FEllowship - Texas Scottish Rite Hospital for Children

Transcription

2007–2008
Dorothy &
Bryant
Edwards
Fellowship
in
Pediatric Orthopaedics
& Scoliosis
2006-2007 Dorothy & Bryant Edwards Fellows
John Fletcher Lovejoy, III, M.D.
Bryan Tompkins, M.D.
Amy L. McIntosh, M.D.
Texas Scottish Rite Hospital for Children (TSRHC) is one
of the nation’s leading pediatric centers for the treatment of
orthopaedic conditions, certain related neurological disorders
and learning disorders, such as dyslexia. There is no charge
to patient families for treatment at the hospital, and
admission is open to Texas children from birth to
18 years of age. Since its inception in 1921,
TSRHC has provided care for more than
180,000 children.
©2007, Texas Scottish Rite Hospital for Children
Jeffrey E. Martus, M.D.
TSRHC Chief of Staff
Dr. Tony Herring and
President J. C. Montgomery, Jr.
Table of Contents
About Texas Scottish Rite Hospital for Children................................................................ 2
Letter from Dr. Tony Herring, Chief of Staff....................................................................... 3
About Dorothy and Bryant Edwards Fellowship in Pediatric
Orthopaedics and Scoliosis. ................................................................................................................ 4
About the Bryant Edwards Foundation, Inc.......................................................................... 6
Educational Opportunities.................................................................................................................. 8
Brandon Carrell Visiting Professorship and
Spine Deformity Symposium............................................................................................................ 9
Pediatric Orthopaedic Surgeons...................................................................................................... 10
Pediatric Orthopaedic Hand Surgeons....................................................................................... 21
Hospital Departments............................................................................................................................ 24
Patient Statistics.......................................................................................................................................... 26
Thoracoscopic Labs................................................................................................................................... 27
Surgical Facilities........................................................................................................................................ 28
Conference Schedule............................................................................................................................... 29
Taking Call. ................................................................................................................................................... 30
Children’s Medical Center Dallas Program............................................................................. 31
Resources Available to Fellows.......................................................................................................... 32
Movement Science Laboratory......................................................................................................... 33
Tachdjian’s Pediatric Orthopaedics: From Texas Scottish Rite
Hospital for Children. ............................................................................................................................... 34
OrthoClub Web Site............................................................................................................................... 35
Sarah M. and Charles E. Seay Center for Musculoskeletal Research..................... 36
Sarah M. and Charles E. Seay/Martha and Pat Beard Center for
Excellence in Spine Research............................................................................................................. 38
Center for Excellence in Limb Lengthening and Reconstruction............................ 40
Center for Excellence in Clubfoot Research............................................................................ 42
Charles E. Seay, Jr. Hand Center. .................................................................................................. 45
Research Opportunities......................................................................................................................... 46
Social Events and Opportunities..................................................................................................... 48
Present and Future Fellows................................................................................................................. 50
Relocation to Dallas................................................................................................................................. 51
Where Former Fellows Are Now.................................................................................................... 52
Insight from Former Fellows. ............................................................................................................ 54
Closing from Dr. Daniel J. Sucato. ............................................................................................... 55
Online Application and Contact Information....................................................................... 56
Top to bottom: Ceandre, age 5 of Dallas; Edwards fellows Drs. Jeff Martus and Amy McIntosh with Lori Thornton; Edwards
fellow Dr. Bryan Tompkins in surgery; Wesley, age 4½ months of Waxahachie; Dr. Tony Herring, TSRHC chief of staff,
Dr. Steve Richards, Dr. Harry L. Shufflebarger, director of the division of pediatric spinal surgery at Miami Children’s
Hospital, and Dr. David S. Bradford, professor and chair emeritus of the department of orthopaedic surgery at the
University of California, San Francisco
About Texas
Scottish Rite
Hospital for
Children
T
Vanessa, age 4 of Midland,
is all smiles as she enjoys
the playground in Allan
Shivers Park on the hospital
grounds, designed for
children of all abilities.
The playground is one of
the many features of the
hospital that make it bright
and child-friendly.
2
exas Scottish Rite Hospital for
Children (TSRHC) opened its
doors to the children of Texas in
1921 when a group of Texas Masons
approached Dallas’ first orthopaedic
surgeon, Dr. W. B. Carrell, about caring
for children with polio regardless of the
family’s ability to pay. For more than
85 years, TSRHC has remained dedicated
to the children of Texas and has never
charged a patient family for the world-class
treatment it provides. Since its inception,
the hospital has treated more than 180,000
patients and has emerged as a world
leader in pediatric orthopaedic research,
treatment and education.
The hospital primarily cared for
children with polio until the 1950s when
the Salk and Sabin vaccines virtually
eradicated the disease in the Western
Hemisphere, allowing the medical staff
at TSRHC to expand treatment to a
wide range of orthopaedic conditions.
Led by TSRHC’s third chief of staff,
Dr. Tony Herring, and TSRHC president,
J. C. Montgomery, Jr., TSRHC treats
orthopaedic conditions, including scoliosis,
clubfoot, congenital dislocated hip,
Legg-Perthes, limb-length differences,
limb deficiencies, spina bifida, certain
related neurological disorders and learning
disorders, such as dyslexia.
In 1965, Dr. Luke Waites, a TSRHC
physician and a pioneer in the treatment
of dyslexia, joined the staff to provide
evaluation and treatment for children
with learning disorders. In 1968, as part
of The World Federation of Neurology,
Dr. Waites formulated the first definition
of developmental dyslexia with consensus.
Today, the Luke Waites Center for
Dyslexia and Learning Disorders provides
one of the most comprehensive programs
for childhood learning disorders in the
nation. The center is dedicated to serving
children through innovative evaluation,
treatment and education, as well as extensive
outreach, educator and physician training
programs and research.
In 1977, with the help of a generous
gift from Villa D. and Senator William A.
Blakley, TSRHC moved from its original
facility to a new hospital on the same
property, covering 400,000 square feet.
By the late 1980s, a 200,000-square-foot
addition to the facility was completed.
Today, the hospital is moving into the
next era and embarking on a three-phased
renovation project, the largest remodel in
almost 30 years. The main entrance will gain
a feeling of openness and welcome visitors
with a warm, inviting atmosphere. It will
lead into the T. Boone Pickens Conference
Center, which will be an advanced facility
for medical teaching and training for visiting
physicians and healthcare professionals
from around the world. Those departments
displaced by renovations in the conference
area, including the Charles E. Seay, Jr. Hand
Center, have relocated to a newly renovated
West Tower. These expansions enable
TSRHC to progress in many areas, especially
in medical technology and research.
Letter from
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Fe
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3
About Dorothy and Bryant Edwards Fellowship
T
in Pediatric Orthopaedics and Scoliosis
he Dorothy and Bryant Edwards
Fellowship in Pediatric Orthopaedics
and Scoliosis is a full clinical
fellowship that supports fellows in mastering
the skills they need to manage pediatric
orthopaedic and scoliosis problems. The
program provides in-depth training in
reconstructive pediatric orthopaedics, trauma
and infection. Edwards fellows will benefit
from the hospital’s collegial environment
that supports intensive, thorough education
in the field of pediatric orthopaedics.
“This fellowship is more than a program,
it is the beginning of a lifelong relationship
of acquisition of knowledge and skill, of
questioning the dogma and belonging
to a caring group of dedicated pediatric
orthopaedists and their families,” said
Dr. Tony Herring, TSRHC chief of staff.
TSRHC is a busy pediatric orthopaedic
referral center, and the fellow is a front-line
member of the patient care team. The fellow
also participates in the management of
pediatric fractures and acute orthopaedic
conditions under the guidance of physicians
at Children’s Medical Center Dallas, one
4 of the busiest emergency rooms and
TSRHC Edwards fellows
will have the opportunity to:
• Work in an interactive
environment that supports learning.
• Become a frontline member
of the patient care team.
• Care for a wide array of pediatric
orthopaedic conditions, including
rare cases that physicians
elsewhere may never see during
their careers.
• Learn from a diversity of opinions.
orthopaedic departments in the United States
and one of Texas’ only Level I pediatric
trauma centers. Through participation, the
fellow gains clinical and surgical competence
in the management of complex spine, hip
and extremity problems.
“The Edwards fellowship at Texas
Scottish Rite Hospital for Children is,
without question, the greatest and most
enjoyable learning experience I have ever
had,” said Dr. Anthony Riccio, 2005–2006
Edwards fellow. “On the most basic level,
fellows receive an unparalleled education.
Nowhere else will young surgeons be exposed
to such breadth and complexity of pediatric
orthopaedic pathology, and no other hospital
can boast a staff as talented, caring and
inspiring as that of TSRHC.”
Edwards fellows have the opportunity
to work in an interactive environment
that supports learning, allowing them to
observe a wide array of pediatric orthopaedic
conditions and learn from a diversity of
opinions. Hospital-affiliated staff members
perform many sports-related surgeries at
Children’s. Arthroscopy of the hip and knee
in children and ligamentous reconstruction
of the knee in older children who are near
or beyond skeletal maturity are performed
at TSRHC.
In all of our clinical activities, cases are
discussed at weekly conferences in such a
way that the varied opinions of all staff,
fellows and residents are considered. This
approach enhances decision making in
complex situations, leads to diversity of
patient care and introduces an excellent mode
for teaching. After all, the most important
Front Row, L to R: Christine Ann Ho, M.D.; Marybeth Ezaki, M.D.; Karl E. Rathjen, M.D.; Scott Noboru
Oishi, M.D., F.A.C.S.; Edwards fellows John Fletcher Lovejoy, III, M.D., and Jeffrey E. Martus, M.D.;
Chief of Staff J. A.“Tony” Herring, M.D.; Edwards fellows Amy L. McIntosh, M.D., and Bryan Tompkins,
M.D.; Lori A. Karol, M.D.; Alexander Cherkashin, M.D., and Mikhail Samchukov, M.D. Back Row,
L to R: McStay International fellows Tayo Sulaiman, M.D., and Yener Erken, M.D.; John G. Birch, M.D.;
Daniel J. Sucato, M.D., M.S.; David A. Podeszwa, M.D.; Lawson A.B. Copley, M.D.; Philip L. Wilson,
M.D.; Peter R. Carter, M.D.; Charles E. Johnston, M.D., and Benjamin Stephens Richards, M.D.
achievement in a surgical specialty is the
ability to make wise decisions.
Physicians also consult frequently
with general pediatricians, pediatric
rheumatologists, neurologists, neurosurgeons,
radiologists and urologists in managing
patients’ cases. Ancillary services, including
physical and occupational therapy, orthotics
and prosthetics and pain management,
coordinate with physicians to ensure that
the hospital’s patients receive the highest
quality of care.
In addition to clinical responsibilities,
each fellow will be expected to perform
independent clinical research appropriate
for scientific meetings and subsequent
publication. Fellows will have the
opportunity to interact with residents and
medical students from UT Southwestern
Medical Center during their rotations
through the hospital.
The Edwards fellowship is a one-year
program that accommodates four accredited
fellows. The Dorothy and Bryant Edwards
Fellowship in Pediatric Orthopaedics and
Scoliosis is made possible by the Edwards,
who were Texas ranchers and have been
longtime hospital friends. Residents in
orthopaedic surgery should apply in their
postgraduate third or fourth year. Others
who have completed orthopaedic training
may also apply.
The John and Ellen McStay International
Fellowship, an accredited fellowship, is open
to national and international applicants.
International physicians who have completed
orthopaedic residencies and have certification
through the Educational Commission for
Foreign Medical Graduates are eligible
to apply for the fifth fellowship position.
Knowledge of English must be adequate to
be able to interview and treat patients.
The fellowships begin on August 1 and
are accredited by the Accreditation Council
for Graduate Medical Education. Admission to
the programs is competitive, and applicants
are encouraged to apply in the summer or
early fall at www.tsrh.net/ortho/flwship.htm.
TSRHC fellows and their families become
a vital part of the TSRHC family. Top to
bottom: Dr. John Lovejoy and his wife, Alicia,
with their three children, (L to R) Jack,
Rachel and Kate; Dr. Bryan Tompkins and
his wife, Michelle; Dr. Jeff Martus and his
wife, Melissa Hilmes, and Dr. Amy McIntosh
and her husband, Richard
5
About the
Bryant Edwards Foundation, Inc.
B
ryant Edwards was
born and raised
in Texas. Bryant,
the son of a North Texas
physician and rancher,
carried on the ranching
tradition of his father when
he and his wife, Dorothy,
married in 1927.
Together, Dorothy and
Bryant Edwards established
a ranch that became known
as one of the top ranches in
the Southwest. They were
active in the Texas and
Connie and Mac Cannedy, President, Bryant Edwards Foundation, Inc.,
Southwestern Cattle Raisers and their daughter Jodi
Association, and Bryant is
honored in the Memorial Hall of the Cattle Raisers Museum in Fort Worth, Texas.
The Edwards were impacted by the mission of Texas Scottish Rite Hospital for
Children in the early 1940s, when the 3-year-old daughter of one of their ranch
hands was treated for polio at the hospital. When the young child returned to the
ranch, Bryant noticed that she had received outstanding care and was amazed that
the hospital did not present the family with a bill for her treatment.
Dorothy and Bryant Edwards were intrigued by TSRHC’s commitment to
putting children first and began a long-standing relationship with the hospital
through their generous support of pediatric orthopaedic medical education.
In the late 1980s, on one of her many visits to the hospital, Dorothy set up an
endowment to support the fellowship program at TSRHC. The Dorothy and Bryant
Edwards Fellowship in Pediatric
Orthopaedics and Scoliosis was
established to create a legacy of
helping children throughout the
world by providing exceptional
training for young physicians in
honor of these longtime friends of
the hospital.
Today, Mac Cannedy serves as
president of the Bryant Edwards
Foundation, Inc. Mac and his wife,
Connie, and their family remain
dedicated to the hospital and have
continued to support the legacy
of Dorothy and Bryant Edwards
through the Edwards Fellowship.
Dr. Tony Herring and Dorothy Edwards, benefactress, 1997
Top to bottom: Don Katz, C.O., and Dr. Tony Herring, chief of staff; Edwards fellow Dr. John Lovejoy reading charts;
2005 Learn to Golf participants; 2006-2007 fellows in surgery; Orlando, age 9 of Fort Worth
6
TSRHC patient Tyrek
of Dallas, is an active
8-year-old who doesn’t let
much slow him down. The
Prosthetics department
at TSRHC makes custom
prostheses, like Tyrek’s, to
accommodate patients’
active lifestyles.
“This fellowship is more than
a program, it is the beginning
of a lifelong relationship of
acquisition of knowledge and
skill, of questioning the dogma
and belonging to a caring
group of dedicated pediatric
orthopaedists and their families.”
—J. A. “Tony” Herring, M.D.,
7
Educational Opportunities
Edwards fellow Dr. Bryan Tompkins delivers a
presentation on the TSRH® SILOTM 5.5 Spinal System.
T
Children encourages and provides
Edwards fellows support for
educational opportunities both on and off
campus. Each fellow is allotted a $2,500
educational allowance throughout the year to
attend national seminars conducted by groups,
such as the American Academy of Orthopaedic
Surgeons (AAOS), the Pediatric Orthopaedic
Society of North American (POSNA) or the
Scoliosis Research Society (SRS).
Fellows also have the opportunity to
apply for travel grants or scholarships to
supplement this allowance. Fellows can
look forward to a reception at AAOS for
TSRHC’s former fellows hosted each year by
the hospital’s pediatric orthopaedic surgeons.
In addition to attending national
seminars, Edwards fellows also have the
opportunity to participate in educational
programs hosted by major medical device
companies. Medtronic Sofamor Danek
representatives from across the United States
facilitate seminars and hands-on training
sessions about the latest advancements in
spinal surgery. Medtronic’s Satellite Training
Center provides state-of-the-art training for
spine surgeons and allied health professionals.
8
TSRHC has a long-standing relationship
with Medtronic Sofamor Danek dating back
to the 1980s when the two organizations
collaborated to develop the TSRH® Spinal
System, which revolutionized spine surgery
around the world. In 2005, as a result
of continued collaboration, the TSRH®
SILO™ 5.5 Spinal System was launched as
an updated system for spinal correction.
These opportunities, as well as the Edwards
fellowship program in its entirety, offer
fellows the surgical experiences and longstanding relationships needed to ensure a
successful career in pediatric orthopaedics.
TSRHC has extensive hands-on training for residents,
fellows and physicians from throughout the country
and the world using the spinal implant systems
developed at the hospital to treat spinal deformities.
Right column, top to bottom: 2006-2007
Edwards fellows during the 2007 Medtronic event;
Medtronic Satellite Training Center; Cindy Daniel,
project manager for orthopaedic research; Anna
McClung, scoliosis research nurse coordinator, and
Edwards fellow Dr. Amy McIntosh
Brandon Carrell
Visiting Professorship and
Spine Deformity Symposium
T
he Brandon Carrell Visiting Professorship
is presented annually by the Orthopaedic
department at Texas Scottish Rite Hospital
for Children. The annual course is designed for
pediatric orthopaedic surgeons and other surgeons
with an interest in current pediatric orthopaedic
practices. Fellows have an opportunity to present
their research projects along with the visiting
professor, TSRHC physicians and researchers
and other visiting orthopaedic surgeons.
Dr. John P. Dormans, served as visiting
professor and presented at the 2007 Brandon Carrell Visiting
Professorship at TSRHC. Dormans, chief of orthopaedic
surgery at The Children’s Hospital of Philadelphia and
professor of orthopaedic surgery at the University of
Pennsylvania School of Medicine, presented on recent
developments and advancements in children’s musculoskeletal
deformities, orthopaedic tumors and complex deformities of the
pediatric cervical spine.
The Brandon Carrell Visiting Professorship was inaugurated
in 1978 in honor of Dr. Carrell’s lifelong contribution to
pediatric orthopaedics. Dr. Carrell was TSRHC’s second
chief of staff, serving from 1945 to 1978. He continued in an
active role as chief of staff emeritus until his death in 1981.
He improved the lives of thousands of children from all walks
of life and taught scores of young orthopaedists the principles
and practice of pediatric orthopaedics. Perhaps his greatest
contribution, Dr. Carrell taught others by setting an example to
approach the orthopaedic problems of a child with great care,
compassion, thoughtfulness and innovation.
Dr. John Dormans, 2007 visiting professor, receives a gift from Dr. Tony Herring,
TSRHC chief of staff.
Brandon Carrell Visiting Professors
2007
2006
2005
2004
2003
2002
2001
2001
2000
1999
1998
1997
1996
1995
1994
1993
John P. Dormans, M.D.
James W. Roach, M.D.
Perry L. Schoenecker, M.D.
Dror Paley, M.D., F.R.C.S.(C.)
Jürgen Harms, M.D. (Germany)
Reinhold, Ganz, M.D. (Switzerland)
Richard H. Gross, M.D.
J. Andy Sullivan, M.D.
James R. Kasser, M.D.
Charles T. Price, M.D.
Dennis R. Wenger, M.D.
Raymond T. Morrissy, M.D.
Jean Dubousset, M.D.
Robert Gillespie, M.D., Ch.B.,
F.R.C.S.(C.) (Ed)
Kaye E. Wilkins, M.D.
Vernon T. Tolo, M.D.
Fall Spine Symposium
E
ach fall, the Sarah M. and Charles E. Seay/
Martha and Pat Beard Center for Excellence
in Spine Research hosts an annual spine
symposium as part of its ongoing commitment
to landmark spine research.
The Third Annual Fall Spine Symposium,
held in fall 2006, focused on spondylolisthesis and
complex reconstructions for severe spine deformity
and featured distinguished faculty, including
Dr. Harry L. Shufflebarger, director of the division
of pediatric spinal surgery at Miami Children’s
Hospital, and Dr. David S. Bradford, professor and
chair emeritus of the department of orthopaedic
surgery at the University of California, San Francisco.
Dr. Oheneba Boachie-Adjei will be the visiting professor at the Fourth Annual Fall Spine
Symposium on Thursday, October 4, 2007, at TSRHC. Dr. Boachie-Adjei serves as chief of the
scoliosis service at the Hospital for Special Surgery and a professor of orthopaedic surgery at
Weill Medical College of Cornell University. Funding for the annual symposiums is provided
by the T. Boone Pickens Birthday Fund at TSRHC.
1992
1991
1990
1989
1988
1987
1986
1985
1985
1985
1984
1983
1982
1981
1980
1979
Norris Carroll, M.D.
Stuart Weinstein, M.D.
John H. Wedge, M.D.
Alain Dimeglio, M.D.
Lynn T. Staheli, M.D.
Howard H. Steel, M.D.
Robert Hensinger, M.D.
Alvin H. Crawford, M.D.
Dean Macewen, M.D.
Raymond T. Morrissy, M.D.
Eugene E. Bleck, M.D.
Mihran O. Tachdjian, M.D.
Sherman Coleman, M.D.
Ignacio V. Ponseti, M.D.
George Lloyd-Roberts, M.D.
John E. Hall, M.D.
L to R: Dr. Harry L. Shufflebarger,
director of the division of pediatric
spinal surgery at Miami Children’s
Hospital; Dr. David S. Bradford,
professor and chair emeritus of the
department of orthopaedic surgery
at the University of California,
San Francisco, and Dr. Daniel
Sucato, director of the hospital’s
Sarah M. and Charles E. Seay/
Martha and Pat Beard Center for
Excellence in Spine Research
Dr. Oheneba
Boachie-Adjei
9
Pediatric Orthopaedic Surgeons
J. A. “Tony” Herring, M.D.
Chief of Staff
Academic Affiliation:
• The University of Texas Southwestern
Medical Center at Dallas
Department of Orthopaedic
Surgery, Professor
Dr. Tony Herring has authored
and co-authored more than 100
refereed journal articles, 21 book
chapters and one book. He has
edited three books.
Affiliations:
• Texas Scottish Rite Hospital for Children
• Children’s Medical Center Dallas
• Parkland Health & Hospital System
• UT Southwestern University
Hospital – St. Paul
Education:
• The University of Texas
Phi Beta Kappa
• Baylor University College of Medicine
Alpha Omega Alpha
Internship:
• Peter Bent Brigham Hospital – Boston
Straight Medicine
For more information, please visit
www.tsrh.net/ortho/herring
10
Residency:
• Harvard Combined Orthopaedic
Program – Orthopaedic Surgery
Fellowships:
• Harvard University Surgical Research
• Berg Sloat Traveling Fellowship, 1975
Honors and Awards:
• Arthur H. Huene Memorial Award
Pediatric Orthopaedic Society
of North America
• “Best Doctors in America”
American Health, March 1996
• Russell S. Hibbs Award for clinical research
Scoliosis Research Society
• Anson Jones Award for outstanding
societal contributions
Fort Worth Scottish Rite Foundation, Inc.
• Benjamin Rush Award
American Medical Association
Board Certification:
• American Board of Orthopaedic
Surgery, 1974, Recertified, 1983 and 1992
Professional Associations/Affiliations:
• American Academy of
Orthopaedic Surgeons
Pediatric Committee, chairman,
1988-1992
• Pediatric Orthopaedic Society
of North America
president, 1993-1994
• Scoliosis Research Society
Instrumentation Committee
chairman, 1980-1981
• Dallas County Medical Society
• Texas Medical Association
• American Orthopaedic Association
• Journal of the American Academy
of Orthopaedic Surgeons, associate editor
• Tachdjian’s Pediatric Orthopaedics,
Third and Fourth Editions, editor
• Spine, editorial board
• Journal of Pediatric Orthopaedics,
editorial board
• The Journal of Bone and Joint
Surgery, reviewer
Dr. Tony Herring and TSRHC patient
Sydney, age 11 of Plano
Charles E. Johnston, M.D.
Assistant Chief of Staff and Medical Director of Research
Surgery, Professor
Dr. Charles Johnston has
authored and co-authored
almost 90 refereed journal
articles and 13 book chapters.
He was a contributing author
for two books.
www.tsrh.net/ortho/johnston
Affiliations:
• Abilene State School
• Denton State School
Education:
• Yale University
• Columbia University College
of Physicians and Surgeons
Internship:
• The University of Texas Health
Science Center at San Antonio
Bexar County Hospital
Surgery (categorical)
Residency:
• University of Virginia Medical Center
Orthopaedic Surgery
Fellowship:
Harrington Fellowship of Pediatric
Orthopaedics and Scoliosis
Surgery, 1984
of North America
Program Committee, chairman, 1995
Membership Committee,
chairman, 1991-1992
Instrumentation Committee,
chairman, 1993
• Texas Orthopaedic Association
• European Pediatric Orthopaedic Society
• Spine Deformity Study Group, member
• Orthopaedics, editorial board
• Spine, reviewer
Surgery, reviewer
• Tachdjian’s Pediatric Orthopaedics, Third
and Fourth Editions, contributing author
Dr. Charles Johnston and TSRHC
patient Alec, age 3 of Hondo
11
John G. Birch, M.D.
Assistant Chief of Staff and Medical Director
of Ambulatory Care
Surgery, Professor
Affiliations:
• Baylor University Medical Center
Dr. John Birch has authored
and co-authored 45 refereed
journal articles and seven
book chapters.
Education:
• University of Windsor
Windsor, Ontario, Canada
• University of Western Ontario
London, Ontario, Canada
Internship:
• Ottawa Civic Hospital
Ottawa, Ontario, Canada
www.tsrh.net/ortho/birch
12
Residencies:
• University of Ottawa
• University of Florida
Fellowships:
• Newington Children’s Hospital
Newington, Connecticut
• Alfred I. DuPont Institute
Wilmington, Delaware
• Texas Scottish Rite Hospital
for Children
• University of Ottawa – Sports Medicine
Honors and Awards:
• American Board of Orthopaedic Surgery,
Oral Examinations, examiner, 2004-2005
• Royal College of Physicians and
Surgeons of Canada, fellow, 1980
Surgery, 1987 Recertified, 1994 and 2008
• American Academy of Orthopaedic
Surgeons, fellow
• Limb Lengthening and Reconstruction
Society ASAMI-NA
president (2003) and ongoing member
• Pediatric Orthopaedic Society of
North America
board of directors, 2005–2007
• American Medical Association
• Associazione per lo Studio e
Applicazione del Methodo di Ilizarov
(ASAMI), vice president
• American Academy of Pediatrics
Orthopaedic Section
• The Journal of Bone and Joint Surgery,
associate editor
• Royal College of Physicians and
Surgeons of Canada, fellow
• The Canadian Orthopaedic Association
Dr. John Birch and TSRHC patient
MacKenzie, age 10 of Corsicana
Benjamin Stephens Richards, M.D.
Assistant Chief of Staff and Medical Director
of Inpatient Services
Surgery, Professor
Dr. Steve Richards has authored
and co-authored approximately
40 refereed journal articles and
nine book chapters. He has
made numerous orthopaedic
presentations throughout the
United States and Canada.
www.tsrh.net/ortho/richards
Affiliations:
• Presbyterian Hospital of Dallas
Education:
• University of Utah, Magna Cum Laude
• St. Louis University School of Medicine
Internship:
• University of California, San Diego
Surgical Internship
Residency:
• University of Utah
Orthopaedic Surgery
Fellowship:
Honors and Awards:
• Phi Kappa Phi Honor Society
• Phi Beta Kappa Honor Society
• Alpha Epsilon Delta Honor Society
• National Board of Medical Examiners
diplomate, 1982
• Passed Written Boards in
Orthopaedics, 1986
• Passed Oral Boards in Orthopaedics, 1989
Recertified, 1998 and 2006
of North America
vice president, 2006–2007
president-elect, 2007–2008
• St. Louis University School of Medicine
Alumni Association
• Spine, consultant reviewer
editorial board
Dr. Steve Richards
and TSRHC patient
Trinity, age 1 year
of Dallas
13
Lori A. Karol, M.D.
Medical Director of Movement Science Laboratory
and Medical Director of Performance Improvement
Surgery, Professor
Affiliations:
Dr. Lori Karol has authored and
co-authored 42 refereed journal
articles, nine book chapters
and two books.
www.tsrh.net/ortho/karol
14
Education:
• University of Michigan
Graduate with Distinction
• University of Michigan
Internship:
• Wayne State University School
of Medicine
General Surgery
Residency:
of Medicine
Orthopaedic Surgery
Fellowship:
Dorothy and Bryant Edwards Fellowship
Surgery, 1993 Recertified, 2002
Pediatric Program Subcommittee, chair
Leadership Fellows Program
Awardee, 2006
Public and Media Relations,
Oversight Group
of North America,
Communication Council,
chair, 2003 to present
Membership Committee, chair
Awards Committee
Society of North America (ASAMI-NA)
• North American Society of Gait
and Clinical Movement Analysis
Conference chairperson, 1999 meeting
consultant reviewer
consultant reviewer
• Journal of the American Academy of
Orthopaedic Surgeons, editorial board
• Clinical Orthopaedics and
Related Research, consultant reviewer
Dr. Lori Karol and TSRHC patient
Michael, age 3 months
Karl E. Rathjen, M.D.
Staff Orthopaedist and Chief of Off-site Pediatric
Orthopaedic Services
Surgery, Associate Professor
Affiliations:
Dr. Karl Rathjen has authored
and written several refereed
journal articles and authored
numerous book chapters.
www.tsrh.net/ortho/rathjen
Education:
• The University of Texas, Tau Beta Pi
Medical School, Alpha Omega Alpha
Internship:
General Surgery
Residency:
Orthopaedic Surgery
Fellowship:
• Children’s Hospital of San Diego
University of California, San Diego
Surgeons, 1998, Recertified, 2005
of North America
• The Association of Bone and
Joint Surgeons
Society of North America (ASAMI-NA)
• Spina Bifida Association of America
Professional Advisory Committee
• American Academy for Cerebral Palsy
and Developmental Medicine
Dr. Karl Rathjen and TSRHC
patient Elizabeth, age 2 of Forney
15
Daniel J. Sucato, M.D., M.S.
Director of the Sarah M. and Charles E. Seay/Martha
and Pat Beard Center for Excellence in Spine Research
Education:
• Canisius College, Magna Cum Laude
• State University of New York at Buffalo
School of Medicine, Magna Cum Laude
Internship:
School of Medicine
General Surgery
Dr. Daniel Sucato has authored
and co-authored 35 journal articles
and 15 book chapters. He was a
contributing author for two books.
www.tsrh.net/ortho/sucato
Surgery, associate professor
Affiliations:
• UT Southwestern James W. Aston
Ambulatory Care Center
Residency:
School of Medicine
Orthopaedic Surgery
Fellowships:
• State University of New York at
Buffalo School of Medicine
Basic Science Research
• Inselspital, Bern Switzerland
Professor Reinhold Ganz
Hip Preserving Surgery
Honors and Awards:
traveling fellow, 2003
• William Beaumont Award
American Medical Association, 2005
• Best Clinical Podium Presentation
2007 Annual Meeting of Pediatric
Orthopaedic Society of North America
Title: Surgical Dislocation with Open Reduction
and Internal Fixation for Unstable Slipped
Capital Femoral Epiphysis: Early Promising Results,
Daniel Sucato, M.D., M.S., and David Podeszwa, M.D.
• Best Pediatric Poster
2007 Annual Meeting of the American
Academy of Orthopaedic Surgeons
Title: Ultrasonographic Predictors of Pavlik
Harness Failure in Ortolani Positive Hips,
Klane K. White, M.D., M.S., Sundeep Agrawal,
B.A., Daniel J. Sucato, M.D., M.S.
16
Dr. Daniel Sucato with
TSRHC patient Izaiah,
age 13 of McKinney
Surgery, 2000
Surgeons, fellow
• Mid-America Orthopaedic Association
North America
Industry Relations Committee
chairman 2005-2007
Member-at-Large
board of directors 2004-2005
Awards Committee, 2004-2007
Long-Range Planning Committee
2004-2007
Program Committee, 2006-2007
Web Site Committee
chair 2007-2009, member 2005-2009
Endowment Committee
member 2006-2009
• North American Spine Society
• The United States Golf Association
Resource Center for Individuals
with Disabilities
Resource Center Advisory Board
• HARMS Spine Study Group, member
• POSNA/AAOS International Pediatric
Orthopaedic Symposium
Advisory Board, 2006-2007
• Spine, reviewer
reviewer
• Journal of Spinal Cord Medicine, reviewer
• Clinical Orthopaedics and
Related Research, reviewer
reviewer
Lawson A. B. Copley, M.D.
Staff Orthopaedist
Department of Orthopaedic Surgery,
Clinical Assistant Professor
Affiliations:
Dr. Lawson Copley has authored
journal articles and 12 book
chapters. He was a contributing
author for two books.
Education:
• Wheaton College
Magna Cum Laude, Phi Sigma Tau
• The University of Kansas Medical Center
Magna Cum Laude, Alpha Omega Alpha
• Northwestern University
Kellogg School of Management
Master of Business Administration
Internship:
• University of Pennsylvania
General Surgery
www.tsrh.net/ortho/copley
Residency:
• University of Pennsylvania
Orthopaedic Surgery
Fellowship:
Honors and Awards:
• Stanley M. K. Chung Award
Excellence in Pediatric
Orthopaedic Research
• Meritorious Service Medal
• Joint Service Achievement Award
Surgery, 2000
Surgeons, fellow
of North America
• Texas Orthopaedic Association,
delegate to Texas
• The Texas Society of Sports Medicine
Fourth Edition, contributing author
Dr. Lawson Copley and
Melinda Alexander, R.N.
17
David A. Podeszwa, M.D.
Staff Orthopaedist
Clinical Assistant Professor
Dr. David Podeszwa has authored
and co-authored 13 refereed journal
articles. He has made 30 presentations
at the national and regional levels.
Affiliations:
Education:
• University of Michigan – Ann Arbor
of Medicine
Internship:
of Medicine
www.tsrh.net/ortho/podeszwa
18
Residency:
of Medicine
Department of Orthopaedic Surgery
Fellowships:
• AO ASIF International Fellowship
Inselspital, Bern, Switzerland,
Professor Reinhold Ganz Hip
Preserving Surgery
Honors and Awards:
• Richard Lamont Resident Award
Excellence in Pediatric
Orthopaedic Surgery
Wayne State University, 2000
Surgery, 2003
• AO ASIF, faculty
Surgeons, fellow
North America, active member
• Orthopaedic Trauma Association,
active member
• Mid-America Orthopaedic Association,
active member
• AO ASIF Alumni Association
• Wayne State University School of
Medicine Alumni Association
• Children’s Neuroblastoma Cancer
Foundation, board of directors
Dr. David Podeszwa with TSRHC
patient Omar, age 13 of Rockwall
Philip L. Wilson, M.D.
Staff Orthopaedist
Surgery, Assistant Professor
Affiliations:
Dr. Philip Wilson has authored and
co-authored several refereed journal
articles. He has made 12 presentations
at the regional, national and
international levels.
www.tsrh.net/ortho/wilson
Education:
• Baylor University, University Scholars
Program, Magna Cum Laude
Medical School
Internship:
General Surgery
Residency:
Orthopaedic Surgery
Fellowships:
• Children’s Hospital of San Diego
• ADIDAS Sports Medicine Clinics
Arthroscopy/Sports Medicine
Auckland, New Zealand
Surgery, 2004
Surgeons, fellow
of North America
Fourth Edition, contributing author
Drs. Philip Wilson and
David Podeszwa
19
Christine Ho, M.D.
Staff Orthopaedist
Dr. Christine Ann Ho has
authored and co-authored four
peer-reviewed journal articles.
For more information, please
visit www.tsrh.net/ortho/ho
20
Residency:
• University of Southern California
Resident Physician
Affiliations:
Fellowships:
Department of Pediatric Hand Surgery
Education:
• University of Texas Southwestern
Medical School
• Massachusetts Institute of Technology
Internship:
• University of Southern California
Surgical Intern
Honors and Awards:
• Chief Resident
LAC+USC Medical Center, 2004-2005
• Leonard Marmor Surgical Arthritis Foundation Award
• Pi Tau Sigma Honor Society
• Order of Omega Honor Society
• Board eligible, July 2005
of North America
• American Orthopaedic Association Emerging Leaders Program
Dr. Christine Ho and
TSRHC patient Christopher,
age 4 of Dallas
Pediatric Orthopaedic Hand Surgeons
Marybeth Ezaki, M.D.
Director of the Charles E. Seay, Jr. Hand Center
Surgery, Professor
Affiliations:
Education:
• Yale College
• Yale University School of Medicine
Internship:
General Surgery Internship
www.tsrh.net/ortho/ezaki
Residency:
Orthopaedic Surgery
Fellowship:
• Wexham Park Hospital
Fellowship in Surgery of the Hand
Slough, England
• American Board of Orthopaedic Surgery,
1985 Recertified, 1996 and 2007
• Certificate of Added Qualifications
Surgery of the Hand, 1989
Recertified, 1998 and 2007
• American Society for Surgery
of the Hand, past president
Surgery, director
Surgeons
of North America
• Congenital Hand Anomalies
Study Group
• Twenty-First Century Orthopaedic
Association
• Manos Arribas
Dallas and Fort Worth Hand
Surgery Club
• Journal of Hand Surgery, reviewer
Surgery, reviewer
• Yearbook of Hand Surgery,
contributing editor
• Journal of Pediatric Orthopaedics, reviewer
Drs. Marybeth Ezaki and
TSRHC patient Amanda,
age 14 of Pflugerville
21
Peter R. Carter, M.D.
Staff Hand Surgeon
Surgery, Professor
Affiliations:
Dr. Peter Carter has authored
journal articles, one book
chapter and one book.
He has edited two books.
www.tsrh.net/ortho/carter
Education:
• University of California – Berkeley
• University of New Mexico School
of Medicine – Albuquerque
Internship:
Straight Surgical
Residency:
Orthopaedic Residency
Fellowship:
• St. Luke’s - Roosevelt Hospital Center
Hand Fellow
New York
Honors and Awards:
• Outstanding Clinical Educator
The University of Texas Southwestern
Medical School Orthopaedic Residents
Medical School, 1993
• Excellence in Teaching Award
Senior Orthopaedic Surgery Residents
• Significant Contributions to
Education Award
The Division of Orthopaedic Surgery
• Recipient, March of Dimes Fellowship
at the Royal Infirmary, 1968
Edinburgh, Scotland
Surgery, 1977
• Certificate of Added Qualifications
in Hand Surgery, 1989
• American Society for Surgery of the Hand
• J. William Littler Society
• Hand Study Society
• Southwestern Orthopaedic
Alumni Association
22
TSRHC patient Alejandro, age 3 of Austin,
with Dr. Peter Carter
Scott Noboru Oishi, M.D., F.A.C.S.
Staff Hand Surgeon
Department of Plastic Surgery,
Assistant Professor
Director Hand/Microsurgery Fellowship
Dr. Scott Oishi has authored
journals.
Affiliations:
• Baylor University Medical Center at Dallas
• Baylor Medical Center at Garland
• Baylor Medical Center at Plano
• Las Colinas Medical Center
Education:
• Washington University
• Tufts University School of Medicine
For more information, please
visit www.tsrh.net/ortho/oishi
Residencies:
• The University of Texas Health Science
Center at San Antonio
General Surgery
• University of Kentucky Chandler
Medical Center
Plastic Surgery
Fellowship:
Hand Microvascular
Honors and Awards:
• Research Stipend Award from Merck
Sharp and Dohme, 1983
• Aust Society Meeting, Second place
• Administrative Chief Resident
General Surgery, 1992
• Kentucky Society of Plastic Surgeons
meeting, First place, 1993
• Best Resident Paper Southeastern Society
of Plastic and Reconstructive Surgeons
Glancy Award, 1994
• The American Board of Plastic Surgery,
diplomate
• Certificate of Added Qualifications in
Surgery of the Hand
• American Society of Plastic and
Reconstructive Surgeons
• American Society for Surgery of the Hand
• American Society for
Reconstructive Microsurgery
• American College of Surgeons, fellow
• Dallas Society of Plastic Surgeons
TSRHC patient Daniel, age 15 of Canton,
and Dr. Scott Oishi
23
Hospital Departments
Anesthesiology
Metabolic Clinic
Neurology
Fay Safavi, M.D.
medical director
Mouin Seikaly, M.D.
medical director
Mauricio Delgado, M.D.
medical director
The department of Anesthesiology consists
of six full-time, fellowship-trained pediatric
anesthesiologists who provide anesthesia
coverage in the operating rooms. In addition,
the Anesthesiology department manages an
active acute pain management service with
the help of a pain management nurse.
Strong emphasis is placed on the use
of regional techniques for intraoperative
and postoperative pain control, as well as
the use of patient-controlled analgesia and
continuous infusion of narcotics. The acute
pain management team works closely with
the surgical team and nursing staff to ensure
optimal pain relief for each child.
The department of Anesthesiology offers
organized lectures on acute pain management
for orthopaedic fellows and residents, as
well as daily informal communication. The
anesthesia staff is available to attend to
patients’ needs 24 hours a day.
The Metabolic Clinic treats more than 150
patients with rickets, osteogenesis imperfecta
and osteoporosis each year. Dr. Mouin
Seikaly, a nephrologist, consulting staff
member at TSRHC and professor at UT
Southwestern Medical Center at Dallas,
serves as the medical director of the clinic.
Dr. Seikaly oversees renal and bone
mineral density evaluations in patients to
monitor the toxicity of the medications used
to treat rickets and its effect on patients’
kidneys. Several clinical research projects are
ongoing in this group of patients. A nurse
coordinator supports the Metabolic Clinic
by scheduling patient referrals, coordinating
prescriptions, allocations and follow-up
on patient phone calls and lab work. The
department also includes a clerk technician
and a research coordinator.
The Neurology department provides care for
orthopaedic patients with related neurological
disorders and neuromuscular diseases.
The department provides care for children
diagnosed with developmental delay, cerebral
palsy, brain malformations, epilepsy and
other conditions due to brain abnormalities.
Childhood motor disorders, tuberous
sclerosis complex (TSC), holoprosencephaly
(HPE) and peripheral nerve disorders are also
treated in specialized clinics.
The Neurology department is very active
in research aimed at improving the diagnosis,
prevention and treatment of a variety of
neurological disorders. The department has
an international reputation of being one of
the leaders in neurological research in the
areas of cerebral palsy, HPE and TSC.
The department includes two full-time
staff neurologists, Dr. Mauricio Delgado,
medical director of Neurology, and
Dr. Steven Sparagana, medical director
of Neurophysiology, and two part-time
consulting neurologists, Drs. Susan
Iannaccone and Anthony Riela. Drs.
Delgado and Sparagana are responsible for
outpatient and inpatient neurophysiologic
testing that includes EEG, EMG and Evoked
Potentials. They also provide spinal cord and
peripheral nerve monitoring for patients
undergoing different orthopaedic surgeries.
The Neurology department includes 18
medical support staff members and three
administrative staff members.
24
Pediatric Developmental
Disabilities
Rheumatology
Radiology
Richard Adams, M.D.
medical director
Marilynn Punaro, M.D.
medical director
Molly Dempsey, M.D.
medical director
The Pediatric Developmental Disabilities
division is committed to the attainment
of optimal biological, psychological and
social wellness for orthopaedic patients with
special healthcare needs seen at TSRHC. The
Developmental Disabilities division provides
outpatient and inpatient management
primarily for patients in the spina bifida
program and for children with cerebral palsy
and other neurodevelopmental conditions.
This division has an active research
component with a senior research scientist
and a research nurse specific to the activities
of Developmental Disabilities.
Among its advanced practice nurses,
the division has a certified wound care
specialist available for consult to all members
of the hospital staff. The dysphagia team,
centered in the division, provides assessment,
intervention and follow-up for children
referred within the hospital for issues related
to acute or chronic pulmonary issues. Dr.
Richard Adams, medical director of the
division, and Dr. Cathleen Roberts are
members of UT Southwestern Medical
Center at Dallas’ department of Pediatrics
and oversee the required developmental
pediatric rotations of UT Southwestern
Pediatric second-year residents at TSRHC.
The Rheumatology department provides
treatment for more than 1,300 patients with
juvenile arthritis, systemic lupus, juvenile
dermatomyositis, scleroderma, mixed
connective tissues diseases, periodic fever
syndromes, sarcoidosis and fibromyalgia.
The department includes Dr. Marilynn
Punaro, medical director; medical consultants
Drs. Katherine Madson and Virginia
Pascual; two advanced practice nurses; a
nurse coordinator and one to two fellows per
year. The Rheumatology department holds
clinics three days each week and conducts
clinical research and clinical drug studies.
Orthopaedic fellows are welcome to rotate
through the department and will have
the opportunity to learn how to perform
joint injections.
The Radiology department images children
with a wide range of orthopaedic conditions
and is staffed by five radiologists with
expertise in pediatric musculoskeletal
imaging. Our technical staff includes:
multimodality radiographers, sonographers,
CT and MRI technologists and two radiology
sedation nurses who manage our three-room
sedation suite.
All imaging modalities are on-site, with
the exception of nuclear medicine, which is
available at Children’s Medical Center Dallas.
Department equipment includes a 64-slice
CT scanner with associated post processing
workstation, a 1.5 Tesla MRI scanner and
workstation, two digital spine rooms, two
ultrasound rooms, fluoroscopy and five
general diagnostic rooms. The operating suites
are equipped with portable and overhead X-ray
and three C-arms — one with CT capability.
The Radiology department performs
about 30,000 examinations each year and
operates in a filmless environment using
Kodak CR and a Fuji Synapse PACS.
Monitors allow image viewing throughout
the hospital, including the operating
suites. Large screen projectors are used for
conference viewing essential to clinical care,
research and teaching. While the department
primarily functions between 6:30 a.m. and
6 p.m., radiology technologists and
radiologists are available 24 hours a day for
the urgent imaging needs of our patients.
25
Patient Statistics
At Texas Scottish Rite Hospital for Children,
fellows are included in the active services of 11
full-time, board-certified pediatric orthopaedic
surgeons. Each surgeon has expertise in general
pediatric orthopaedics and scoliosis.
Active Patients by
Diagnostic Category
General Orthopaedics......................... 4,366
Scoliosis...................................................... 3,075
Hand............................................................ 1,585
Arthritis...................................................... 1,350
Clubfoot..................................................... 1,073
Congenital Dislocated Hip...............
699
Spina Bifida. .............................................
676
Legg-Perthes.............................................
259
Prostheses...................................................
297
Knock-Knees. ..........................................
59
Post Polio...................................................
4
Muscle.........................................................
120
Neurology..................................................
425
Cerebral palsy.......................................... 1,395
Total patients........................................... 15,383
Clinic Visits
General Orthopaedics*....................... 13,351
Scoliosis...................................................... 5,512
Arthritis...................................................... 2,982
Hand............................................................ 2,846
Spina Bifida. ............................................. 1,198
Prostheses...................................................
436
Total visits. ................................................ 26,325
Orthopaedic Surgeries Performed
General Orthopaedics.........................
464
Hand/Upper Extremity......................
320
Foot. .............................................................
260
Spine**........................................................
286
Ilizarov/Limb Lengthening...............
78
Hips (General)........................................
150
Hips-Ganz Osteotomy........................
28
Knees, Arthroscopy. .............................
18
Hips, Surgical Dislocations...............
20
Knees. ..........................................................
8
Total surgeries.......................................... 1,632
TSRHC patient Mistizia,
age 10 of Paris
Children’s Medical Center Dallas
26
Total clinic visits..................................... 15,186
Total surgeries.......................................... 1,407
*
**
–
Includes clubfoot, congenital dislocated hip, Legg-Perthes and knock-knees.
Includes the use of the TSRH® Spinal System, the use of the new TSRH® SILO™ 5.5
Spinal System and other devices and implants for the spine.
Statistics were collected between May 1, 2006 and April 30, 2007.
Drs. Jeff Martus, Tayo Sulaiman, Amy McIntosh
and Daniel Sucato at the Comparative
Orthopaedic Research Laboratory
Thoracoscopic Labs
T
exas Scottish Rite Hospital for Children holds fall
and spring thoracoscopic teaching laboratories for the
Edwards fellows. These labs take place at the TSRHC
Comparative Orthopaedic Research Laboratory on the south
campus of UT Southwestern Medical Center at Dallas.
The laboratory consists of a large operating room with
fluoroscopy and endoscopic equipment. It is staffed by two
full-time technicians who perform the anesthesia and prepare
thoracic multilevel discectomies, which are then followed by
a six-level thoracoscopic instrumentation procedure using the
same equipment and implants used in the clinical setting. The
faculty for the labs include Dr. Daniel Sucato and staff at UT
Southwestern Medical Center.
Top to bottom: Edwards Fellow Dr. Amy McIntosh
with Dr. Daniel Sucato; Drs. John Lovejoy and Bryan
Tompkins with International fellow Dr. Yener Erken;
Drs. John Lovejoy and Yener Erken
27
Surgical Facilities
Edwards fellow Dr. Amy
McIntosh and Chief of Staff
Dr. Tony Herring
F
ellows play an integral role in all aspects
of surgery, including preoperative
evaluations, surgery and postoperative
care and follow-up. Fellows at Texas Scottish
Rite Hospital for Children work with a single
attending physician for two months. This
provides fellows the opportunity to assess
patients, plan and perform the surgery and
conduct and observe follow-up of those
patients with the same attending surgeon.
TSRHC physicians and fellows perform
more than 1,500 surgeries annually.
Orthopaedic surgeons, fellows and residents
perform approximately 1,400 surgeries at
Children’s Medical Center Dallas each year.
They also receive many referrals for patients with
difficult or unusual orthopaedic conditions.
“With a balance between extensive
research and clinical opportunities, this
program offers a fellow exposure to the entire
spectrum of pediatric orthopaedic surgery,
including trauma,” said Dr. Steve Richards,
TSRHC assistant chief of staff and medical
director of Inpatient Services.
Attending physicians operate two to
three days per week, allowing fellows ample
opportunity to participate in a variety of
cases, including a significant number of spine
procedures. Fellows are allowed to
operate at their skill level and perform
28
all of the surgical procedures as the fellowship
year proceeds. TSRHC offers fellows the
opportunity to see not only basic pediatric
orthopaedic cases but also complex and
challenging cases from throughout Texas.
Many complex reconstructions of the spine,
hip, knee, foot, lower extremities and upper
extremities are performed at TSRHC.
Fellows have the opportunity
to participate in anterior (open and
thoracoscopic) and posterior spinal fusions
and instrumentations, spinal osteotomies,
kyphectomies, hemivertebrae excisions,
hip open reduction with innominate
osteotomy, Ganz periacetabular osteotomy,
surgical hip dislocation, hip arthroscopy,
ACL reconstruction, limb lengthening and
reconstruction by the Ilizarov method and
upper extremity reconstruction.
Physicians have treated children
throughout the United States and the world
as teaching cases. The surgical facilities
at TSRHC include four operating suites
and one plaster room, all dedicated to
orthopaedic surgery. The operating suites were
renovated in 2006 and now feature state-ofthe-art lighting, video monitoring, digital
photography and the ability to record surgical
procedures at the touch of a button. They are
also equipped for videoconferencing.
Top to bottom: Drs. Daniel Sucato
and John Lovejoy; Drs. Jeff Martus
and Bryan Tompkins
The highest quality surgical equipment
is used, including radiolucent spine tables,
endoscopic and thoracoscopic instruments,
microscope and fluoroscopy units and
intraoperative CT scanning. Ancillary
technology, such as spinal cord monitoring,
cell saver, hemodilution and postoperative
epidural analgesia, is used to ensure that
patients receive optimal care.
TSRHC has six full-time pediatric
anesthesiologists, a pain management
nurse coordinator and 30 surgical nurses.
TSRHC’s dedicated team of anesthesiologists
and surgical staff works accurately and
efficiently, allowing cases to be performed
in a timely fashion.
Edwards fellow Dr. Jeff Martus presents
during Grand Rounds at the Brandon
Carrell Visiting Professorship.
Each Edwards fellow attends
and participates in weekly
conferences, including:
Conference Schedule
• Monday morning core curriculum
lectures in pediatric orthopaedics.
T
he department of Orthopaedics at Texas
Scottish Rite Hospital for Children
maintains a didactic and interactive
conference schedule. Edwards fellows attend
and participate in many weekly conferences.
Additionally, fellows and staff physicians attend
monthly morbidity and mortality conferences,
as well as bimonthly journal clubs during which
attendees review articles from the Journal of Pediatric
Orthopaedics and The Journal of Bone and Joint Surgery.
Each fellow is required to participate in ongoing
clinical research or to initiate a project of interest in
conjunction with a faculty sponsor. The hospital’s
Media Services department facilitates the preparation
of materials for lectures and presentations at
conferences or scientific meetings.
• Monday evening preoperative
indications and surgical
planning conferences.
• Tuesday morning presentations
of interesting and complex cases.
• Thursday morning fracture
conferences at Children’s
Medical Center Dallas.
Edwards fellow Dr. Amy McIntosh
presents during a weekly conference
in the hospital auditorium.
Fellows Dr. Bryan Tompkins and Dr. Jeff Martus discuss a complex case with Dr. Lori Karol and
other staff physicians.
• Friday morning postoperative
case reviews and grand rounds on
the inpatient unit at TSRHC.
• One-on-one teaching conferences
with individual orthopaedic staff
surgeons covering topics, such
as spine deformity, hip dysplasia
and limb lengthening and
reconstruction during an Ilizarov
teaching course with preoperative
planning model.
Dr. Charles Johnston and Edwards
fellow Dr. John Lovejoy present at an
annual conference.
29
While on call at Texas
Scottish Rite Hospital
for Children, fellows and
their families enjoy a
one-bedroom apartment
with an exceptional view
of downtown Dallas.
Taking Call
“Our children are always excited
to hear when their father is on
call. The call room has all of the
amenities that a family would
want, including toys! The staff is
always friendly and happy to see
the fellow’s family spending time at
the hospital. The entire experience
provides a home away from home.”
— Alicia Lovejoy
Wife of 2006-2007
Edwards fellow Dr. John Lovejoy
Every aspect of the hospital was designed with
the goal of creating a welcoming, child-friendly
atmosphere. Allan Shivers Park in front of the
main entrance welcomes patient families with
its bright colors and provides a safe playground
for children of all physical abilities.
30
T
he Edwards fellows, hand fellows
and international fellows cover
the call at Texas Scottish Rite
Hospital for Children from Sunday night to
Thursday night. Weekend call is covered by
moonlighting physicians consisting primarily
of UT Southwestern Medical Center at
Dallas orthopaedic residents and fellows who
choose to participate. The moonlighting
system is an ideal opportunity for fellows to
supplement their income and experience an
on-call procedure that differs from that of a
typical residency program.
“TSRHC does not have an emergency
department so the fellow is only
responsible for managing inpatients and
rare emergencies,” said Dr. Daniel Sucato,
director of the hospital’s Sarah M. and
Charles E. Seay/Martha and Pat Beard
Center for Excellence in Spine Research
and a former Edwards fellow. “In addition,
a knowledgeable and friendly pediatric
orthopaedic nursing staff is available to assist
physicians in managing inpatients’ needs,
creating a unique learning opportunity.”
While on call at TSRHC, fellows have
use of a spacious and well-appointed, one-
L to R: Views of the one-bedroom apartment for fellows
on call; Edwards fellow Dr. Bryan Tompkins goes for the
winning shot in one of the weekly soccer games between
hospital staff played on the lawn of Jas F. Chambers, Jr.,
Youth Fitness Park in front of the hospital.
bedroom apartment located on the top floor
of the hospital. A fully equipped kitchen and
private bathroom are well-maintained, and
a large balcony overlooks the Dallas skyline
and neighboring Reverchon Park.
Fellows have use of the hospital’s modern
fitness center and the medical library.
All meals from the TSRHC cafeteria are
complimentary while on call, and significant
others and children are welcome to stay with
the on-call fellow in the hospital’s apartment.
“Our children are always excited to hear
when their father is on call,” said Alicia
Lovejoy, wife of 2006-2007 Edwards fellow
Dr. John Lovejoy. “The call room has all
of the amenities that a family would want,
including toys! The staff is always friendly
and happy to see the fellow’s family spending
time at the hospital. The entire experience
provides a home away from home.”
Children’s Medical Center Dallas Program
I
n their roles as faculty members at
UT Southwestern Medical Center,
orthopaedists affiliated with Texas
Scottish Rite Hospital for Children provide
acute pediatric orthopaedic care at Children’s
Medical Center Dallas to children throughout
the community. Drs. Lawson Copley, David
Podeszwa, Philip Wilson and Christine Ho
provide full-time orthopaedic coverage at
Children’s, one of the busiest emergency
and orthopaedic departments in the United
States. Children’s is also Texas’ only Level I
pediatric trauma center. TSRHC staff cover
night and weekend call responsibilities at
Children’s, and this team brings a great deal
of expertise and enthusiasm that benefits the
community’s pediatric orthopaedic patients
and also offers a unique learning experience
for the Edwards fellows.
The Children’s experience provides
valuable opportunities for fellows to care for
children with acute pediatric orthopaedic
problems, as well as children with sportsrelated injuries. A weekly case conference
allows physicians and fellows to review
all operative cases at Children’s. Because
of the high volume of patients with
acute musculoskeletal conditions, fellows
have abundant opportunities to conduct
prospective studies within the limited time
frame of their fellowship.
Fellows’ experiences at Children’s
enhance their learning and expose them
to situations that better prepare them for
providing orthopaedic medical care to
children. Drs. Wilson and Copley have a
strong subspecialty interest in pediatric and
adolescent sports medicine, which provides
fellows with unique exposure to arthroscopic
treatment of athletic injuries of the shoulder,
elbow, knee and ankle. Dr. Podeszwa has
a subspecialty interest in adolescent and
young adult hip dysplasia, which supplements
the fellow’s learning experience regarding this
complex condition. Dr. Ho specializes
in pediatric hand and upper extremity
trauma and infection.
TSRHC looks forward to continuing
educational opportunities at Children’s,
which enables Edwards fellows to touch the
lives of children across the state.
Children’s Medical Center Dallas
(Above) Dr. John Lovejoy with
a staff member at Children’s
Medical Center Dallas;
(Right) Dr. Lawson Copley and
Melinda Alexander, R.N.
The Children’s Medical
Center Dallas experience
provides valuable
opportunities for
fellows to:
• Care for children with
acute pediatric orthopaedic
problems and sports-related
injuries.
• Review all operative cases
at Children’s during a
weekly case conference.
• Conduct prospective
studies within the time
frame of their fellowship.
31
Resources Available To Fellows
A
t Texas Scottish Rite Hospital for Children, fellows have the support of a world-class staff
and access to state-of-the-art equipment.
MRI Scanner
Clinical Support Staff
TSRHC uses a General Electric MRI scanner to
help medical staff members detect early signs of
many developmental abnormalities in patients
treated at the hospital. The MRI continually
enhances patient care, and all fellows have direct
access to the system. This year, TSRHC will be
installing a new Philips 64-slice CT scanner that
will afford the staff the opportunity to do higher
resolution imaging and reconstruction, as well as
faster scans.
TSRHC orthopaedic clinics are supported by a
variety of staff members. Within each clinic, the
orthopaedic staff physician works with a clinical
support team, including a nurse coordinator, a
licensed vocational nurse and a clerk technician.
The nurse coordinator is responsible for
patient-family education during clinics, handles
pre-admissions and assesses walk-in patients.
The L.V.N. and R.N. attend each clinic
appointment with the physician, take physician
orders and are also trained to apply and remove
plaster casts. The clerk technician manages
patient flow, handles the automated clinic
system for ordering X-rays and labs, screens
patients for immunization status, medications
and allergies and provides general assistance in
the clinics.
PACS
The hospital’s Radiology department uses a Fuji
Synapse Picture Archiving and Communication
System (PACS) to assist TSRHC physicians in
preoperative planning in their offices or clinic
environment. Physicians can also view images
via computer in conferences, save images to
PowerPoint presentations and access data for
publication purposes. The PACS contributes to
better patient care by creating an environment
that provides instant access to X-ray images
by an authorized user on any workstation in
the hospital.
Top to bottom: X-ray tube; A.P.N.s Susan Dale, Shawne
Faulks and Andrea Smith; Mary Peters, medical librarian
The Seay/Pickens MRI
Center offers a powerful
and innovative tool for
physicians to diagnose
and treat patients.
32
Advanced Practice Nurses
Three advanced practice nurses (A.P.N.) provide
valuable support within the clinic setting and
research projects. They work with the surgeons
in clinics and independently in A.P.N. clinics.
These nurses conduct patient assessments,
order and review routine diagnostic studies
and X-rays, collaboratively or independently
diagnose and develop treatment plans and
educate patients and family about the diagnosis
and treatment. They serve as an integral clinical
resource for the multidisciplinary team at
TSRHC. The hospital plans to add a fourth
A.P.N. in the near future.
Medical Library
The Brandon Carrell, M.D., Medical Library
at TSRHC features an in-depth print collection
of specialized books and journals, as well as
databases and online journals that are accessible
through the library’s Web site. The librarian
can obtain external resources that are not
available in-house.
Siemens MedSeries4 Clinical Suite
An exciting new resource that will be available
to fellows in 2008 is the new Siemens
MedSeries4 system. MedSeries4 is an enterprise
system for the administration of automated
health records for physicians and staff that
provides automated tools that enable them
to communicate important information to
enhance our patient safety initiatives. This
integrated system addresses daily clinical
processes for licensed professionals by
eliminating redundant activities and enabling
coordination of work, such as documentation.
Movement
Science
Laboratory
T
he Movement Science Laboratory is a
division of the Research department
at TSRHC that focuses on functional
evaluation of patients with pathologies of
the musculoskeletal system. The laboratory
was originally founded in the early 1980s,
thanks to a generous donation from David
Tacke, in memory of his wife, Ruth. It is a
state-of-the-art resource used for both
clinical work and research.
Evaluations are conducted in the lab using
a variety of equipment that can measure joint
motion, net joint forces, muscle activity,
strength, foot plantar pressures and oxygen
consumption. The lab’s clinical service provides
clinicians critical and objective analysis of a
patient’s gait or movement pathology.
The lab is used in research to study the
outcome of different surgical procedures,
to compare different patient populations
and to evaluate the effects of treatment
invention, such as therapy or prosthetic
and orthotic prescriptions.
The lab’s staff is made up of a
multidisciplinary team of engineers and
biomechanists led by medical director
Dr. Lori Karol. TSRHC’s orthopaedic
fellows play a crucial role in supporting
its clinical and research efforts.
Current research
projects include:
L to R: Kelly Jeans and Vy Do, both Movement Science; Tyler, age 15 of Garland, and Edwards
fellow Dr. Bryan Tompkins
• Outcome studies of surgical
procedures in children with
cerebral palsy.
• Evaluation of the pathological hip.
• Development of improved
techniques for modeling the
musculoskeletal system.
• Outcomes of nonsurgical and
surgical treatment of clubfoot
deformity.
• Functional evaluation of the trunk
and spine in patients with scoliosis.
• Gait analysis, strength and energy
efficiency in children with limb
deficiency.
TSRHC Movement Science Laboratory team, Back row, L to R: Scott Campbell, Michael Orendurff,
director, and Kelly Jeans; Front row, L to R: Kirsten Tulchin, Janet Fein and Vy Do
33
Tachdjian’s Pediatric Orthopaedics:
From Texas Scottish Rite Hospital for Children
T
achdjian’s Pediatric Orthopaedics,
originally created by Dr. Mihran
Tachdjian, is considered to be the
definitive text for pediatric orthopaedic
surgeons worldwide.
Shortly after Dr. Tachdjian passed away in
1996, publishers at Harcourt Health Sciences
began searching for authors to take on the
monumental task of writing the next edition
of the renowned reference book. It did not
take long for the publishers to find the best
team for the job — physicians at Texas
Scottish Rite Hospital for Children.
34
Tachdjian’s Pediatric Orthopaedics: From Texas Scottish
Rite Hospital for Children, Fourth Edition
“The wealth of knowledge and experience
of the doctors at TSRHC was unsurpassed,
making them the obvious choice,” said
Richard Lampert, an editor at Harcourt
Health Sciences. “When we interviewed
Dr. Tony Herring, it was evident that his team
was perfect. The combined knowledge and
skill of the doctors exceeded our expectations
by far.”
Dr. Herring, TSRHC chief of staff, and
17 physicians from the hospital committed
their time and talent to the third edition of
Tachdjian’s Pediatric Orthopaedics: From Texas
Scottish Rite Hospital for Children.
Respected as the international standard
and regarded as an essential tool for
pediatric orthopaedists, the three-volume
set establishes the benchmark for diagnosis,
treatment and surgical procedures for
orthopaedic conditions in children.
Tachdjian’s Pediatric Orthopaedics
incorporates the latest understandings,
information and techniques in the field of
pediatric orthopaedics. It includes expanded
information about trauma, with new clinical
materials drawn from contributors’ extensive
database. The set also features comprehensive
coverage of etiology, diagnosis, imaging,
differential diagnosis and nonoperative
Sneak preview of new site
OrthoClub Web Site
T
L to R: Drs. Karl Rathjen, Philip Wilson,
Charles Johnston, Lawson Copley,
Scott Oishi, Marybeth Ezaki, Peter Carter,
Lori Karol, Steve Richards, Daniel Sucato,
John Birch and Tony Herring
and surgical treatment. New chapters
explore gait analysis, imaging studies and
general principles of orthopaedic injuries.
The volumes showcase hundreds of new
line drawings, radiographs and clinical
photographs.
TSRHC staff recently completed the
fourth edition of the three-volume set that
will soon be available. The new volume will
include 24 instructional videos featuring
surgical instruction for a variety of cases.
The videos include step-by-step narration
of surgical procedures and are designed to
be supplementary to the text. These videos
will also be available online on a passwordprotected Web site.
he OrthoClub Web
The OrthoClub Web site,
site, www.tsrh.net, is
www.tsrh.net, provides:
a unique tool linking
current and former fellows
• A unique tool linking current and former
and visiting professors with
fellows, visiting professors and TSRHC
the orthopaedic and research
orthopaedic and research staff.
staff of Texas Scottish Rite
• A password-protected area featuring
Hospital for Children. It
case studies and treatment discussions
is a dynamic tool that is
from TSRHC’s weekly orthopaedic
continuously updated and
conferences.
constantly improved.
• A venue for former fellows to present
The focus of this Web site
their own interesting cases for discussion.
is to keep our big family of
former fellows connected with
the events and highlights of
TSRHC’s Orthopaedic department.
The Web site includes the professional backgrounds of TSRHC’s orthopaedic staff,
current fellows, former fellows and visiting professors, along with their updated
contact information and most recent publications and presentations.
The Web site has a password-protected area featuring case studies and treatment
discussions from the hospital’s Tuesday morning orthopaedic conferences. The
site permits all current and former fellows an opportunity to participate in these
discussions and to submit their questions and opinions.
Former fellows can also send their own interesting cases for online presentation
and discussion. Case studies can be viewed online or printed for later offline review.
With the ever-increasing number of clinical cases that are being placed on the Web
site, we are now in the process of developing a case database that will allow others to
search for cases using different keywords for diagnosis or treatment procedures.
35
Sarah M. and Charles E. Seay Center
for Musculoskeletal Research
The Sarah M. and Charles E. Seay Center
for Musculoskeletal Research provides a
biostatistician to help fellows with project
planning and the statistical analysis of
data so that each project has a defendable
result. The research center also includes four
bioengineers who can provide assistance to
fellows with the design and modification of
devices, as well as the mechanical testing of
fabricated devices.
The laboratory facilities of the Sarah M.
and Charles E. Seay Center for Musculoskeletal
Research are available for the fellows’ use
throughout their fellowships. The research
center staff is continually involved in
musculoskeletal research projects and may also
be able to assist fellows with the design and
implementation of their own research projects.
The hospital’s Movement Science Laboratory is
also an excellent resource for research.
Fellows are welcome to participate in any
research activities and have access to all of
the research facilities at TSRHC, as well as
additional lab facilities at UT Southwestern
Medical Center.
Edwards fellow Dr. Amy McIntosh examines an X-ray of a patient.
T
he Sarah M. and Charles E. Seay Center for Musculoskeletal Research at Texas
Scottish Rite Hospital for Children is an integral component of the orthopaedic care
the hospital provides for each patient. It is made up of several core divisions focused on
basic science research and four centers for excellence specializing in patient care and research:
the Sarah M. and Charles E. Seay/Martha and Pat Beard Center for Excellence in Spine
Research, the Center for Excellence in Limb Lengthening and Reconstruction, Center for
Excellence in Clubfoot Research and the Charles E. Seay, Jr. Hand Center.
The TSRHC Research department has a unique environment that supports and encourages
collaboration between researchers and physicians. This environment allows TSRHC to make
innovative discoveries, which have a significant impact on the lives of children.
Each fellow is required to complete a minimum of one research project during the year,
but the opportunity to work on multiple projects is readily available. A major strength of
TSRHC’s research program is that research ideas can be reviewed and approved quickly,
allowing researchers to start working on a project while they are still enthusiastic about the
topic. The hospital’s Research Advisory Panel (RAP) reviews research proposals every month,
which means that a proposal can be created, reviewed and funded within two months.
All research projects at TSRHC that include human participants are reviewed by the
Institutional Review Board (IRB) at UT Southwestern Medical Center. Research coordinators
in orthopaedics help fellows complete the paperwork required to submit a proposal to the RAP
and the IRB.
36
Top to bottom: Patient Cameron, age 6
of Lubbock; Dr. John Birch and Edwards
fellow Dr. Jeff Martus
In the TSRHC
Research Lab,
Carol Wise, Ph.D.,
and Norma Elmnoufy
take DNA samples
as part of a 10-year
study that resulted in
identification of the
first gene related to
the development of
scoliosis.
Each fellow is required to complete at least one
research project at TSRHC:
• Research ideas can be reviewed and approved quickly.
• Research proposals can be created, reviewed and funded
within two months.
• Research assistants, biostatisticians and bioengineers are
available to help fellows with their projects.
Sarah M. and Charles E. Seay
Center for Musculoskeletal
Research Core Divisions
Division of Movement Science
Michael Orendurff, director
Dr. Lori Karol, medical supervisor
Division of Bioengineering and Biomechanics
David Ross, director
Dr. Steve Richards, medical supervisor
Division of Comparative Orthopaedics
and Preclinical Research
Dr. Charles Johnston, medical supervisor
Division of Cellular Pathology
Dr. John Birch, medical supervisor
Division of Molecular Genetics
Carol Wise, Ph.D., director
Dr. Tony Herring, medical supervisor
T. Boone Pickens and his wife, Madeleine, presented awards to Edwards fellows, recognizing
their outstanding research. Pictured from left are Dr. Daniel Sucato, director of the Sarah M.
and Charles E. Seay/Martha and Pat Beard Center for Excellence in Spine Research; Dr. Tony
Herring, TSRHC chief of staff; T. Boone Pickens; his wife, Madeleine; Edwards fellows Drs. Bryan
Tompkins; Jeff Martus; Amy McIntosh and John Lovejoy; the Honorable Lyndon L. Olson, Jr.,
chairman of the TSRHC board of trustees, and J. C. Montgomery, Jr., TSRHC president
Division of Regenerative Neurobiology
Dr. Mario Romero, director
Dr. Marybeth Ezaki, medical supervisor
Division of Project Support Services
Dr. Richard Browne, director
Dr. Karl Rathjen, medical supervisor
37
Sarah M. and
Charles E. Seay/
Martha and Pat
Beard Center
for Excellence in
Spine Research
T
Children (TSRHC) has always been
a pioneer in spine surgery. In the
1970s, Dr. Tony Herring and the orthopaedic
staff began an aggressive program to develop new and innovative
procedures and implant systems for treating spinal disorders. The
Sarah M. and Charles E. Seay/Martha and Pat Beard Center for
Excellence in Spine Research, directed by Dr. Daniel Sucato,
provides a forum for a group of experts from many disciplines to
collaborate on specific challenges in spine surgery.
“One of our goals is to bring talented researchers with diverse
backgrounds and skills to work together,” Dr. Sucato said. “This
is a group that will set the bar high to solve the big problems
and answer the unanswerable questions that we have today about
spine deformity.”
The spine center, which works with the Research Advisory Panel, is made up of the
Division of TSRH® Spinal Implant Development, the Division of Creative Innovations
and Novel Strategies for Treatment and the Division of Clinical Scoliosis Research.
Division of TSRH® Spinal
Implant Development
Charles Johnston, M.D.
director
The TSRH® Spinal System,
originally developed by
Drs. Tony Herring, Charles
Johnston and Rich Ashman
in collaboration with Medtronic Sofamor
Danek, has been widely used for the treatment
of spinal deformity for nearly two decades.
TSRHC has improved on this foundation
with the TSRH® SILO™ 5.5 Spinal System.
Through the Division of TSRH® Spinal
Implant Development, directed by
Dr. Johnston, a multidisciplinary team of
surgeons and researchers concentrate on
taking the spinal implant system to a new level
to meet ever-evolving needs for innovative
treatments of spinal deformity. This system
provides a versatile option to treat all types
of spine conditions, including deformity,
trauma, tumor and degenerative conditions.
38
Edwards fellow Dr. Bryan Tompkins
and Dr. Daniel Sucato, director of
the Sarah M. and Charles E. Seay/
Martha and Pat Beard Center for
Excellence in Spine Research, examine
a model of a spine.
(inset) The Center for Excellence
in Spine Research holds regular
meetings during which members from
departments throughout the hospital
have the opportunity to collaborate
and discuss research.
Division of Creative
Innovations and
Novel Strategies
for Treatment
Division of Clinical
Scoliosis Research
Daniel Sucato, M.D., M.S.
director
The Division of
Clinical Scoliosis
Research, directed by
Dr. Steve Richards,
oversees all retrospective and prospective
clinical studies and promotes continued
collaboration between TSRHC’s
orthopaedic staff, fellows, residents,
nurses and research coordinators to
address important issues for TSRHC’s
spine patients. This division will also
increase the hospital’s spine research
capabilities with the continued
development of a spinal deformity research
database in conjunction with Medtronic
Sofamor Danek and PhDx Systems,
Inc. This division supports continued
collaboration between TSRHC and other
institutions around the world through
the Spine Deformity Study Group and
Harms Study Group.
The Division of Creative
Innovations and Novel
Strategies for Treatment, directed by
Dr. Daniel Sucato, concentrates on
developing a better understanding of spinal
deformity to promote the investigation
of innovative treatment methods. This
division will promote the investigation of
minimally invasive techniques, non-fusion
technology, advanced imaging, robotics
and molecular biology, among other
innovations and strategies, to better treat
patients with spinal deformities. Through the
development of basic science that mimic the
clinical challenges of spine deformity, this
division will focus on developing a better
understanding of the growth and biology
of the spine and developing more effective
methods of treatment.
Steve Richards, M.D.
director
“If you join this fellowship, you
will be joining a group of more
than 100 fellows throughout
North America and the world
who continue the great tradition
of TSRHC by taking great
care of children.”
— Daniel Sucato, M.D., M.S.
Director of the Sarah M. and
Charles E. Seay/Martha and
Pat Beard Center for Excellence
in Spine Research
Macie, age 4 of Fort Worth,
celebrates the outstanding
research team at TSRHC’s
Center for Excellence in
Spine Research.
39
Center for Excellence in Limb
Lengthening and Reconstruction
T
exas Scottish Rite Hospital for Children initiated its Ilizarov limb lengthening
and reconstruction research program in 1992. For more than 15 years, the
hospital’s scientific and clinical progress has placed TSRHC in a strong
leadership position in the area of limb reconstruction research and development in the
United States and throughout the world.
Through the Center for Excellence in Limb Lengthening and Reconstruction,
directed by Drs. John Birch and Mikhail Samchukov, researchers work collaboratively
with clinical and engineering staff to understand the mechanisms of new bone
formation and soft tissue adaptation during gradual stretching.
By developing unique solutions to limb reconstruction challenges, TSRHC will
advance the treatment of patients with limb deficiencies through innovative research
and education.
The center, which also works with the hospital’s Research Advisory Panel, is made
up of the following divisions: the Division of Tissue Adaptation and Neogenesis, the
Division of Skeletal Fixation Systems Design, the Division of Clinical Implementation
and Data Management and the Division of Clinical Applications and Training.
40
Drs. Alexander Cherkashin and Mikhail Samchukov, Center
for Excellence in Limb Lengthening and Reconstruction,
examine a model of an TRUE/LOK™ frame.
Division of Tissue
Adaptation and
Neogenesis
Marina Makarov, M.D.
director
The Division of
Tissue Adaptation and
Neogenesis, led by
Dr. Marina Makarov, focuses on the areas
of new bone formation under the influence
of tensional stresses and soft tissue adaptation
to gradual traction during distraction
osteogenesis. This division manages all
experimental studies related to limb
lengthening and reconstruction and allows
the hospital’s researchers and physicians
to analyze and better understand the
fundamental biological mechanisms of
limb lengthening and reconstruction.
Center for Excellence in Limb
Lengthening and Reconstruction
team, L to R: Drs. Alexander
Cherkashin and Mikhail Samchukov;
Meghan Wassell, research coordinator;
Dr. Marina Makarov; Dr. John Birch
and Hong Lin, M.S.
Computerized-Preoperative Planning
During the course of their fellowship, Edwards fellows have the opportunity
to become familiar with computerized-preoperative planning for Ilizarov
deformity correction. The hospital’s Center for Excellence in Limb Lengthening
and Reconstruction holds an annual deformity correction course during
which fellows receive a full day of training in using TSRHC’s copyrighted
LegPERFECT software for tibial and femoral deformity correction.
Experts in the field of Ilizarov deformity correction and computerizedpreoperative planning teach fellows the different ways to input data, create
full-sized “blueprints” from which to build Ilizarov frames and locate
deviations from preoperative planning and make necessary adjustments.
Once fellows leave the hospital, they can still benefit from TSRHC’s
world-class, computerized-preoperative planning capabilities. Depending
upon the fellow’s preference, TSRHC will e-mail the preoperative planning
with attached software or mail the final output “blueprint” for former fellows
to use when treating patients.
®
Hong Lin, M.S., creates “blueprints” from which to build Ilizarov
frames using the hospital’s computerized-preoperative planning.
Division of Skeletal
Fixation Systems
Design
Implementation and
Data Management
Applications and
Training
Mikhail Samchukov, M.D.
director
Alexander Cherkashin, M.D.
director
John Birch, M.D.
director
The Division of Skeletal
Fixation Systems Design,
directed by Dr. Mikhail
Samchukov, coordinates the design,
development, testing and implementation
of the existing TRUE/LOK™ External
Fixation System. This division also focuses
on developing new fixation systems for acute
fracture reduction, foot deformity correction
and other conditions. The division supports
the hospital’s research staff in developing
new and improving existing techniques
of distraction osteogenesis and external
skeletal fixation devices for correcting limb
deficiencies in different regions of the
human skeleton.
Led by Dr. Alexander
Cherkashin, the Division of
Clinical Implementation and
Data Management coordinates all outcome
studies involving computer-assisted data
collection, storage, analysis and treatment
planning and guidance. Through the
computerized assisted treatment planning
lab, directed by Hong Lin, M.S., and the
Ilizarov data management lab, this division
will continue to develop the LegPERFECT®
preoperative planning program and develop
a universal knowledge base of the hospital’s
Ilizarov patients. These advancements in
technology and data management will help
create the foundation for multicenter clinical
studies to improve the effectiveness of limb
lengthening for patients around the world.
The Division of
Clinical Applications
and Training, directed
by Dr. John Birch, allows for efficient
collaboration between research and clinical
staff in the Center for Excellence in Limb
Lengthening and Reconstruction. This
division manages all retrospective and
prospective Ilizarov clinical studies on
limb lengthening and reconstruction and
supervises all clinical training on distraction
osteogenesis techniques and external skeletal
fixation. This management and supervision
will enable the center to present cohesive
educational materials and move forward
in expanding knowledge about limb
lengthening and reconstruction.
41
Center for Excellence in Clubfoot Research
T
Children treats more than 100
new patients with clubfeet each
year and has more than 1,000 clubfootrelated clinic visits annually. The hospital
is establishing a new research center, the
Center for Excellence in Clubfoot Research,
which will be dedicated to the study of this
disorder. Directed by Dr. Steve Richards,
the center will facilitate extensive research
into clubfoot — its cause, the effectiveness
of nonoperative and operative treatments
and the study of gait patterns in clubfoot
patients.
TSRHC is the leader among a small
number of facilities in the nation that
provide two nonoperative treatment
methods for patients with clubfeet, the
Ponseti casting method and the French
physical therapy method of stretching,
massaging and taping. These methods have
been shown to be very effective and are most
successful if the treatment begins early in
the newborn period. In the rare event that
complete correction of the foot cannot be
achieved or maintained by these methods,
surgery is an option.
Throughout the past decade, physicians
at TSRHC have been studying the
effectiveness of each nonoperative method
and comparing the results with patients who
have undergone surgery. Results of these
studies have been published in the Journal of
Pediatric Orthopaedics, as well as presented
at national and international conferences,
including the Pediatric Orthopaedic
Society of North America annual meeting,
the International Clubfoot Symposium,
Brandon Carrell Visiting Professorship and
the American Academy of Orthopaedic
Surgeons annual meeting.
Through the Center for Excellence
in Clubfoot Research, researchers will
have the opportunity to collaborate with
bioengineers, the Movement Science
Lab, molecular genetics, orthotists and
Trevor, age 9 months,
giggles as physical
therapist Sarah Signall
stretches and massages
his feet as part of the
French physical therapy
method used to treat
clubfoot at TSRHC.
42
L to R: Drs. Daniel Sucato, Charles Johnston and Lori Karol; Cindy Daniel,
project manager for orthopaedic research, and Drs. Karl Rathjen and Steve Richards
other experts in the field. The Movement
Science Lab at TSRHC has done extensive
research on clubfeet providing an objective
measurement of patients’ strength, joint
range of motion and gait patterns following
treatment. The Orthotics department
works consistently with researchers to
develop improvements to the brace used
in the Ponseti method in order to enhance
compliance among patients and ultimately
improve long-term outcomes. The Physical
Therapy department has begun performing
functional testing on our study participants
to evaluate the effects of treatment.
Clubfoot Research Staff:
TSRHC patient Patricia,
age 11 months of Little
Elm, loves the colorful toys
and games that are part
of TSRHC’s child-friendly
atmosphere.
Steve Richards, M.D., Director
Lori Karol, M.D.
Karl Rathjen, M.D.
Charles Johnston, M.D.
Shawne Faulks, R.N., C.N.S.
Cindy Daniel, Research Coordinator
Bioengineering Staff:
David Ross, Bioengineering
Paul Wells, Ph.D., Bioengineering
Bill Pierce, Bioengineering
Movement Science Staff:
Kirsten Tulchin, Movement Science Lab
Kelly Jeans, Movement Science Lab
Orthotics Staff:
Don Virostek, C.P.O.
Kevin Felton, C.O.
Molecular Genetics Staff:
Carol Wise, Ph.D., Molecular Genetics
Physical Therapy Department:
Carol Chambers, P.T., Director
43
“We can make these children
better, and they can have
productive jobs, fulfilling
hobbies and healthy families.
We have the opportunity to
change children’s lives.”
— Dr. Peter Carter,
TSRHC staff hand surgeon
This page: TSRHC’s Hand Camp,
L to R: Assistant coach and
TSRHC patient Zach, age 14
of Arlington, and coach and
former patient Cody, age 19
of College Station, with campers
44
Charles E. Seay, Jr. Hand Center
T
surgical staff to help hand surgeons outside
Children’s Charles E. Seay, Jr. Hand
Texas improve care for children with upper
Center, directed by Dr. Marybeth Ezaki,
limb disorders.
has provided exceptional care for children with
The hospital’s hand and upper limb service
congenital and acquired hand and upper limb
has trained many hand surgeons who now
deficiencies for more than 20 years. The first
practice throughout the United States and
pediatric orthopaedic hospital to employ
around the world, providing valuable care for
full-time hand surgeons, TSRHC provides care
children with hand and upper limb disorders.
for a large population of
Texas children and allows
the hospital’s hand surgeons
to treat an extraordinary
number of rare and
complicated conditions that
most physicians would rarely
see during their entire careers.
For example, TSRHC hand
surgeons currently have more
than 100 active patients on
whom they have performed
the pollicization procedure of
creating a functioning thumb
from a patient’s index finger.
Through the latest
advancements in surgery and
technology, the hospital’s
renowned hand surgeons,
Dr. Scott Oishi, staff hand surgeon; Dr. Marybeth Ezaki, director of the
Drs. Ezaki, Peter Carter and
Charles E. Seay, Jr. Hand Center, and Dr. Peter Carter, staff hand surgeon
Scott Oishi, remain dedicated
The hand and upper limb service at TSRHC
to improving the treatment of patients,
offers three fellowship-level training programs in
providing compassionate, individualized care for
children and their families and teaching surgeons pediatric hand surgery. The basic and advanced
pediatric hand surgery programs allow TSRHC
from around the world. The center continues to
to teach surgeons from affiliated hand surgery
improve the quality of care for TSRHC patients
fellowships from all over the United States the
and enhances its international recognition as a
skills needed for either a general or specialized
leader in education and research, the supporting
pediatric hand surgery practice. In addition, an
pillars of patient care.
international pediatric hand fellowship allows
“We are right in the center of the hospital’s
one surgeon from outside the U.S. to work and
mission of putting children first,” Dr. Carter
study at TSRHC for six months.
said. “We can make these children better, and
The hospital’s hand surgeons are active in
they can have productive jobs, fulfilling hobbies
the hand and orthopaedic community. They
and healthy families. We have the opportunity
attend and teach at national and international
to change children’s lives.”
meetings and training programs, as well as make
TSRHC’s hand center combines a variety of
presentations at conventions and symposiums
disciplines, including psychological counseling,
around the world. They also have authored
hand therapy and surgery, to provide patients
numerous articles and book chapters.
with care that focuses on the whole child. This
Although Edwards fellows do not rotate
approach allows the hospital to not only treat
on the hand service, they are welcome to join
patients’ physical conditions but also equip
in the care of the hospital’s hand patients by
them to overcome their challenges and build the
participating in the hand clinics and observing
confidence necessary to realize their potential.
and learning in the operating rooms at any time.
The hospital remains on the leading edge
of patient care through world-class research.
Top to bottom: Abbie, age 6 of Leander; Amanda and
TSRHC’s hand surgeons publish work in
Heather, both 14 of Pflugerville, with Drs. Marybeth
peer-reviewed journals and participate in study
Ezaki and Peter Carter; Dr. Peter Carter examines an
groups and collaborative projects with physicians
X-ray; Charles E. Seay, Jr. Hand Center team;
at pediatric hospitals around the world. This
Isabelle, age 1 of Abilene
research and collaboration allows the hospital’s
45
Research Opportunities
F
ellows at Texas Scottish Rite Hospital for Children can work on ongoing projects
including topics, such as scoliosis and creating a scoliosis database, the nonoperative
treatment of idiopathic clubfoot and the Spine Deformity Study Group.
Mario Romero, Ph.D., Research department
Scoliosis Research and the
Scoliosis Database
A strong clinical and basic science research
program in the field of spinal deformity
continues to maintain TSRHC’s leadership
role in this field. These research endeavors
have led to new ideas and concepts,
many of which are presented each year as
scientific papers at the Scoliosis Research
Society meeting, the International Meeting
for Advanced Spine Techniques and in
publications such as Spine and The Journal
of Bone and Joint Surgery. Clinical research
in the field of spinal deformity has produced
many landmark papers that have shaped the
manner in which spinal deformity is treated
today. The Edwards fellows make significant
contributions to this legacy.
The basic science research program
continues to be very active with ongoing
spine projects in the biomechanics lab,
some of which include the development of
instrumentation to perform tethering of the
spine without fusion to correct scoliosis,
the development of improved screw and
instrument design for anterior endoscopic
instrumentation and fusion and continued
46
work to update the TSRH® Spinal
System and the new TSRH®
SILO™ 5.5 Spinal System.
The Comparative Orthopaedic
Surgical Lab (COSL) allows the
research team to perform the full
spectrum of spine surgeries to
include anterior and posterior
instrumentation and is equipped
with thoracoscopic/endoscopic
equipment. It is staffed by two
technicians who perform all of the
preoperative and postoperative
care, provide the anesthesia and
obtain any needed intraoperative fluoroscopy
and/or postoperative radiographs.
The clinical database of patients treated
for spinal deformity is expansive, providing
fellows with limitless potential for outstanding
clinical research. TSRHC, in conjunction
with PhDx Systems, Inc., has developed the
Scoliosis Surgical Outcomes Database that
provides a means to input clinical data on all
patients with spinal deformity. The database
enables multiple users from the hospital
L to R: Cindy Daniel, project manager for orthopaedic
research; Jeff Hopkins, R.N., orthopaedic research
nurse coordinator, and Anna McClung, R.N.,
scoliosis research nurse coordinator
to participate in investigations in a timely
and cost-effective manner and allows for
the confidential management of data entry,
tracking and reporting on an as-needed basis.
The development and maintenance of this
database is an exciting new tool that will allow
TSRHC to remain a leader in the study of
spinal deformity in children.
Nonoperative
Treatment of Idiopathic
Clubfoot Deformity
TSRHC physicians and therapists have found clubfoot to be
much more responsive to nonoperative treatment than was
previously thought. The purpose of the prospective clubfoot
study is to compare the effectiveness of two nonoperative
methods: the French physical therapy method of daily stretching,
massaging and taping and the Ponseti casting technique.
Patient families in the study are allowed to select the
treatment option that best fits their needs. All study patients
are evaluated for classification of clubfoot severity using
the Dimeglio scale at the beginning and at the conclusion
of treatment. The physical therapy group is referred to the
hospital’s physical therapists for daily treatment sessions, while
the casting group is treated by the physicians.
The expanded success rate of nonoperative treatment
(achieving a plantigrade foot, with good motion and power,
without shoe-wear problems) is 50 to 80 percent. Experience
with the daily massage and taping technique shows it to be
far better than traditional serial below-knee casting. Recent
reports suggest that the Ponseti technique of stretching
and casting is equally as effective and might be better at
correcting the congenital clubfoot deformity without the
need for more extensive surgery. Researchers at TSRHC will
compare these two nonoperative techniques at long-term
follow-up with quantitative assessment of foot deformity by
radiographs, motion, power and plantar pressures and
patient/parental satisfaction.
Shawne Faulks, A.P.N., with Hayden, age 7 weeks of Garland
Spine Deformity Study Group
The Spine Deformity Study Group was formed in 2000 through a collaboration of leading
academic spine specialists throughout the world and industry. The driving force behind the
group was the need to address the challenges and opportunities for advancing spinal deformity
care through multicenter analysis. The primary goal has been to advance clinical science and
clinical outcomes through collaboration between surgeons, spine care providers, researchers
and industry. The group has grown to more than 50 members, and Drs. Charles Johnston,
Steve Richards and Daniel Sucato are members of this group. The majority of the members are
faculty members at leading academic institutions, and several members have recently held or
currently hold key leadership positions in major orthopaedic and spine societies (AAOS, SRS,
NASS). Today, the group’s major focus areas include adult deformity, adolescent idiopathic and
early onset scoliosis and spondylolisthesis.
Fellows have the opportunity to work on several
ongoing spine research projects, including:
• Developing instrumentation to perform tethering of the spine
without fusion to correct scoliosis.
• Evaluating various biological developments to enhance fusion.
• Developing fusionless techniques to correct scoliosis.
Top photo:
Orthopaedic research
nurse coordinator
Jeff Hopkins, R.N.,
and Dr. Daniel
Sucato; Bottom photo:
Edwards fellow
Dr. Amy McIntosh
reviews patient charts.
• Understanding intrathoracic and extrathoracic scar formation.
• Further developing the clinical database of patients treated for
spinal deformity.
47
Social Events and Opportunities
TSRHC hosts a variety of social activities for fellows and their families. Whether it is a weekend at the Rocker b Ranch, a golf outing, running a relay at Wellstone’s
Dallas White Rock Marathon or a special dinner for fellows at the Tower Club in downtown Dallas, fellows and their families have numerous opportunities to develop
long-lasting friendships.
48
D
uring their fellowship, fellows at Texas Scottish Rite Hospital for Children become
important members of the hospital’s family and often form strong bonds with
each other.
Fellows and their families are invited to participate in a variety of social activities
throughout the year. Some events include a holiday luncheon honoring Edwards fellows, the
annual TSRHC picnic, Wellstone’s Dallas White Rock Marathon relay race, the Jingle Bell
run, the “Hotter than Hell” Bike Race and soccer games hosted each year by Dr. John Birch.
The orthopaedic staff hosts a goodbye dinner each July in honor of the fellows during
which the staff pays tribute to each fellow.
49
Present and Future Fellows
2006-2007 Edwards Fellows
John Fletcher Lovejoy, III, M.D.
Dr. Lovejoy is a native of Jacksonville, Fla.
He received a B.A. degree in sociology and
Canadian studies at Duke University. He
completed premedical courses at Florida
State University and attended medical
school at the University of Florida College of Medicine.
Dr. Lovejoy completed a residency in orthopaedic surgery
at the Atlanta Medical Center in Atlanta. He is married, and
he and his wife have two daughters and one son. He plans
to join the orthopaedic medical staff at Children’s National
Medical Center in Washington, D.C., and join the faculty
at The George Washington University at the conclusion of
his fellowship training.
Jeffrey E. Martus, M.D.
Dr. Martus is a native of Royal Oak,
Mich. He received a B.S.E. degree in
chemical engineering and an M.S. degree in
biomedical engineering at the University of
Michigan in Ann Arbor, Mich. He attended
medical school at the University of Michigan Medical School
and completed a residency in orthopaedic surgery at the
University of Michigan. Dr. Martus is married, and he plans
to join the Vanderbilt Children’s Hospital in Nashville, Tenn.,
at the conclusion of his fellowship training.
Amy L. McIntosh, M.D.
Dr. McIntosh is a native of Michigan.
She received a B.S. degree in sports medicine
at the Central Michigan University in
Mt. Pleasant, Mich. She attended medical
school at Michigan State University College
of Human Medicine in East Lansing, Mich., and completed
a residency in orthopaedic surgery at the Mayo School of
Graduate Medical Education within the College of Medicine
in Rochester, Minn. Dr. McIntosh is married, and she plans
to return to the Mayo Clinic at the conclusion of her
fellowship training.
Bryan Tompkins, M.D.
Dr. Tompkins is a native of Denver.
He received a B.S. degree in chemical
engineering with emphasis on biomedical
engineering at the University of Colorado
at Boulder. He attended medical school
at the University of Colorado at Denver and Health Sciences
Center in Denver and completed a residency in orthopaedic
surgery at the Stony Brook University in New York.
Dr. Tompkins is married and plans to join the Shriners
Hospitals for Children — Spokane in Spokane, Wash.,
at the conclusion of his fellowship training.
50
2007-2008 Edwards Fellows
Derek Michael Kelly, M.D.
Dr. Kelly is a native of Texarkana, Texas.
He received a B.S. degree at the University
of Central Arkansas. He then attended
medical school and completed a residency
in orthopaedic surgery at the University
of Arkansas for Medical Sciences. Dr. Kelly is married.
Mark Tsu Chong Lee, M.D.
Dr. Lee is a native of Ding Hai, China.
He received a B.S. degree at Yale University.
He then attended medical school at the
Albert Einstein College of Medicine and
completed a residency in orthopaedic
surgery at the Rhode Island Hospital, Brown University.
Dr. Lee is married, and they have one child.
Joshua William Meier, M.D.
Dr. Meier is a native of Milwaukee.
He received his B.S. degree at Concordia
University Wisconsin. He then attended
medical school at the Medical College
of Wisconsin and completed a residency
in orthopaedic surgery at the Henry Ford Hospital in Detroit.
Dr. Meier is married, and they have two children.
Kristina S. Walick, M.D.
Dr. Walick is a native of Suffern, N.Y.
She received a B.S. degree at the United
States Military Academy at West Point in
New York. She attended medical school
at Tulane University School of Medicine
in New Orleans and completed a residency in orthopaedic
surgery at Brooke Army Medical Center in San Antonio.
Dr. Walick is married, and they have one child.
2007-2008 McStay Fellow
Lauren Aleta Allen, M.D.
Dr. Allen is a native of Prince Albert,
Saskatchewan, Canada. She received her
B.S. from the University of Saskatchewan
in microbiology. Dr. Allen graduated with
a Doctor of Medicine (with Great
Distinction) and completed her residency in orthopaedic
surgery at the University of Saskatchewan College of Medicine.
2008-2009 Edwards/McStay
Fellows
Stephen Erik Adolfsen, M.D.
Dr. Adolfsen is a native of Bucks County,
Penn. He received a B.S. degree at Rutgers
University, Cook College in New Brunswick,
N.J., and then attended medical school at the
Robert Wood Johnson Medical School at the
University of Medicine and Dentistry of
New Jersey in Piscataway/New Brunswick,
N.J. He completed a residency in orthopaedic
surgery at Yale University – New Haven
Hospital in New Haven, Conn.
Michael Lucas Murnaghan, M.D.
Dr. Murnaghan is a native of Toronto. He
received a B.S. degree and medical degree
at the Queen’s University in Kingston,
Ontario, Canada. Dr. Murnaghan completed
his residency in orthopaedic surgery at The
University of British Columbia in Vancouver,
British Columbia, Canada.
Relocation to Dallas
W
e look forward to welcoming you
to our family at Texas Scottish Rite
Hospital for Children.
To help with your transition, each fellow
receives a $2,500 moving allowance, mailed in
June, to help with relocation costs. TSRHC staff
is able to provide information about the Dallas/
Fort Worth area, including real estate agents,
neighborhoods and schools.
Phyllis Cuesta, administrative director of
Orthopaedics, assists the fellows with getting
a Texas Physician-in-Training Permit to
practice medicine in Texas. Louise Hamilton,
administrative assistant to the chief of staff,
will also be available for assistance.
Once fellows are on board at Texas Scottish
Rite Hospital for Children, the house staff
coordinator will help orient new fellows to
the hospital and be available to provide fellows
with clerical support.
Hospital entrance in the fall
Matthew Oetgen, M.D.
Dr. Oetgen is a native of St. Louis. He received
a B.S. degree at Boston College and a Master of
Science in physiology at Georgetown University
Graduate School. Dr. Oetgen earned a Master
of Arts in medical informatics at Columbia
University Graduate School. He received his
medical degree at Georgetown University and
completed his residency in orthopaedic surgery
at Yale University – New Haven Hospital in
New Haven, Conn.
Neil Saran, M.D.
Dr. Saran is a native of Vancouver, British
Columbia, Canada. He received his B.S. degree
and his medical degree at the University of
British Columbia. He completed a residency
in orthopaedic surgery at McGill University
in Montreal.
Suzanne Steinman, M.D.
Dr. Steinman is a native of Aberdeen, Wash.
She received a B.S. degree in biochemistry at
the University of Washington in Seattle and
completed her medical degree at the University
of Washington School of Medicine in Seattle.
Dr. Steinman completed an orthopaedic
surgery research fellowship with the department
of orthopaedic surgery and a residency in
orthopaedic surgery at the University of
California in San Diego.
Dallas skyline with Texas
Scottish Rite Hospital for
Children in the foreground
51
Where Former Fellows Are Now
Don and Sybil Harrington Orthopaedic Fellowship
1978
Roger Sobel, M.D. (Fort Collins, Colo.)
Clyde Parsons, M.D. (Springfield, Mo.)
1979
Hanes Brindley, Jr., M.D. (Temple, Texas)
Thomas Ditkoff, M.D.
(West Bloomfield, Mich.)
John Purvis, M.D. (Jackson, Miss.)
1980
O. Lee Henderson, M.D. (Rogers, Ark.)
James Roach, M.D. (Salt Lake City)
1981 (pictured below)
John Birch, M.D. (TSRHC, Dallas)
Charles Johnston, M.D. (TSRHC, Dallas)
1982
Walter Carlson, M.D. (Sioux Falls, S.D.)
Robert Fitch, M.D. (Durham, N.C.)
John Houkom, M.D. (San Diego)
1983
Louis Keppler, M.D. (Cleveland)
Elizabeth Szalay, M.D. (Albuquerque, N.M.)
Timothy Ward, M.D. (Pittsburgh)
1984
Jay Jarvis, M.D. (Ottawa)
Carol Mowery, M.D. (Seattle)
Wayne Johnson, M.D. (Portsmouth, Va.)
1985
Curtis Gruel, M.D. (Oklahoma City)*
Paul Caskey, M.D. (Spokane, Wash.)
Randall Loder, M.D. (Indianapolis)
John Ritterbusch, M.D. (Sheridan, Wyo.)
1986
Jeffrey Ackman, M.D. (Chicago)
Robert Galpin, M.D. (Buffalo, N.Y.)
B. Stephens Richards, M.D. (TSRHC, Dallas)
1987
Jonathan Camp, M.D. (Henderson, Nev.)
Robert Caudle, M.D. (Raleigh, N.C.)
Anne Dzus, M.D. (Saskatoon, Saskatchewan)
Donna Phillips, M.D. (New York)
1988
John Blanco, M.D. (Atlanta)
Mark Dales, M.D. (Seattle)
William Schrader, M.D. (Akron, Ohio)
Richard Shindell, M.D. (Phoenix)
1989
Matthew Bueche, M.D. (Naperville, Ill.)
Jeffrey Neustadt, M.D. (St. Petersburg, Fla.)
Jay Shapiro, M.D. (Austin, Texas)
William Shaughnessy, M.D. (Rochester, Minn.)
Left: Drs. John Birch and Charles Johnston
during their time as Harrington fellows at
TSRHC; Below, L to R: Edwards fellows
Drs. Lori Karol, Drew Dossett, Mario Turi,
Kirk Hutton and Sud Rao
Back row, L to R: Drs. John Birch, Jim Roach,
Steve Richards, Jens Chapman and Charles
Johnston; Front row, L to R: Drs. Scott Sledge,
Jean Dubousset, Donna Phillips, Tony Herring
and Jon Camp
52
* Alternate Funding for Fellowship
Where Former Fellows Are Now
Dorothy and Bryant Edwards Orthopaedic Fellowship
1990
Joseph Gerardi, D.O. (Madera, Calif.)
Lori Karol, M.D. (TSRHC, Dallas)
Mario Turi, M.D. (Rockport, Maine)
Suzanne Yandow, M.D. (Honolulu)
1991
Jim Sanders, M.D. (Erie, Pa.)
Kit Song, M.D. (Seattle)
Paul Urbanek, M.D. (Concord, N.H.)
John Williams, M.D. (Austin, Texas)
1992
Thierry Benaroch, M.D. (Montreal)
Frances Farley, M.D. (Ann Arbor, Mich.)
Henry “Chip” Iwinski, M.D. (Lexington, Ky.)
Eric Loveless, M.D. (Jacksonville, Fla.)
1993
Tracy Ballock, M.D. (Cleveland)
Jeffrey Hanway, M.D. (Fairfax, Va.)
Anthony “Tony” Lapinsky, M.D.
(Worcester, Mass.)
Peter Newton, M.D. (San Diego)
J. Michael Wattenbarger, M.D.
(Charlotte, N.C.)
1994
Susan Austin, M.D. (Memphis, Tenn.)
Mark Erickson, M.D. (Denver)
Norman Ramirez, M.D.
(Mayaguez, Puerto Rico)
J. Brian Sims, M.D. (Amarillo, Texas)
2001
Craig Eberson, M.D. (Providence, R.I.)
Michael Ferrick, M.D. (Buffalo, N.Y.)
Carl St. Remy, M.D. (Norfolk, Va.)
J. Channing Tassone, M.D. (Milwaukee)
1995
John Fox, M.D. (Norfolk, Va.)
Todd Lincoln, M.D. (Oakland, Calif.)
Philip Mack, M.D. (Springfield, Mass.)
Chris Reilly, M.D. (Vancouver,
British Columbia, Canada)
1996 (pictured below)
Lawson Copley, M.D. (TSRHC, Dallas)
David Schiffman, M.D. (Sacramento, Calif.)
Jeff Settecerri, M.D. (Royal Oak, Mich.)
Ira Zaltz, M.D. (Royal Oak, Mich.)
1997
Joseph Bellflower, M.D. (Indianapolis)
Prasad Gourineni, M.D. (Skokie, Ill.)
Albert Knuth, M.D. (Barrington, Ill.)
Daniel Sucato, M.D., M.S. (TSRHC, Dallas)
1998
Joseph Davey, M.D. (Oklahoma City)
Erik King, M.D. (Chicago)
Scott Shoemaker, M.D. (San Diego)
Vishwas Talwalkar, M.D. (Lexington, Ky.)
1999
Elizabeth Magnabosco, M.D. (San Antonio)
David Konigsberg, M.D. (Ridgewood, N.J.)
Jean Ouellet, M.D. (Montreal)
2000
Maurice Albright, M.D. (Boston)
Sharon Mayberry, M.D. (Birmingham, Ala.)
David Podeszwa, M.D. (TSRHC, Dallas)
Nicholas Waanders, M.D., Ph.D. (Houston)
2002
Patrick Bosch, M.D. (Albuquerque, N.M.)
Jeffrey Cassidy, M.D. (Grand Rapids, Mich.)
Kelly Mueller Vanderhave, M.D.
(Ann Arbor, Mich.)
Anthony Scaduto, M.D. (Los Angeles)
2003
Shannon McClure, M.D.
(Washington, D.C.)
Todd Milbrandt, M.D. (Lexington, Ky.)
Debra Popejoy, M.D. (Los Gato, Calif.)
Robert Lane Wimberly, M.D.
(Washington, D.C.)
2004
Virginia Casey, M.D. (Charlotte, N.C.)
Ron El-Hawary, M.D.
(Halifax, Nova Scotia, Canada)
Brian Hasley, M.D. (Omaha, Neb.)
Michael Wade Shrader, M.D.
(Phoenix)
2005
David Gurd, M.D. (Cleveland)
Christine Ho, M.D. (TSRHC, Dallas)
Anthony Riccio, M.D. (San Diego)
Klane White, M.D. (Seattle)
2006
John Fletcher Lovejoy, III, M.D. (Washington, D.C.)
Jeff Martus, M.D. (Memphis, Texas)
Amy McIntosh, M.D. (Rochester, Minn.)
Bryan Tompkins, M.D. (Spokane, Wash.)
Above: 2006 –2007 Edwards fellows Drs. John Lovejoy,
Bryan Tompkins, Amy McIntosh and Jeff Martus
Left: 1996 Edwards fellows Drs. David Schiffman,
Lawson Copley, Jeff Settecerri and Ira Zaltz
53
Insight from
Former Fellows
David Gurd, M.D.
2005-2006 Edwards Fellow
“The time spent at Texas Scottish Rite Hospital
for Children has been very beneficial for me and
for my family. Clinically, the experience cannot be
topped. Each clinic includes several cases forcing
you to review the literature in order to educate
yourself on very complex or rare orthopaedic
conditions. Operatively, the case load is full of
disorders, which vary weekly to cover the whole
spectrum of pediatric orthopaedics.
Education is the focus at TSRHC. The staff
is dedicated to teaching in clinic and in the
operating room, but the main enlightenment
comes during Monday night and Tuesday morning
conferences. The staff at TSRHC, from medical
staff to technicians, is very accessible and helpful.
There is research staff to assist in any way with
projects, and any question or concern can be easily
answered or remedied in the orthopaedic office.
If you have children, take advantage of the
facilities at TSRHC. With a first-class playground
for children of all ages, multiple fish tanks, toys
throughout the hospital, a five-page movie list,
tennis courts, basketball courts, a putting green, a
bocce ball court and a disc golf course, TSRHC is
fun for families! My two boys looked forward to
when I was on call so they could spend time in the
hospital and on the grounds. There are also various
scheduled family events from a child-friendly fair
and picnic to adult evenings out for physicians and
their spouses keeping the whole family happy.”
Shannon McClure, M.D.
“This fellowship teaches you how to care for
the patient from initial presentation through to
the end of treatment. With one- to two-month
mentorships under each TSRHC staff physician,
fellows have great continuity in patient care. You
learn not only how to operate, but also who to
operate on and why, and how to care for
them postoperatively. In addition, weekly
conferences emphasize disease pathology and
how to create organized and appropriate
treatment plans.
As a fellow, you begin with the key goal of
gaining clinical knowledge and technical skills
so that you can leave and be a safe and successful
surgeon. Clearly, Texas Scottish Rite Hospital for
Children has met and even exceeded all of my
expectations in this regard. Just as important,
however, is to learn how to create a happy and
efficient working environment. I leave here with
an excellent template from which I plan to model
my future practice.”
54
2005 – 2006 Edwards fellows Drs. David Gurd, Anthony Riccio, Christine Ho and Klane White
J. Channing Tassone, M.D.
“Becoming a fellow at Texas Scottish Rite Hospital
for Children means becoming part of a bigger
family. My wife and I formed lifelong friendships
with fellows and their families, as well as other
TSRHC staff.
Since leaving TSRHC, I have been in an
academic practice at the Children’s Hospital of
Wisconsin for more than five years. Without
hesitation, I can say that the training during
my fellowship year at TSRHC could not have
been more valuable. Both the enthusiasm and
knowledge I gained during my fellowship year
has stayed with me, and I’m sure it will remain
throughout my career.”
James Sanders, M.D.
“Texas Scottish Rite Hospital for Children has to
be the best place for a fellowship. You are treated
royally, have an abundance of material to learn
from, fascinating patients and an excellent staff
who make your learning a high priority. Perhaps
you can go somewhere else and meet your needs,
but TSRHC provides the complete fellowship with
superb intellectual stimulation in an enjoyable
environment.”
Randall T. Loder, M.D.
1985-1986 Harrington Fellow
“My experience here in pathology, education,
clinical skill acquisition, research opportunities
and mentoring was exceptional. My fellowship
essentially launched my career in academic
pediatric orthopaedics. It allowed me to meet
many people in the field and gave me a good
selling point when looking for academic pediatric
orthopaedic positions. I have always advised those
residents seeking pediatric orthopaedic fellowships
to place TSRHC at the top of their list. I don’t
think there is a better program.”
Anthony Riccio, M.D.
“The Edwards fellowship at Texas Scottish Rite
Hospital for Children is, without question, the
greatest and most enjoyable learning experience
I have ever had. On the most basic level, fellows
receive an unparalleled education. Nowhere else
will young surgeons be exposed to such breadth
and complexity of pediatric orthopaedic pathology,
and no other hospital can boast a staff as talented,
caring and inspiring as that of TSRHC. The staff
approach the mission of the hospital with the
same intensity and standard of excellence that
they apply to the care of their patients. Under
the guidance of such gifted teachers, fellows are
given the opportunity to emulate the very best
pediatric surgeons in the nation, and under the
guidance of such caring individuals, fellows are
given the opportunity to emulate some of the most
wonderful people I have ever met. It is for this
reason that no other program enjoys such loyalty
from its former fellows.
There is no better place to learn pediatric
orthopaedic surgery because beyond the
knowledge, clinical acumen and surgical
confidence that fellows gain at TSRHC, this place
offers its fellows so much more. Every fellow is
family. To be a part of this hospital, is to be a part
of a pursuit of intellectual excellence and academic
integrity, a constant quest to find better ways to
treat our patients through research, as well as part
of a family made up of every fellow that came
before and every one that will follow. Furthermore,
having had the pleasure of practicing and
conferring with other former fellows, I know now
these family values extend well beyond the Dallas
city limits. I feel grateful everyday for having had
the opportunity to train at TSRHC and to be a
part of this family.”
Sucato
J.
l
ie
n
a
D
r.
D
m
o
fr
g
Closin
terview at
ould enjoy the time to in
sh
u
yo
,
nt
ica
pl
ap
low
fel
As a
il for a
going on the interview tra
n
he
W
.
ns
tio
tu
sti
in
ng
outstandi
for during
any features I was looking
m
re
we
e
er
th
,
ip
sh
low
pediatric fel
tal year of my training.
vo
pi
t
os
m
e
th
be
to
ed
what I consider
rgery is unlike any other
su
c
di
ae
op
th
or
ric
at
di
tire patient — from the
en
e
th
at
As you know, pe
tre
to
ty
ni
rtu
po
cs in that you have the op
d requires an extremely
an
ng
ki
rta
de
un
subspecialty of orthopaedi
g
gin
challen
ust
ee to the foot. It is a very
opaedics. The program m
th
or
spine to the hip to the kn
ric
at
di
pe
of
s
ea
ar
ese
“cover” all of these
ting and treating all of th
ua
al
ev
e
busy training program to
bl
rta
fo
m
co
be
e.
nment for the fellow to
ith all you need and mor
w
u
yo
es
id
provide a teaching enviro
ov
pr
C
RH
setting
ship program here at TS
the field in a one-on-one
conditions well. The fellow
in
rs
de
lea
ith
w
d
ke
or
w
nce to
TSRHC, I
is an invaluable experie
It
During my fellowship at
.
ks
oc
bl
th
on
m
otw
r
e operating room fo
in both the clinic and th
and to learn the subtleties
al
du
vi
di
in
e
m
sa
e
th
ith
work day-to-day w
fractures to
y. You will see it all from
er
rg
su
c
di
ae
op
th
or
ric
of pediat
edicine,
reconstruction to sports m
ity
m
tre
ex
ex
pl
m
co
m
clubfoot, fro
e deformity.
from hip surgery to spin
ith all
is extremely interactive w
The conference schedule
dth of
g, providing a wide brea
in
at
cip
rti
pa
d
an
nt
ese
staff pr
rch program, both basic
sea
re
e
Th
e.
nc
rie
pe
ex
d
opinions an
to basic
p-notch with easy access
science and clinical, is to
and a
ers, research coordinators
ag
an
m
se
ba
ta
da
ts,
tis
scien
u
ficant support to allow yo
ni
sig
g
in
er
off
le
hi
w
n
ia
statistic
rying about paperwork.
or
w
t
ou
ith
w
h
rc
sea
re
to perform
ovides you with a great
In summary, TSRHC pr
to
expand your skill set and
to
,
rn
lea
to
ty
ni
rtu
po
op
ily that has been built by
m
fa
e
th
of
r
be
em
m
a
e
becom
joining a group of more
be
ill
w
u
Yo
g.
rin
er
H
Dr. Tony
ica and
throughout North Amer
than 100 fellows spread
RHC
the great tradition of TS
ue
in
nt
co
ho
w
ld
or
w
e
th
ildren. I hope to see you.
by taking great care of ch
to, M.D., M.S.
—Daniel J. Suca
Seay/
rah M. and Charles E.
Director of the Sa
llence
t Beard Center for Exce
Martha and Pa
in Spine Research
55
Texas Scottish Rite Hospital for Children is one of the nation’s leading
pediatric centers for the treatment of orthopaedic conditions, certain related
neurological disorders and learning disorders, such as dyslexia. There is no
charge to patient families for treatment at the hospital, and admission is open
to Texas children from birth to 18 years of age.
For more information, to volunteer or to make a donation,
please call (214) 559-5000 or (800) 421-1121 or visit www.tsrhc.org.
Online Application and
Contact Information
To apply for the Dorothy and Bryant Edwards Fellowship
in Pediatric Orthopaedics and Scoliosis, please visit
www.tsrh.net/ortho/flwship.htm.
For more information, please contact Louise Hamilton at
(214) 559-7556 or (800) 421-1121, ext. 7556 or by e-mail
at [email protected].
56
Jordan, 21 months
of Desoto, and his
father, Jason
“Our fellows become a vital
part of the TSRHC family.
Our hospital staff have a
unique bond derived from
the caring attitude that
accompanies helping children.”
— J. A. “Tony” Herring, M.D.,
57
Cover (starting with top row, clockwise): Dr. Daniel Sucato and Edwards fellow Dr. John Lovejoy
in surgery; Mistizia, age 10 of Paris, and Mika, age 9 of Ferris; Edwards fellows Drs. John Lovejoy,
Amy McIntosh, Bryan Tompkins and Jeff Martus, with 2006 international fellow, Dr. Florin Filip, at
Wellstone’s Dallas White Rock Marathon; Candelina and her daughter, Brittney, age 16 of Sulphur Bluff,
with Edwards fellow Dr. Tompkins; TSRHC staff, including physicians and fellows, at their weekly soccer
game on hospital grounds; Ryanne, age 4 of Mineola; Edwards fellows at the annual Fellows Luncheon;
Mackenzie, age 10 of Corsicana, with Edwards fellow Dr. Martus; Edwards fellows and their spouses at
the Rocker b Ranch, (L to R): Dr. John Lovejoy and his wife, Alicia; Dr. Amy McIntosh and her husband,
Richard; Dr. Bryan Tompkins and his wife, Michelle; Dr. Jeff Martus and his wife, Melissa Hilmes, with
Dr. Tony Herring; Fellows and physicians at a weekly conference in the Ron and Linda Pickard Conference
and Education Suite; Edwards fellows during training at the Medtronic visit; Asher, age 4 of Houston;
Edwards fellow Dr. McIntosh and Amy, age 13 of Garland; Edwards fellow
Dr. Lovejoy views an X-ray of a scoliosis spine.
Back Cover (starting with top row, clockwise): Jannika, age 5 of San Angelo;
TSRHC volunteers Gwen Fisher and Jack Fancher with Asher, age 4 of Houston;
Margaret Taylor, R.N., C.N.O.R., and Emily, age 6 of Midland; Cristhian, of Dallas,
at the Rotary Club of Dallas Bike Rodeo and Child Safety Day.
Medtonic Sofamor Danek, Fuji, General Electric, Kodak, Siemens, Philips and PhDx Systems, Inc. are registered trademarks of their respective organizations.
Texas Scottish Rite Hospital for Children Orthopaedics Department
2222 Welborn Street, Dallas, Texas 75219-3993 telephone (214) 559-7556 fax (214) 559-7570

FEllowship - Texas Scottish Rite Hospital for Children

Transcription

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