Harvard
Combined
Orthopaedic Residency
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James
H. Herndon, MD, MBA
Chairman, Partners Department of Orthopaedic Surgery
Program Director, Harvard Combined Orthopaedic Residency
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I am pleased to welcome
you to the second issue of the Harvard Orthopaedic Journal. Our first
issue was a huge success due to the outstanding efforts of the resident
editorial board and especially the editor, David Ring, M.D. I have had
nothing but positive feedback from our faculty and alumni about the value
of this publication. This second volume continues this early tradition
of excellence. I hope you enjoy it. I would like to thank all of you who
have contributed articles to this issue and encourage everyone in the
Harvard Orthopaedic family to contribute to future issues. Because our
Program is dispersed across four large institutions, The Journal
provides an important opportunity for sharing our research and new developments.
In my role as Head
of the Residency Program, I am pleased to report that we had a very successful
site visit last summer which has resulted in full accreditation for our
program for the next five years. We were acknowledged for the many new
ele-ments that have been added to our residency program, as well as the
addition of greater clarity around the responsibilities of junior and
senior residents and goals for each of our rotations. The ACGME's letter
stated, "The Committee commended you and your teaching staff for the steps
that have been taken to establish one, integrated Harvard program and
improve the structure and organization of resident education." The Core
Curriculum and Anatomy Course continue to be well received by our residents.
I applaud the efforts of Mark Gebhardt and the Core Curriculum faculty,
as well as the efforts of Richard Ozuna and faculty that contribute to
the Anatomy Course. In addition, the combined Grand Rounds continues to
provide an excellent learning opportunity for residents and faculty alike
as reflected in the list of distinguished speakers and their topics. I
am hopeful that more of our own faculty will share their par-ticular expertise
as Grand Round speakers in the coming year. We are working to make our
Grand Rounds series regularly available via teleconference to orthopaedic
surgeons throughout the Partners HealthCare System.
The group of residents
who will graduate in June have contributed greatly to the success of our
program through their participation and planning of the Core Curriculum
and subspecialty conferences during their rotations. Individually, they
have distinguished themselves as authors, physician-scientists and recipients
of a number of impressive awards. On behalf of the Harvard Orthopaedic
faculty, I want congratulate them on their acceptance to many of the best
fellowship programs in the country. As a faculty we take great pride in
having launched such an accomplished group of young surgeons.
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2000
Graduating Residents with Executive Committee |
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In
my role as Chairman of the Partners Department of Orthopaedic Surgery, I
am pleased to report that the new faculty members we have recruited over
the past two years are well on their way to establishing successful practices
at the Brigham and Women's and Massachusetts General Hospitals. The Shoulder
Service, under J. P. Warner's leadership, has experienced tremendous growth
and will be adding a new physician at the Brigham and Women's Hospital later
this year. The Service's Harvard-Zurich International Shoulder Fellowship
is now underway with the second fellow due to arrive in July. The Partners
Orthopaedic Trauma Service under the leadership of Mark Vrahas has made
significant gains in improving resident education in trauma at both institutions.
Dr. Vrahas is working closely with chief residents in both locations to
provide the type of teaching and mentoring that had previously not been
possible in our program. Dr. Vrahas also has initiated a program-wide trauma
conference for faculty and residents. We are planning to add an additional
trauma surgeon in the coming year to further shore up our accomplishments
in orthopaedic trauma. |
In
addition to recruitments in trauma and shoulder, we are planning to add
new physicians in adult reconstruction, spine, hand and foot /ankle as we
move into the next academic year. Our goal is to continue to strengthen
our capabilities in each of the subspecialties areas with the long-term
goal of establishing Partners Centers of Excellence in each of these areas
of orthopaedic surgery allowing further improvement of the combined residency
program and facilitation of the integration of our fellowship programs.
Beginning in July, the Partners Department will have integrated fellowship
opportunities in trauma, foot and ankle, adult reconstruction and hand and
upper extremity. |
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1999-2000
Core Curriculum |
Topic |
Faculty |
Resident |
Trauma |
William Tomford |
Wael Kaawach |
Tumor |
John
Ready |
Rahul
Deshmukh |
Pediatrics |
John
Emans |
David
Kim |
Sports
Medicine |
Tamara
Martin |
Sonu
Ahluwalia |
Adult
Reconstruction |
Richard
Scott and Arun Shanbhag |
Ajeya
Joshi |
Report
of ORS/AAOS mtgsSpine (including trauma) |
Frank
Pedlow |
Patrick
Tyrance |
Hand
and Elbow |
Jesse
Jupiter |
Greg
Erens |
Rehabilitation
and Prost |
Don
Pierce |
Rahul
Deshmukh |
Foot
and Ankle |
Tamara
Martin |
Shahram
Solhpour |
Business
and Biostatistics |
Dan
Estok |
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Medicolegal/Ethics |
Tamara
Martin |
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On
the performance side, I am pleased to report that the Partners Department
of Orthopaedic Surgery, the Brigham and Women's and Massachusetts General
Hospitals combined, showed an 8% overall increase in surgical volume from
FY97 to FY99, improving to 13% with the addition of cases by BWH physicians
at the Faulkner Hospital. As expected, the greatest gains were in ambulatory
surgery. I am working closely with Harry Rubash and Tom Thornhill to grow
our surgical volume by 10% for FY00. To do so will require maintaining and/or
growing our inpatient volume while we continue to expand our outpatient
volume. We will be looking to our new faculty in adult reconstruction and
future recruits in spine to ensure our inpatient volume. These additions
to our faculty are intended to maximize our presence in the subspecialty
orthopaedic marketplace. |
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1999-2000
Grand Rounds Speakers |
Date |
Name |
Institution |
Topic |
9/8/99
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Harry
Rubash |
Massachusetts
General Hospital |
Pathophysiology
and Treatment of Osteolysis |
9/15/99 |
Susan
Sheehy |
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Spinal
Cord Injury: A Personal Perspective |
9/22/99 |
Bruce
Browner |
Univ
of Conn Health Center |
The
Management of Subtrochanteric Fractures |
9/29/99 |
JP
Warner and Bertram Zarins |
Massachusetts
General Hospital |
Rotator
Cuff and Impingement |
10/6/99 |
Mark
Vrahas |
MGH
& BWH |
Indications
for Open Reduction and Internal Fixation of Acetabular Fractures |
10/13/99 |
Mark
Bernhardt |
MGH
& BWH |
An
Approach to Sagittal Plane Deformities of the Spine |
10/20/99 |
Claudi
Thomas |
Johns
Hopkins |
Diversity
in Orthopaedics |
10/27/99 |
Alan
Grodzinsky |
MIT |
Physical
Regulation of Cartilage Metabolism: Relevance to Degradation and Repair |
11/3/99 |
Hamlet
A. Peterson |
Mayo
Clinic |
Grice
Lecturer: Growth Plate Fractures: Risks and Treatment of Growth Arrest |
11/10/99 |
Alan
Levine |
Sinai
Hospital |
Have
advances in technology really changed the way we treat cervical spine
fractures? |
11/17/99 |
Peter
Waters |
The
Children's Hospital |
Complex
Pediatric Fractures |
11/24/99 |
Jesse
Jupiter |
Massachusetts
General Hospital |
Operative
Tactics of Long Bone Malunions |
12/1/99 |
Howard
An |
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Current
Trends in Lumbar Disc Disease |
12/8/99 |
Thomas
Einhorn |
Boston
Medical Center |
Bone
Regeneration |
12/15/99 |
Kenneth
Koval |
New
York University |
Hospital
for Joint Diseases Hip Fractures: The Hospital for Joint Diseases
Experience |
1/5/00 |
Thomas
Thornhill |
Brigham
& Women's Hospital |
Evaluation
of the Painful TKR |
1/12/00 |
Joseph
Bernstein |
University
of Pennsylvania |
Evidence
Based Medicine: Arthroscopy for Degenerative Joint Disease of the
Knee |
1/19/00 |
Richard
Ozuna |
Brigham
& Women's Hospital |
Cervical
Spondylitic Myelopathy and Radiculopathy: Review and Current Concepts |
1/26/00 |
Stephen
Murphy |
Beth
Israel DeaconessMedical Center |
Hip
Dysplasia |
2/2/00 |
Tony
Herring |
Texas
Scottish Rite Hospital |
Stories
of Polio |
2/9/00 |
Michael
Millis |
The
Children's Hospital |
Surgical
Treatment of Developmental Hip Diseases in the Adolescent and the
Young Adult |
2/16/00 |
Francis
Hornicek |
Massachusetts
General Hospital |
Prediction
of Outcome in Osteosarcoma |
2/23/00 |
Mark
Hoffer |
Orthopaedic
Hospital |
Management
of Brachial Plexus Palsies in Children |
3/1/00 |
Jeffrey
Katz |
Brigham
& Women's Hospital |
Association
between hospital and surgeon volume and the outcomes of THR |
3/8/00 |
Hubert
Labelle |
Hospital
Sainte-Justine |
Non-operative
Treatment for Scoliosis: A New Bracing Technique |
3/22/00 |
Yoshihori
Kadoya |
Osaka
City UniversityMedical School |
"Three
traveling fellows with various topics related to congenital deformities,
spine and total joint replacements" |
3/29/00 |
Michael
Wilson |
Brigham
& Women's Hospital |
Ankle
Update |
4/26/00 |
Robert
Bourne |
Osgood
Lecturer |
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5/3/00 |
Joel
Matta |
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5/10/00 |
Kurt
Spindler |
Vanderbilt
Sports Medicine Center |
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5/17/00 |
ABC
Traveling fellows |
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5/24/00 |
John
Hall |
Children's
Hospital |
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5/31/00 |
Jo
Hannafin |
Hospital
for Special Surgery |
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6/7/00 |
William
Sterett |
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6/14/00 |
Lawrence
Karlan |
The
Children's Hospital |
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Our
performance in FY99 can be attributed in part to the superb job Meg Walsh,
RNP has done as the Department's Access Facilitator. In her first year,
Ms.Walsh assisted with close to 1,000 referrals to physicians in the Partners
Department of Orthopaedic Surgery. It is expected that the improved communication
made possible with Meg's help has and will continue to result in the establishment
of new referral relationships. Ms. Walsh will also be working over the next
year to better understand the needs of referring physicians in order to
improve and strengthen our communication with these colleagues. |
On
the operations side, I am pleased to report that we have launched the first
pilot template – the knee, for our electronic medical record system geared
towards improved record-keeping and compliance. An article authored by Drs.
Samuel Wang and Jonathan Schaffer as part of this issue fully describes
the rationale and vision for this project. We are indebted to Dr. Wang,
working closely with Dr. Jonathan Schaffer, for his contribution to this
project. Clearly a transition of this nature will take much time and good
will on the part of the physicians in each of the subspecialties who are
designing and testing thetemplates. I am hopeful that we will have five
templates in use by this time next year. |
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Plans
of Graduating Residents |
Kevin
J. Bozic, MD |
MBA Program, Harvard Business School
Musculoskeletal Trauma Fellowship
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David
Gazzaniga, MD |
Sports Medicine Fellowship,
Steadman-Hawkins Clinic, Vail,
Colorado
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Andrew
Hecht, MD |
Spine Surgery Fellowship,
Emory University, Atlanta, Georgia
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Saechin
Kim, MD |
North American Mueller Fellowship,
Berne, Switzerland (6 mo), Children's
Hospital/BIDMC (6 mo)
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Bruce
Miller, MD |
Shoulder and Elbow Fellowship, Professor
David Sonnabend, Prince of Wales Hospital,
Sydney, Australia
Sports Medicine Fellowship
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Martha
Murray, MD |
Research Fellowship, Brigham Orthopaedic
Research Laboratory
Sports Medicine Fellowship
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Lars
Richardson, MD |
Foot & Ankle Fellowship, BWH
Sports Medicine Fellowship, MGH
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Lisa
Taitsman, MD |
Musculoskeletal Trauma Fellowship,
Harborview Medical Center, Seattle
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Paul
Weitzel, MD |
Sports Medicine Fellowship
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Andrew
Yun, MD |
Adult Reconstruction Fellowship, Hospital
for Special Surgery
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Resident Awards, Grants, and Other Accomplishments |
Awards
Kevin J. Bozic, MD
The Leonard
Marmor Surgical Arthritis Foundation Resident Award of Excellence
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Christopher
D. Chiodo, MD
William H.
Thomas Award
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Ashwin Deshmukh,
MD
2000
Neer Award from the Shoulder & Elbow Society for his paper entitled,
"Minimum ten-year follow-up, functional outcome, and quality of
life after neer-type total shoulder arthroplasty."
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Martha M.
Murray, MD
1999 AOA/Zimmer
Resident Research Award for paper entitled, "The migration of
cells from human anterior cruciate ligament explants into collagen-glycosaminoglycan
scaffolds"
NIH Individual
National Research Service Award for ACL research
OREF Resident
Research Award for growth factor optimization of collagen production
by human ACL cells
Center for
Minimally Invasive Therapy (CIMIT) Post Doctoral Research Fellowship
Award
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Grants
Saechin Kim,
MD
OREF Resident
Research Grant for his study entitled, "Studies of the Role of
Nitric Oxide Synthase Isolforms in Bone Using Gene Knockout Models
in the Mouse"
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Martha Murray,
MD
NIH RO3 grant
(3 year grant) for research entitled, "Scaffold optimization for
healing of the ruptured ACL"
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Other
Achievements
Eric Giza,
MD, is the sole author of a book entitled, Hints for Success
in Medical School and the Match, available from J&S Publishing Company.
coinventor on a pending patent for a novel anti-angiogenesis factor.
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On the research side,
I am delighted to report the arrival of Chris Evans and his colleague
Steve Ghivizzani and their efforts to establish the Partners Center for
Molecular Orthopaedics. The Center and its laboratories are based in the
Boston Lying-In Building on Longwood Avenue. Since arriving, Chris as
submitted a Clinical Trials Planning Grant to begin work on a Phase II
gene therapy trial and completed a corporate research agreement for stem
cell research. Drs. Evans and Ghivizzani are working toward submission
of a core center grant in musculoskeletal diseases later this year. This
grant will enable the type of collaborative work made possible in the
Longwood Medical Area. I know Chris and Steve look forward to building
an impressive research program in molec-ular biology and working with
the Harvard Orthopaedic faculty to pursue innovative advances in the treatment
of musculoskeletal disease.
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In
closing, I want to introduce and welcome Dr. James Heckman, the new
editor of the Journal of Bone and Joint Surgery. Dr. Heckman, who
is past chairman of the Department of Orthopaedic Surgery at the University
of Texas at San Antonio, has joined the Partners Foot and Ankle Service
and will be seeing patients at MGH, BWH and Faulkner Hospital sites.
We are pleased to have Dr. Heckman's wisdom and experience in growing
an outstanding program in foot and ankle medicine. |
Dr.
James D. Heckman |
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