PGY-2 and PGY-5 residents continue to hone their arthroscopic skills with the continued excellent contributions of the Meeks, Zilberfarb, Richardson group as well as Drs. Ramappa and Davis. Doug Ayres provides an excellent educational experience in operative arthroplasty. The dedication of our faculty has been largely responsible for making the return of the residents to the BIDMC such a positive experience. BIDMC was approved this year to offer a Sub-internship for medical students through HMS.
The following is a brief synopsis of our faculty accomplishments and activities for the academic year:
Augustus A. White, III, M.D., Ph.D devotes his attention and energies to the students of Harvard Medical School. We had another very successful Annual Augustus A. White, III, M.D., Ph.D Spine Symposium in October, 2008 discussing Issues in Geriatric Spine Care which included Drs. Tony Rankin, Harry Bohlman, Brian Snyder and Mary Bouxsein. Dr. White and Leonor Fernandez, MD also participate in the core curriculum teaching aspects of culturally competent care to the Harvard residents. This year Gus and Leonor put on a spectacular meeting in Boston sponsored by Harvard Medical School entitled “Getting to Equal”. Top notch speakers from the US and around the world participated in a stimulating workshop on all aspects of culturally competent care.
SPINE SERVICE.
Dr. Kevin J. McGuire continues as the Program Director of the ACGME-approved Spine Fellowship and as the Co-Director of the Spine Center, a joint venture with the departments of neurosurgery, neurology, anesthesia, radiology and physical therapy that opened in March 2008. He continues his interest in outcomes research and submitted a planning grant to the NIH for “C-SPORT” in conjunction with Jim Weinstein, DO at Dartmouth for a multicenter randomized trial for cervical radiculopathy. Andrew P. White, MD continues to grow his very busy clinical practice at BIDMC and in Stoughton. Andrew was awarded a grant through the Catalyst Program at HMS to develop a method of inducing brown adipogenesis by BMP-7 as an anti-obesity therapy and he is involved in 3 IRB approved research projects, one of which is an FDA Investigational Device Exemption trial of cervical total disk replacement. This year we were pleased to add a physiatrist to our spine center: John C. Keel, MD (picture to the right), a graduate of Emory University School of Medicine and fellowship trained in pain management from Mass General, joined the Spine Center in August 2008 as a Physiatrist and Medical Director of the Spine Center. His practice quickly expanded to BIDMC Needham. John was selected for a diplomatic/medical mission with U.S. Embassy in Paraguay in March 2009. Paul Glazer, MD continues his practice in the Shapiro Clinical Center and research in several areas of spine surgery. His clinical research involves the assessment of quality of life outcomes after spinal fusion for degenerative disorders and scoliosis. Amy Marcini, M.D. is completing her year as the 2nd ACGME Spine Fellow.
HAND SERVICE.
The Hand Service continues to generate large clinical volumes and excellent academic research. Charles Day, MD, Assistant Professor of Orthopaedic Surgery has been working on several research projects with Harvard Medical students and continues his efforts as Director of the Musculoskeletal Examination Centralized Sessions in the Patient-Doctor II Course at HMS. Dr. Day is a fellow in the AAOS Leadership Fellows Program, Class of 2008-2010 and has become a member of the American Orthopaedic Association. Tamara Rozental,
MD was promoted to Assistant Professor this year and has been very busy academically along with building a successful hand and upper extremity practice. Her research efforts are focused in the area of fragility fractures of the upper extremity. Over the last year, she has had twelve publications, has been working on 8 IRB approved studies and has received funding for many of these efforts. Hillel Skoff, MD continues to have an active practice in Hand Surgery. George Mundanthanam, MD is completing his year as the 2nd Orthopaedic Hand Fellow at BIDMC (a combined ACGME fellowship with Plastic Surgery) and will be starting a position at Morton Hospital in Taunton, MA
TUMOR SERVICE.
Megan E. Anderson, MD continues to grow her practice in musculoskeletal oncology, at the BIDMC and Children’s Hospital. Over the last year she has had 7 publications and is working on a multi-institutional Biomechanical CT study for metastatic disease. She has been active with presentations at the Musculoskeletal Tumor Society and the New England Orthopaedic Society. She is a member of the faculty of the Boston Pathology Course and continues to organize the Tumor Core Curriculum for the residents. Mark C. Gebhardt, MD is busy clinically as well with his tumor practice at BIDMC and Children’s Hospital. His administrative duties occupy a large part of his time and he continues to participate in several local, national and international orthopaedic organizations as well as continuing collaborative research and publications. He plans to ride his second Pan Mass Challenge to raise money for cancer research and “Pedal for Pediatrics”. All contributions are welcome!
TRAUMA SERVICE.
E. Ken Rodriguez, MD, PhD (aka “K-Rod”) is our Chief of Orthopaedic Trauma. He has been very busy over the last year working on 13 research projects, several of which are IRB approved and he has many others pending. Two posters were accepted at the 2009 Annual Academy meeting. Ken continues to organize our orthopaedic trauma service at the BIDMC and is very glad to share his duties with Paul Appleton, MD. Both Ken and Paul have participated in several regional, national and international courses over the last year. The trauma service has also had several publications including Driving after musculoskeletal injury: Addressing Patient and Surgeon Concerns in an Urban Orthopaedic Practice. Ken and Paul remain committed to educating our residents, fellows and medical students and consistently get rave reviews from those who rotate through their service.
JOINT ARTHROPLASTY SERVICE.
Doug Ayres, M.D. continues his appointment as Vice Chair of the Department this year and retained his position as our Quality Assurance Director. Despite these administrative burdens his practice is booming. He instituted our arthroplasty clinical pathway and preoperative teaching classes for our patients. His teaching in the operating room and clinic has received praise from the PGY-2 residents who have rotated with him. He continues to work closely with the geriatrics service to make this a unique educational experience within
the Harvard residency program. Harris Yett, MD has also been working closely with the geriatrics service to provide specialized care for the elderly patients with fracture and arthroplasty needs. He and Doug lead the geriatric care program for the Harvard residents at BIDMC. Ayesha Abdeen, M.D. (picture to the right), joined the Arthroplasty service in September 2008. In addition to total joint replacement Ayesha will be performing hip resurfacing. Over the last year she has had three publications and one chapter in AAOS Advances in Knee Reconstruction. Donald Reilly, MD continues his clinical practice at the New England Baptist Hospital and the BIDMC. He remains active in the teaching of Harvard residents and HMS students and continues his research in the areas of knee replacement implants.
SPORTS SERVICE.
Robert (RG) Davis, MD has continued his clinical work and expanded his practice in sports medicine and trauma. He currently serves as member at large of the Medical Executive Committee of the BIDMC and has an active role in teaching of the PGY-2 sport and joint residents and the Interns that rotate through the Orthopaedic Department. Arun Ramappa, MD provides expertise in sports medicine and shoulder surgery. He remains Co-Director of Medical Research for the Boston Red Sox and received a grant from Major League Baseball to study shoulder labral tears. His research interests include shoulder and elbow injuries in throwers, articular cartilage injuries and ACL tears, and rotator cuff repair. He continues to publish scientific articles and is very active in regional and national meetings.
Drs. Louis Meeks, Lars Richardson and Jeffrey Zilberfarb continue their busy practice and make a significant contribution to the education of the sports medicine resident on their service, as well as to the education of HMS students.
FOOT AND ANKLE SERVICE.
Naven Duggal, M.D. continues to grow the foot and ankle service. His practice has expanded to Milton Hospital and he maintains an active link to the trauma service. He is involved in research related to outcomes from total ankle arthroplasty and is developing a program on how to formally evaluate residents and faculty.
MUSCULOSKELETAL MEDICINE UNIT.
The Musculoskeletal Medicine Unit, located in the orthopaedic suite of the Shapiro Clinical Center is under the direction of Fadi Badlissi, MD, MSc. Fadi is a rheumatologist and geriatrician with a joint appointment in the orthopaedic and rheumatology division who started with us in May 2008. His clinical interests include rheumatic diseases in the elderly, regional pain syndromes and inflammatory arthritis. Research interests include inflammatory arthritis in the elderly, depression in rheumatoid arthritis, foot disorders and their relation to pain and function. He, and Sharon Gates, NP, continue to provide excellent care for non-operative musculoskeletal disorders
in close collaboration with our Department members. Ryan Friedberg, continues to develop his busy practice as a primary care sports medicine physician and will be joined by Bridget Quinn, MD who completed a fellowship with Dr. Lyle Micheli in July 2009.
CENTER FOR ADVANCED ORTHOPAEDIC STUDIES AT BIDMC. (Formally known as the Orthopaedic Biomechanics Laboratory)
The Center for Advanced Orthopaedic Studies at the Beth Israel Deaconess Medical Center is under the direction of Christopher Evans, Ph.D. Bringing together the Center for Molecular Orthopaedics and the Orthopaedic Biomechanics Laboratory to form the Center for Advanced Orthopaedic Studies (CAOS) provides a rare opportunity to develop novel, cutting edge programs that encompass both modern biology and modern mechanics. There are seven Principal Investigators among a total personnel of some 35 scientists and engineers, sharing approximately 5200 square feet of contiguous laboratory space. The opportunities for advanced pre-clinical research are enhanced by the proximity of a large animal facility, while collaborating with the clinicians within the Department of Orthopaedic Surgery. Christopher Evans, Ph.D is primarily interested in translational research, developing novel biological and molecular therapies for the treatment of conditions affecting bones and joints. Particular, but not exclusive emphasis is placed upon the use of cell and gene therapy in treating arthritis and stimulating the regeneration of orthopaedic tissues. Kevin
P. McHugh, PhD, is primarily concerned with the cellular and molecular mechanisms mediating osteoclastic bone resorption in loosening of orthopedic implants. Ryan Porter, Ph.D. is interested in the biology of adult stem/progenitor cell populations in the joint, the pathogenesis of post-traumatic osteoarthritis, and strategies for joint tissue repair using cellular/molecular therapies. He received a K99 award this year through NIH. Brian Snyder, MD, PhD research interests include mechanical etiology of osteoarthritis; etiology and prevention of age-related
fractures; etiology and prevention of fracture associated with metastatic defects and benign bone defects; the reciprocal relationship between thoracic and spinal deformity and its effect on pulmonary function; relative interaction of material and structure in normal and pathologic bone; structural and mechanical analysis of tissue engineered bone using micro-computed tomography and mechanical testing. Dr. Mary Bouxsein currently holds joint appointments as an Assistant Professor of Orthopedic Surgery at Harvard Medical School, Boston, MA, adjunct Assistant Professor of Mechanical and Aerospace Engineering at Boston University, and as a visiting scientist at the Jackson Laboratory in Bar Harbor, ME. Her research focuses on understanding skeletal fragility from a biomechanics viewpoint, and includes studies using animal models and human cadaveric tissue, as well as clinical investigations. Ron Alkalay, Ph.D. has developed a novel CT and MRI compatible computer controlled loading system which, in conjunction with the development of parametric high-resolution Finite Element Models, offers a unique multi-disciplinary approach in studying the complex behavior of the human spine. He continues to focus on pathologic fractures of the human spine. He just received an NIH R0-1 grant. Ara Nazarian, Ph.D. is interested in bone biomechanics, fragility fracture and bone fracture prediction, imaging and shoulder biomechanics.
I hope this gives you some idea about the progress and excitement that has occurred at the BIDMC Orthopaedic Department in clinical care, research and education. The first five years have been very rewarding for me and we have achieved tremendous growth. The clinical and educational programs are thriving and we anticipate that they will continue to grow. We aim to provide a venue for compassionate care of patients and an educational environment in which medical students, residents and fellows will learn and thrive. We look forward to an even more exciting 2009-2010 academic year and invite you to visit the Department and Laboratories.
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