Education:
1977 A.B. Stanford University
1980 M.S. Stanford University
1986 M.D. University of Pittsburgh School of Medicine
Postdoctoral Training:
1986 - 1987 Surgical Intern, Naval Hospital, Oakland, CA
1988 - 1992 Resident in Orthopaedic Surgery, Naval Hospital, Portsmouth, VA
Fellowships:
1994 - 1995 Sports Medicine Fellow, Children’s Hospital, Boston, MA
1995 Boston-Stockholm Sports Medicine Exchange Traveling Fellow
1995 - 1996 Clinical Orthopaedic Society Traveling Fellow
Licensure and Certification:
1988 California License Registration
1994 Massachusetts License Registration
1995 Ohio License Registration
1994 American Board of Orthopaedic Surgery Certificate
2004 ABOS Recertification (valid through 2014)
Academic Appointments:
1992 - 1994 Uniformed Services University of the Health Sciences, Staff Orthopaedic Surgeon, Naval Hospital, Long Beach, CA
1995 - 1997 Assistant Professor of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH
1997 – 2005 Instructor in Orthopaedic Surgery, Harvard Medical School, Boston, MA
Hospital Appointments:
1992 - 1994 Staff Orthopaedic Surgeon, Naval Hospital, Long Beach, CA
1994 - 1995 Staff Orthopaedic Surgeon, Naval Hospital, Camp Pendleton, CA
1995 - 1997 Assistant Professor of Orthopaedic Surgery, University of Cincinnati College of Medicine Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, Children’s Hospital Medical Center, Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, Bethesda Hospitals, Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, Christ Hospital, Cincinnati, OH
1995 - 1997 Courtesy Staff, Drake Hospital, Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, Good Samaritan Hospital, Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, Jewish Hospital, Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, University Hospital, Cincinnati, OH
1995 - 1997 Staff Orthopaedic Surgeon, Veterans Hospital, Cincinnati, OH
1997 - 2005 Assistant in Orthopaedic Surgery, Children’s Hospital, Boston, MA
1997 - 2005 Staff Orthopaedic Surgeon, New England Baptist Hospital, Boston, MA
1997 - 2005 Staff Orthopaedic Surgeon, New England Surgicare, Brookline, MA
2002 – 2005 Clinical privileges, Brigham and Women’s Hospital, Boston, MA
2002 – 2005 Staff Orthopaedic Surgeon, Beth Israel / Deaconess Hospital, Boston, MA
2005 – present Staff Orthopedic Surgeon, Community Hospital of the Monterey Peninsula, Monterey, CA
2006 – present Staff Orthopedic Surgeon, Hazel-Hitchcock Hospital, Hollister, CA
Other Professional Positions:
1977 - 1978 Medical Team Member, Boston Marathon
1977 - 1979 Research Assistant, Department of Orthopaedic Surgery, Children’s Hospital, Boston, MA
1980 - 1982 Research Associate, Neuromuscular Research Laboratory, Childrens Hospital/Harvard Medical School, Boston, MA
1984 - 1986 Medical Team Member, Pittsburgh Marathon
1995 - 1997 Director, Performing Artists Medicine Network, University of Cincinnati College of Medicine
1995 - 1997 Orthopaedic Consultant, Mason High School Athletics, Mason, OH
1995 - present Medical Team Member, Boston Marathon
1995 - 1997 Orthopaedic Consultant, University of Cincinnati, Intercollegiate Athletics
1996 - 1997 Orthopaedic Consultant, Miami University of Ohio, Intercollegiate Athletics
1997 - 2005 Orthopaedic Consultant, Boston Ballet
1997 - 2005 Orthopaedic Consultant, Minuteman High School athletic teams
1999 - 2002 Team Physician, Fitchburg State College
2000 - 2005 Team Physician, Babson College
2001 - present Medical Team Member, BAA Half-Marathon
2002 – 2005 Orthopaedic Consultant, Fitchburg State College
2006 – present Team Physician, Seaside High School, Seaside, CA
Hospital and Health Care Organization Service Responsibilities:
1998--2005 Children’s Hospital Lexington. Leadership role in decision-making concerning facilities planning and business strategy.
2005 –2005 Children’s Hospital Physician Organization representative
Major Administrative Responsibilities:
1997--2005 Children’s Hospital Division of Sports Medicine. Responsible for creating usable workspace, overseeing expansion and preparing Division for ACGME fellowship certification.
Major Committee Assignments:
1996 - 1997 Faculty Forum Committee, University of Cincinnati College of Medicine
1998 - 2005 Core Curriculum Committee, Combined Harvard Orthopaedic Residency Program
1998 - 2005 Anatomy Committee, Combined Harvard Orthopaedic Residency
2004 - 2005 Physician Leadership Council, Physician’s Organization, Children’s Hospital, Boston, MA
2005 - 2005 Quality Control Subcommittee of Physician’s Organization, Children’s Hospital, Boston
Professional Societies:
1989 - present Society of Military Orthopaedic Surgeons, Member
1995 - present American Medical Association, Member
1995 - present American College of Sports Medicine, Fellow
1995 - 1997 Academy of Medicine of Cincinnati, Member
1996 - 1997 Ohio State Medical Association, Member
1997 - 2005 Massachusetts Medical Society, Member
1996 - present American Academy of Orthopaedic Surgery, Fellow
1999 - present Arthroscopy Association of North America, Fellow
1999 - present American Orthopaedic Society of Sports Medicine, Fellow
2001 - present United States Figure Skating, Sports Medicine Society, Member
2006 – present Monterey County & California Medical Societies, Member
Community Service Related to Professional Work:
1992-present Team Physician services for several colleges and high schools
1994-present Physician volunteer for many community athletic events
2002-present Team Physician for US Figure Skating caring for the team at various sites around the world
Military Service:
1986 - 1994 Active Duty, United States Navy
1987 - 1988 General Medical Officer, USNR, Okinawa, Japan
1994 - present United States Navy Reserve, Captain
2003 (Mar-May) Activated, Iraq War
Editorial Boards:
1996 - present Reviewer, American Journal of Sports Medicine
2000 - present Reviewer, Journal of the American Medical Association
2001 – present Reviewer, Journal of the National Athletic Trainers Association
Awards and Honors:
1972 National Merit Commendation
1983 - 1986 United States Navy Medical School Scholarship
1987 - 2005 United States Navy Medals and Ribbons
Navy Unit Commendation Medal
Meritorious Unit Commendation Medals (3)
National Defense Medal (Gulf War)
National Defense Medal (Iraq War)
Global War on Terrorism Medal
Navy Reserve Medal
Sea Service Ribbon
Pistol Qualification
1991 - 1992 Case of the Week Award, Naval Hospital, Portsmouth, VA
1995 - 1996 Clinical Orthopaedic Society, Traveling Fellowship
2001 – 2002 AOSSM Mentee inaugural class
2002 Outstanding Alumni Award, Dedham High School
Research, Teaching and Clinical Contributions
A. Narrative Report
I have recently relocated to Monterey, CA in order to continue the practice of Sports Medicine for a highly motivated population of athletic adults and children. At Children’s Hospital, Boston, I concentrated on achieving clinical excellence in orthopaedic surgery, teaching orthopaedics and conducting research in pediatric sports medicine. Appropriately, the bulk of my time was spent involved with my patients and students: in the office, in the operating room and on the wards.
I have continuously taught residents and fellows. I have given grand rounds and lectured locally, nationally and internationally. I have prepared lectures, written chapters and conducted original research. As the Team Physician for Babson College, I cared for the athletes and educated the medical staff. I have also provided medical care for the Boston Ballet, Boston Marathon, U.S. Figure Skating team and many other athletic groups.
In my daily practice, I had noted that a large proportion of my patients came to see me for anterior knee pain. For the orthopaedist, anterior knee pain is like headache to the neurologist. It is common, results in significant disability and has multiple causes. Like headache, anterior knee pain is frequently difficult to assign a precise etiology. Most orthopaedists take comfort in treating the symptoms with rest, knowing that most patients get better.
I resolved to discover all the components to this pain so the treatment could be better focused. My patients have benefited the most from my obsession. My patients with anterior knee pain get a precise diagnosis that includes all the components of their particular version of anterior knee pain. The physical therapy they are prescribed is more specific. If they do not respond to non-operative treatment, they get the appropriate operation sooner and more specific to the causes of their pain. My residents and fellows have gained by learning to sort quickly among the six causes of anterior knee pain. They learn which problems occur in clusters and why. They learn which treatments work for each source of pain and which do not.
From a research standpoint, anterior knee pain is an unglamorous backwater. Relatively few are working in the field and many have been humbled by the difficulty of sorting through the many sources of pain. There is a large group of orthopaedists who feel that anterior knee pain is a “solved” problem and that serious research is not warranted. In pediatric sports medicine, 60% of my patients had anterior knee pain. My research has identified the sites and intensity of pain in these patients. The study had not been done before and now hypotheses about the causes of pain at these sites can be developed.
Other research includes a study on the relationship between weight-bearing axis and site of osteochondritis dissecans lesions. Another compared standing balance of ballerinas to female soccer players in an effort to understand why the female soccer players get more injuries. Yet another investigated a new way to save partially torn cruciate ligaments by advancing the ligament and its bone attachment further into the femur. Beyond research, I published eleven review articles and book chapters while a member of the Harvard faculty. I continue to publish and have two original papers and three chapters in press or preparation.
B. Funding information
I have no formal grants for my research. Funding for my research expenses including salaries for research assistants has come from my personal income. Certain other expenses were funded by monies set aside from my salary and reserved for research activity by the Children’s Orthopaedic Surgery Foundation.
C. Report of current research activity
1. Comparison of standing balance between collegiate female dancers and soccer players. Principal Investigator. Study has been completed and submitted.
2. Weight bearing axis is related to site of lesion in osteochondritis dissecans. Principal Investigator. Study is finished and manuscript in preparation.
3. A new technique for tensioning the ligament after partial PCL tear. Principal Investigator. Study is complete and manuscript in preparation.
4. Long-term follow-up after lateral retinacular release procedure. Principal Investigator. Study is complete and manuscript in preparation.
5. Load-deformation characteristics of the patella. Relationship to intraosseous pressure. Principal Investigator. Data collection is finished and results under analysis.
D. Report of teaching
1. Local contributions
a. Harvard Medical School
1). HMS orthopaedics classroom teaching 2002, 2003; 25 students per class.
2). HMS Mentor Program. 2005. One student per mentor to study a patient in depth.
b. Residents and fellows
1). Shoulder fractures. Lecture given to orthopaedic residents twice per year from 1997 to 2005.
2). Knee injuries. Lecture given to residents twice per year from 1997-2001.
3). Patellofemoral joint. Lecture given in Sports Medicine Core Curriculum lecture series 2001-2003.
4). Knee arthroscopic anatomy. Lecture given to orthopaedic residents as part of Knee Anatomy curriculum. 2000-2003.
5). Team Physician. Lecture given to fellows, residents as part of fellowship series. 2003-2005.
c. Local groups
1). Pediatric Sports Medicine. Presented to several local Massachusetts pediatric groups from 1998-2005.
2). The Young Athlete’s Knee. Presented at Grand Rounds, Concord Hospital, NH. 2002.
3). The Young Athlete’s Knee. Presented at Children’s Hospital Lexington. 1998-2002.
d. Local CME lectures
1). The Young Athlete’s Knee. Children’s Hospital adolescent medicine spring conference. 1999-2005.
2). The Young Athlete’s Knee. Demystifying the Pre-participation Physical Exam. Pri-Med medical conferences (local) 2002, 2003.
e. Precepting residents and fellows
1). General orthopaedics clinics and operating room, Children’s Hospital. Precepting orthopaedic residents and HMS students. 1997-2005.
2). Sports Medicine clinics and operating room. Precepting sports medicine fellows. 1997-2005.
3). Lexington satellite clinic and operating room. Precepting primary care fellows and physical therapists. 2003-2005.
f. Teaching leadership
Was charged with enacting appropriate steps and changes necessary for the Division of Sports Medicine orthopaedic fellowship to achieve compliance with ACGME standards in preparation for ACGME certification.
g. Advisees, trainees
Since 1997, I have helped train 26 orthopaedic and primary care sports medicine fellows. All are in active practice. Some are private practice, some academic. One hosts a television spot each Sunday on the Today show. In 2005, we had 4 fellows and three research assistants. I was actively involved teaching all of them.
2. Regional/National/International
a. Regional
1). Grand Rounds, Concord, NH. 2002 The Young Athlete’s Knee.
2). New England American College of Sports Medicine Meetings, Providence, RI.
1999 Shoulder Examination
2000 Team Physician Course
2001 Team Physician Course
2002 Team Physician Course
2003 C-Spine Injuries, Wrist Injuries
2004 Injuries to the Shoulder and Elbow
Examination of the upper extremity
3). Grand Rounds, Monterey, CA 2006. Community Hospital of the Monterey Peninsula. Performing Arts Medicine
b. National
1). Patellofemoral Pain. Grand Rounds. University of Cincinnati College of Medicine. 1998.
2). Team Physician Courses. American College of Sports Medicine. Several lectures in several cities from 2001-2003.
3). Annual Meetings, American College of Sports Medicine. Since 1998, I have been a Fellow and have presented, moderated of participated in 3-6 events per meeting. In 2005, I had a poster presentation, moderated a discussion on shoulder injuries and was on an expert panel for a back pain symposium.
c. International
I have presented sports medicine lectures in the following countries: Brazil (two times), San Salvadore, Colombia, Trinidad, and Argentina.
I have provided medical coverage overseas (Sapporo, Japan and Belgrade, Serbia) for the U.S. Figure Skating team.
E. Report of Clinical Activities
1. Clinical Practice
My field is pediatric and adult sports medicine. I see dancers and athletes with all types of sports-related injuries. I care for general orthopedic problems as well.
2. Patient Load
I am presently building my practice in Monterey, CA. I am considered an expert on young athletes with recurrent patellofemoral instability and on young throwing athletes with shoulder problems.
3. Clinical Contributions
I have introduced a new method of repairing loose posterior cruciate ligaments. I developed a new technique for reconstructing the medial patellofemoral ligament of the knee. My research has led to a better way to examine and diagnose patients with anterior knee pain. I invented a device to repair meniscal tears.
