The Hospitals of the Program

The Boston Medical Center – Primary Institution
The Lahey Clinic
The Massachusetts General Hospital – Orthopaedic Oncology Service
The Shriners Hospital for Children – Springfield
The Boston Veterans Administration Health Care System

The program comprises approximately 220 active orthopaedic beds, and the more than 40 full time faculty perform over 9000 orthopaedic procedures annually. In addition to the wealth of clinical material from which the residents’ education draws, a funded 3,500 square foot state of the art basic science laboratory headed by full time research faculty supports the residents’ scientific development. The basic science faculty and staff are on the cutting edge of research related to the biology of fracture repair and the regeneration of musculoskeletal tissues. Finally, a well stocked library and a bio-skills laboratory dedicated exclusively to the education of orthopaedic residents is accessible 24 hours a day.

Boston Medical Center – Primary Institution

Orthopaedic residents get the majority of their trauma experience at the medical center, which sees more than 2,000 trauma admissions each year. The medical center serves as a tertiary referral center for complex trauma and spine problems for a three state area. Four rotations at the medical center focus the resident experience on trauma, pediatrics/hand, spine, and reconstruction/sports. The bulk of the educational schedule occurs at the main medical center and the largest proportion of residents are at the medical center.  The rotations are set up so that each resident spends a significant amount of time with one attending, allowing a close interaction over months. This one on one teaching in the clinic and the operating room creates a concentrated learning experience in each major orthopaedic area. For more information on Boston Medical Center click here.

The Lahey Clinic

lahey

Residents spend 12 months of their residency at the Lahey Clinic.  There are five rotations at Lahey; the PGY2 rotates on Foot & Ankle, the PGY3 on Hand, a PGY4 on Joints, another PGY4 on Sports, and the PGY5 rotates on Trauma and Hip Preservation. Residents rotate with the same faculty in clinic and the operating room during their rotation to enhance preoperative and postoperative exposure for continuity. They spend 1 to 2 days in clinic per week.  Each rotation has an Attending Team Leader that is in charge of the service and mentors the residents.  The residents are free of ED responsibilities during the regular workday, and cover the ED nights and weekends along with inpatient management and the operating room for after hour cases.  Residents participate in perioperative management of patients along with physician extenders and faculty during daily patients rounds.

Work hours are reviewed and managed by the residency director at Lahey, Michael Kain, MD and monitored by the PD. Residents also participate in a pre-operative case conference that addressed operative indications.  The team of residents meet every morning with the on-call Attending and the Trauma Attendings to review admissions, consults, and address inpatient care issues, which include the perioperative management of patients. Additionally, a weekly conference is held where attending surgeon’s present patients to residents for a discussion of diagnosis, treatment options and indications for surgical treatment.  On a rotating basis, at this weekly conference, residents also participate in Morbidity and Mortality Conference, Grand Rounds presentations, and Journal Club.  Subspecialty monthly Conferences for Hand and Adult Reconstruction that residents are invited to attend.  For more information on the Lahey Clinic click here.

 

The Massachusetts General Hospital – Orthopaedic Oncology Service

The Orthopaedic Oncology Service at Massachusetts General Hospital provides world-class, compassionate care to children, adolescents and adults with a team approach to treating primary bone and soft tissue tumors (benign and malignant) and metastatic disease.

The Program was founded in 1972 by Dr. Henry Mankin, the then Chairperson of Orthopaedics.  The program is now the largest oncology treatment group in New England and one of the largest in the world. 

Approximately 200 patients are seen per week including an average of 800 new patients annually with tumors of bone and soft tissues.  The group performs approximately 700 operations per year and maintains an active educational and research program.  For more information on the Oncology Service at Massachusetts General Hospital click here.

 

Shriners Hospital for Children – Springfield

At the Shriners Hospital residents experience a wide spectrum of orthopaedic disorders and deformities in children from a referral base which includes New England, New York state, the U.S. Virgin Islands,  and Cyprus.

Residents participate in the initial evaluation, definitive treatment plan, and follow-up of all patients. This begins with the clinic assessment and preoperative planning and continues through the operating room and then the postop and rehabilitation course. Residents have primary responsibility for the peri-operative care of in-patients. Surgery is carried out by residents under direct supervision by attending faculty. The independent activities of individual residents are increased according to demonstrated abilities and skills. For more information on Shriners Hospital for Children click here.

 

Boston Veterans Administration Medical Center

The Boston VA Medical Center is a tertiary care institution dealing exclusively with the medical and surgical needs of the veteran population.  This facility provide the residents with a balanced experience in a general and subspecialty orthopedic practice which includes the presence of five attendings, residents, a hand fellow, interns and medical students of different levels of training and from different training programs. During their rotation at the Boston VA Medical Center, the residents are exposed to the treatment of acute and chronic pathologies affecting veterans with multiple orthopedic problems, including degenerative arthritis of the upper and lower extremities, acute traumatic injuries, sequalae from war injuries, sports medicine related conditions, hand and upper extremity diseases, foot and ankle diseases, infections and musculoskeletal tumors. More autonomy is available for the resident at the VA than other hospitals in the system.  For more information on Boston VA Medical Center click here.

Primary teaching affiliate
of BU School of Medicine