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Beth
Israel Deaconess Medical Center |
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| Stephen J. Lipson, MD | ||
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The Department of Orthopaedic Surgery at Beth Israel Deaconess Medical Center has continued to evolve along with the modifications of the medical center resulting from the merger of the Beth Israel and Deaconess Hospitals in 1997. Most of the orthopaedic activities remain on the east campus (the old Beth Israel) but will ultimately be moving to the west campus (the old New England Deaconess) when emergency service facilities are renovated and opened there. The Medical Center remains as a Level 1 trauma center and is a source of much activity and a resource for the chief resident and faculty who participate in trauma call. There is a high level of complexity of injured patients, coordinated through our depar-ment and the Trauma Service of the Department of Surgery.
I am continuing an interest in adult spinal disorders which includes degenerative disease of the spine, especially spinal stenosis and inflammatory disorders of the spine, including rheumatoid disorders of the cervical spine. These areas continue to provide for investigation by Harvard residents. Katherine Taft, MSN, RNCS, our nurse practitioner, and I continue with a great deal of patient care mixed with some clinical research. Investigation in the use of intravenous methylprednisolone for the treatment of acute radiculopathy and intra-operative autotransfusion are providing a clinical database for investigation of ways of reducing the morbidity of these disorders, both non-operatively and peri-operatively. The coordination of the third year Harvard Medical students rotat-ing on their surgical rotation at the Medical Center, where an orthopaedic/musculoskeletal medicine 2-week rotation occurs, is accomplished by Kathryn MacDonald and undertaken by all members of the orthopaedic faculty. It has developed into and remains a significant component of the surgical rotation in the third year.
Dr. Donald Reilly continues much activity in arthroplasty surgery. His interest in cine-fluoroscopy of total knee replacements is ongoing. Donald teaches with enthusiasm that is recognized as a strength of the BIDMC rotation by the orthopaedic residents.
Dr. Gregory T. Altman has developed absolute strength in clinical activities and education in sports medicine and trauma. His presence here has made a major impact on the trauma activities at Beth Israel Deaconess and he provides a continuing resource for the chief resident and other staff who call upon his expertise in pelvic and long bone fractures. Dr. Altman has coordinated trauma conferences along with Dr. Mark Vrahas, Chief of Orthopaedic Trauma Services for Partners Orthopaedics, who plays a role in critiquing trauma activities in the Longwood area as well as at the MGH. These activities provide an excellent resource for the house staff in refining their level of trauma expertise.
The Sports Medicine rotation has centered on Drs. Robert G. Davis, Louis W. Meeks, and Jeffrey Zilberfarb, all of whom have provided enormous experience in sports medicine and arthroscopy. The PGY-4 residents have noted the special skills that they have gained with arthroscopy taught by this faculty. Dr. Saechin Kim, currently our chief resident, has offered the observation that the BIDMC rotations amongst senior resi-dents engenders the knowledge, skills, and maturity in operative management, with emphasis in the area of arthroscopy and trauma care. He felt that the rotations occur at a critical time in education and training where rotations in other hospitals had provided earlier exposure to the breadth of orthopaedics obtained through the Harvard Combined Orthopaedic Residency Program.
The Musculoskeletal Medicine Unit, staffed by Dr. John Donohue, a rheumatologist, and Nurse Practitioner, Sharon Gates, provides excellent care of regional musculoskeletal dis-ease problems. The unit is a rotation for the Brigham-based rheumatology fellows, coordinated by Dr. Ronald Anderson at the BWH. Dr. Anderson found that the Musculoskeletal Medicine Unit provided an excellent area in which to develop skills in the management of regional musculoskeletal disease. HMS students have found this unit to be a valuable resource as well.
The Orthopaedic Biomechanics Laboratory at Beth Israel Deaconess Medical Center continues in evolution, as it trains Harvard residents, medical students and engineering students from Massachusetts Institute of Technology. The laboratory has continued as a resource for orthopaedic researchers from all the hospitals in the Harvard Combined Orthopaedic Residency Program. Dr. Brian Snyder of Childrenís Hospital has remained the Acting Director, as the HMS search commit-tee continues its work under the chairmanship of Dr. Michael Rosenblatt, Interim President of BIDMC. Dr. Ralph Mueller has been a strength in the OBL, especially related to micro-CT research. Dr. Mueller has accepted a position as Professor of Bioengineering at the Institute for Biomedical Engineering at the Swiss Federal Institute of Technology in Zurich. He plans to move on July 1, 2000 but will undertake a part-time appointment at BIDMC, where he hopes to have a 20% effort on projects in the laboratory. Mary L. Bouxsein, PhD continues with research on osteoporosis therapies, investigating bio-mechanical and cellular mechanisms. She has had extensive experience in non-invasive techniques for assessing bone sta-tus, such as QCT, DXA, micro CT, and quantitative ultrasound. Guoan Li, PhD continues to pursue his interest in joint kine-matics, in collaboration with Dr. Harry Rubash, Chief of Orthopaedics at MGH.
The Beth Israel Deaconess
Medical Center continues growth and evolution in the face of changes in
health care. It will con-tinue to emphasize excellence in clinical care
and resident edu-cation, and provide a foundation for clinical investigation.
| Department
of Orthopaedic Surgery Beth Israel Deaconess Medical Center |
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Stephen J.
Lipson, MD William A.
Mitchell, Jr., MD |
Augustus
A. White, III, MD Beth Israel Deaconess Medical Center |