Orthopaedic Trauma Fellowship

The final year of the Brown University Orthopaedic Residency Program ensures that our graduates become skillful, experienced surgeons before they leave Brown. After completing their Chief Resident year (PGY5), our trainees spend another year at Rhode Island Hospital as Orthopaedic Trauma Surgery Fellows. This year is divided between an extensive exposure to the evaluation and management of musculoskeletal injuries and allows time for clinical and laboratory research. The projects typically are expansions of projects begun during the residency years. This fellowship is not open to applicants from outside of Brown.

Clinically, Brown's Trauma Fellows function as attending surgeons. They have independent surgical privileges, with commensurate responsibilities for patient care. Consultation and support from the senior faculty are readily available, since a senior faculty member is always on-call with the Trauma Fellow.

The Trauma Fellowship is directed by Rhode Island Hospital's Surgeon-in-Charge of Orthopaedic Trauma, Roman Hayda MD. There are weekly trauma fellow meetings, trauma service patient review conference, and frequent ad hoc case discussions to address patient management, pre-operative planning and the weekly resident trauma teaching conferences all provide ample opportunity for our Trauma Fellows to learn as much as possible from their rich clinical experience.

The Orthopaedic Trauma Fellowship is only available to Brown Orthopeadic Surgery Residency program graduates. Salary & benefits are competitive with the typical PG6 fellowships, with time off and generous support of travel for presentations, as well as relevant educational programs. Two weeks of vacation time is allotted during the fellowship year.

Faculty

Roman Hayda, MD
Professor of Orthopaedics
Director, Orthopaedic Trauma, Rhode Island Hospital

Dr. Hayda is devoted to providing state of the art orthopaedic trauma care. His areas of expertise include the evaluation and treatment of fractures and other injuries of the extremities and pelvis.  Fractures around joints, particularly those of the knee, elbow, ankle, hip are of special interest.   In addition to these acute injuries, he treats post traumatic conditions such as nonunion of fractures, infected fractures, malunions, and arthritis.  When possible, minimally invasive techniques of fixation using plates, rods, or screws are used.  He also has significant experience in using circular fixators and other techniques to regenerate bone.  The goal is to restore the highest level of function possible for each patient.  

Dr. Hayda gained his extensive experience in the Army ultimately retiring as a Colonel after 24 years.  He served as the Chief of Orthopaedic Trauma at Brooke Army Medical Center from 1998 to 2008 caring for wounded and injured servicemen and their families.  In addition to reconstructing complex injuries, he was also integrally involved in developing protocols and techniques of amputation.   He also directed a number of research projects directly aimed at improving the ability to protect, evaluate, and treat soldiers serving on the battlefield.   While there, he additionally served as educator culminating as Orthopaedic Surgery Residency Program Director.  

Following completion of his undergraduate studies at the Johns Hopkins University, Dr. Hayda attended medical school at the Uniformed Services University of the Health Sciences.  He completed orthopaedic residency training at Walter Reed Army Medical Center and received fellowship training in Trauma at University of Pennsylvania.  He has numerous published articles, chapters and instructional videos.  He has lectured extensively nationally and internationally and directed multiple courses and symposia on trauma topics.

Dr Hayda is a member of the American Association of Orthopaedic Surgery, Orthopaedic Trauma Association, American Orthopaedic Association, and the Society of Military Orthopaedic Surgeons.  He serves on several committees of these professional organizations.

Andrew Evans, MD
Assistant Professor of Orthopaedics

Dr. Evans specializes in the care of patients with fractures and other musculoskeletal injuries of the upper extremity, lower extremity, and pelvis. Dr. Evans completed an orthopedic surgical residency at SUNY Upstate Medical University and a fellowship in Orthopaedic Traumatology at the University of Washington’s Harborview Medical Center. Dr. Evans research interests include the treatment of complex traumatic injuries to the extremities and pelvis, particularly open fractures, as well as the basic science of fracture healing. Dr. Evans has served on the Steering Committee for the Major Extremity Trauma Research Consortium for the past three years. He has received research grants from the Orthopedic Trauma Association and various private foundations to lead ground breaking research projects and has co-authored many peer-reviewed journal articles. He is a fellow of the American Academy of Orthopaedic Surgeons and the American College of Surgeons. He is a member of the Orthopaedic Trauma Association, and has lectured at numerous national meetings on a variety of topics.

Christopher Born, MD
Intrepid Heroes Professor of Orthopaedic Surgery
Professor of Orthopaedics 

Dr. Born received his Bachelor of Arts from the University of North Carolina at Chapel Hill in 1970 and completed his premedical studies at Columbia University in New York City. After receiving his MD degree from Georgetown University in 1979, he went on to complete five years of orthopedic training at the University of Pennsylvania. From 1984 until 1996 he was the Assistant Division Head of Orthopedic Surgery at Cooper Hospital University Medical Center in Camden, New Jersey, and was an Associate Professor of Orthopedic Surgery at the University of Medicine and Dentistry/Robert Wood Johnson Medical School. In 1996, Dr. Born rejoined the faculty at the University of Pennsylvania as an Associate Professor of Orthopaedic Surgery, serving as the Co-Director of Orthopedic Trauma. Prior to joining the faculty at Brown University, he was a Professor of Orthopedic Surgery at Temple University and the Co-Director of Orthopedic Trauma there. Dr. Born is a Fellow of the American Academy of Orthopedic Surgeons where he serves on its Committee for Continuing Medical Education and is the current Chairman of its jointly sponsored Orthopaedic Trauma training course. He is a member of the Orthopedic Trauma Association where he currently serves as the Chairman of its Mass Casualty Response Committee and is the past Chairman of its Fellowship Committee. He is also a Fellow of the American College of Surgeons and for eight years served on its Committee on Traumas Education Committee and was the Section Chairman for Orthopaedic Surgery. He is currently an advisor to its Disaster Committee. Dr. Born is on the Board of Directors of the Foundation for Orthopedic Trauma and the Foundation of the Eastern Association for the Surgery of Trauma. He is also a former Board member of the latters parent organization. He writes and lectures extensively on issues of musculoskeletal trauma and disaster management both nationally and internationally. In 2004, he traveled to Iran with the International Medical Surgical Response Team of FEMA to given humanitarian aid to victims of a massive earthquake. This team was presented with the Secretary's Award by the Department of Homeland Security, of which Dr. Born is a founding member.

Program Details

Rhode Island Hospital is the Level I Trauma Center for Rhode Island and Southeastern Massachusetts, including Nantucket and Martha's Vineyard. Serving a regional population of 1.3 million, we receive about 2500 trauma patients per year, both directly from EMS, and as referrals from the region's other hospitals. We work closely with the General Surgery Trauma Service, with consultation and support from Plastic - Reconstructive Surgery, Neurosurgery, and other specialties as appropriate. There is ample exposure to routine fracture care, as well as, to complex orthopaedic trauma and post-traumatic reconstruction - articular fractures, multiple fractures, osteoporotic fractures, pelvic and acetabular injuries, as well as multiply-injured patients. Experience will also be gained with evaluating and treating non-unions, malunions, post-traumatic infections, and with rehabilitation issues. The Trauma Fellows have access to senior faculty in all subspecialties for consultation and assistance. As their experience broadens, they take on progressively more challenging cases with increasing independence, but with the knowledge and security that available support provides.

The Trauma Fellows maintain a private practice office in which they provide continuing care for the patients they initially treat in the hospital. Faculty and staff assist them in learning the basic principles and practices of running a collaborative orthopaedic surgical practice. By the end of their fellowship, Brown's trauma fellows are comfortable and experienced in leading a surgical team on their own. Their established independent surgical expertise makes our graduates unique among the graduates of North American Orthopaedic training programs. Having learned to manage their own practice, they are familiar with the principles and practices of effective compliance with governmental and contractual requirements, as well as the skills required for successful practice in the medical marketplace.

Case Logs

On average, each trauma fellow will perform around 320 surgical cases (approximately 700 CPT codes) with the majority of those cases performed as the primary surgeon. There is a significant case variety from open long bone fractures to complex peri-articular fractures, acetabular cases, nonunion surgery and infection.

Program Goals

Brown's Orthopaedic Trauma Fellows will become expert in the management of patients with significant skeletal injuries, in isolation and in polytrauma situations. They will be able leaders of an orthopaedic trauma team, and in teaching their skills to residents and medical students. The Trauma Fellows will develop their surgical experience and skills to a level of expertise as fully independent surgeons. They will gain sufficient research experience in a trauma-related or other orthopaedic field so that they will be able to contribute to the development of knowledge in their chosen field, and will be attractive candidates for academic orthopaedic faculty appointments.

Research

By the time they become Trauma Fellows, Brown's Orthopaedic Residents will have become significantly involved with appropriate research opportunities within our Department. Clinical research, bench research, or an appropriate combination should be well underway. During the Trauma Fellowship year, this will be brought to a conclusion that is both a significant accomplishment and a starting point for further studies

Current Trauma Fellows

Jake Babu, M.D 

Hometown: Chicago, IL

Undergraduate: University of Illinois Urbana-Champaign (General Engineering)

Medical School: Chicago Medical School

Why Brown? 
Residents and faculty & unparalleled trauma experience

What do you like about Providence/Rhode Island?
Beach, food, ease, New England

What are your goals for the future?
Undecided

Visit Jake’s ResearchGate page

Steven DeFroda, M.D 

Hometown: Wilmington, DE

Undergraduate: Stevens Institute of Technology (Engineering)

Medical School: Drexel University College of Medicine

Why Brown?
Great environment, mix of operative and academic experience

What do you like about Providence/Rhode Island?
A lot of things to do

What are your goals for the future? 
I will be completing a sports medicine fellowship at Rush University Medical Center 2020-2021.

Visit Steve’s ResearchGate page

Avi Goodman, M.D 

Hometown: Oakland, CA

Undergraduate: University of California, Davis (Biomedical Engineering)

Medical School: Case Western Reserve University

Why Brown?
I hadn't seen Brown before interview day, but came away extremely impressed - not only did it seem to have excellent clinical training, but also the camaraderie amongst residents was second to none. After investigating further, I also found a breadth and depth of research opportunities (clinical + basic science), good mixture of mentor- and team-based models, and a very pleasant and livable city.  

What do you like about Providence/Rhode Island?
Good dining, outdoor access (bike paths and trail systems within a few minutes, great beaches 30 15-30 min away, White Mountains/NH/Vermont/Maine proximity for a weekend trip), and the feel of a college town with Brown/RISD. Cost of living is pretty good, too.

What are your goals for the future? 
Life, liberty, and the pursuit of open fractures. Helping patient with hand and upper extremity pathology, returning them to function.  When not a work, exploring the outdoors!!

Fellowship? 
Harvard Hand/Upper Extremity Fellowship (Brigham & Women's Hospital) 2020-2021

Visit Avi’s ResearchGate page

Jose Ramirez, M.D 

Jose Ramirez, M.D 

Hometown: Miami, FL

Undergraduate: Brown University (Neuroscience)

Medical School: Columbia University College of Physicians & Surgeons

Why Brown?
Volume of clinical experiences.  Residents.  There are opportunities for all types of learners to succeed.

What do you like about Providence/Rhode Island?
The food, being close to Brown University, easy commutes.

What are your goals for the future? 
Working in a practice with my brother (also an arthropod).  In what specialty? Undecided

Visit Jose’s ResearchGate page

Daniel Reid, M.D 

Hometown: Mercer Island, WA

Undergraduate: University of Washington (Psychology)

Medical School: Tulane University

Why Brown?
Brown Ortho is a program which offered a lot of things which I value including a significant exposure to orthopedic trauma while still maintaining a focus on research and academics. At Brown, we rotate through all of the Orthopaedic subspecialties at both Rhode Island hospital, the region's major Level I trauma center, the Miriam Hospital, an outstanding regional community hospital, as well as the Veteran's Affairs. The camaraderie in the residency here at Brown is outstanding, which is important to me. We work to make sure that each and every resident is able to thrive not only in academics and residency, but in our outside lives as well.

What do you like about Providence/Rhode Island?
Providence is great! I enjoy spending time with my wife, daughter, dogs, friends, and fellow residents. There are a million things to do within a short drive. Rhode Island is beautiful, and the beaches are excellent. With Johnson & Wales in town, Providence breeds amazing chefs and the food options are incredible. Providence is a medium size city with everything one could need, while being a short drive from both Boston and New York City. Housing is affordable and many of our residents are able to own homes during residency.

What are your goals for the future? 
I am still undecided about my future subspecialty and practice setting.

Visit Dan’s ResearchGate page

Kalpit (Kal) Shah, M.D

Hometown: San Diego, CA

Undergraduate: University of California, Berkeley (Bioengineering)

Medical School: University of California, Irvine School of Medicine

Why Brown?
I know that a variety of programs would be able to train me well in Orthopaedic Surgery but I wanted to end up at a place that would not only give me a healthy exposure to all subspecialties but also give me that “family” feeling. Residency is hard no matter where you go – I wanted to be at a place that allowed me truly enjoy what I’m doing and come out with life-long friends. I can’t say how easy it is work with everyone here at Brown, it really does feel like family here. It helps that we probably get one of the best trauma exposure (the base of all orthopaedic surgery) in the country in addition to being able to work with well-known faculty in just about all the subspecialties.

What do you like about Providence/Rhode Island?
Being from San Diego, I love the ocean. Rhode Island has a ton of it! I love hanging out at the beach and swimming in the water. It’s a great, affordable place for a young family, like ours (wife, dog and a brand new son!) with many of the perks of a big city such as restaurants, arts, accessible hikes, snow sports, etc.

What are your goals for the future?
Academic practice either in Hand or Spine

Visit Kal’s ResearchGate page

Kalpit (Kal) Shah was originally born and raised in India but moved to sunny San Diego, California at the age of twelve. He pursued an undergraduate degree in Bioengineering at UC Berkeley and then went to UC Irvine for medical school where he graduated towards the top of his class. Kal was attracted to Brown for his orthopaedic surgery residency training because the program was a diverse orthopaedic training program with all subspecialties represented. During his visit he noticed that the program emphasized resident education and that there was a high level of camaraderie amongst the residents.

Since starting at Brown, Kal has enjoyed the great camaraderie of the program and feels that, “work is a lot better when you get to hang out with your friends during it!” Kal has gotten involved in many research projects during his residency including methodologies for spinal fixation, external fixator placement in the ED for ankle fractures, septic arthritis in pediatric patients, thoracic outlet syndrome and has also published a handful of case reports and review articles. [ResearchGate]

Providence is uniquely situated close to both mountains and beaches, so when Kal is not at work, he enjoys going on hikes with his wife and their dog Hank or hanging out at the beach. He raves about the restaurants in Providence and enjoys trying out new restaurants whenever possible. Providence has so much to offer with a relatively low cost of living that affords residents many opportunities that would not be possible in larger cities such as buying houses or condos.

Kal has really enjoyed his time at Brown and is excited about the Brown Trauma Fellowship (the “superchief” year) after graduation. He plans to complete another subspecialty fellowship however he hasn’t decided which subspecialty he will pursue at this time.

Hometown

I was originally born and raised in India but moved to sunny, San Diego, CA at the age of 12. I got my undergraduate degree in Bioengineering at UC Berkeley. I went to UC Irvine for medical school.

Why Brown?

Diverse orthopaedic training program with all subspecialties covered, emphasis on resident education and most importantly, high level of camaraderie amongst residents. “Work” is a lot better when you get to hang out with your friends during it!

What you enjoy most about providence/Rhode Island?

Beaches and mountains are equally accessible in the surrounding areas. We love going on hikes with our dog Hank, laying out at the beach or trying one of the many excellent restaurants in Providence.

Future goals and aspirations

I’m debating between pursuing a fellowship in either Hand or Spine surgery after I complete the Trauma fellowship at Brown. I hope that my future practice is in an academic setting with combination of patients with orthopaedic trauma injuries and whatever fellowship I end up completing.