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The Limb Lengthening and Reconstruction Research Fellowship began at Kernan Hospital (University of Maryland) in 1989 and moved to Sinai Hospital of Baltimore in 2001 when the Rubin Institute for Advanced Orthopedics was built. The program has trained over 100 clinical and research fellows since its inception.

 

Program Demographics:

Host Institution: Sinai Hospital of Baltimore

Specialty/Subspecialty: Orthopedic Surgery/Limb Lengthening and
    Reconstruction Research Fellowship

2401 West Belvedere Avenue

Baltimore, MD 21215 United States

Tel: 410.601.9276

Fax: 410.601.0585

Website: www.RubinInstitute.com/fellowships

Program Director: Janet D. Conway, MD

Director E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Alternate Program Contact: Ashley Adolph

Alternate E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Stipend: $40,000 without housing; $30,000 with housing. Please note that housing is only for those candidates who are traveling alone as housing is shared with our rotating residents.

Duration: The duration of training is one year.

July 1, 2020 – June 30, 2021

 

Prerequisite Training/Selection Criteria: In order to be considered for the program, all applicants must have:

  1. completed an Orthopedic Residency
  2. completed fellowship application
  3. passed USMLE Steps I and II or equivalent
  4. be ECFMG Certified
  5. submitted a writing sample

Goals and Objectives for Training:  

  1. To acquire the competency of a research specialist in the field of limb lengthening and deformity correction.
  2. To develop an understanding of the technical aspects, indications, risks, results, prognosis, and limitations of the procedures involved.
  3. To acquire the skill, knowledge and judgment with which to continue on a scholarly path of orthopedic research.
  4. To participate in at least six (6) paper publications.  

Resources:

The fellow will report directly to Dr. Conway. Dr. Conway handles adult patients with bone and joint infections, malunions and nonunions, and limb length discrepancies and deformities.

Facilities:

The Limb Reconstruction Fellowship is based at the Rubin Institute for Advanced Orthopedics, located in a four-story (48,000 square foot) addition opened in 2001 on the campus of Sinai Hospital of Baltimore. The Institute houses six operating rooms, outpatient clinic, gait lab, dedicated x-ray facilities and therapy pool. State-of-the-art treatment in a variety of orthopedic services is offered. The International Center for Limb Lengthening is widely recognized for adult and pediatric limb reconstructive surgery. Therefore, substantial numbers of patients and files are available to provide a meaningful educational experience.

Educational Program:

The educational program in orthopedic surgery/limb lengthening and reconstruction includes treatment of a vast range of developmental, degenerative, and traumatic disorders of the upper and lower limbs. Typical clinical problems include limb length discrepancy, fracture malunion and nonunion, osteomyelitis, angular deformities of the limbs, joint contractures, and congenital deficiencies. The fellow will be provided training and the tools to organize and facilitate clinical research activities independently. There are academic skills that the fellow must acquire. This academic component emphasizes a scholarly approach to data acquisition and analysis, self-directed study, teaching and research. The fellow should develop an understanding of the technical aspects, indications, risks, results, prognosis and limitations of the procedures involved. The fellow will prepare program reports. Attendance is required at weekly orthopedic preoperative rounds, teaching rounds, Morbidity and Mortality rounds, orthopedic grand rounds, and monthly journal club meetings.

The knowledge the Program covers include, but are not limited to:

  1. Instruction and in-depth training in biomedical science and ethical considerations.
  2. Development of valid scientific hypotheses.
  3. Development of clinical research experimental methods to test the developed hypotheses.
  4. Preparation of protocols and submissions of the protocol to the appropriate institutional review boards.
  5. Study design, study coordination and study data collection.
  6. Statistical analysis of data.
  7. Data analysis and interpretation
  8. Development of clinical, laboratory, and/or computer-based research skills
  9. Abstract preparation and submission.
  10. Presentation of research at peer-reviewed scientific meetings
  11. Manuscript preparation and submission for publication in peer-reviewed publications.   

Scope of Practice:

The fellow will predominantly learn how to organize and develop research projects in various orthopedic conditions. By the end of the fellowship, the fellow should achieve progressive independence in formulation of hypotheses, preparation of IRB/ARB proposals, and initiation of studies, including data

Specific Roles and Responsibilities 

  1. Independently develop, and facilitate retrospective research studies and data collection.
  2. Prepare, edit, and draft abstracts, posters, and manuscripts for peer reviewed submission.
  3. Maintain research charts, databases, and files.
  4. Maintain test article inventory/dispense as needed.
  5. Perform research visits according to protocol for active clinical trials.
  6. Research, prepare, edit, and submit clinical protocols, grants, and proposals.
  7. Research, prepare, edit, and submit abstracts/posters/manuscripts for peer-reviewed submissions.

Program Research and Scholarly Activity

At the conclusion of the training period, the fellow should have acquired the knowledge and judgment with which to organize and plan a course of original research protocol in orthopedics.

The fellow must learn to design, implement and interpret research studies under the supervision of qualified faculty and Research Manager. To assist the fellow in the research process, regularly scheduled in-service programs are held by the Center’s program personnel, which include the Program Director, Research Manager, Research Coordinator, and Medical Editor.

The fellow is required to produce at least 6 (six) scientific papers that are suitable for submission for publication in a peer-reviewed journal. The fellow is strongly encouraged to present their research at a national scientific meeting.  The Program Director and research team meet frequently with the fellow to give feedback, guidance, and support.

The faculty is responsible for establishing and for maintaining an environment of inquiry and scholarship. The Program teaching staff members are all investigators – each participating in both joint and independent research activities.  Activities and resources of the Center are provided to support the research and scholarly goals of this Program and its participants.  These include, but are not limited to:

  1. Clinical discussions (before, during and following patient clinics and surgical cases) are conducted on a routine basis. The faculty strive to involve fellows in these discussions. For the fellow, these exchanges promote and ensure an in-depth understanding of, and ability to, articulate the basic mechanisms of normal and abnormal states and the appropriate application of current distraction osteogenesis and reconstructive processes and procedures to treat patients within the Center.
  2. Weekly, preoperative indications conferences are conducted where all of the next week’s operative cases are presented and discussed in depth.
  3. Journal club conferences, where current literature and didactic lectures, are held to provide a lively and informative exchange.
  4. Fellows are required to participate in the annual Baltimore Limb Deformity Course – an international workshop/symposium sponsored by the International Center for Limb Lengthening that is accredited by MedChi, the Maryland State Medical Society, for AMA PRA Category 1 Credit(s)TM. Former fellows are routinely invited back as instructors at this conference, which serves as a “refresher” course in addition to providing valuable networking opportunities. Former fellows, acting as laboratory assistants, help prepare and conduct workshops to further their educational experience.
  5. The fellow is expected to attend monthly general orthopedic grand rounds. Weekly teaching conferences with lectures by attendings and residents/fellows on topics related to limb reconstruction.
  6. A dedicated, research in-service training series is provided on a regular basis and organized by the Research Manager with the assistance of the Medical Editor. Topics such as “Writing Up the Results of Your Research Study,” “Research Ethics and the IRB Process,” and “Analyzing Your Data” are covered.