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R. Jay Lee, M.D.
- Director, Pediatric Orthopaedic Fellowship
- Associate Professor of Orthopaedic Surgery
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Paul David Sponseller, M.D.
- Chief, Division of Pediatric Orthopaedics
- Sponseller Professor of Pediatric Orthopaedics
- Professor of Orthopaedic Surgery
- Professor of Urology
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Ranjit Abraham Varghese, M.B.B.S.
- Medical Director, Arthrogryposis Clinic
- Medical Director, Ortho-Cerebral Palsy Program, Kennedy Krieger Institute
- Assistant Professor of Orthopaedic Surgery
Pediatric Orthopaedic Fellowship
The Johns Hopkins Pediatric Orthopaedic Fellowship provides comprehensive training for people who want to practice pediatric orthopaedic surgery in a private practice or academic setting. The fellow will obtain experience both in the clinic and operating room while providing ample clinical and research opportunities.
Program at a Glance
- Positions: one clinical fellow
- Duration: 12 months (Aug. 1 to July 31)
- Stipend: approximately $70,000 plus benefits
- Call: weekday and weekends, 1:6
- Location: The Johns Hopkins Hospital
Apply via SF Match
About the Fellowship
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The Johns Hopkins Department of Orthopaedic Surgery has a long tradition of strong academic medicine and innovation. William Halsted trained William Baer and then appointed him as one of the country’s first orthopaedic surgery department heads. Baer, in turn, trained a large percentage of the orthopaedic leaders throughout the world.
Our tradition of leadership involved pediatrics from the start. Baer established a pediatric orthopaedic hospital in Baltimore in 1909. For 82 years, Children’s Hospital of Baltimore was the country’s premier orthopaedic surgery training facility. Its function has been replaced with the expanded pediatric activities of The Johns Hopkins Hospital and the establishment of Johns Hopkins Children’s Center.
The full-service pediatric facility contains 205 beds plus a 41-bed pediatric intensive care unit and a 45-bed neonatal intensive care unit. A full complement of referral services is available, including a dedicated level 1 pediatric emergency department. The only such facility in Maryland, it has a wide catchment and referral base that provide the opportunity for exposure to all common pediatric orthopaedic injuries, as well as many rare ones including a wide variety of spinal column injuries.
Prior notable pediatric orthopaedic surgeons at Johns Hopkins include Vernon Tolo (president of the American Academy of Orthopaedic Surgeons, the Pediatric Orthopaedic Society of North America — POSNA — and Scoliosis Research Society), Paul Griffin (POSNA president) and Nancy Hadley-Miller (leader in the study of scoliosis genetics). The pediatric orthopaedic service currently carries out 1,300 surgical procedures and 10,000 clinical visits yearly.
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Our pediatric orthopaedics team:
- Five attending physicians
- One pediatric orthopaedic fellow
- One chief resident
- Three junior residents
- Five mid-level practitioners (physician assistant / nurse practitioner)
Subspecialties
In this program, you will have a broad exposure to pediatric spine and pediatric orthopaedics, completing 300-500 cases per year. Additional experience in pediatric hand and pediatric oncology are available within our orthopaedic department.
- Spinal instrumentation — anterior and posterior
- Sacral alar iliac (SAI) fixation of the pelvis
- Growing rods
- Percutaneous spondylolysis stabilization
- Periacetabular (Ganz/Bernese) osteotomies
- Surgical hip dislocation
- Physeal-sparing anterior cruciate ligament (ACL) reconstruction
- Osteochondritis dissecans management
- Simultaneous multilevel surgery for cerebral palsy (CP)
- Crouch correction in CP
- Pediatric trauma management (from A to Z)
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Rotation Schedule
Having a single fellow allows flexibility to tailor the fellowship experience to one’s pediatric subspecialty interests. Traditionally, there is a weekly rotation with each of the attending physicians, ORs and clinics.
Weekly Teaching Schedule
Daily: Radiology board rounds
Monday: Attending teaching conference
Tuesday: Physical exam session
Wednesday: Resident teaching conference
Thursday: Grand Rounds
Friday: Preoperative and Postoperative conferenceMonthly Fellow Conference
A one-on-one session with an attending on a rotating schedule; Typically this session covers key articles and cases in one pediatric subspecialty. Fellows have also used this time to discuss in-depth patient cases they have managed and to obtain critique and feedback.
Additional Conferences
We encourage the fellow to further their education while in Baltimore. At the beginning of the year, we recommend attending the Baltimore Limb Deformity Course. IPOS (International Pediatric Orthopaedic Symposium) attendance is recommended. A yearlong course in research through the Johns Hopkins Bloomberg School of Public Health is recommended as well.
Fellowship Clinical Opportunities
On top of learning from the attending physicians, there is an opportunity to be involved in teaching and mentoring residents and medical students.
The fellow has attending privileges and thus has their own clinic and the opportunity to operate on cases generated from that clinic after formulating a plan with the faculty.
The fellow will also refine their pediatric trauma skills as part of the attending call pool, once oriented to the Children’s Center. The call is split evenly and is taken with a junior resident in house and a chief resident at home for first call.
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Each fellow is expected to carry out at least one clinical research project during the year. This can be planned in advance at the start of the fellowship year to maximize productivity.
We have a fulltime pediatric orthopaedic research coordinator to help with getting research off the ground and IRB management. There are also two fulltime Poggi research fellows, medical students who are taking a year to immerse themselves in clinical pediatric orthopaedic research, to collaborate with.
We encourage fellows to complete a course titled “Science of Clinical Investigation” at the Johns Hopkins Bloomberg School of Public Health. This course is paid for by the department and will help with the fellow’s future research goals.
Recent Fellow Research Projects
Development and Validation of SCFE Percutaneous Pinning Surgical Simulation.
Ikwuezunma IA, Guilbault R, Jain A, Lee RJ, Varghese R, Lentz JM, Sponseller PD, LaPorte D, Margalit A.
J Pediatr Orthop. 2022 Jul 1;42(6):e577-e582. doi: 10.1097/BPO.0000000000002142. Epub 2022 Mar 24.
PMID: 35319527.Distal Clavicle Fixation With Nonabsorbable Suture in a Pediatric Patient: A Case Report.
Nayar SK, Li TP, Mun F, Lentz JM, Lee RJ.
JSES Rev Rep Techn. Epub April 8, 2022.Evaluation of a Slipped Capital Femoral Epiphysis Virtual Reality Surgical Simulation for the Orthopaedic Trainee.
Margalit A, Suresh KV, Marrache M, Lentz JM, Lee R, Tis J, Varghese R, Hayashi B, Jain A, Laporte D.
J Am Acad Orthop Surg Glob Res Rev. 2022 Apr 1;6(4):e22.00028. doi: 10.5435/JAAOSGlobal-D-22-00028.
PMID: 35467580; PMCID: PMC9042586.Interlocking Fixation in Fassier-Duval Rods: Performance and Success Factors.
Suresh KV, Vankara A, Lentz JM, Sponseller PD.
J Pediatr Orthop. 2021 Sep 1;41(8):525-529. doi: 10.1097/BPO.0000000000001883.
PMID: 34397785.Pediatric ACL Revision Using Salvaged Iliotibial Band Autograft in a Physeal-Sparing Multiligamentous Knee Reconstruction: A Case Report.
Hayashi B, Spector C, Lee RJ.
JBJS Case Connect. 2021;11(3):e20.00796.
PMID: 34329203Surgical Treatment of Unstable Pelvic Ring Injury in a Young Child: A Case Report.
Margalit A, Suresh KV, Hayashi B, Sponseller PD.
JBJS Case Connect. 2021 Jun 10;11(2). doi: 10.2106/JBJS.CC.20.00942.
PMID: 34111040.Predicting Late Follow-up and Understanding Its Consequences in Growth Modulation for Pediatric Lower Limb Deformities.
Lawing C, Margalit A, Ukwuani G, Sponseller PD.
J Pediatr Orthop. 2019 Jul;39(6):295-301. doi: 10.1097/BPO.0000000000000951.
PMID: 31169749Thoracic Lordosis, Especially in Males, Increases Blood Loss in Adolescent Idiopathic Scoliosis.
Abousamra O, Sponseller PD, Lonner BS, Shah SA, Marks MC, Cahill PJ, Pahys JM, Newton PO; Harms Study Group.
J Pediatr Orthop. 2019 Mar;39(3):e201-e204. doi: 10.1097/BPO.0000000000001264.
PMID: 30260921Three Methods of Pelvic Fixation for Scoliosis in Children With Cerebral Palsy: Differences at 5-year Follow-Up.
Abousamra O, Sullivan BT, Samdani AF, Yaszay B, Cahill PJ, Newton PO, Sponseller PD.
Spine (Phila Pa 1976). 2019 Jan 1;44(1):E19-E25. doi: 10.1097/BRS.0000000000002761.
PMID: 29939974Walking Out of the Curve: Thoracolumbar Kyphosis in Achondroplasia.
Margalit A, McKean G, Lawing C, Galey S, Ain MC.
J Pediatr Orthop. 2018 Nov/Dec;38(10):491-497. doi: 10.1097/BPO.0000000000000862.
PMID: 27636912Recurrence of Deep Surgical Site Infection in Cerebral Palsy After Spinal Fusion Is Rare.
Jain A, Modhia UM, Njoku DB, Shah SA, Newton PO, Marks MC, Bastrom TP, Miyanji F, Sponseller PD.
Spine Deform. 2017 May;5(3):208-212. doi: 10.1016/j.jspd.2016.12.004.
PMID: 28449964Bent Telescopic Rods in Patients With Osteogenesis Imperfecta.
Lee RJ, Paloski MD, Sponseller PD, Leet AI.
J Pediatr Orthop. 2016 Sep;36(6):656-60. doi: 10.1097/BPO.0000000000000509.
PMID:25929780Is Non-Operative Treatment of Pediatric Grade 1 Open Fractures Safe and Effective?
Bazzi, A, Brooks, J, Jain, A, Sponseller, P.
J Child Orthop. 2014 Dec.; 8(6): 467–471.Is There an Optimal Time to Distract Dual Growing Rods?
Paloski MD, Sponseller PD, Akbarnia BA, Thompson GH, Skaggs DL, Pawelek JB, Nguyen PT, Odum SM; Growing Spine Study Group.
Spine Deform. 2014 Nov;2(6):467-470. doi: 10.1016/j.jspd.2014.08.002. Epub 2014 Oct 27.
PMID:27927407Spica Casting for Pediatric Femoral Fractures: A Prospective, Randomized Controlled Study of Single-Leg Versus Double-Leg Spica Casts.
Leu D, Sargent MC, Ain MC, Leet AI, Tis JE, Sponseller PD.
J Bone Joint Surg Am. 2012 Jul 18;94(14):1259-64. doi: 10.2106/JBJS.K.00966.
PMID: 22695973Multivariate Analysis of Factors Associated With Kyphosis Maintenance in Adolescent Idiopathic Scoliosis.
Lonner BS, Lazar-Antman MA, Sponseller PD, Shah SA, Newton PO, Betz R, Shufflebarger HS.
Spine (Phila Pa 1976). 2012 Jul 1;37(15):1297-302. doi: 10.1097/BRS.0b013e318247e9a6.
PMID: 22228329Effects of Obesity on Pediatric Fracture Care and Management.
Lazar-Antman MA, Leet AI.
J Bone Joint Surg Am. 2012 May 2;94(9):855-61. doi: 10.2106/JBJS.J.01839. Review.
PMID: 22552676Three Cases of Slipped Capital Femoral Epiphysis in One Family.
Skelley NW, Papp DF, Leu D, Sargent MC.
Orthopedics. 2011 Aug 8;34(8):e408-12. doi: 10.3928/01477447-20110627-28.
PMID: 21815585 -
Jon Lentz, D.O. | 2021
Advanced Orthopedics and Sports Medicine Institute, Monore Township, New JerseyBrooke Hayashi, D.O. | 2020
Hilo Medical Center, Hilo, HawaiiSherif G. Hassan, M.D. | 2019
Ministry of Health, OmanLana Nirenstein, M.D. | 2018
NewYork-Presbyterian Hospital, New York, New YorkOussama (Sammy) Abousamra, M.D. | 2017
Children's Hospital Los Angeles, Los Angeles, CaliforniaCheryl Lawing, M.D. | 2016
Shriners Hospitals for Children, Tampa, FloridaAmit Merchant, M.D. | 2015
Hackensack University Medical Center, Hackensack, New JerseyUrvij M. Modhia, M.D. | 2014
University of New Mexico, Albuquerque, NMAhmed Bazzi, D.O. | 2013
Children's Hospital of Michigan, Detroit, MichiganMichael Paloski, D.O., M.B.A. | 2012
OrthoCarolina, Charlotte, North CarolinaMeredith Lazar-Antman, M.D. | 2011
Winthrop University, Mineola, New YorkDavid J. Leu, M.D. | 2010
Sinai Hospital, Baltimore, MarylandSuzanne Jaffe Walters, M.D. | 2009
Children's National Medical Center, Washington, D.C.Daniel G. Hoernschemeyer, M.D. | 2004
Associate Professor, University of Missouri, Columbia, MissouriBarry Berger, M.D. | 1998
VSAS Orthopaedics, Allentown, PennsylvaniaRichard Y. Hinton, M.D., M.P.H. | 1997
MedStar Union Memorial Hospital, Baltimore, MDMichael C. Ain, M.D. | 1996
Johns Hopkins University, Baltimore, MarylandJ. David Thompson, M.D. | 1995
Grapevine, TexasDonald Diverio, D.O. | 1995
AO Orthopedics, Morristown, New JerseyBrian E. Black, M.D. | 1989
Sports Medicine & Orthopedic Center, Milwaukee, WisconsinSteven L. Buckley, M.D. | 1988
SportsMED Orthopedic Surgery & Spine Center, Huntsville, Alabama -
Baltimore has many fantastic cultural outlets that are second to none. Among them: the National Aquarium, one of the world’s best; the Baltimore Museum of Art, which houses the world’s largest collection of work by Henri Matisse; the Walters Art Museum, which holds another world-class collection of artwork; and the Joseph Meyerhoff Symphony Hall, home of the Baltimore Symphony Orchestra, which is in the top tier nationally.
Baltimore also boasts a fantastic variety of restaurants, including numerous crab shacks that serve what is considered the world’s best crabmeat. Sports teams include Major League Baseball’s Baltimore Orioles and, in the National Football League, the Baltimore Ravens.
One of the city’s unique features is its central location in the mid-Atlantic, with easy access to New York, Philadelphia, Washington and the fabled Chesapeake waterways leading to the Eastern Shore.
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If you have questions about our pediatric orthopaedic fellowship, please email [email protected]
For general information on pediatric orthopaedic fellowships, visit Pediatric Orthopaedic Society of North America (POSNA). We participate in the match through SF Match, which lists the process and timeline for applications.
For detailed information, please contact:
R. Jay Lee, M.D.
Director, Pedatric Orthopaedic Fellowship
Associate Professor, Orthopaedic Sugery
Johns Hopkins Bloomberg Children's Center
1800 Orleans St., Room 7360
Baltimore, MD 21287-0010
Phone 410-955-3137
FAX 410-502-3944
[email protected]
