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University of Pennsylvania Department of Orthopaedic Surgery. Shoulder and Elbow Service. UPHS Hospitals. Presbyterian Hospital Hospital of the University of Pennsylvania Pennsylvania Hospital Veteran’s Affairs Hospital Assoc. with Children’s Hospital of Philadelphia.

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University of Pennsylvania Department of Orthopaedic Surgery

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University of pennsylvania department of orthopaedic surgery

University of PennsylvaniaDepartment of Orthopaedic Surgery

Shoulder and Elbow Service

University of Pennsylvania Department of Orthopaedic Surgery


Uphs hospitals

UPHS Hospitals

  • Presbyterian Hospital

  • Hospital of the University of Pennsylvania

  • Pennsylvania Hospital

  • Veteran’s Affairs Hospital

  • Assoc. with Children’s Hospital of Philadelphia

University of Pennsylvania Department of Orthopaedic Surgery


Presbyterian medical center

Presbyterian Medical Center

www.pennhealth.com/presby

University of Pennsylvania Department of Orthopaedic Surgery


Tradition of orthopaedic excellence

Tradition of Orthopaedic Excellence

  • 1889: First free-standing Department of Orthopaedic Surgery in the US

  • 273: trained residents

  • 48: residents with academic rank

  • 8: chairmen

University of Pennsylvania Department of Orthopaedic Surgery


Orthopaedic services

Orthopaedic Services

University of Pennsylvania Department of Orthopaedic Surgery


University of pennsylvania residency program

University of Pennsylvania Residency Program

  • 42 Residents

    • 8 per year

    • 2 in McKay Labs

  • 24 Full-time clinical faculty

  • Five hospitals

    • University of Pennsylvania (HUP)

    • Presbyterian (Presby)

    • Children’s Hospital of Philadelphia (CHOP)

    • Veteran's Affairs (VA)

    • Pennsylvania Hospital (PAH)

University of Pennsylvania Department of Orthopaedic Surgery


Residents medical schools

Penn

U of Virginia

Georgetown

Utah

U of Florida

Wayne State

Northwestern

Pitt

Harvard

Medical College of Ohio

SUNY Brooklyn

Albany

Boston U

Finch U of Health Sci

UT-Southwestern

LSU

Yale

Temple

UMDNJ

Vanderbilt

Drexel

Jefferson

Mt. Sinai

USC

Cornell

Residents’ Medical Schools

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow service

Shoulder and Elbow Service

27 trained fellows to present date

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow faculty

Shoulder and Elbow Faculty

  • Joseph Iannotti MD, PhD

    • Past Director

  • Dr. GeraldWilliams MD

    • Current Director

University of Pennsylvania Department of Orthopaedic Surgery


Joseph iannotti md phd

Joseph Iannotti, MD, PhD

  • Current chairman of the Orthopaedic Department at the Cleveland Clinic Foundation

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow faculty1

Shoulder and Elbow Faculty

  • Gerald Williams, MD

  • Matthew Ramsey, MD

  • David Glaser, MD

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow faculty2

Shoulder and Elbow Faculty

  • Gerald Williams

    • Director of Shoulder and Elbow Service

    • AAOS Board of Directors (02-04)

  • Matthew Ramsey, MD

    • Director of Elbow service

    • Only fellowship trained elbow program associated with a fellowship trained shoulder program

  • David Glaser, MD

    • Clinician Scientist

  • Louis Soslowsky, PhD

    • Director of McKay Research Laboratory

University of Pennsylvania Department of Orthopaedic Surgery


Upper extremity service

Dr. Williams

Shoulder

Dr. Ramsey

Shoulder and Elbow

Dr. Glaser

Shoulder and Elbow

Dr. Bozentka

Hand and Elbow

Dr. Beredjiklian

Hand, Elbow

Dr. Steinberg

Hand and Elbow

Dr. Stein

PM&R

Dr. Chou

PM&R

Dr. Sennnett

Sports Medicine

Dr. Hoffman

Sports Medicine

Dr. Webner

Family Med, Sports Med, Shoulder

Dr. Gentchos

General

Upper Extremity Service

University of Pennsylvania Department of Orthopaedic Surgery


History of the shoulder and elbow service

History of the Shoulder and Elbow Service

  • 1986 – Shoulder and Elbow Service started by

    Joseph Ianotti, MD, PhD

  • 1987 – Shoulder and Elbow Fellowship program

    • started by Joseph Ianotti, MD, PhD

  • 1991 – Gerald Williams, MD joined the service

    • Completed fellowship with Charles Rockwood, MD

University of Pennsylvania Department of Orthopaedic Surgery


History of the shoulder and elbow service1

History of the Shoulder and Elbow Service

  • 1991 – Gerald Williams, MD joined the service

    • Completed fellowship with Charles Rockwood, MD

  • 1998 – Louis Soslowsky, PhD

    • started as the director of the McKay Basic Science Research Laboratory

  • 1998 – Matthew Ramsey, MD joined service

    • Completed shoulder and elbow fellowship at Penn

    • Completed elbow training at the Mayo Clinic

University of Pennsylvania Department of Orthopaedic Surgery


History of the shoulder and elbow service2

History of the Shoulder and Elbow Service

  • 2001 – David Glaser, MD joined service

    • Completed shoulder and elbow fellowship at Penn

  • 2003 – Kenneth Rogers, PhD, ATC joined service

    • Director of clinical research and outcomes

University of Pennsylvania Department of Orthopaedic Surgery


Awards to shoulder and elbow faculty

Awards to Shoulder and Elbow Faculty

  • Neer Award 1996 (Williams and Iannotti) and 2001 (Williams and Ramsey)

  • ASES European Exchange Fellow

  • ORS New Investigator

  • OREF Clinician-Scientist Award

  • North American Traveling Fellowship

University of Pennsylvania Department of Orthopaedic Surgery


Grants

Grants

  • NIH Grants

  • Aircast

  • OREF

  • Whitaker Foundation

  • Selective Genetics

  • Cali Foundation

  • McCabe Foundation

University of Pennsylvania Department of Orthopaedic Surgery


Upper extremity service1

Upper Extremity Service

  • Integration of Services / Departments

    • Orthopaedics

      • Shoulder and Elbow

      • Hand

      • Sports Medicine

    • Physical Medicine and Rehabilitation

      • Electrodiagnostic

      • Physical Therapy

      • Occupational Therapy

    • Family Medicine

University of Pennsylvania Department of Orthopaedic Surgery


Upper extremity service2

Upper Extremity Service

Vision

  • Prevention

  • Diagnosis

  • Treatment

  • Rehabilitation

  • Outcomes

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow research staff

Shoulder and ElbowResearch Staff

Clinical Research

  • Dr. Kenneth Rogers, PhD, ATC

  • Alexis Greenhut, BS

    Basic Science

  • Louis Soslowsky, PhD

    • Director of McKay Orthopaedic Laboratory

    • Vice Chair of Research – Orthopaedic Department

University of Pennsylvania Department of Orthopaedic Surgery


Current research projects

Current Research Projects

  • Nerve conduction monitoring during elbow contracture release surgery

  • Nerve conduction monitoring during shoulder replacement surgery

  • Cellular Examination of Healing Musculoskeletal Tissue Following BMT

  • Humeral fracture nonunion - biomechanics study

  • Functional Outcome Following the Repair of the Distal Biceps Tendon

  • Frozen Shoulder - efficacy of treatment: injection and therapy with injection

University of Pennsylvania Department of Orthopaedic Surgery


Current research projects1

Current Research Projects

  • Proximal Humerus 4 part valgus fractures

  • Proximal Humerus Percutaneous Pinning

  • Scapula Fracture - Operative and Non-operative treatment

  • The Tension Required at Repair To Re-Appose the Supraspinatus Tendon to Bone Rapidly Increases Following Injury

  • Post-Operative Immobilization Improves Tendon to Bone Healing of the Rotator Cuff

University of Pennsylvania Department of Orthopaedic Surgery


Clinical and basic science research efforts

Clinical and Basic Science Research Efforts

  • Coordinated with the Physical Medicine and Rehabilitation department, Family Medicine department, Hand, and Sports Medicine services of the Orthopaedic department

  • McKay Orthopaedic Lab

  • Musculoskeletal Research Core

    • Radiology Department

    • Genomics Department

    • Biomechanics Department

    • Engineering Department

University of Pennsylvania Department of Orthopaedic Surgery


Publication record

Publication Record

  • Journal of Bone and Joint Service

  • American Journal of Sports Medicine

  • American Society of Shoulder and Elbow Surgery

  • Clinical Orthopaedics and Related Research

  • Sports Medicine and Arthroscopic Review

  • Physical Therapy

  • Journal of Orthopaedic and Sports Physical Therapy

University of Pennsylvania Department of Orthopaedic Surgery


Publication record1

Publication Record

  • Books

  • Chapters

  • Abstracts and Posters

    • AAOS

    • AANA

    • AAOSM

    • ICSS

    • ASES

    • APTA

    • NATA

University of Pennsylvania Department of Orthopaedic Surgery


Area of research

Area of Research

  • Basic Science

    • Soft Tissue Healing

    • Fracture Healing

    • Fracture Treatment

  • Clinical Science

    • Surgical Clinical Outcomes

    • Treatment Clinical Outcomes

    • Evidence Based Medicine

University of Pennsylvania Department of Orthopaedic Surgery


Faculty presentations

Faculty Presentations

  • International

    • International Congress for Shoulder Surgery

  • National

    • AAOS

      • National Meeting and Instructional

        Course Lectures

    • ASES

    • AANA

  • Local

    • Pennsylvania Orthopaedic Society

    • Philadelphia Orthopaedic Society

University of Pennsylvania Department of Orthopaedic Surgery


Faculty service

Faculty Service

  • National

    • AAOS

    • ASES

  • Local

    • Pennsylvania Orthopaedic Society

    • Philadelphia Orthopaedic Society

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow fellowship application process

Shoulder and Elbow Fellowship Application Process

  • Between 15 – 25 applicants per year

  • 10 - 20 applicants interviewed

  • 1-2 sessions

  • 3 attendings, 2 fellows, 1 resident

  • 4 rooms

  • Positions available

    • Two 1-year slots

University of Pennsylvania Department of Orthopaedic Surgery


Fellowship paperwork

Fellowship Paperwork

  • Match Program

  • Cover Letter

  • ASES Shoulder Fellowship Application

  • Transcripts

  • Curriculum Vita

  • 3 Letters of Recommendation

  • Scores

  • Jpeg photo at interview

  • All information is sent to Barb O’Connor

University of Pennsylvania Department of Orthopaedic Surgery


Fellowship offer

Fellowship Offer

  • ASES Fellowship Match Program

University of Pennsylvania Department of Orthopaedic Surgery


Fellowship acceptance

Fellowship Acceptance

  • Formal letter of agreement

  • Provided with contact names to clear hurdles

    • UPHS system requirements

    • State requirements

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow fellow residency programs

Akron City Hospital

Brown University

Carolinas Medical Center

Case Western Reserve

Cleveland Clinic Foundation

George Washington

Kingston General

Long Island Jewish

Loyola University

Mount Sinai

Royal College of Surgeons

Rush - Presbyterian – St. Luke’s

Summa Health System

Thomas Jefferson

Univ. of Miami

University of Colorado

Univ. of Pennsylvania

Washington University

Shoulder and Elbow FellowResidency Programs

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow fellowship placement

Shoulder and Elbow Fellowship Placement

  • Academic Institutions

  • Community Based Hospitals

  • Private Practice

University of Pennsylvania Department of Orthopaedic Surgery


Shoulder and elbow post fellowship placement

Aurora Health Care, CO

Blue Ridge Orthopaedics, VA

Carolinas Medical Center

Coral Gables Hospital, FL

Fallon Community Health, MA

Good Samaritan, PA

Grand River Med. Ctr, CO

Kelsey Seybold Clinic, TX

Larkin Community, FL

Las Vegas Orthopaedics

Loyola University Medical Center

Mount Sinai Hospital

St. Anthony’s, CO

St. Mary’s, TN

Stevens Orthopedic Group, WA

University of Arkansas

University of Penn

Washington University

Shoulder and Elbow Post Fellowship Placement

University of Pennsylvania Department of Orthopaedic Surgery


Fellowship benefits

Health

Dental

Disability

Malpractice

On-call meals

Parking on-site

White coats

UPHS E-mail

Access to Penn Libraries

Vacations

three non-consecutive weeks (21 days)

Salary

$45,000

Minor adjustments for inflation

Fellowship Benefits

University of Pennsylvania Department of Orthopaedic Surgery


Conferences

Conferences

  • 1 meeting per year approved by Fellowship Director

University of Pennsylvania Department of Orthopaedic Surgery


The alumni retreat

The Alumni Retreat

  • Combined University of Pennsylvania and Cleveland Clinic Fellowship Programs

University of Pennsylvania Department of Orthopaedic Surgery


Fellowship rotation

Three month rotation per surgeon

Williams

Ramsey

Glaser surgery coverage with increase in

clinical office demand

Three office locations

Presbyterian 1x per week per surgeon

Cherry Hill 2 x per month with Dr. Ramsey

Radnor 1x week with Dr. Williams

2 x per month with Dr. Ramsey

Fellowship Rotation

University of Pennsylvania Department of Orthopaedic Surgery


Resident pgy 2 coverage

Upper extremity

6 weeks @ Presby

Drs. Williams, Ramsey & Glaser

Resident PGY – 2 Coverage

University of Pennsylvania Department of Orthopaedic Surgery


Resident pgy 5 coverage

Upper Extremity

6 weeks @ Presby

Drs. Williams, Ramsey, & Glaser

Resident PGY – 5 Coverage

University of Pennsylvania Department of Orthopaedic Surgery


Call schedule

Call Schedule

  • No call schedule

University of Pennsylvania Department of Orthopaedic Surgery


Surgery coverage

Dr. Glaser – 1 day per week

Dr. Ramsey – 2 days per week

Dr. Williams – 2 days per week

Surgery Coverage

University of Pennsylvania Department of Orthopaedic Surgery


Source case volume

Source Case Volume

  • Level I Trauma Center

  • Tertiary referral center

  • Wide range of cases

  • Total cases  1200 / year

  • 65 % - Shoulder

  • 35 % - Elbow

University of Pennsylvania Department of Orthopaedic Surgery


Operative cases

Operative Cases

  • Shoulder

    • Rotator Cuff

      • 150 per fellow per year

        • 80 % Arthroscopic

        • 20 % Open

    • Arthroplasty

      • 100 per fellow per year

    • Instability

      • 70 per fellow per year

        • 80 % Arthroscopic

        • 20 % Open

    • Fractures

      • 30 per fellow per year

        • Open and percutaneous

    • Tendon Transfers

      • 5-10 per fellow per year

University of Pennsylvania Department of Orthopaedic Surgery


Operative cases1

Operative Cases

  • Elbow

    • Ligament Reconstruction

      • 20 per fellow per year

    • Arthroplasty

      • 10 per fellow per year

    • Fractures

      • 50 per fellow per year

        • Open

    • Stiffness/Contracture

      • 30 per fellow per year

        • 50 % Arthroscopic

        • 50 % Open

University of Pennsylvania Department of Orthopaedic Surgery


Weekly didactic conferences

Weekly Didactic Conferences

  • Upper Extremity Conference

    • Wednesday, 5:30 PM at Presby

  • One to Two presentations per year

  • Attendings, Fellows, Residents, Allied Health staff, and other staff are present

University of Pennsylvania Department of Orthopaedic Surgery


Monthly research conferences

Monthly Research Conferences

  • Meet every Second Tuesday of every month

  • New research project proposal

  • Review research projects

  • Discuss research issues

University of Pennsylvania Department of Orthopaedic Surgery


Grand rounds

Grand Rounds

  • Thursday, 7:30 AM at HUP

  • Speakers

    • Dr. Rockwood

    • Dr. Boden

    • Dr. Mankin

    • Dr. Beatty

    • Dr. Morrey

    • UPHS Faculty

  • Fellows invited to dinner with faculty and Grand Rounds speaker

University of Pennsylvania Department of Orthopaedic Surgery


Grand rounds1

Grand Rounds

  • Ernest Gentchos Lecture

    • Prominent speaker on Shoulder and Elbow topic

University of Pennsylvania Department of Orthopaedic Surgery


Physical therapy

Physical Therapy

  • Outpatient

  • Located on the same floor as the clinic offices

    • Home program

    • Formalized Program

  • Research Collaboration

  • Works closely with physician during clinic hours

University of Pennsylvania Department of Orthopaedic Surgery


Occupational therapy

Occupational Therapy

  • Outpatient

  • Located on the same floor as clinic offices

    • Home program

    • Formalized Program

  • Research Collaboration

  • Works closely with physician during clinic hours

University of Pennsylvania Department of Orthopaedic Surgery


Physician assistant

Physician Assistant

  • One PA for each Dr. Williams and Dr. Ramsey

  • Work closely with the fellow during rotations with each physician

  • Patient management

    • Clinical management

    • Post-op management

    • Calls from patient

University of Pennsylvania Department of Orthopaedic Surgery


Mckay orthopaedic labs

McKay Orthopaedic Labs

  • 3rd largest NIH funded Orthopaedic Research Lab

  • Annual budget: $4 million

  • 15 out of 15 abstracts accepted to 2003 ORS meeting

  • Over 50 staff and trainees

University of Pennsylvania Department of Orthopaedic Surgery


Mckay orthopaedic labs1

McKay Orthopaedic Labs

  • Faculty

    • Dr. Soslowsky, Director

    • Dr. Kaplan, Director

    • Dr. Elliot

    • Dr. Shore

    • Dr. Clark

    • Dr. Nicoll

    • Dr. Friedenberg

    • Dr. Brighton

    • Dr. Glaser

University of Pennsylvania Department of Orthopaedic Surgery


Mckay orthopaedic labs2

McKay Orthopaedic Labs

  • Research areas

    • Biomechanics

    • Biomaterials

    • Tissue engineering

    • Tissue culture

    • Biochemistry

    • Cell & Molecular Bio

    • Histology

    • Microscopy

    • Animal Studies

University of Pennsylvania Department of Orthopaedic Surgery


Mckay orthopaedic labs3

McKay Orthopaedic Labs

  • Current projects

    • Rotator Cuff Injury Model

      • SIS

      • Overuse

    • BMP signaling

    • FOP

    • Tendon Healing

      • Genetic mice

      • Fetal tissue

    • Degenerative Disc Disease

  • http://www.uphs.upenn.edu/orl/

University of Pennsylvania Department of Orthopaedic Surgery


Mckay orthopaedic labs4

McKay Orthopaedic Labs

  • Clinical faculty involvement

  • Two orthopaedic surgery residents / year enter lab after PGY-2

  • Basic science research opportunities available

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia ortho society

Philadelphia Ortho Society

  • Excellent Speakers (2002-2003)

    • Dr. Poka

    • Dr. Salvati

    • Dr. Iannotti

    • Dr. Torg

    • Dr. Goldberg

    • Resident Bowl

  • Meet attendings and residents from the area in a social setting

  • Free for residents

University of Pennsylvania Department of Orthopaedic Surgery


University of pennsylvania department of orthopaedic surgery

UPOJ

  • University of Pennsylvania Orthopaedic Journal

  • Entirely resident organized

  • Peer-reviewed

  • Distribution of 1500

  • Penn Tradition

http://www.uphs.upenn.edu/ortho/oj/

University of Pennsylvania Department of Orthopaedic Surgery


Fitness clear your head

Fitness (clear your head)

  • Gyms

    • Penn Campus

      • Gimbel

      • Hutchinson

    • Sweat

    • World’s

    • 12th Street

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia

Philadelphia

http://www.gophila.com

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia history

Philadelphia: History

  • Independence Hall

  • Liberty Bell

  • Carpenter’s Hall

  • 1st Federal Reserve Bank

  • Betsy Ross House

  • Reading Terminal

  • Italian Market

  • Constitution Center

  • Home of the Cheesesteak

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia neighborhoods

Philadelphia: Neighborhoods

  • Rittenhouse Square

  • Manayunk

  • Society Hill

  • China Town

  • Center City

  • University City

  • Washington Square

  • South Philly

  • The Northeast

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia museums

Philadelphia: Museums

  • Rodin Museum

  • Philadelphia Museum of Art

  • Franklin Institute

  • Academy of Natural Sciences

  • Mütter Museum

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia sports

Philadelphia: Sports

University of Pennsylvania Department of Orthopaedic Surgery


Philadelphia sights sounds

Philadelphia: Sights & Sounds

University of Pennsylvania Department of Orthopaedic Surgery


Additional information

Additional Information

  • Barbara O’Connor

    • 215.349.8851

    • penn.ortho.shoulderelbow@uphs.upenn.edu

  • Department of Orthopaedic Surgery

    Presbyterian Medical Center – UPHS

    39th and Market Streets

    1 Cupp Pavilion

    Philadelphia, PA 19104

University of Pennsylvania Department of Orthopaedic Surgery


University of pennsylvania department of orthopaedic surgery shoulder and elbow service

University of PennsylvaniaDepartment of Orthopaedic Surgery – Shoulder and Elbow Service

Training Tomorrow’s Leaders Today …

University of Pennsylvania Department of Orthopaedic Surgery


University of pennsylvania department of orthopaedic surgery

University of Pennsylvania Department of Orthopaedic Surgery


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