EDUCATION:

July 1986-June 1990 University of Vermont – Orthopedic Surgical Residency

July 1985- June 1986 University of Vermont – General Surgical Internship

July 1981- June 1985 UMDNJ-Robert Wood Johnson Medical School – Camden, New Jersey

September 1986 – June 1980 Middlebury College – Middlebury, Vermont

September 1976-June 1980 Deerfield Academy – Deerfield, Massachusetts

CERTIFICATIONS:

Massachusetts Medical License – MD Active 268803
Vermont Medical License – MD 042.0008086
DEA Licensed in VT and MCSR in Massachusetts
Diplomat of National Board of Medical Examiners #311373
Part I Passed 1982
Part II Passed 1985
Part III Passed 1987

Diplomat American Board of Orthopedic Surgery 1992
Recertification 2001-2012
Recertification 2012-2023

DEGREES:

1985 UMDNJ-Robert Wood Johnson Medical School – Medicineae Doctoris

1980 Middlebury College – Bachelor of Arts

POSTGRADUATE EDUCATION:

September 2009 – June 2014 UVM Business School – Business of Medicine Certificate Program

November 2008 Crew Resource Management – Patient Safety Training

March 2008 Mid-career “visiting physician” sabbatical – Arthroplasty
UCSF, Mayo and Rush

September 2008 Institute for Health Care Communication – AAOS Patient-Physician Communications
Faculty development course

July 1986 – June 1990 Orthopedic Surgery Residency, Medical Center Hospital
of Vermont – Burlington, Vermont

July 1985 – June 1986 Surgical Internship, Medical Center Hospital of Vermont –
Burlington, Vermont

ACADEMIC HONORS:

2016 “Vermont Physician of the Year” Vermont State Medical Society

2014 “Teacher of the Year” University of Vermont College of Medicine
Orthopedic Residency

2013 Presidential Award American Association of Hip & Knee Surgeons

2009 “Teacher of the Year” University of Vermont College of Medicine
Orthopedic Residency Program

2005 Fellow American Orthopedic Association

1993 Fellow American Academy of Orthopedic Surgeons

1992 Board Certification American Board of Orthopedic Surgeons

1984 Alpha Omega Alpha UMDNJ – Robert Wood Johnson
Alpha Chapter Medical School

EMPLOYMENT:

November 2016 – present Attending surgeon, Martha’s Vineyard Hospital
Oak Bluffs, MA

April 2008 – September 2016 Attending surgeon, Univ. of Vermont Orthopedic Health Care Service
(Full-time Academic) Burlington, VT

December 1993 – March 2008 President Connecticut Valley Orthopedics
& Sports Medicine, P.C.
29 Ridgewood Road
Springfield, Vermont

August 1990 – November 1993 Staff Physician Mountain Orthopedic Associates
Windsor, Vermont

APPOINTMENTS:

January 2016 – present Professor, University of Vermont School of Medicine, Burlington, VT

January 2008 – Dec. 2015 Assoc. Professor, University of Vermont School of Medicine, Burlington, VT

Although Martha’s Vineyard Orthopedic specialists can offer highly-specialized shoulder surgery options, it is best to avoid surgery altogether if possible. To avoid experiencing shoulder pain, Martha’s Vineyard patients should keep physically fit with a balanced program of aerobics, stretching and strengthening all body parts to help to prevent shoulder injuries.  Here are some specific tips for the shoulders:

• Apply heat to shoulder muscles before exercise. Heat prepares muscles and tendons for exercise.
• Keep your arm below shoulder height while doing stretches for the shoulder.
• Gradually increase movements—big circles, across-body movements, trunk twists, shoulder blade rolls and forward and backward squeezes—during shoulder warm-up.
• Pendulum stretching exercises relieve pressure on the rotator cuff. While sitting or standing, keep arm vertical and close to the body. Allow arm to swing back and forth in a small diameter (about 1 inch). As symptoms improve, the diameter of swing may be increased. Initially perform the exercise with just the weight of your arm. As shoulder pain improves, progressively add more weight—5 to 10 pounds (a filled gallon container weighs 8 pounds). Perform exercise for 5 minutes once or twice a day.
• Muscle-strengthening exercises can be performed about 1 to 2 weeks after doing pendulum stretching exercises. Use elastic exercise bands for a variety of arm exercises. For example, attach band to a doorknob. Then hold your elbow close to your side at a 90 degree angle, grasp the band and pull toward your waist. Hold for 5 seconds. Do 15 to 20 repetitions each day.

2016-2017 American Academy of Orthopedic Surgeons, 2nd Vice President

2013-2016 American Academy of Orthopedic Surgeons – Board of Directors

2015-2016 Am Assoc. of Hip & Knee Surgeon – 2nd Vice President

2015-2016 AAOS Board of Specialty Societies – Chairman

2015-2016 AAOS Leadership Fellows Program – Mentor

2014-2015 Am Assoc. of Hip & Knee Surgeon – 3rd Vice President

2014-2015 AAOS Board of Specialty Societies – Vice Chairman

2013-2014 AAOS Board of Specialty Societies – Secretary

2013-2014 AAOS Board of Specialty Societies – Secretary

2010-2012 AAOS Leadership Fellows Program – Mentor

2010-2013 AAOS Board of Specialty Societies – Heath Policy Committee – Chair

2009-2013 Center for Medicare and Medicaid Service – Member “Advisory Panel for APC Groups”

2009-2012 Am Assoc. of Hip & Knee Surgeons – Health Policy & Practice – Chair

2003-2009 American Academy of Orthopedic Surgeons Council on Advocacy – Chairman

2001-2002 American Academy of Orthopedic Surgeons Board of Councilors – Chairman

2000-2001 American Academy of Orthopedic Surgeons Board of Councilors – Chair-Elect

1999-2000 American Academy of Orthopedic Surgeons Board of Councilors – Secretary

1999-2002 American Academy of Orthopedic Surgeons – Board of Directors

1999-2014 Vermont State Medical Society – Board of Councilors

1996-2014 Vermont State Orthopedic Society – Executive Committee

2002-2008 Springfield Hospital – Medical Staff Quality Officer & Medical Executive Committee

2005-2008 Mount Ascutney Hospital – Surgery Section Chief & Medical Executive Committee

CURRENT PROFESSIONAL MEMBERSHIPS:

American Orthopedic Association, Fellow

American Academy of Orthopedic Surgeons, Fellow

American Association of Hip and Knee Surgeons, Fellow

American Medical Association

Alpha Omega Alpha Medical Honor Society

Lamplighter’s Orthopedic Association

New England Orthopedic Society

Twentieth Century Orthopedic Society

Massachusetts Orthopedic Society (pending)

Massachusetts Medical Society (pending)

JOURNAL EDITORIAL BOARD/REVIEWER POSITIONS:

2006-2009 AAOS NOW: Monthly newspaper of the American Academy of Orthopedic Surgeons

2004-2006 Orthopedics Today: Health Policy and Practice section

2004-2012 Orthopedics “Blue Journal”

2003-2006 Journal of the American Academy of Orthopedic Surgeons

ELECTRONIC MEDIA CONTRIBUTIONS:

2012 AAOS Instructional Course Lecture: Difficult conversations – financial barriers

2011 Resident Practice Management Lecture Series: “What patients want”

2007-2008 AAOS Practice Management Consults: Podcast series moderator

NATIONAL ORGANIZATION SERVICE:

American Board of Orthopedic Surgeons

2007 & 2011 Oral Examiner, Part II

2010 & 2013 ABOS Site visitor

American Academy of Orthopedic Surgeons

2013-2016 Board of Directors
-Strategic Plan 2020 Project Team
-Workers Compensation Guidelines Project Team
-Quality as Advocacy Project Team
-Fellowship Accreditation Task Force

2015-2016 Leadership Fellows Program, Mentor

2013-2016 Board of Specialty Societies
-Executive Committee
-Health Policy Committee, Chair
-Nominating Committee

2010-2011 Leadership Fellows Program, Mentor

2006-2009 Chairman, Council on Advocacy

2003-2006 Chairman, Council of Health Policy and Practice

2003-2009 Orthopedic Political Action Committee – Executive Committee

2003-2009 Board of Directors
-ER Call Coverage Project Team – Chairman
-Gain sharing Project Team – Chairman
-Professional Compliance Program Project Team – Chairman
-Group Purchasing Project Team – Chairman
-AAOS in 2010 Work Group – Advocacy team leader

1999-2002 Board of Directors
-Task Force on Web-Site Initiative
-Task Force on Continuous Quality Improvement
-Task Force on Board Fiscal Responsibility
-AAOS 2005 Work Group

1996-2002 Board of Councilors
– Executive Committee
– Communications Committee, Chairman
– Nominating Committee, Chairman

2001-2002 Council on Health Policy & Practice

2000-2001 Council on Education
– “Just in Time Surgery” Editor Search Committee
– “Orthopedic Reference & Review” Editor Search Committee

1999-2000 Council on Research & Scientific Affairs

2000-2001 Orthopedic Political Action Committee – Board of Directors

2000-2001 Health Care Financing Committee

1999-2000 Publications Committee

1999-2000 Health Care Delivery Committee

American Joint Replacement Registry

2013-2016 Regulatory Committee

NATIONAL SUB-SPECIALTY SOCIETY SERVICE:

2015-2016 Am. Assoc. of Hip and Knee Surgeons, 2nd Vice President

2014-2015 Am. Assoc. of Hip and Knee Surgeons, 3rd Vice President

2009-2012 Am. Assoc. of Hip and Knee Surgeons, Health Policy and Practice Committee, Chairman

2009-2012 Am Assoc. of Hip and Knee Surgeons, RUC Advisor Alternate

2009-2012 Am Assoc. of Hip and Knee Surgeons, RVS Committee

2009-2012 Am. Assoc. of Hip and Knee Surgeons, Board Work Group on Quality Measures, Chairman

STATE COMMITTEE SERVICE

2016-present Massachusetts Orthopedic Society – member

2007-2014 Vermont State Medical Society Board of Directors – At-large member

2004-2009 Vermont State Medical Society Political Action Committee

2001-2003 Vermont State Medical Society Board of Councilors

1996-2006 Vermont State Orthopedic Society Executive Committee

HOSPITAL COMMITTEE SERVICE: CURRENT

2013-2016 UVM Medical Center OR Operations Committee

2012-2016 UVM Medical Center Value Analysis Committee – Chair

2009-2011 Fletcher Allen Orthopedic Health Service – Credentials Committee

2009-2012 Fletcher Allen Heath Center – Operating Room Optimization Committee

RESIDENT EDUCATION:

2008-2016 Business of Orthopedics Lecture Series (12 one hour lectures) – original work

2008-2016 General Orthopedics Lecture Series (6 one hour lectures) – original work

2008-2016 Hip and Knee Reconstruction Lecture Series (8 one hour lectures) – original work

2008-2016 Resident Oral Examiner

2008-2016 Resident Mentor Program

COMMUNITY LAY AND VOLUNTEER WORK:

2000-2006 Springfield Medical Care Systems Corporators

2004-2006 Norwich Racquet Club – President

1999-2006 Adirondack League Club Board of Trustees

1996-2008 Norwich Lions Club – Member

1991-1994 Springfield Regional Development Corporation – Director

1991-1995 Springfield Recreational Improvement Fund – Co-Organizer

COMMUNITY MEDICAL WORK:

2016-present Martha’s Vineyard Regional High School Sport Medicine Program

2001-2008 Vermont Civil Air Patrol – medical officer

1994-2008 Hanover Hockey Association – Consulting Sports Medicine Physician

1997- 2008 Okemo Mountain School – Team Physician

2000-2008 Cardigan Mountain School – Team Physician

1994-2008 Vermont Academy – Team Physician

1990-2016 National Ski Patrol – Medical Advisor

PUBLICATIONS:

Economic Impact of Orthopedic Adult Reconstruction Office Practice: The Implications of Hospital Employment Models on Local Economies The Journal of Arthroplasty, Vol. 30, Issue 6, p923–930, Iorio, Thomas Fehring, Sally York, Mark Froimson, David Halsey, Susan Odum, Charles M. Davis, Richard Santore

AAOS Comprehensive Orthopedic Review – “Medicolegal issues” 2015

Physical Therapy Mandates by Medicare Administrative Contractors: Effective or Wasteful? – Journal of Arthroplasty 28 (2013) 1459–1462, T.K. Fehring, S. Odum, D. Halsey

Bilateral Acute Calcium Pyrophosphate Crystal Arthritis After Bilateral Total Knee Arthroplasty
A Case Report: JBJS Case Connect, 2012 Oct 10;2(4): e59. Joshua L. Carter, MD; Nathan K. Endres, MD; David A. Halsey, MD

AAOS Comprehensive Orthopedic Review – “Medicolegal issues” 2009

AAOS NOW and AAOS BULLETIN – Co-author or contributor: Multiple articles on Health Policy, Gainsharing, Professional Compliance, Orthopedic Advocacy and Group Purchasing

External Fixator Pin Design Clin. Ortho. 198, pp 301-308 1991

PRESENTATIONS:

American Academy of Orthopedic Surgeons
Kansas Orthopedic Society – September 20, 2016

North Carolina Orthopedic Association – October 4, 2016

New Hampshire Orthopedic Society – November 16, 2016

Annual Meeting March 2015 – Solutions too Common Intraoperative and Postoperative
Problems in TKA

BOC/BOS Fall Meeting October 2014 – Performance Measure Update (scheduled)

National Orthopedic Leadership Conference May 2014 – Quality Metric Symposium

Annual Meeting March 2014 – Difficult Conversations in Orthopedics ICL

BOC/BOS Fall Meeting October 2013 – Symposium I: How Quality Efforts Help Advocacy & Value‐Based Orthopedics

Annual Meeting March 2013 – Difficult Conversations in Orthopedics ICL

BOC/BOS Fall Meeting October 2012 – Symposium V: Update on Medicare Audits

Annual Meeting March 2012 – Difficult Conversations in Orthopedics ICL

National Orthopedic Leadership Conference May 2013 – Symposium

American Association of Hip and Knee Surgeons

Annual Meeting 2015 – UKA vs. TKA debate

Emerging Leaders Conference 2014 – Building Strong Orthopedic Office Teams

Annual Meeting 2013 – Medicare Audits

Annual Meeting 2012 – Health Policy Update – ACO’s & Arthroplasty surgeon practice

The Martha’s Vineyard Orthopedics takes a team approach to hand treatment, combining the expertise of hand and wrist surgeons and therapists. Our qualified hand and wrist surgeons provide each patient with superior knowledge and expertise in the area of hand surgery.

• Arthritis Surgery in the Shoulder and Elbow
• Arthroscopy
• Distal Biceps and Triceps Ruptures
• Elbow Arthroscopy
• Elbow Fractures/Dislocations
• Elbow Replacement
• Elbow Sports Injuries
• Elbow Surgery
• Rotator Cuff Injuries
• Shoulder Fractures
• Shoulder Instabilities
• Shoulder Replacement
• Shoulder Sports Injuries
• Shoulder Surgery
• Tendonitis

Shoulder Topics

ANATOMY – “Your Amazing Body”

SELF-CARE – Things You Can Do”

Rotator Cuff and Shoulder Rehabilitation Exercises

Shoulder Surgery Exercises

INFORMED CONSENT

Arthroscopic Shoulder Surgery

Rotator Cuff Tears

MEDICATIONS

Managing Pain With Medications After Surgery

PHYSICAL THERAPY

Rotator Cuff and Shoulder Rehabilitation Exercises

INJECTION THERAPIES

Tennis Elbow (Lateral Epicondylitis)

Platelet-Rich Plasma (PRP)

Although Martha’s Vineyard Orthopedic specialists can offer highly-specialized shoulder surgery options, it is best to avoid surgery altogether if possible. To avoid experiencing shoulder pain, Martha’s Vineyard patients should keep physically fit with a balanced program of aerobics, stretching and strengthening all body parts to help to prevent shoulder injuries.  Here are some specific tips for the shoulders:

• Apply heat to shoulder muscles before exercise. Heat prepares muscles and tendons for exercise.
• Keep your arm below shoulder height while doing stretches for the shoulder.
• Gradually increase movements—big circles, across-body movements, trunk twists, shoulder blade rolls and forward and backward squeezes—during shoulder warm-up.
• Pendulum stretching exercises relieve pressure on the rotator cuff. While sitting or standing, keep arm vertical and close to the body. Allow arm to swing back and forth in a small diameter (about 1 inch). As symptoms improve, the diameter of swing may be increased. Initially perform the exercise with just the weight of your arm. As shoulder pain improves, progressively add more weight—5 to 10 pounds (a filled gallon container weighs 8 pounds). Perform exercise for 5 minutes once or twice a day.
• Muscle-strengthening exercises can be performed about 1 to 2 weeks after doing pendulum stretching exercises. Use elastic exercise bands for a variety of arm exercises. For example, attach band to a doorknob. Then hold your elbow close to your side at a 90 degree angle, grasp the band and pull toward your waist. Hold for 5 seconds. Do 15 to 20 repetitions each day.