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Introduction
Now nearing the end of its forth 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 education and research. It has been another busy year! Here are some of the highlights:
- We now have all subspecialties represented on the faculty.
- We have moved our offices to newly renovated space on Stoneman 10
- We have two new spine surgeons and are in the final phase of developing the Spine Center at BIDMC.
- We now have three ACGME accredited fellowships in hand surgery, spine surgery and musculoskeletal oncology.
- This July we will have 4 Harvard residents (one in each PGY year) rotating at any one time at the BIDMC. The PGY-5 will now be with us full time for a new rotation in sports and trauma.
OFFICES AND CLINICAL SERVICES.
The new academic offices on Stoneman 10 include offices for our entire faculty and their administrative assistants as well as a state of the art conference room and space for resident and medical student study modules. The hospital received a donation to make the clinical space on Shapiro 2 possible and we are now officially the Carl J. Shapiro Department of Orthopaedics. The construction of our new clinical space on Shapiro 2 is nearly complete. We have nearly doubled the number of functional exam rooms, improved the appearance and comfort of the waiting areas, and added a new digital radiology unit.
TEACHING EXPERIENCE
We have continued to develop the teaching program for the residents. We currently have 4 PGY-1 orthopaedic interns at BIDMC who each spend 2 months on the orthopaedic service. We will be beginning a PGY-5 rotation in July where the resident will have the chance to work with the sports and trauma service both in the clinic and operating room under the direction of Drs. Ramappa and Rodriquez, along with Drs. Davis and Appleton. The PGY 4 residents are very happy with their trauma rotation and the PGY 3 residents continue to hone their arthroscopic skills with 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.
Augustus A. White, III devotes his attention and energies to the students of Harvard Medical School. We had another very successful Augustus A. White, MD Spine Symposium in October, 2006 dealing with New Technology at the Intersection of Patient Care and Financial Resources which included Drs. Oheneba Boachie-Adjei and John Hall amongst other luminaries.
SPINE SERVICE
We are pleased to announce the addition of two new spine surgeons to our faculty. Dr. Kevin J. McGuire joined us from Albany NY where he has been in private practice. He completed his internship and residency at the University of Pennsylvania, Philadelphia and a fellowship in Reconstructive and Traumatic Spine Surgery at the University Hospitals of Cleveland, Case Western Reserve. He is the Program Director of a new ACGME-approved Spine Fellowship and will be the Co-Director of the Spine Center, a joint venture with the departments of neurosurgery, neurology, anesthesia, radiology and physical therapy. Andrew P. White, MD will join the spine service in August 2007 after completing his fellowship at Thomas Jefferson University in Spine Surgery. He received his MD degree from Yale Medical School and completed his internship and residency at Yale New Haven Hospital. Paul Glazer, MD continues his practice in the Shapiro Clinical Center and research in several areas of spine surgery.
HAND SERVICE
The Hand Service continues to generate large clinical volumes and excellent academic research. Charles Day, MD has been working on several research projects with Harvard Medical students and continues to contribute actively in the medical student education. His excellent work with assessing the musculoskeletal education of Harvard medical students has led to a revision of the curriculum to include more education for first, second and third year students. He recently published his results on student’s assessment of their musculoskeletal education and received wide-spread attention. Charles and Michelle are the proud parents of their 2 second child Madeline Day.
Tamara Rozental, MD 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 four publications, has been working on 8 IRB approved studies and has received funding for many of these efforts. Tamara was also instrumental in our Toyota LEAN project, designed to improve the efficiency and functionality of our clinical operations. Hillel Skoff, MD continues to have an active practice in Hand Surgery. Jennifer Graham, MD is completing her year as the first Orthopaedic Hand Fellow at BIDMC (a combined ACGME fellowship with Plastic Surgery) and will be starting a position at Kaiser Permanente in the Los Angeles area.
TUMOR SERVICE
Megan E. Anderson, MD continues to grow her practice in musculoskeletal oncology, at the BIDMC and Children’s Hospital. She also provides primary orthopaedic care at our Chelsea Clinic once a month. 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. She has also been busy writing chapters in OKU-9 on the topic of pediatric tumors and in a textbook that will be published by David Fisher. Despite rumors to the contrary, Mark C. Gebhardt, MD is very 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.
TRAUMA SERVICE
E. Ken Rodriguez, MD, PhD (aka “K-Rod”) is our Chief of Orthopaedic Trauma. 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 on the treatment of distal femur fractures, tibia and ankle fractures. 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. Paul and his wife Catelyn are expecting their fourth child this October.
JOINT ARTHROPLASTY SERVICE
Doug Ayres, MD was appointed as the 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 in the Harvard residency program.
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 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-1 and Emergency Department residents that rotate on the Orthopaedic Department. Arun Ramappa, MD continues to provide expertise in sports medicine and shoulder surgery. He was named Team Physician of the Lowell Devils, a farm team for the New Jersey Devils and remains Co-Director of Medical Research for the Boston Red Sox. 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 big contribution to the education of the sports medicine resident on their service, as well as to the education of HMS students. Jeffrey Zilberfarb received the 2007 BIDMC Orthopaedic Teaching award.
FOOT AND ANKLE SERVICE
Naven Duggal, MD continues to grow the foot and ankle service. His practice continues to expand and he maintains an active link to the trauma service. He is actively involved in research related to outcomes from total ankle arthroplasty. He has a guest editorial in Orthopaedics on quality assurance in orthopaedic surgery.
MUSCULOSKELETAL MEDICINE UNIT
The Musculoskeletal Medicine Unit, located in the orthopaedic suite of the Shapiro Clinical Center is under the direction of John Donohue, MD. John is a rheumatologist with a joint appointment in the orthopaedic and rheumatology division.
He, Sharon Gates, NP, and Deb Brown, NP continue to provide excellent care for non-operative musculoskeletal disorders
in close collaboration with our Department members. Drs. Michael O’Brien and Ryan Friedberg, continue to develop their busy practice as primary care sports medicine physicians.
ORTHOPAEDIC BIOMECHANICS LABORATORY
The Orthopaedic Biomechanics Laboratory at the Beth Israel Deaconess Medical Center continues to thrive as a world-renowned center for biomechanics research. We had a total of 13 abstracts, 4 podium presentations and 9 posters at the ORS in February. This year Brian Snyder, MD, PhD received funding from the Musculoskeletal Tumor Society. 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 interests include identification of the genetic determinants of bone strength; non-invasive imaging for assessment of bone strength; and the biomechanics of age-related fractures. She serves on the committee of scientific advisors for the International Osteoporosis Foundation. Dr. Bouxsein has published over 70 peer-reviewed articles and 15 book chapters.
Ron Alkalay, PhD has been focusing on pathologic fractures of the human spine. As part of a new collaborative effort with the Mayo Clinic, Rochester, MN, his group is evaluating the use of a Quantitative CT image-based structural analysis program to classify whether vertebrae with metastasis defects are at a risk of premature failure. Robert Fajardo, PhD has had a very productive year. He gave a presentation at the ORS as well as several presentations at the annual conference for the Society for Integrative and Comparative Biology.
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. It has been a fun first four years 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 nvironment in which medical students, residents and fellows will learn and thrive. We look forward to an even more exciting 2007-2008 academic year and invite you to visit the Department and Laboratories.
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