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Division of Plastic Surgery
Department of Surgery
Brown University School of Medicine
OVERVIEW
Brown University’s residency in Plastic and Reconstructive Surgery, established in 1963, is a fully accredited, six year coordinated program. Two residents are accepted each year, through the internship matching program (NRMP), as 4th year medical students.
This program combines three years of general surgery, a transitional elective year, and two years of plastic surgery.
The first three years have a curriculum providing special rotations appropriate for the plastic surgeon-to-be, including a month on the Plastic Surgery service each year. It is encouraged that some investigative activity - lab or clinical research - be pursued during those early years.
The transitional, elective year is meant to offer some degree of flexibility to the resident, and could be made up of anything from a year of strong clinical rotations to a year of research, depending on the individual's strengths and weaknesses, interests and career plans. It always includes at least two months of plastic surgery.
Finally, the resident spends two years on the busy Plastic Surgery service, following which most residents take an additional year of subspecialty fellowship. Our last four residents have gone on to four of the most prestigious fellowships in the country.
The training program is based at the Rhode Island Hospital, where both junior and senior plastic surgery residents spend 9 months of each year. The remaining 3 months of each year are spent at both the Providence Veterans’ Administration Medical Center and the nearby Roger Williams Hospital. The program offers a busy and diverse clinical experience, with over 2,000 operating room cases per year. Four formal didactic conferences occur weekly and supplement the busy clinical program.
A large ratio of attending physicians to residents ensures the opportunity for developing close working relationships and one-on-one teaching. Dr. Jack Bevivino and Patrick Sullivan run the Craniofacial/Maxillofacial service, combining their backgrounds in dentistry and otolaryngology with advanced training in craniofacial surgery to provide expertise in the treatment of traumatic and congenital deformities of the head and neck. Dr. Cindy Rosenberg is an orthodontist on the Plastic Surgery staff. Drs. Lee Edstrom and Rick Zienowicz run the Hand and Microvascular service at Rhode Island Hospital. Dr. Zienowicz staffs the VA Hospital, which includes head and neck cancer and a variety of hand and general reconstructive cases. Drs. David Barrall and Lawrence Bowen round out the faculty with their busy private practices. In addition, each year the Department invites four to six visiting professors, each of whom spends a couple of days listening to case reports and presenting both clinical and research seminars.
Research is encouraged but not required of trainees. Under the direction of Drs. Edstrom, Sullivan and Zienowicz, residents have presented the results of their clinical and laboratory investigations at both local and national forums increasingly over the last several years. Current research investigating fetal repair of a congenital cleft palate model in the goat is receiving national attention.
Plastic Surgery trainees graduate with a well-rounded experience in the full
range and scope of the specialty, and have been regularly accepted in the best
post-graduate fellowships. Our operative numbers have been more than adequate
in our site visit evaluations. They are well prepared to enter either private
practice, or academic plastic surgery.
FACULTY
Lee E. Edstrom, MD
Chairman, Division of Plastic Surgery, Brown University School of Medicine;
and Surgeon-in-Chief, Department of Plastic Surgery Rhode Island Hospital, Providence,
Rhode Island. (Residency -Yale - New Haven Hospital, New Haven CT. 1970 - 1975)
David T. Barrall, MD
Clinical Assistant Professor, Division of Plastic Surgery, Brown University
School of Medicine; and Chief, Department of Plastic Surgery, Miriam Hospital,
Providence, Rhode Island. (Residency - Brown University/Rhode Island Hospital,
1986 - 1988)
Jack R. Bevivino, MD
Assistant Clinical Professor, Division of Plastic Surgery, Brown University
School of Medicine, Rhode Island Hospital, Providence, Rhode Island. (Residency
- Brown University/Rhode Island Hospital, 1979 -1981)
Lawrence P. Bowen, MD
Clinical Assistant Professor, Division of Plastic Surgery, Brown University
School of Medicine, and Assistant Chief, Department of Plastic Surgery, Rhode
Island Hospital, Providence, Rhode Island. (Residency Brown University/Rhode
Island Hospital 1976 - 1978)
Cynthia L. Rosenberg, MD, DDS
Clinical Assistant Professor of Surgery, Division of Plastic Surgery,
Brown University School of Medicine; Orthodontist, Rhode Island Hospital, Providence,
Rhode Island. (Residence - University of Washington, 1984 - 1986)
Armand D. Versaci, MD
Retired Clinical Professor, Division of Plastic Surgery, Brown University
School of Medicine, Rhode Island Hospital, Providence, Rhode Island. (Residency
- Albany Hospital, New York, 1953 - 1955)
Richard J. Zienowicz, MD
Assistant Professor of Surgery, Division of Plastic Surgery, Brown University
School of Medicine, Rhode Island Hospital; Chief of Plastic Surgery, Veterans
Administration Medical, Providence, Rhode Island. (Residency - Cleveland Clinic
Foundation, Cleveland, Ohio, 1988 - 1990)
INTERNATIONAL PROGRAMS
Dr. Armand Versaci, retired Clinical Professor of Surgery, continues to spearhead an enormously successful international effort, the Italian etc. etc., which has had international meetings in Italy and the in the U.S., attracting plastic surgeons from all over the country and Europe. This is an established liaison between the Brown University Division of Plastic Surgery, and the Italian Plastic Surgery Society, combining scientific and social aims in one semiannual event.
PUBLICATIONS
1. Azurin, D. J, and Versaci A. D. Eyelid reconstruction. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
2. Azurin, D. J., Fisher J., and Maxwell, G. P. Mastopexy. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
3. Brown, M. L., Edstrom, L. E., and Zienowicz, R. J. Symptomatic aberrant anatomy of radial artery and surgical management. J. Hand Surgery, 1998.
4. Brucker M., and Barrall D. Abdominoplasty. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
5. Caldamone, A. A., Edstrom, L. E., Koyle, M. A., Rabinowitz, R., and Hulbert, W. C. Buccal mucosal grafts for urethral reconstruction. Urology. 51(5A Suppl): 15-9, 1998.
6. Chin, G., Weinzweig, N., Gelder, P., Weinzweig, J., and Gonzalez M. Snowblower injuries of the hand. Plastic Surgery Forum XX:430-432, Sept., 1997.
7. Dufresne, R. G., Zienowicz, R. J., Rozelle, A., and Whalen, J. D. An introduction of the ultrasonic scalpel: Utility in treatment of rhinophyma. (J. Art.) Plast. Reconstr. Surg. 98(1): 160-2, 1996.
8. Edstrom, L. E. Anatomy of the hand. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
9. Fletcher, J. W., and Patel, J. C. Frostbite. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
10. Garramone, R. R., Jr., Sullivan, P. K., and Devaney, K. Bulbous nasal tip: An anatomical and histological evaluation. Ann. Plast. Surg. 34(3): 288-90, 1995.
11. Gupta, S. In J. Weinzweig. Chemical injuries. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
12. Harshbarger, R. J., and Sullivan, P. K. Lateral nasal osteotomies in human cadavers: Implications of bony thickness on fracture patterns. (In press Ann of Pl. Surg.)
13. Kim, J. H., and Kim, K. C. Principles of skin grafts. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
14. Lynch, S. A. Chemical peeling and dermabrasion. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
15. Minniti, J. G., and Harshbarger, R. J. Frontal sinus fractures. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
16. Pantaloni, M., and Weinzweig J. The nasolabial fold. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
17. Pastrick, G. H., and Bevivino, J. R. Fractures of the zygoma. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
18. Rosenberg, C. L. Dental basics. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
19. Seki, J. T, and Haugen, C. Lip reconstruction. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
20. Stelnicki, E. J., Longaker, M. T., and Weinzweig, J. The fetal wound.
In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley
& Belfus, 1998.
21. Sullivan, P. K., Harshbarger, R. J., O’Neil, R. Nasal osteotomies.
In Dallas Rhinoplasty Symposium, 1998.
22. Sullivan, P. K., Varma, M, and Rozzelle, A. A. Optimizing bone graft
nasal reconstruction: A study of nasal bone shape and thickness.
Plast. Reconstr. Surg. 97(2): 327-35, 1996.
23. Sullivan, P. K., Varma, M, and Rozzelle, A. A. Nasal reconstruction using bone grafts & internal fixation. In Alex Greenberg (ed.), Craniomaxillofacial Bone Surgery. 1996.
24. Weinzweig, J. Craniofacial clefts. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
25. Weinzweig, J. Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
26. Weinzweig, J., and Bartlett, S. P. Fractures of the Orbit: In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
27. Weinzweig, N., Lukash, F., Weinzweig, J. Topical and systemic calcium channel blockers in prevention and treatment of microvascular spasm in a rat epigastric island skin flap model. Ann. Plast. Surg. (in press)
28. Weinzweig, J., Lynch, S. A., Zienowicz, R. J., Pantaloni, M., and Edstrom, L. E. Prevention of the growth and metastasis of malignant melanoma: The role of vitamin A. Plastic Surgery Forum XX:175-177, Sept., 1997.
29. Weinzweig, J., Panter, K., Pantaloni, M., Spangenberger, A., Harper,
J., McRae, R., Edstrom, L. E. The fetal cleft palate: A histomorphologic study
of palatal development and function following in utero repair of a congenital
model. Plast. Surg. Forum, XXI:27-30, Oct., 1998.
30. Weinzweig, J., Salomon, J., and Sullivan, P. K. Craniosynostosis. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
31. Weinzweig, J., Schnur, P. L., Moyer, T., Nixon, D., Harris, J., Petty, P. M., and McConnell, J. P. Silicon analysis of breast and periprosthetic capsular tissue from patients with saline or silicone gel breast implants: II. Correlation with connective tissue disease. Plast. Reconstr. Surg. 101: 1836-1841, 1998.
32. Weinzweig, J., Sullivan, P., Panter, K., Pantaloni, M., Spangenberger, A., and Edstrom, L. E. The fetal cleft palate. In Utero Repair of a True Congenital Model. In: Craniofacial 7, Proceedings of the VIIth International Congress, International Society of Craniofacial Surgery, Santa Fe, New Mexico, Sept. 1997. Monduzzi Editore, Bologna, Italy, (in press).
33. Weinzweig, J., Watson, H. K. Dorsal Wrist Syndrome: Operative Management of 151 Patients. Plast. Surg. Forum, XXI:57-60, Oct. 1998.
34. Weinzweig, J., and Watson, H. K. Intercarpal arthrodesis. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
35. Weinzweig, J., and Watson, H. K. Physical examination of the wrist. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
36. Weinzweig, J., and Watson, H. K. Recurrent giant cell tumor over a 23-year period. Ann. Plast. Surg. 39:659-661. 1997.
37. Weinzweig, J., and Weinzweig, N. Otoplasty. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
38. Weinzweig, J., and Weinzweig, N. Techniques and geometry of wound repair. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
39. Weinzweig, J., and Weinzweig, N. The mutilated hand. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
40. Weinzweig, J., and Weinzweig, N. The "tic-tac-toe" classification system for mutilating injuries of the hand. Plast. Reconstr. Surg. 100: 1200-1211, Oct. , 1997.
41. Weinzweig, N., and Weinzweig, J. Chest wall reconstruction. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
42. Weinzweig, N, and Weinzweig, J. Soft tissue coverage of the hand. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
43. Zienowicz, R. J. Fingertip injuries. In J. Weinzweig (ed.), Plastic Surgery Secrets. Philadelphia, Hanley & Belfus, 1998.
44. Zienowicz, R. J. Osteochondral reconstruction of a non-weight bearing joint using high density porous polyethylene. Plastic Surgery Forum, 1996.
45. Zienowicz, R. J., and Edstrom, L. E. Transposition flaps in the hand, in Flap Reconstruction in the Hand. W. Blair, and Lea & Frieberg, (eds.), 1996.
46. Versaci, A. D. Corrrection of anomalies of the breast: Tissue Expansio. In E.A. Rolf, and Nordstrom (eds.). Butterworth-Heinmann, 169-181, 1996.
47. Versaci, A. D. Plastic surgery: Breast reconstruction following mastectomy. In Breast disease, Marchand, D. J. (ed.), W. B. Saunders, 247-258, 1997.
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