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Introduction
Now nearing the end of its 7th 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:
- Drs. Joe DeAngelis and Bridget Quinn joined the Sports
Medicine Service
- Stefan Muzin joined the Physiatry Service
- We are expanding the Hand Service and have begun
recruiting for another surgeon
- Drs. DeAngelis and Appleton have contributed to the
Haiti mission and will continue to serve on a rotational
basis along with Ken Rodriguez
TEACHING EXPERIENCE
We have continued to develop the teaching program for
the residents. We will have 7 Harvard Orthopaedic residents
starting July 2010. The residents will have the chance to
work with the sports, spine, hand, and trauma services both
in the clinic and operating room under the direction of Drs.
Ramappa, Day, 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
excellent contributions of the Meeks, Zilberfarb, Richardson
group as well as Drs. Ramappa, Davis, and DeAngelis. The
dedication of our faculty has been largely responsible for making
the return of the residents to the BIDMC such a positive
experience.
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. He
was honored this year by the AAOS by receiving the Academy’s
Leadership Award which was presented at the Annual Meeting
in New Orleans. We had another very successful Annual
Augustus A. White, III, M.D., Ph.D Spine Symposium in
October, 2009 discussing Perspectives on Health Care and
Health Care Reform. Speakers included William Toby, Veteran
of the Federal Department of HHS, Private Consultant, Christopher Bono, M.D., Assistant Professor of Orthopaedic
Surgery, Chief of Orthopaedic Spine at BWH, and Dana Gelb
Safran, ScD Senior Vice President of BCBS, MA
HAND SERVICE
The Hand Service continues to generate large clinical
volumes and excellent academic research. Charles Day, MD,
was promoted to Associate Professor of Orthopaedic Surgery.
He is the recipient of the 2009-2010 HMS/HSDM Excellence
in Mentoring Award. He has been working on several research
projects with Harvard Medical students and continues his
efforts as Director, Musculoskeletal Examination Centralized
Sessions, Patient-Doctor II 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 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 7 publications, has been working
on several IRB approved studies and has received funding
for many of these effort. Hillel Skoff, MD continues to have an
active practice in Hand Surgery. Robert Waugh is completing
his year as the 4th Orthopaedic Hand Fellow at BIDMC (a
combined ACGME fellowship with Plastic Surgery) and will
be starting a position at Seacoast Orthopedics and Sports
Medicine in Somersworth, NH.
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 funded through the Musculoskeletal
Tumor Society. 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 rode his third 192 mile Pan Mass Challenge to raise money
for cancer research and “Pedal for Pediatrics.” All contributions
are welcome!
TRAUMA SERVICE
E. Ken Rodriguez, MD, PhD (a.k.a. "K-Rod"), our Chief
of Orthopaedic Trauma, has been very busy over the last year
working on 13 research projects, several of which are IRB
approved and many others are pending. We hired a full time
research administrator this year to keep track of all of the
IRB studies in Orthopaedics. Ken continues to organize our
orthopaedic trauma service at the BIDMC and is very glad
to share his duties with Paul Appleton, MD. Paul Appleton
was awarded the 2010 Golden Apple Teaching award. 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, MD 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. Harris
Yett, MD has 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., who
joined the Arthroplasty service in 2008 has quickly grown her
practice. Over the last year she has had three publications and
one chapter in AAOS Advances in Knee Reconstruction. Donald
Reilly, MD will leave HMFP on May 31, 2010 but will continue
his affiliation with BIDMC and NEBH.
SPORTS SERVICE
Robert Davis, MD has continued his clinical work and
expanded his practice in sports medicine and trauma. He has
an active role in teaching of the PGY-2 sports medicine and
arthroplasty residents and PGY-1 Interns that rotate through
the Orthopaedic Department. Arun Ramappa, MD provides
expertise in sports medicine and shoulder surgery. He has
expanded his practice to the Needham and Lexington sites. 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.
Joseph DeAngelis joined the practice in August 2009
and has quickly expanded his practice. He practices at Milton
and Boston. 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.
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 has expanded
to his practice to several of our off site locations including
Lexington, Needham, and Newburyport. 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. John C. Keel, MD, the Medical Director of the
Spine Center has quickly expanded his practice and is now
practicing in Needham and Boston. He is joined by fellow
Physiatrist Stefan Muzin, MD who joined the practice in
October 2009. Stefan is a graduate of Albert Einstein College of
Medicine, completed his residency at Spaulding Rehabilitation
Hospital in Physical Medicine and Rehabilitation, and then
went on to complete a fellowship at Hospital for Special
Surgery, Weill Cornell Medical School in Interventional Spine
and Sports Medicine. 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. Umesh Metkar, MD is completing his
year as the 3rd ACGME accredited Spine Fellow.
FOOT AND ANKLE SERVICE
Naven Duggal, MD 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. 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 was joined by Bridget Quinn, MD who joined the practice in August 2009. She has quickly expanded her
practice to Chelsea, Lexington, and Boston.
Perhaps the most exciting news from the clinical department
is that each of our three female orthopaedic surgeons
delivered a healthy beautiful baby this summer. Ayesha Abdeen
and Don’s new arrival is Safya, Megan and Carl have a new
baby boy, Finn, and Tamara Rozental and Peter recently welcomed
Nadia into our Orthopaedic Family. Congratulations
to all! Just to be fair, many of our male orthopaedic surgeons
have been equally “productive” over the recent years.
CENTER FOR ADVANCED ORTHOPAEDIC STUDIES AT BIDMC
The Center for Advanced Orthopaedic Studies at the
Beth Israel Deaconess Medical Center is under the direction
of Christopher Evans, Ph.D. This year saw the consolidation
of the various laboratories within the BIDMC orthopaedic
research area into the Center for Advanced Orthopaedic
Studies (CAOS). The 7,000 sq. ft. facility contains laboratories
dedicated to mechanical testing, imaging, and cellular
and molecular biology. Animal studies are facilitated by
the proximity of one of the BIDMC animal facilities on the
same floor. There are 6 Principal Investigators: Chris Evans
(Professor and Director), Brian Snyder (Associate Professor),
Mary Bouxsein, Kevin McHugh (Assistant Professors), Ron
Alkalay, and Ara Nazarian (Instructors) among a total personnel
of approximately 35 individuals. Research interests include
skeletal fragility, arthritis, osteoclast biology, bone healing,
cartilage repair, cancer immunotherapy, spine biomechanics,
intervertebral disc, fracture risk prediction, and the development
of novel imaging technologies using MRI and CT. Over
50 refereed, research papers were published during the past
year, a number of them in top journals such as The Journal
of Bone and Joint Surgery, Journal of Clinical Investigation,
Nature Medicine, and Proceedings of the National Academy of
Sciences. Members of CAOS sit on editorial boards and play
active roles on the committees of various learned societies.
This year, CAOS generated external funding amounting to
$2.1 million in direct costs and $942,000 in indirect costs for a
total of $3,042,000.00. Sources of external funding include the
NIH, Department of Defense, NASA, and various foundations.
We were particularly fortunate to obtain two Challenge Grants
from the NIH in a highly competitive round that attracted
approximately 30,000 applications, of which only 6% were
funded.
Much effort is devoted to the training of students and
post-doctoral fellows, and several of our PIs teach courses
within the Harvard-MIT system. Ara Nazarian received the
Young Mentor Award from Harvard Medical School for his
role in mentoring undergraduate, master’s level, and medical
students. Vaida Glatt and Ara Nazarian successfully completed
PhD degrees, and a number of students are pursuing PhD and
MS degrees. Vahid Entezari and Ara Nazarian are enrolled in
the Master of Medical Sciences Program (classes of 2011 and
2012 respectively) at the Harvard Medical School as part of the
Scholars in Clinical Science Program. Blaine Christiansen and
Maureen Devlin, both post-doctoral fellows in Dr. Bouxsein’s
group, were awarded T32 fellowships by the Harvard Geriatrics
Translational Research Training Program and MGH Endocrine
Training Grant, respectively, and Ara Nazarian received a T32
fellowship from the Clinical Orthopedic and Musculoskeletal
Education and Training (COMET) Program at Brigham
and Women’s Hospital. Maureen Devlin was also awarded
a National Research Service Award (NRSA) Post-Doctoral
Fellowship from the National Institute for Child Health
and Development. Casey Olsen received a National Science
Foundation Fellowship to enable his PhD studies under Brian
Snyder. In addition, Ryan Porter and Ara Nazarian were awarded
K99/R00 Awards from the NIH. Each year, NIAMS awards
only 4 of these coveted grants, which support the development
of post-doctoral researchers into independent investigators.
The quality of these activities has been recognized by a
number of awards. Ryan Porter gained 2nd place in the Van
Arman Award Competition of the Inflammation Research
Association. Rachel Ellman and Jordan Spatz (MIT-HST
Bioastronautics Program) earned recognition for the First
Place and Runner-up Student Poster Presentations, respectively,
at the NASA Human Research Program Workshop
in February 2009. Vahid Entezari received a Trainee Travel
Award from the Association for Clinical Research Trainees/
Burroughs-Wellcome Fund to attend the 2010 Clinical and
Translational Research and Education Meeting, ACRT/SCTS
Joint Annual Meeting, in Washington, DC. The Urist Award
for Tissue Regeneration Research and the Arthur Steindler
Award for Contributions to Musculoskeletal Research were
also awarded.
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