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Thanks very much for your interest in our Orthopaedic
Trauma Fellowship at Vanderbilt.
It is truly an exciting time here at Vanderbilt in Orthopaedic
Trauma as we are building on the strong tradition established by
previous Trauma Directors: Marc Swiontkowski (1985 to 1988) and
Dr. Ken Johnson (1988 to 2001). By July, 2004 we will have a well-established
group of 5 Orthopaedic Trauma Attendings in the setting of a strong
academic institution, quality physical plant, large clinical volume
and established clinical research program.
Faculty:
Philip
J. Kregor, MD
Associate Professor of Orthopaedics & Rehabilitation
Chief - Division of Orthopaedic Trauma
William T. Obremskey,
MD, MPH
Associate Professor of Orthopaedics & Rehabilitation
Orthopaedic Trauma
Erika Mitchell, MD
Assistant Professor of Orthopaedics & Rehabilitation
Orthopaedic Trauma
Marc Tressler, DO
Assistant Professor of Orthopaedics and Rehabilitation
Orthopaedic Trauma
Institution:
Vanderbilt University Medical Center was recently ranked 17th in
the Country of academic medical center’s and as such has a
plethora of strong clinic and research areas. The Medical Center
is well served by a very strong General Surgery Trauma Unit under
the direction of John Morris, MD. There are 2,750 trauma admissions
per year, with 2000 helicopter flights per year. There are currently
3 helicopters, which provide hospital to hospital as well as accident
scene to Vanderbilt. 82% of trauma admissions are from blunt trauma,
and the annual growth of trauma admissions is 6% per year.
The operating room support for Orthopaedic Trauma is unparalleled.
We have four elective days for post-traumatic reconstruction cases
and we will have two dedicated operating rooms 7 days a week 7:30am
until 11:00pm for dedicated Orthopaedic Trauma procedures. This
allows us to perform only emergent or urgent cases between the hours
of 11pm and 7 am.
Clinical Volume:
The Division of Orthopaedic Trauma performs approximately 1800 cases
annually, and is growing at easily 10% per year. Often, these “cases”
consist of multiple fracture fixations. The number of operative
interventions per year includes 180 femoral shaft intramedullary
nailings, 170 operative fixation of acetabular fractures, and the
plethora of injuries that goes along with such cases.
Research:
The Division of Orthopaedic Trauma, under the leadership of William
T. Obremskey, MD, MPH is actively involved in multiple randomized
prospective clinical trials including:
- Operative vs Non-operative treatment of closed stable tibial
shaft fractures (lead clinical site).
- Open reduction internal fixation vs. hemiarthroplasty for displaced
femoral neck fracture’s.
- Long term clinical outcome of acetabular fractures (Database
of 450 fractures by PJK).
- Multi-center randomized prospective study for treatment of
distal femur fracture’s (lead clinical site).
- Reamed vs Unreamed Tibial Nailing
Robin
Driver, RN:
Mrs. Driver serves as the clinical research coordinator and coordinates
the activities, along with the faculty of a clinical research fellow
and data entry clerk.

Environment:
Vanderbilt University Medical Center is a 651 bed hospital, which
is adjacent to the Undergraduate University, sporting facilities
and newly built Children’s Hospital. The entire Medical Center
is enclosed in the same area. In October, 2003 the Department of
Orthopaedic Surgery will begin occupancy in the state of the art
Musculoskeletal Institute, which is directly adjacent to the Vanderbilt
Hospital. This facility will house a clinical research area for
Orthopaedic Trauma, administrative offices for the faculty and research
team, the clinics and educational areas. It will streamline our
clinical work, and make a very enjoyable place to work even better.
We thank you very much for your interest in the Division of Orthopaedic
Trauma at Vanderbilt University Medical Center. We are making great
strides into developing the fellowship experience at Vanderbilt
into a unique one. We will have two fellows per year and are committed
into protecting 1 day per week for academic and/or research pursuits.
We would be delighted to have you visit us here at Vanderbilt if
you would so desire. I know you will have many opportunities, but
feel we have a very special opportunity here. I would also encourage
you to visit our Department’s web site at: http://www.mc.vanderbilt.edu/ortho/
so that you can learn of the spirit of excellence in which we practice.
Please respond via e-mail at philip.kregor@vanderbilt.edu.
Philip J. Kregor, MD
Fellowship Director, Division of Orthopaedic Trauma
Director, Division of Orthopaedic Trauma
Associate Professor, Department of Orthopaedics and Rehabilitation
Vanderbilt University Medical Center
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