Orthopaedic Surgery Sports Medicine Fellowship (DMC)

Fellowship Conferences

Weekly:

• Attend weekly lectures and present 6-8 topics at lectures each year
• Attend weekly bioskills labs, lead by one of our faculty members following weekly lectures

Monthly:

• Attend Sports Medicine Visiting Lecturer Series - 2nd Wednesday of the month
• Attend Sports Medicine Journal Club – 1st Wednesday of the month

Annual:

• Fellow attends Detroit Regional Sports Medicine Symposium and presents research findings
• Attend American Orthopaedic Society for Sports Medicine (AOSSM) annual meeting
• Fellow Arthroscopy Course’s
• Michigan Orthopaedic Society (MOS) annual meeting

• Attend & participate in the DMC Graduate Medical Education and Department of Quality and Safety; GME QuESST Research Day Poster Competition

Memberships:

• American Orthopaedic Society for Sports Medicine (AOSSM)
• Arthroscopic Association of North America (AANA)

Academic Conferences

Each Sports Medicine Fellow will have the opportunity to present academic lectures at weekly fellow conferences, as well as case presentations at the monthly DMC Sports Medicine Visiting Lecture Series. There are also monthly Journal Clubs that are required for fellows to attend.  Fellows attend and present their research finding at the Annual Detroit Regional Sports Medicine Symposium.

Regional and National Conferences

Sports Medicine Fellows will have the opportunity to attend several meetings and conferences throughout the fellowship. Fellows also receive an educational stipend that can be used towards attending a Team Physician Course or any additional conferences selected with program director approval.

Annual Detroit Regional Sports Medicine Symposium

All Sports Medicine Fellows present their research findings and attend this two-day event in July hosting speakers from the Metro Detroit area and national keynote speakers.  All DMC Sports Medicine Fellowship alumni, current fellows, and incoming fellows are invited as a way for fellows to stay connected with each other and the Program.

The Program is divided into 4 three month rotations:

ROTATION #1 – Stephen Lemos, M.D., Ph.D., and Jason Holcomb, M.D.

A three-month rotation with the attending physicians at DMC Sports Medicine provides the fellows with exposure to Dr. Stephen Lemos and Dr. Jason Holcomb. Dr. Lemos serves as the program director for the fellowship and is the site director for this rotation. Dr. Lemos covers the Detroit Tigers. Dr. Lemos emphasizes complex open and arthroscopic surgery of the elbow, ankle, shoulder and knee. Proper history and physical exam techniques specific to sports medicine are taught and evaluated. Team coverage mechanics and issues are also discussed.

Dr. Jason Holcomb provides shoulder and elbow expertise on the rotation based primarily out of Providence Hospital.

Wednesdays are scheduled for research projects, fellow lectures and arthroscopic bioskills lab.

ROTATION #2 – Douglas Plagens, M.D., Diana Silas, D.O.

Dr. Douglas Plagens is the site director for the Beaumont Dearborn Hospital and Dearborn Surgery Center portion of this rotation. He is the orthopaedic surgery team physician for the Detroit Red Wings. Dr. Plagens provides knee and shoulder sports expertise as well as insight into a general/sports practice in a community setting with academic affiliation.

Dr. Diana Silas is an orthopaedic surgeon specializing in all areas of sports medicine including shoulder, hip, knee and elbow arthroscopy; biologic joint reconstruction; joint preservation; and shoulder replacement. Dr. Silas is based out of the DMC Sports Medicine clinics and Huron Valley Hospital.

This is a three-month rotation, split between Beaumont Dearborn Hospital, the Dearborn Surgery Center, and the DMC Sports Medicine Offices.

The fellows spend time with other subspecialty orthopedic surgeons (hand, foot and ankle, pediatrics, and spine) as well as a rehabilitation assignment at the Rehabilitation Institute of Michigan and with a noted orthotist on some Wednesdays during this rotation.

ROTATION #3 – Henry Goitz, M.D., Christopher Cooke, M.D.; Dr. Mark Pinto

Drs. Henry Goitz , Dr. Christopher Cooke and Dr. Mark Pinto lead this three month rotation based out of the DMC Sports Medicine clinics, Huron Valley Hospital , CVI and Chelsea Hospital. The faculty will provide a high volume of patients with knee, shoulder, elbow, and ankle pathology. The fellows will gain hands-on experience in the clinic and operative setting and gain exposure to both common and complex sports medicine cases.

Drs. Goitz and Cooke are all sports medicine fellowship trained and have busy practices treating patients from across the metro Detroit area from a variety of backgrounds. Wednesdays are spent in the research lab with lectures and bioskills on Wednesday evenings.

Dr. Mark Pinto is the site director for the Chelsea Hospital location on this rotation and will provide the fellow with a high volume of patients with many common sports injuries and procedures in Chelsea, Michigan. Dr. Pinto at this site provides the fellow with hands on skills in the operating room and in the clinic. The fellows are exposed to both a community hospital setting and private practice setting. They perform a wide range of sports medicine procedures that will allow the fellow to see different techniques. Dr. Pinto is shoulder fellowship trained and will emphasize specialized care of the injured shoulder and upper extremity.

ROTATION #4 – Maher Bahu, M.D., Shariff Bishai, D.O., and Michael Yusaf, M.D.

Drs. Maher Bahu, Shariff Bishai and Michael Yusaf lead this three month rotation that will provide the fellow with a high volume of patients with many common sports injuries and procedures at Unasource Troy Surgery Center, Rochester Hills Orthopaedics, William Beaumont Hospital Grosse Pointe, Henry Ford Macomb, McLaren Macomb, Premier Surgical Center, Waterford Surgical Center and St. Joseph Pontiac Oakland Hospital. Drs. Bahu, Bishai, and Yusaf will provide the fellow with hands on skills in the operating room and the fellows will gain high volume exposure to both outpatient surgery centers and hospital based settings. Drs. Bahu, Bishai, and Yusaf all perform a wide range of sports medicine procedures that will allow the fellow to see different techniques. Additional opportunity to work with Dr. Jonathon Hinz focusing on injuries and operative cases of the knee.

Drs. Bishai and Yusaf are sports medicine fellowship trained and will emphasize arthroscopic surgery and specialized care of the injured shoulder, elbow, knee, ankle, and hip. Dr. Bahu is shoulder, elbow, and sports medicine fellowship trained and will focus on arthroscopic and complex cases of the shoulder and elbow.

Wednesdays are spent in the research lab with lectures and bioskills on Wednesday evenings.

Stephen Lemos, M.D., Ph.D.
Program Director
Team Physician for the Detroit Tigers
Dr. Lemos will emphasize complex open and arthroscopic cases of the elbow, ankle, shoulder, and knee.
Medical School
University of Wisconsin
Residency
Orthopaedic Surgery, University of Vermont
Fellowship
Sports Medicine, Kerlan-Jobe, Los Angeles

Maher J. Bahu, M.D.
DMC Sports Medicine Faculty
Dr. Bahu specializes in Sports Medicine and General Orthopaedics with focus on elbow and shoulder arthroscopy.
Medical School
Wayne State University
Residency
Orthopaedic Surgery, McLaren Regional Medical Center
Fellowship
Shoulder, Elbow, Sports Medicine and Surgery, Columbia University- New York Presbyterian Hospital

Shariff K. Bishai, D.O., M.S., FAOAO
DMC Sports Medicine Faculty
Dr. Bishai specializes in Sports Medicine and General Orthopaedics with focus on hip, shoulder and knee arthroscopy.
Medical School
Michigan State University
Residency
Orthopaedic Surgery, Henry Ford Bi-County Hospital
Fellowship
Orthopaedic Surgery Sports Fellowship, Plancher Orthopaedics and Sports Medicine

Christopher Cooke, M.D.
DMC Sports Medicine Faculty
Dr. Cooke specializes in complex open arthroscopy cases of the knee, shoulder, elbow and ankle.
Medical School
Wayne State School of Medicine
Residency
DMC Orthopaedic Surgery Residency
Fellowship
Kerlan-Jobe Sports Medicine Fellowship, Los Angeles, CA

Henry Goitz, M.D.
DMC Sports Medicine Faculty
Dr. Goitz specializes in arthroscopy and surgery of the ankle, knee, shoulder and elbow.
Medical School
Rutgers Medical School
Residency
Orthopaedic Surgery, University of Virginia
Fellowship
Sports Medicine, Hand Surgery, University of Virginia
Fellowship
Sports Medicine, American Sports Medicine Institute

Jason Holcomb, M.D.
Site Director, St. John Providence Hospital
Dr. Holcomb is shoulder fellowship trained and his focus non shoulder and elbow injuries will provide the fellow with an excellent upper extremity experience.
Medical School
University of Tennessee Health Science Center
Residency
Orthopaedic Surgery, Wayne State University School of Medicine
Fellowship
Shoulder & Elbow Surgery, Florida Orthopaedic Institute

Mark C. Pinto, M.D.
Site Director, Chelsea Hospital
Dr. Pinto is sports medicine fellowship trained with an emphasis on shoulder and upper extremity.
Medical School
University of Michigan
Residency
Orthopaedic Surgery, University of Michigan
Fellowship
Sports Medicine Arthroscopic and Reconstructive Surgery Fellowship, Southern California Orthopaedic Institute

Douglas Plagens, M.D.
Site Director, Oakwood Hospital
Team Physician for the Detroit Red Wings
Dr. Plagens specializes in treatment of hip fractures and hip replacement, knee and joint injury management.
Medical School
Wayne State University School of Medicine
Residency
Orthopaedic Surgery, Wayne State University School of Medicine
Fellowship
Sports Medicine, Wayne State University School of Medicine

Diana Silas, D.O.
DMC Sports Medicine Faculty
Dr. Diana Silas specializes in all areas of sports medicine including shoulder, hip, knee and elbow arthroscopy; biologic joint reconstruction; joint preservation; and shoulder replacement.
Medical School
Michigan State University
Residency
Orthopedic Surgery, McLaren Oakland
Fellowship
Orthopedic Sports Medicine, University of Rochester Medical Center

Michael A. Yusaf, M.D.
DMC Sports Medicine Faculty
Dr. Yusaf specializes in Sports Medicine and General Orthopaedics with a focus on hip, shoulder and knee arthroscopy.
Medical School
Wayne State University School of Medicine
Residency
Orthopaedic Surgery, Wayne State University School of Medicine
Fellowship
Sports Medicine and Arthroscopy, University of California

The fellow is required to complete at least one clinical or basic science research study during their one-year tenure.  The goal is to complete a quality publishable project, written and submitted to peer-reviewed journal and presented at a meeting appropriate to the content of the study.  The fellowship director holds the belief that science and scientific inquiry is about answering questions.  We develop questions and go about finding ways to answer them.  Research is often collaborative as we seek out labs that have the facilities to assist us in answering our questions.

Fellows are asked to begin the planning process for the next year’s fellows to ensure each fellowship class is involved in two research projects.

The research aspect of the fellowship program will provide the fellows with the structure and techniques to design a plan, implement a study, write a manuscript, and present at regional and national meetings.

Past Fellows Research Projects

2019-2020 Fellows

Dr. Lise Lovse –

• “Lachman Test Quantification of ACL Strain at Various Angles”
• “The All-Inside All-Suture Technique demonstrated better Biomechanical Behaviors in Meniscus Radial Tear Repair”
• “Glenoid Exposure in Shoulder Arthroplasty: The Role of Soft Tissue Releases”

Quality Improvement Project – “A Comparative Analysis of Attending and Fellow/Resident Wellbeing”. Poster presentation at the 9th Annual DMC QuESST Research Day (Virtual Online Conference; April 22, 2020)

2018-2019 Fellows

Dr. Anna Freemyer-Brown –

• “The First Motor Branch of the Ulnar Nerve to the Flexor Carpi Ulnaris: An Anatomic Study”
• “The biomechanical properties of outlet tenodesis for the treatment of biceps tendon pathology in an in-vivo rat model”
• “The Effect of Body Position on Changes in Cerebral Blood Flow, Cognition, and Motor Function in Patients Undergoing Shoulder Surgery: Lateral Decubitus Versus Beach Chair Position”
•  “Achilles Tendon vs Tibialis Anterior for Distal Biceps”
• “Achilles Tendon vs Tibialis Anterior for PEC Major”

Dr. Jeffery Osborne –

• “Length of Stay in Total Shoulder Arthroplasty: Does Day of Surgery Matter?”
• “Patellofemoral Joint Contact Pressures: Current Concepts and Use in Patellar Instability Studies”
• “Drilling the Femoral Tunnel from a Posteromedial Portal – A Comparison of Four Drilling Techniques and the Distance from the Guidewire to Important Structures in the Knee”
• “Effects on Chondrocytes in Bupivicaine, Morphine, and Toradol Coculture”
• “Radiographic Evaluation of Hip Pain”
• “Achilles Tendon vs Tibialis Anterior for Distal Biceps”
• “Achilles Tendon vs Tibialis Anterior for PEC Major”

2017-2018 Fellows

Dr. Nathan Richards – “Relationship Hand Size & Injury Professional Baseball Players”

Dr. Michael Walsh – Journal Submission - Stender ZC, Cracchiolo AM, Walsh MP, Patterson DP, Wilusz MJ, Lemos SE.  Radial Tears of the Lateral Meniscus-Two Novel Repair Techniques. A Biomechanical Study. Orthopaedic Journal of Sports Medicine, 2018 Apr; 6(4)

Quality Improvement Project – “The Intervention of a Billing Code Specialist in Order to Improve the Accuracy, Efficiency, and Cost Reimbursement of Billing and Coding and Electronic Medical Record Documentation”

2016-2017 Fellows

Dr. J. Carl Sutton – “Comparison of Strain Across Intact vs. Radial Tear of Medial Meniscus”
Dr. Vishnu Potini – “Radiographic Reliability in Evaluation of Hip Pain”
Dr. Mohamed Saad – “Strain Across the ACL with Neutral and Varus Alignment: How Much is too Much?”
Quality Improvement Project – “Tracking After Hours ER Referrals by the Sports Medicine Service”

Publications
Stender ZC, Cracchiolo AM, Walsh MP, Patterson DP, Wilusz MJ, Lemos SE.  Radial Tears of the Lateral Meniscus-Two Novel Repair Techniques. A Biomechanical Study. Orthopaedic Jurnal fo Sports Medicine, 2018 Apr; 6(4)

Lane MK, Mutch J, Ratkowiak K, Lemos SE, Kalra K. Proximity of Lateral Critical Structures to the All-Epiphyseal Outside-In Femoral Tunnels in Pediatric Anterior Cruciate Ligament Reconstruction. Arthroscopy 2017 Jun; 33(6): 1234-1240

Mancini EJ, Kohen R, Esquivel AO, Cracchiolo AM, Lemos SE. Comparison of ACL Strain in the MCL-Deficient an MCL-Reconstructed Knee During Simulated Landing in a Cadaveric Model. Am J Sports Med 2017 Feb; 45(5): 1090-1094

Lissy M, Esquivel A, Cracchiolo A, Lemos SE. Biomechanical Properties of Tenotomy versus Biceps Knot in a Cadaver Model. J Orthrop 2016 May 6; 13(3): 177-80

Houdek CG, Esquivel AO, Cracchiolo A, Lemos SE. A Biomechanical Comparison of Isometric and Anatomic Medial Patellofemoral Ligament Reconstruction.  J Knee Surg. 2016; Aug 29(6) 522-6

Tenfelde AM, Esquivel AO, Andre AM, Lemos SE. Temperature Change When Drilling Near the Distal Femoral Physis in a Skeletally Immature Ovine Model.  J Pediatr Orthop. 2016 Oct-Nov 36(7) 762-7

Esquivel AO, Duncan DD, Dobrasevic N, Marsh SM, Lemos SE. Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs. Orthopedic Journal of Sports Medicine. 2015 Apr 7; 3(4)

Hanna J, Esquivel AO, Lemos D, Pandhi N, Staron J, Lemos SE. Glenohumeral Pressure and Biomechanical Properties of Labral Repairs: Simple vs. Vertical Suture Patterns. Orthopedics. 2015;38(2):81-6.

Abstracts/Posters

Lissy M, Keating PM, Ratkowiak K, Lemos SE. Drilling the Femoral Tunnel from a Posteromedial Portal – A Comparison of Four Drilling Techniques and the Distance from the Guidewire to Important Structures in the Knee. Poster presentation at the 2015 Arthroscopy Association of North America Annual Meeting. (Los Angeles, CA; April 22-26, 2015).

Tenfelde AM, Esquivel AO, Andre AM, Lemos SE. Temperature Change When Drilling Near the Distal Femoral Physis in a Skeletally Immature Ovine Model. Poster presentation at the 2015 Mid-America Orthopaedic Association Annual Meeting. (Hilton Head, SC; April 22-26, 2015).

Perry Merillat, DO
Medical School University of Pikeville – Kentucky College of Osteopathic Medicine
Residency Michigan State University - Garden City Hospital

“My ideal fellowship program is one that is well balanced between clinical duties in the operating room and clinic, team coverage, and education. Detroit Medical Center has the balance that I was looking for. DMC provides excellent exposure to athletes from the amateur to the professional level. The opportunity to work with a large number of reputable sports surgeons provides a multifaceted experience to build knowledge and skills. With the training provided by DMC I am confident I will be well prepared as an orthopedic sports medicine physician to provide excellent patient care in my future career.”

Thomas Nguyen, MD
Medical School Howard University College of Medicine
Residency Howard University Hospital

“I chose this fellowship because of the variety of bread-and-butter sport cases (ACL reconstruction, rotator cuff repairs) to complex sport cases (hip arthroscopic labral repair, labral reconstruction, acetabuloplasty, and femoral neck osteoplasty; mechanical limb realignment with distal femoral osteotomy and proximal tibial osteotomy; open Latarjet; patellar realignment with tibial tubercle osteotomy and MPFL reconstruction; cartilage restoration with OATS and MACI). The breadth of cases also include total joint arthroplasty (anatomic shoulders, reverse total shoulders, total knees, total hips) and trauma to keep my surgical skills up in those areas in which I plan to utilize in practice. The weekly Bioskills Lab is excellent to practice skills in arthroscopy, open procedures, and ultrasound injections. Professional coverage with the Tigers and Redwings also attracted me to this fellowship. Lastly, Dr. Lemos' research team and his biomechanical lab are highly motivated and available to complete interesting projects. If you want a strong academic fellowship program, this program fulfills all the requirements.”

Professional Team Coverage 
Sports Medicine Fellows work with faculty physicians covering games for both the

• Detroit Tigers (MLB) &
• Detroit Red Wings (NHL)

In addition to game coverage, Sports Medicine Fellows also have the opportunity to travel to, and partake in, Spring Training, training camps, and pre-season physicals.

Amateur Team Coverage
All Sports Medicine Fellows will cover their “own” high school team during their year of tenure. Coverage includes pre-participation physicals, game coverage, and other event coverage throughout the year. High school coverage is focused primarily on football games but other sports may be covered for the school as well.

In addition to opportunities to work with school, club and semi-professional teams, another integral component of DMC Sports Medicine outreach is participation in key athletic events in the city.  Some of the key events include:

• United Shore Professional Baseball League
• Tour de Troit
• Detroit Sun, Midwest Pro Combine and other soccer team games, including tournament coverage.
• Detroit Grand Prix on Belle Isle
• Velodrome events

Community Education Programs
In addition to providing immediate access to physicians and health care services to the schools and clubs, the DMC Sports Medicine team provides schools and clubs with educational programs.  Some of these programs, which involve the fellows, include:

• Boot Camps - Three-hour sessions in which physicians, therapists and trainers give lectures, exercises, and assessments related to a specific sport.
• Pre-participation sports physicals - Our team of physicians and trainers go to schools and provide the required physicals and paperwork necessary for the athlete to participate in their sport.
• Pre-season screenings - We screen teams of athletes to assess each athlete’s flexibility, strength, and right to left asymmetries.

Our fellowship program is an Orthopaedic surgery sponsored program. Not only does our fellowship work closely with our Orthopaedic Surgery residency program. Our fellowship also works alongside our Primary Care Sports Medicine Fellowship program.

Our program participates with applications submitted through the SF Match. If you are interested in applying to the program please submit your application in the SF Match system.

Admission Requirements

Prior to entering our fellowship program, candidates are required to:

• successfully complete an approved 5-year orthopaedic surgery residency program at an ACGME or AOA accredited residency
• successfully pass USMLE Steps 1, 2 (CK and CS) and 3
• or COMLEX level 1, 2, 3
• Current ACLS & BLS
• For applicants that hold a visa, J-1 is the only visa accepted by the program.

Interviews

Our program follows the AOSSM interview dates schedule by region of the country. Our program is in the Midwest region. Interviews will be held January – March scheduled when the Midwest programs are approved to interview each year