LSU Department of Orthopaedic Surgery Newsletter - Fall 2017

Beyond the Bone LSU Department

of

Orthopaedic Surgery

Fall 2017

Contents

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On the Cover: Photos credits: (clockwise from top left) ©Science Picture Co / Alamy Stock Photo ©Puwadol Jaturawutthichai/Shutterstock.com ©Kevin MacKenzie, University of Aberdeen/ Wellcome Images ©Puwadol Jaturawutthichai/Shutterstock.com

Message from the Chair

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Faculty News

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Faculty Spotlight

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Research News

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Resident News

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Caring for the Caregiver

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Calendar

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Alumni

Acknowledgements WRITER Elizabeth Hofheinz, M.P.H., M.Ed. EDITOR Lisa Stang, R.N. CONTRIBUTORS Linda Flot Shawn Bosby Vinod Dasa, M.D.

Message from the Chair

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elcome to the inaugural edition of the LSU Orthopaedics Newsletter, Beyond the Bone. We are proud of our department’s esteemed history of research, innovation, and clinical care. Our tradition of providing care to the most vulnerable populations is one that we particularly cherish.

Even as the winds outside were picking up speed in late August 2005, LSU faculty, staff, and students pulled together to confront one of the most trying challenges ever faced by an orthopedic department. Things were upended, yes, but due to the dedication of our people in New Orleans and Baton Rouge, the program was able to survive and thrive.

Thank you to Andrew King, M.D., who guided the program through the rebuilding process and did a remarkable job of retaining our steadfast faculty, as well as recruiting an exciting array of new residents and faculty. And we are grateful to our Chancellor, Larry H. Hollier, M.D., who was dean of the LSU School of Medicine at the time. His diligence and support were vital to the program’s rebirth.

Now we are empowered to take bold new steps. Thanks to our Dean, Steve Nelson, M.D., and our partnership with LCMC Health at University Medical Center, we are poised to grow our faculty and further strengthen our residency program. We are thrilled to be continuing with our mission of caring for patients, educating residents and medical students, and conducting world-class research. And it is a testament to our teamwork that we have made significant strides in strengthening our bonds with our colleagues in Baton Rouge and Lafayette.

A special thank you to our talented hand surgeon, Dr. Ronnie Mathews, a 30-year icon of the program who is retiring. In addition, best wishes to the retiring Dr. John Thomas, who expertly guided the program’s transition from Earl K. Long Hospital to Our Lady of the Lake Hospital.

And finally, we say goodbye to our dear colleague, Dickie Robichaux, M.D., who passed away on October 17, 2017 at the age of 65. LSU was blessed to have the dedication and talent that Dr. Robichaux brought to his profession.

At LSU Orthopaedics we have learned that the synergy brought on by great teamwork is a primary driver of our success. Join us as we continue to plan, innovate, and unveil new projects and programs.

Robert D. Zura M.D., Robert D’Ambrosia Professor & Department Head 1

Faculty News Richard E. “Dickie” Robichaux Jr., M.D.

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outh Louisiana has lost an icon of orthopaedic excellence.

Richard E. Robichaux Jr., M.D., known by friends as “Dickie,” passed away on October 17, 2017 at the age of 65. A stalwart leader in the LSU Orthopaedics community, Dr. Robichaux was a fixture in the Tiger family, graduating from LSU in 1973 and the LSU School of Medicine in 1979. After completing a residency at Charity Hospital in New Orleans he devoted his talents to serving patients through his private practice in Baton Rouge. Dr. Robichaux, a staff orthopaedic surgeon for the LSU Health Sciences Center, trained numerous orthopaedic residents, preparing them for the clinical and professional challenges that lay ahead.

Andrew G. King, M.D., the G. Dean MacEwen Chair in Orthopedics at Children’s Hospital of New Orleans, worked alongside his friend for many years. He notes, “Richard (Dickie) Robichaux was an old school humanistic doctor. He loved his colleagues, his coworkers, and most of all, his patients, regardless of their background. He came from a family that has a long tradition of medical care in south Louisiana. (Through his contacts, throughout his residency, he managed a moonlighting system for his fellow residents at small town hospitals, which was unknown to the chair and faculty!) He had a wry sense of humor and was fun to be around, and he remained a great supporter of the LSU department of Orthopedics.

His loss comes as he was about to begin an appointment to oversee the training and supervision of orthopedic residents in Baton Rouge, and he was excited about this new phase in his career. We will all miss him.”

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William Accousti, M.D., associate professor of orthopaedic surgery at LSU Health Sciences Center, got to know Dickie Robichaux during a mission trip to South America. He says, “Dickie was a compassionate and fun- loving guy. This picture [below], taken during one of the Colombia trips, says it all. These were Colombian students helping in the ortho clinic that Dickie was running there. He was a great man.”

A visitation was held at Christ the King Catholic Church in Baton Rouge on Saturday, October 21, 2017, followed by a Mass of Christian burial. A private burial in Raceland will be held at a later date. Dr. Robichaux is survived by his wife, Denise D. Robichaux; daughters, Estelle S. Robichaux, Emily M. Robichaux and husband, Joe Guinan, and Eugenie R. Rogers and husband, Scott; sisters, Bonnie R. Livingston and husband, Robert, Alice R. Bonneval, and Leslie R. Suazo and husband, Herminio; numerous nieces and nephews; stepchildren, Ross D. Murrell, wife, Katherine, and daughter Evelyn, Grace M. Robinson and husband, Brandon, and Clare R. Murrell; and former wife, Nancy Cenac. He was preceded in death by his father, Dr. Richard E. Robichaux; mother, Estelle S. Robichaux; sister, Estelle S. Robichaux; brother, René S. Robichaux; and nephew, Richard G. Livingston.

The family has asked that in lieu of flowers, donations can be made to the LSU Medical Alumnae Association: 2020 Gravier Street, Room523, New Orleans LA 70112.

Faculty News

Clinical Staff Introductions Matthew Cable, M.D., an orthopedic oncologist, graduated from the University of Chicago Pritzker School of Medicine in 2009. He then completed an orthopedic residency at the Detroit Medical Center/ Providence Hospitals in 2014. Dr. Cable followed this with a fellowship in musculoskeletal oncology at the Huntsman Cancer Institute at the University of Utah, which he completed in 2016.

Abhishek Kumar, M.D., an orthopedic spine surgeon, earned his medical degree from the University of Calgary in 2009. He followed that with an orthopedic residency at McGill University, finishing in 2015, then completed a spine surgery fellowship at Mount Sinai Hospital in New York.

Olivia C. Lee, M.D., an orthopedic traumatologist, obtained her medical degree from The University of Pennsylvania School of Medicine in 2006. Her residency at the Harvard Combined Orthopaedics Residency Program was completed in 2011, followed by an orthopedic trauma fellowship at Hospital for Special Surgery, which she finished in 2012. Dr. Lee is now transitioning to the role of director at the New Orleans VA Medical Center.

Kerri Morris, P.A. joins our trauma team at University Medical Center. She is a recent graduate of the LSU PA school.

Heather Wills, P.A. joins the department as an advanced practice provider in our health care network practice. She fulfills an important need for patient access at both our St. Charles Avenue and Kenner offices.

Research Staff Introductions Vinod Dasa, M.D. is associate professor of clinical orthopaedics and the Irvin Cahen Chair of Orthopaedic Research. A specialist in adult knee reconstruction, Dr. Dasa has been working to develop a sophisticated research program in the department.

“The world-class research infrastructure we are building will allow faculty and students to engage in productive, scholarly activity at the highest levels. In particular, we are distinguising ourselves with our top notch health disparities research program.”

Amy Bronstone, Ph.D. is a clinical researcher and gratis faculty who brings to LSU Orthopaedics extensive experience with industy, NIH, and a variety of academic departments. She works with faculty, residents, and students to optimize their research design and methodology efforts. In addition, Dr. Bronstone will take part in all aspects of research projects from conception to manuscript submission.

Claudia Leonardi, Ph.D. is assistant professor of research at the School of Public Health at LSUHSCNew Orleans. Dr. Leonardi is a biostatistician whose research interests include health disparities and clinical outcomes. She works with LSU Orthopaedics to manage research design and data analysis.

Grant Steen, Ph.D. is a clinical researcher with an expertise in database related studies. He has extensive experience in industry related research projects and is gratis faculty with the department to help facilitate database related studies.

Cara Rowe, M.S.W. is clinical research coordinator for LSU Orthopaedics. She manages all regulatory aspects of the department’s research projects, from a simple retrospective chart review to a prospective, randomized, controlled industry-sponsored trial.

Lisa Stang, R.N. is the research and ACGME fellowship coordinator for the LSU pediatric orthopaedic program. She also faciltates patient referrals and transfers to all LSU physicians—adult or pediatric.

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Faculty News (continued from page 3) Linus Igbokwe, B.S. was our first student research associate who successfully completed a 1 year research internship. This was designed to provide him with extensive experience in research design, methodology, manuscript preparation, and grant writing.

He successfully managed multiple research projects culminating in multiple publications with various LSU faculty, students, and residents.

Transitions Peter C. Krause, M.D. has been named the Elaine A. DorĂŠ Endowed Chair in Orthopaedics.

Christopher Marrero, M.D. has been promoted to Associate Professor of Clinical Orthopaedic Surgery.

Michael Hartman, M.D., our program director, has been promoted to Associate Professor and has been named a member of the American Orthopaedic Association.

Michael Heffernan, M.D. has been selected to be the Program Director, Pediatric Orthopaedic Fellowship.

Abhishek Kumar, M.D. has been named Assistant Program Director in the Department of Orthopaedic Surgery.

Thank You to Our Retiring Faculty Dr. Ronnie Matthews, M.D.

Clinical Assistant Professor of Orthopaedics 1979-2017

Dr. John Thomas M.D. Clinical Assistant Professor of Orthopaedics 1993-2017

Above: Dr. Ronnie Matthews and Dr. John Thomas were honored for their service and dedication to the LSU community during the graduation ceremony on June 15, 20167 at the Lowes New Orleans Hotel.

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Faculty Spotlight William Accousti, M.D.

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or a young Bill Accousti, falling in love with medicine came with an emotional price tag. Dr. Accousti, now associate professor in the department of orthopaedic surgery at LSU Health Sciences Center in New Orleans, had a brother born with a heart condition.

“I was exposed early on to the vital role doctors play in caring for both patients and their families. My brother’s illness was difficult for our family, but his doctor went a long way toward making a stressful situation more endurable.” Couple this experience with the enjoyment he felt learning how to build and fix things alongside his dad, a contractor, and an orthopaedic surgeon was born.

After graduating magna cum laude with an M.S. from Georgetown University Graduate School in 1992, Bill Accousti then attended Georgetown University School of Medicine. Following an orthopedic residency at the University of Medicine and Dentistry of New Jersey, he then completed a pediatric orthopedic fellowship at Children’s Hospital New Orleans and LSU Health Sciences Center.

A spinal deformity surgeon who tries to stay abreast of the cutting edge of research and technology, Dr. Accousti has developed a novel casting system for young children with spinal deformities. “It’s a way of putting a waterproof spinal cast on young kids…one that allows them to actually swim and bathe, something that is not really possible with the traditional casts.”

When Dr. Accousti isn’t caring for little patients, he is spending time with his family. “My wife and I have two children, and we greatly enjoy the yearround access to hunting, fishing and boating, as well as the special events that make New Orleans famous. Halloween is a big deal at the Accousti home; we go all out with our costumes and decorations, including lasers and fog…even Woody Harrelson dropped in last year.”

Some of the food served at Dr. Accousti’s festivities is his original cooking, including his own special creation. “Doc’s Magic Syrup combines my northeastern heritage with my new southern heritage.

Sometimes I even mix it with hot sauce and use it on fried chicken!”

If we’re lucky, maybe this doc will bring some of his Magic Syrup to the next department party…

Above: Dr. Accousti’s waterproof spinal casting technique on two patients.

Dr. Accousti has also developed a new surgical technique for the treatment of juvenile bunion deformities. “In the past, such surgeries have been largely unsuccessful in juvenile patients due to high recurrence rates. However, this is a unique procedure that uses a special tether to maintain the correction. This same-day surgery has been very promising, with patients walking without restrictions within about a week.”

Above: Halloween 2016 at the Accousti home.

Left: Doc’s Magic Syrup on fried chicken

“I am grateful for Children’s Hospital as they allow me the freedom to do what is best for the patient—no matter the cost. I am proud to say that we don’t turn anyone away.”

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Research News

Health Disparities Tissue Bank The LSU Health Disparities Tissue Bank is an innovative multidisciplinary effort that merges basic science with population health. In traditional practice, tissue such as fat and cartilage is typically discarded. With the Tissue Bank, however, it is possible to freeze the tissue and store it in a repository that links it with clinical and sociecoonomic status. With the help of Drs. Luis Marrero, Martin Ronis, and Malwina Czartny, we hope to determine which clinical outcomes are related to inherent biological processes, environmental factors, and which are related to the surgeon and the surgical procedure. One of the significant questions that may be answered by this work is, “What role does race, gender, and socioeconomic status play in our clinical outcomes?”

Growth In Scholarly Activities As chair of orthopaedic research, Dr. Dasa has been pleased to see a significant upturn in the department’s publication productivity. He notes, “Prior to Dr. Zura coming on board, we had 10 publications in 3 years; last year we had 35 and so far this year we have had 22.

Much of the work has been driven by medical students and residents.

We have ongoing projects on upper extremity, trauma, and total joints that range from basic science to prospective clinical trials. Much of this work has been in collaboration with basic scientists. The fact that we have been so productive and have been able to build a great infrastructure demonstrates that we have accomplished what we set out to do.”

Department Scholarly Activity

2016 Grants: -Nuclear receptor 4A2 mediates early responses to inflammation in the human TNF-alpha transgenic mouse model of arthritis -Cargo of synovial fluid exosomes contributes to initiation of primary osteoarthritis -A revolutionary mechanism to support cutting-edge discoveries to prevent and treat degenerative hip disease 2017 Grants: -Exosomal cargo as a potential source of biomarkers for osteoarthritis -Targeting orphan nuclear receptor 4A2 (NR4A2) in Pigmented Villonodular Synovitis: a novel approach to suppress inflammation

Research Consortium The LSU Musculoskeletal Research Consortium (MSRC) is a collaboration of every musculoskeletal researcher in the region. As Dr. Dasa says, “There was a lot of research going on, but no one knew who was doing what. One example of how this effort has furthered research is when I worked with Mandi Lopez, D.V.M., Ph.D., the head orthopedic researcher at the LSU School of Veterinary Medicine. We pulled together all of the musculoskeletal researchers in the region and now hold a biannual meeting where we discuss all ongoing musculoskeletal projects, potential collaborations, and the status of publications. This project, which includes Tulane faculty and private practitioners, is comprised of 20 members whose specialties include radiology, stem cells, kinesiology, basic science, etc.”

Orthopedic Student Research Committee As Dr. Dasa was launching the research program he noticed that he was repeatedly being asked the same questions about the process of conducting research. “I started to build a knowledge base within a certain group of students and now they are teaching others,” says Dr. Dasa. “I asked them to form a research committee so that they could formally mentor their peers and shepherd them through the research process. Now we have a ‘bank’ of research ideas and students can select whatever topics interest them. As far as I know it is the only student-driven orthopedic research mentorship committee in the U.S. that is propelling research forward.”

Irvin Cahen Research Grant Dr. Dasa has inaugurated a musculoskeletal research grant—funded by his chairship—so that faculty, students, and residents can apply for up to $8,000. “The goal,” says Dr. Dasa, “is to drive interdisciplinary collaboration and encourage research projects that reach across a variety of specialties. We awarded three grants last year and two this year.”

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Resident News

Congratulations, Residents, On Your Fellowships!

Dr. Amir Abdul-Jabbar – Spine Fellowship at Swedish Neurosurgery in Seattle, WA Dr. Bryce Fugarino – Hand Fellowship at NYU in New York, NY Dr. Lindsey Liuzza – Shoulder/Elbow Fellowship at NYU in New York, NY Dr. Harry Molligan – Orthopaedics Trauma Fellowship at Orthopaedic Institute in Tampa, FL

Above: (L-R) Dr. Lindsey Luizza, Dr. Harry Molligan, Dr. Bryce Fugarino, and Dr. Amir Abdul-Jabbar graduated on June 15, 2017. The ceremony was held at the Loews New Orleans Hotel. Guest speakers included Dr. Robert D’Ambrosia, MD (top right) and Kareem Abdul-Jabbar (pictured with Dr. Robert Zura, bottom right).

Welcome, New Residents!

Corinne Young Cloud – Texas A&M University HSC College of Medicine 05/2017 Peter William D’Amore – FIU Hebert Wertheim College of Medicine 05/2017 Ryan Charles Roubion – LSU Health Sciences Center, New Orleans 05/2017 Cristina Marie Terhoeve – LSU Health Sciences Center, New Orleans 05/2017

Residency Match Resident applications are now being accepted through the Electronic Residency Application Service (ERAS). Last day to apply is November 15th. Interview dates will be in January.

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Caring For The Caregiver Burnout Affects 40-60% of all Physicians

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hysician burnout—emotional exhaustion, depersonalization—has reached epidemic proportions in the United States.

That is the assessment of a series of recent studies from the Mayo Clinic.

The first major study of physician burnout in 2011 pegged the rate of burnout at 45% of the physician population. Subsequent studies (and Professor Colin West, M.D., Ph.D. at the Mayo Clinic found 2,617 of them for his 2016 meta review and analysis) put the incidence of burnout at between 40-60% of all physicians.

The White Coat Doesn’t Come With a Cape While doctors may have the aura of omnipotence, the fact is that at their core, they run on the same things as everyone else…emotional fuel. And when that dries up, they burnout like the rest of us.

John D. Kelly, IV, M.D. is director of sports shoulder and professor of clinical orthopedic surgery at the Perelman School of Medicine at the University of Pennsylvania. A passionate advocate of doctors caring for themselves, Dr. Kelly says we are greatly missing the mark when it comes to this issue.

only seen in an immunocompromised person), I was involved in a lawsuit, and my grandmother died. I was at rock bottom and I knew it was time to go in another direction.

Mind-fulness and dedication to self-care may just have saved my life.”

“Residents often call me Father Kelly because I check up on them regularly and see how they themselves are faring. If necessary, I recommend a psychotherapist. These are hard conversations to have, but the fallout is worse—alcoholism, disintegrating families, and more.”

Screening for Burnout “The medical field needs to have an official screening process for burnout. In the meantime, each program needs a physician advocate… someone who can take the issue to the administration and get their buy-in.”

“The physician is the most important element driving the healthcare machine,” Dr. Kelly told OTW. “Any attempt to revitalize healthcare without addressing the health of doctors is a wasted effort. With the latest data indicating that up to 60% of orthope-

“We have plenty of data showing that physician wellness is good business. For example, calm, satisfied doctors are less likely to make expensive medical errors. Happy doctors give better care and have fewer lawsuits.”

dic surgeons are burnt out, this is a crisisone that is not being recognized, much less addressed.”

And they tend not to get fired, says Wayne Sotile, Ph.D., who has counseled thousands of physicians facing burnout.

The pressures are plentiful and time is more squeezed than ever.

Dr. Kelly states, “Plummeting reimbursement, disconnection from patients due to electronic medical records, increased government and insurer intrusiveness…physicians are reaching the end of what we can handle.”

Treating the Healer

Disconnected From Yourself Dr. Kelly notes, “Part of the antidote is truly being present with the patient and establishing a real rapport.”

But it is difficult to connect with others when you feel disconnected from yourself.

“Many of us are so depleted that we cannot even recover our equilibrium in our nonworking hours. When that happens—and we find ourselves angry and cynical much of the time—it is time to try something new.“ Dr. Kelly walks the walk. “I have been meditating daily for about 10 years. There is ample literature indicating that mindfulness and setting aside calming time for oneself decreases stress, and helps alleviate depression and anxiety. I began all of this several years ago when I had an eye infection (with an organism typically 8

Dr. Sotile is founder of the Center for Physician Resilience, an entity that provides intensive coaching for doctors and their families.

He laid out the situation for OTW: “One of the most serious—and documentedproblems is the physician’s perceived loss of decision making power. There is also a loss of community relative to days gone by…staff used to be much more cohesive and engaged in more community-building activities.”

“Medical families now complain about a loss of connection; over 80% of medical spouses in an American Medical Association Alliance survey said they live in communities that minimize the special stresses that medical families encounter. People mistakenly think that doctors and their families have it all.”

The low hanging fruit in the burnout equation, says Dr. Sotile, is the obvious… electronic medical records, difficult or ineffective administrators, etc. “But let’s not forget: for every doctor who is burnt out there is one who is not. What is going on there?”

“Those who avoid burnout take an active role in their mental health.

They rethink and reframe what their careers are about. These are the people who sit down and write out things such as: ‘What quality of

Caring For The Caregiver

work can I deliver given xyz?’ and ‘Would I apply for this job again?’

If the answer to that is ‘yes’ then they get back to focusing on what is right about their work.”

“The data show that these physicians ‘join the parade’ of those trying to shape the unfolding changes that are afloat in medicine. And those who do not take an active role in that process, well, at least they thank those who do. It is not discussed very much, but there is an integrity and skill to being a good follower/team member.

Not everyone wants to lead…but don’t be miserable and distrust those who do.”

Building Resilience “We have over 70 years of research on what drives resilience. At its core is the ability to broaden and deepen the relationships that matter in our lives—rather being miserable and complaining.”

“The first thing we know is that you have to actively look for what is right about your spouse, administrator, etc.”

“The second thing we know is that you must counter daily hassles with daily uplifts. Yes, this is tough…in large part because the more stressed out we get the more narcissistic we are.”

“Resilience is not for wimps,” stresses Dr. Sotile. “It takes courage and power to look in the mirror and commit to a process of change.”

“Starting with family, we can take hope and lessons from what we know it takes to make a busy marriage thrive. The data show that it is not a matter of lot of time, it is a matter of building a storehouse of positive emotions in the relationship—one interaction at a time. The University of Washington has 30 years of research on couples showing us that it’s possible to divorce-proof a relationship in 10 minutes a day.”

“In every interaction we are either depositing or withdrawing positives.

It is a given that you will make big withdrawals (having to cancel a family vacation, etc.). The easy things that are proven to make a difference are to be kind, affirming, and forgiving. And it’s the same at work. The days are gone when you can run around with an aura of, ‘I’m a tough orthopedic surgeon; everyone is here to bolster my ego.’ This is an ill-informed way of managing relationships. You will need those people to cover you and tolerate you when you are having a bad day.”

“Recently, the National Academy of Medicine announced the Action Collaborative on Clinician Well-Being and Resilience. Their plan is to establish an evidence-based platform for physician well-being across multiple organizations. This forum will go a long way towards beginning to find solutions for these issues.”

“The field of positive psychology has vital lessons for physicians. This evidence-based information tells us that we must counter daily hassles with daily uplifts; specially, we need to have three uplifts for every hassle.”

“Human beings cope better when we are in a positive mood—and that mood is a by-product of choices we are making. We need to strive to see our families in unfamiliar ways. Frankly, many of us are so busy selectively perceiving the things that make us angry that we are omitting things that are uplifting.”

“If something you did made you feel a quiet sense of pride then you must make that louder in your head. You might stand in awe of your career, a la, ‘Wow. So few people in the history of the world have had the opportunity to do what I do!’

Wayne Sotile sometimes has to throw out a challenge to physicians, saying, “You say you are courageous and tough. Let’s see it. Your spouse and colleagues are aggravated with you. Here is a sobering fact: I know more doctors who have gotten fired in the past five years than in the preceding 30 years combined. Some have been fired from their own practices. The overwhelmingly reason is, ‘You just don’t fit into the culture we are committed to building.’”

Burnout is downright dangerous.

Dr. Sotile states, “According to research sponsored by the American Academy of Surgeons, a one point increase in burnout raises the rate of surgical error by 11%. The good news is that burnout can be reversed. If you put the same amount of dedication into revitalizing your personal and work relationships as you did into your training, then you will reverse this unhealthy—and untenable—tide.”

The Latest Research Dr. Sotile, also on the teaching faculty at the Tulane University department of orthopedics in New Orleans, says, “Our research indicates that the biggest predictor of a physician family being satisfied with ‘their’ orthopedic surgeon isn’t how much they work— it’s the mood they are in when they get home. And the mood at work is driven by the quality of relationships with people at work. Don’t let yourself have a ‘marital heart attack’…your emotions are contagious.”

“Data from 2012 show a 50% burnout rate among orthopedic surgeons; as of 2015 that number was up to 60%. It is getting worse across specialties but we don’t know why. What we do know is that it’s time to end the conspiracy of silence.”

*Reprinted with permission from “Burnout Affects 40-60% of all Physicians” by Elizabeth Hofheinz, M.P.H., M.Ed., 2017. Orthopedics This Week, Volume 13, Issue 20. © Copyright 2017 RRY Publications LLC

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Calendar Grand Rounds All Grand Rounds are held on Fridays from 7am – 8am at the Lion’s Building, 6th Floor (Large Conference Room)

Dates October 20, 2017 – Spine Cervical (5th floor Lion’s Building, CAP classroom) November 17, 2017 – Hand December 15, 2017 – Pediatrics January 26, 2018 – Trauma Lower Extremity February 9, 2018 – Sports Lower Extremity March 16, 2018 – Adult Recon Knee April 13, 2018 – Spine Lumbar May 25, 2018 – Foot & Ankle June 22, 2018 – Oncology

Important Dates SEPTEMBER: Drs. Kumar and Cable led a regional Orthopaedics In-Training Exam course for the Gulf region. This

event was sponsored by the Bone and Joint Journal (BJJ) and took place at University Medical Center during Hurricane Harvey. We were pleased to have the editor of the BJJ, Fares Haddad, M.D., in attendance.

DECEMBER: Department Christmas Party – Saturday, December 16, 2017 MARCH: AAOS 2018 Annual Meeting: March 6-10 New Orleans, Louisiana Meeting Location: Morial Convention Center 900 Convention Center Blvd New Orleans, Louisiana 70130 Meeting Dates: Tuesday, March 6 – Saturday, March 10, 2018 Exhibit Dates: Wednesday, March 7 – Friday, March 9, 2018 Specialty Day: Saturday, March 10, 2018 Meetings/Events taking place during official AAOS educational sessions Tuesday through Friday; 8:00am-6:00pm • Meetings are limited to Board, Committee and/or Luncheons • Breakfast meetings: End by 8:00am • Luncheons: Limited to 2 hours and held between 11:30am-2:30pm • Receptions: Begin after 6:00 PM – additional social event information is not available, will be released soon 10

Alumni We are grateful for those who have supported Tiger Bones, the Resident Educational LSU Orthopedic Resident Fund.

Your generosity benefits the the LSU Orthopedic Residency Training Program - having a direct impact on its residents through expanded access to training experiences, technology updates, and educational opportunities that are necessary in a residency training program.

Your online donation can be made at https://give.lsuhealthfoundation.org/tigerbones OR if you prefer, please mail your check made payable to: LSU Tiger Bones c/o LSU Health Foundation 2000 Tulane Avenue, 4th Floor New Orleans, LA 70112 Questions: 504-568-5717 We thank you for your support!

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LSU Health Sciences Center Department of Orthopaedic Surgery 1542 Tulane Avenue, Box T6-7 New Orleans, LA 70112 Phone: (504) 568-4680 Fax: (504) 568-4466 https://www.medschool.lsuhsc.edu/orthopaedics/