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 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 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.

Hear what our former fellows have to say about the PGY6 year.

 

 

     Why do a PGY-6  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 Orthopaedics
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

Steven Bokshan, M.D 

Hometown: Brighton, MI

Undergraduate: University of Michigan

Medical School: Washington University in Saint Louis

Why Brown? 
Brown has an environment unlike any other. We work very hard but the reward is an amazing surgical experience and fun while doing with an amazing group of co-residents and attendings.

What do you like about Providence/Rhode Island?

 Providence is actually the heart of the east coast. A few hour drive from Portland Maine or New York City for weekends when you want a little extra fun. The city in itself has a great food scene and everything you could ask for a “big city” with a small town feel. Summers involve endless lobster rolls and unforgettable beach views.

What are your goals for the future?
To conquer the field of sports medicine and further my surgical skills in every possible way including trauma. After all, trauma is kind of what makes an orthopedic surgeon and orthopedic surgeon.

Fellowship

 Sports medicine at Duke University

Gregory Elia, M.D 

Hometown: Milford, CT

Undergraduate: Boston College (Neuropsychology)

Medical School: Brown University

Why Brown?
Superb operative training, the ability to work with fantastic attendings, comprehensive exposure to orthopedic trauma

What do you like about Providence/Rhode Island?
I love Providence for its manageable size, affordability, incredible restaurants, colored history, quirky culture, and proximity to excellent beaches.

What are your goals for the future? 
Fellowship, undecided on subspecialty

Neill Li, M.D 

Hometown: Nashville, TN

Undergraduate: University of Notre Dame

Medical School: Loyola University Chicago Stritch School of Medicine

Why Brown?
Camaraderie, mentorship model, basic and clinical research, trauma volume, surgical experiences.  

What do you like about Providence/Rhode Island?
Diversity and quality of restaurants and coffee shops, Wide range of fitness and outdoor opportunities, Easy access to beaches, Boston, New York.

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

Fellowship? 
Academic Practice, Fellowship interest to be decided

Michael Mariorenzi, M.D 

Hometown: Cranston, RI

Undergraduate: Wheaton College (Biology)

Medical School: Georgetown University School of Medicine

Why Brown?
Excellent surgical training with the research support of a top tier academic institution. Rhode Island Hospital is the only level-one trauma center in the state and the residents receive exceptional trauma and surgical training as a result. I was also impressed by the quality of the residents and working/learning environment. The residents are a great group of friends both in and out of the hospital.

What do you like about Providence/Rhode Island?
Providence, RI is a great place to live. The highlights are definitely the summer months when you have awesome beaches, boating, surfing, and anything that involves the ocean. You can find whatever you are looking for within a convenient distance centered around a growing city.

What are your goals for the future? 
Complete a fellowship and possibly practice locally.

Shyam Patel, M.D 

Hometown: Edison, NJ

Undergraduate: Drexel University (Biological Sciences)

Medical School: Drexel University College of Medicine

Why Brown?
The training and the residents.

What do you like about Providence/Rhode Island?
Hiking, Food, Beaches, Close proximity to Boston/NYC

What are your goals for the future? 
Undecided

Andrew Thome, M.D

Hometown: St. Louis, MO

Undergraduate: University of Missouri-Kansas City (Chemistry)

Medical School: University of Missouri-Kansas City School of Medicine

Why Brown?

 Camaraderie amongst residents/attendings, research opportunities, trauma experience. 

What do you like about Providence/Rhode Island?

Restaurants, craft beer scene, ease of access to major cities like Boston and New York without hassle of big cities. 

What are your goals for the future?

Following trauma fellowship at Brown, I plan to pursue a Foot and Ankle Fellowship at Baylor Medical Center in Dallas, TX. After that I would like to hopefully pursue a career as an academic foot and ankle surgeon.