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Pediatric Orthopaedic Fellowship...
The goals of this fellowship are both clinical and scientific:
As regards clinical goals, the intent is to provide a setting wherein an individual who has completed an accredited residency in orthopaedic surgery may participate actively in the diagnosis and treatment of a large variety of pediatric orthopaedic disorders, including both acute and chronic illness. A large volume of both trauma and reconstructive cases is seen. The development of skills in planning and performing both simple and complex surgical procedures will be emphasized. A review of the pertinent literature, both previous and current, will be conducted by the fellow and the director on a regular basis.
The other equally important mission for the fellow will be to make a contribution to the body of knowledge relating to pediatric orthopaedics. This may involve either a clinical or basic research endeavor. Laboratory facilities are available at Vanderbilt University under the direction of Herbert Schwartz, M.D. The laboratories contain basic testing equipment including MTS machines, and have the capacity for freezing and dissecting cadaver material. Facilities for research involving animals are available. In addition, the Vanderbilt University Department of Orthopaedics and Rehabilitation has a Gait Analysis Laboratory, where active research programs involved in the study of gait disorders are in progress. Adequate time and resources will be made available to complete a study suitable for presentation and publication in a major journal. 
This one-year fellowship will revolve around an active pediatric orthopaedic practice at Vanderbilt University Hospital. Two full-time pediatric orthopaedic surgeons, Dr. Neil E. Green and Dr. Gregory A. Mencio currently see more than 9000 pediatric orthopaedic outpatients per year. Outpatients are seen daily, with a Spina Bifida Clinic on Monday afternoon, a Scoliosis Clinic on Wednesday and a Cerebral Palsy Clinic on Friday afternoon. There are general pediatric orthopaedic clinics all day on Monday, Tuesday, Wednesday morning, Thursday all day, and on Friday morning. There are two pediatric orthopaedic operating rooms available all day on Tuesday and Thursday and one or two on Monday, Wednesday, and Friday. In addition to reconstructive pediatric orthopaedics, the active pediatric orthopaedic practice involves the care of acute pediatric orthopaedic diseases. Many children with bone and joint infections and musculoskeletal trauma are seen because Vanderbilt is a Level I Trauma Center. There are both pediatric orthopaedic trauma call and adult trauma call. The pediatric orthopaedic trauma call is staffed by the pediatric orthopaedic surgeons. The fellow is appointed as an instructor in the Department of Orthopaedics at a faculty level and is therefore placed on the call schedule for pediatric orthopaedics, taking care of his or her own pediatric orthopaedic trauma patients.
Vanderbilt Childrens Hospital
Division of Pediatric Orthopaedics
2200 Children’s Way, Suite 4202
Nashville, TN 37232-9565
Toi Gorham
615-322-7133
615-343-2423 (Fax)
toi.gorham@vanderbilt.edu
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