Fellowships - Spine
The Spine Fellowship at Brown University School of Medicine involves a one year experience of intensive post-residency training in disorders and injuries of the spine in the adult patient. The fellowship combines a diverse and active operative and clinical schedule with the opportunity for clinical research. While working with two full time adult orthopaedic spine surgeons, the Fellow will gain extensive exposure to all aspects of the field. With a reasonable call schedule and an active operating room experience, the Fellow will be expected to participate in resident education, didactic conferences and research. Our interest is in training surgeons who will undertake either a career in private practice or in academics.
The goal of this fellowship is to produce a well-rounded and competent adult spinal orthopaedic surgeon with a broad knowledge of patient evaluation, clinical decision making, pre-operative planning, operative technique and post-operative care. The Fellow is also expected to become adept at analysis of the literature and will have the ability to contribute to orthopaedic research.
Approximately 500 operative cases are undertaken in the Division of Adult Spine Surgery each year. The Fellow will play an extremely active role in the majority of these cases. Because the Department has a large and active orthopaedic residency program, the Fellow will be expected to teach and direct the resident staff in both the hospital care of in-patients and the operative and non-operative care of out-patients. The Fellow will also contribute to the care of the private office patients of Dr. Lucas and Dr. Palumbo. He will also need to oversee the Orthopaedic Spine Clinic one day per week in Rhode Island Hospital.
Lastly, the Fellow will be responsible for managing his own limited private practice of spine surgery in the office setting.
The Division of Adult Spine Surgery is involved in the care of spine problems encountered at the Veterans Administration Medical Center in Providence. In addition, the Fellow will be responsible for evaluating and managing the care of all spine trauma patients admitted through the Level I Trauma Center at Rhode Island Hospital.
In general, the Fellow will spend one half of his time with Dr. Palumbo and the other half with Dr. Lucas. There are two full time residents on the Spine Service at all times and the Fellow will be responsible for overseeing the care provided by the residents. During a typical week, the Fellow will be responsible for approximately two days of patient evaluation in the office or clinic setting, two days of surgical treatment and one day set aside for clinical/basic science research. There will be flexibility worked into the schedules and the Fellowship experience in order to meet the needs of the specific Fellow.
Lastly, the Fellowship Directors will provide instruction in the business side of organizing and running a spine practice. Instruction will be provided in all aspects of practice management.
Basic science and clinical research related to adult spine problems is a major interest of the Spine Surgery Division. It will be mandatory for the Fellow to become involved in his/her own research project related to spine surgery during the fellowship year. The Orthopaedic Department maintains an extensive orthopaedic research laboratory currently staffed by multiple Ph.D. level investigators and research assistants. Many Brown University under graduates, medical students and residents participate in the ongoing research efforts. The ultimate goal will be for the Fellow to have a minimum of one project completed by the end of the year which would be suitable for presentation at a National Meeting with subsequent publication. The project can either be a basic science or clinical experiment.
The salary is competitive with the typical post-graduate year six level. Full health care benefits are provided and the Fellow will be allowed to attend at least one major academic meeting at no cost. An allowance is also provided for the use of photographic development services. The Fellowship year will run from August 1 to July 31 of the following year. Three weeks of vacation are provided (not including the meeting trip) and some flexibility is available for the purpose of job interviews.