What’s New at
Portsmouth Naval

By Luke Balsamo, MD

Luke Balsamo
Luke Balsamo, MD

Portsmouth Naval Hospital's Department of Orthopaedics continues to excel in residency education.  Our graduating residents left to take positions at Camp Lejeune, Jacksonville Naval Hospital and Okinawa.  We welcomed four new PGY-2s to take their place.  We are also excited about two new rotations added to our curriculum this year.  We will now send a PGY-4 to The New England Baptist Hospital for a three month adult reconstruction rotation and our chiefs will return to Tampa General Hospital for a 3 month trauma rotation.  Our dedication to resident education and quality of our residents is evidenced by our 14 years of having a 100% pass rate on the ABOS Part I and 16 years of ABOS Part II exams.

This fall, we welcomed Drs. Jason Zook and Roland Kent as staff on our spine service, Dr. Brandon Bryant to our sports service and Dr. Amy Henning to our pediatric service.  We also bid farewell to Drs. Bryan Fox and Stuart Kerr.  Dr. Fox retired from the Navy after a 26 year career to pursue private practice in Suffolk and Dr. Kerr transferred to the naval hospital in San Diego, CA.

Research continues to be a focus of our residency.  We have been awarded several thousand dollars in research grants for ongoing projects and there are several manuscripts waiting for publication.  We look forward to presenting our latest research at the upcoming VOS meeting at The Homestead.    



What’s New at UVA?

By Mark Romness
Division of Pediatric Orthopaedics
University of Virginia
Charlottesville, VA

Meet Our Six New
Attending Physicians

Brockmier picDr. Steven J. Brockmeier joined the Division of Sports Medicine in August, 2010 to provide expertise in Arthroscopic surgery of the shoulder and to manage an academic research program, with emphasis on clinical outcomes in the area of arthroscopic and open shoulder procedures.  In addition, Dr. Brockmeier will serve as a Team Physician for the University of Virginia and the James Madison University athletic programs.  Dr. Brockmeier comes to town via a clinical practice in Charlotte, NC, where he served as team physician for the Charlotte Bobcats NBA franchise.  His training route entailed a fellowship at the NY Hospital for Special Surgery, and residency and school of medicine at Georgetown University, Washington, DC.  Outside of the office, Dr. Brockmeier enjoys time with his wife and 2 boys, hiking, cycling, skiing, and playing golf and tennis.

Brown PicDr. James A. Browne joined our faculty as a member of the Adult Reconstruction Joint Replacement Center, beginning in September, 2010. His clinical interests and expertise include complex primary and revision hip and knee replacement.  He also has additional training in the treatment of femoroacetabular impingement and hip arthroscopy.  Dr. Browne arrives in our department from a fellowship at the Mayo Clinic, Rochester, MN, residency at Duke University, Durham, NC, and School of Medicine at Johns Hopkins University, Baltimore, MD.  His accolades include graduating summa cum laude from Washington and Lee University with the highest GPA, and 100% on the Orthopaedic In-Training Exam (OITE).  When he finds time away from Orthopaedics, Dr. Browne enjoys taking the boat out at Smith Mountain Lake with his wife and two small children.

Domson PicDr. Gregory F. Domson joined the UVA faculty in the Spring of 2010.  His primary practice is at the Virginia Commonwealth University Medical Center.  Dr. Domson earned his undergraduate degree here at the University of Virginia.  After graduating from Eastern Virginia Medical School, Dr. Domson completed both his internship and residency at VCU Medical Center.  He then completed a Musculoskeletal Tumor Fellowship at the University of Florida.  He holds clinic and performs surgeries at UVA once a week. 

Freilich PicDr. Aaron Freilich graduated from the University of Virginia in both Medical School and Residency programs and then served a fellowship at Wake Forest University Baptist Hospital, Winston-Salem, NC.  He now returns to his alma mater, to join the Hand Center, with specialties in upper extremity arthroscopy, brachial plexus reconstruction, and hand microvascular reconstruction.  In his free time he enjoys travelling and spending time with his wife and daughter.

Park PicDr. Joseph S. Park has joined the Foot & Ankle Division in our Department.  He arrives after serving a fellowship at the Union Memorial Hospital in Baltimore, MD.  Prior to that he trained as a resident at NYU Hospital for Joint Diseases and received his medical degree from the University of Virginia.  His clinical expertise includes ankle replacement, sports related injuries to the foot and ankle, ankle arthroscopy/ligament reconstruction, adult acquired flatfoot deformity correction, forefoot deformity correction, and surgical treatment of Achilles tendon dysfunction.  His research interests include biomechanics of fusion procedures, innovations in ankle arthroplasty, reconstruction for tendon dysfunction, and techniques for cartilage regeneration/repair for talar osteochondral defects.  In his free time he enjoys playing soccer and tennis, as well as spending time with his wife and daughter.

Weiss PicDr. David B. Weiss arrives in Charlottesville after serving 5 years as the Medical Director for Orthopaedic Trauma at St. Joseph Mercy Hospital, a level 2 trauma center in Ann Arbor, MI.  While there, he gained expertise in managing pelvis/acetabulum trauma cases and the treatment of complex periarticular fractures of the ankle, knee, hip, shoulder and elbow.  He joins the Trauma Division in our Department, after serving a fellowship at Harborview Hospital, Seattle, WA, and residency at the University of Michigan, Ann Arbor, MI.  He served for 3 years as a US Air Force Surgeon at McConnell AFB, KS, after graduating medical school at Georgetown University, Washington, DC.  His research interests are in the areas of the tibial plateau, tibial pilon and shoulder fractures, and he is interested in outcome studies particularly in the elderly population after significant trauma treatment.  When he is not involved in complex trauma surgery he enjoys flying (General Aviation), skiing, cycling, trail running, and military history.  But his favorite pastime is spending time with his wife and their three young boys (ages 1-5).

Welcome our New
Physician Assistants!

Belcher Pic Melinda Belcher
Division of Sports Medicine
Drs. Miller and Brockmeier
Drexel University (2003)
For fun - kayaking, photography, hiking, spending time with her
three dogs.
Milewski Pic Elizabeth Milewski
Spine Center
Dr. Adam Shimer
Yale University (2006)
For fun – surfing, skiing, snowboarding, cooking, fly fishing, and reading on the beach.
Sedlock Pic Jacquelin Sedlock
Orthopaedic Trauma Division
Dr. David Weiss
Lock Haven University
For fun – spending time with family and friends, swimming at the beach, jogging with her dog.
Wilson Pic Chad Wilson
Joints Division
Drs. Brown and Cui
Lock Haven University
For fun – biking, hiking, and playing basketball.

Spine Center
Opens – April 2010

Spine Center1

The UVA Medical Center proudly opened the new Spine Center, in April 2010. It is home to Drs. Frank Shen (Orthopaedic Director), Vincent Arlet, Richard Whitehill, and Adam Shimer. Joining the Orthopaedic Team are faculty from Neurosurgery, including: Drs. Justin Smith (Neurosurgery Director), Mark Shaffrey, Chris Shaffrey, John Jane Sr, and Gregory Helms. The Spine Center is also staffed by a large host of Physician Assistants, Nurse Practioners, nurses, schedulers, receptionists, and other personnel.

Following the recent opening of the UVA Hand Center, the Spine Center seeks to “carry the ball further” in offering comprehensive and consolidated care to their patients.  Spacious and friendly waiting rooms, specialized exam rooms, state-of-the-art equipment, and high-technology diagnostic equipment help to consolidate the services patients deserve.

Upcoming Opportunities
for CME Credits!!

In our continued effort to become instrumental in promoting community wide Orthopaedic learning, Chairman Mark Abel, MD and Vice Chairman A. Bobby Chhabra, MD, would like to announce additional opportunities for Continuing Medical Education credit in the upcoming year. We have invited national leaders in specific fields of Orthopaedic Surgery to speak as visiting professors.

The Dates and Topics are:

  • Foot and Ankle: 01/12/2011
    Dr. Lew Schon – Union Memorial
  • Pediatrics: 02/02/11
    Dr. John Dormans - Children’s Hospital of Philadelphia
  • Hand/Upper Extremity: 04/20/2011
    Dr. Peter Stern - University of Cincinnati
  • Sports Medicine: 06/15/2011 Dr. Jeffrey Abrams – Princeton Orthopaedic and Rehabilitation Associates

These lectures will be held in the Fontaine Conference Room, 400 Ray C. Hunt Drive, 3rd Floor from 7AM – 9AM. Each lecture will count for 2 AMA PRA Category 1 credits. In addition, we will continue with our regularly scheduled Wednesday morning Grand Rounds educational opportunities with presentations from regional, local, resident, and faculty Orthopaedic Surgeons. For additional information on those sessions, please call 434.243.0265. We look forward to continuing and improving our relationship with our community friends and fellow surgeons.

Resident Training Enhancements
Since the enactment of the 80 hour work limit, our Orthopaedic residents have performed on average, 25% fewer surgical procedures during their four year experience. To address this, our Department is developing alternative methods that reinforce patient safety while enhancing training without violation of the work limit hours. Current projects include web-based learning, simulation models and cadaveric training.  Drs. Mark Romness, Thomas Brown and A. Bobby Chhabra have received a two year grant from the Graduate Medical Education Department. The first goal of the grant is to develop web-based learning modules pertaining to low-occurrence but high risk scenarios such as compartment syndrome and cauda equina syndrome. The second goal is to initiate simulation models for interventional procedures. Currently there are limited orthopaedic simulation set- ups available. Adaptation of other simulation devices to orthopaedic situations is planned.

A training program for the residents utilizing cadaver extremities for anatomy and surgical training has been initiated. The extremities were initially obtained from the Thoracic and Cardiovascular Surgery following vein harvesting and left to the Orthopaedic scavengers such as Dr. John Scanelli to use for anatomic dissection. With support from Synthes for the implants, training on surgical approaches, reduction techniques and internal fixation will be used to enhance resident surgical training. The plan is to establish this with a few junior residents per month led by a senior resident and proctored by a faculty member on a monthly rotating schedule. Future extremities will need to be funded through the Department due to lack of regularly scheduled Thoracic and Cardiovascular Surgery training sessions. Establishing cadaveric work shops as part of the resident curriculum will enhance resident education, patient safety and should be attractive to resident applicants. Department Chair Dr. Mark Abel expressed the advantage of “getting experience to junior residents without the pressures of real life situations.”It is possible to incorporate each of these training opportunities within the 80 hour work limit by scheduling the hands on sessions during the 80 hours and the web-based activities on “off times”. The proposed training methods have the benefi t over currently available text and video training with interactive feedback and hands-on experience. The ultimate goal is to provide innovative methods for a safe, interesting and educational experience that enhances the current program without detracting from the time-honored strengths.

Our THANKS to Dr. Mark Romness, Division of Pediatric Orthopaedics, who contributed the content for this article.

Spine Center6

Saw Bones in foam used to practice surgical procedures.

Spine Center7

Spine Fellow Woojin Cho prepares cadaveric spine segment for instrumentation.

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