Larkin Community Hospital Orthopedic Residency Program


The orthopedic residency program at Larkin Community Hospital (LCH) in Miami, Florida obtained AOA accreditation in July 2013 with four residents per year (a total of 20 positions were approved). Under the leadership of Jack Michel M.D. (president and chairman of the board) and Sandy Sosa-Guerrero our CEO, LCH has become one of 12 designated Statutory Teaching Hospitals in Florida and the largest teaching hospital for osteopathic physicians (D.O.) in the United States, offering the largest number of training programs (32 different specialties in total). The expansion of graduate medical education programs at LCH continues to demonstrate the hospital’s commitment to train the next generation of physicians.

The orthopedic residency program is based at the Center for Advanced Orthopedics at Larkin. This unit was created in September 2013 and has as its mission statement to develop a world-class team of professionals to deliver the highest quality of musculoskeletal care focusing on patient satisfaction and cost effectiveness. At the center, we use latest techniques, state of art technology and instrumentation with advanced robotics. Carlos Lavernia M.D., the residency program director serves on the faculty at Florida International University (adjunct professor of mechanical engineering and physical therapy), University of Miami (adjunct professor of orthopedic surgery) and Nova University (clinical professor of surgery). Michele D’Apuzzo M.D., the assistant program director just joined him on September 2014. He completed his fellowship training at Hospital for Special Surgery, having spent time at Mayo Clinic during residency. Here at Larkin we have developed a unique community based orthopedic program for residents focused on three main components including patient care, education and research.

Patient care is the central component of the model we are trying to teach our residents. From non-surgical management to complex arthroplasty revisions, we emphasize on compassionate, efficient and cost-effective care for our patients in both the outpatient and inpatient setting.

Our commitment to resident education is reflected in the daily protected time for lectures including journal clubs, basic science and clinical practice. Residents are exposed early to the operating room environment with increasing involvement based on competency. They also rotate through other institutions and are exposed to a variety of musculoskeletal pathology and different practice models. The leadership at these centers are all well-established, board certified orthopedic surgeons and experts in their fields and include Jorge Orbay M.D. at the Miami Hand and Upper Extremity Institute, Philip Lozman M.D. and Jerry Sher M.D. at Surgery Center of Aventura, Joseph Moskal M.D. at Carillion Medical Center Clinic (Level 1 trauma center) and Charles Mehlman D.O. at Cincinnati’s Children Hospital Medical Center.

We believe that a well-balanced program should include a strong research component. As part of their training, all of our residents are required to prepare and submit at least 1 manuscript each year. Their efforts are supported by the research department, which includes an ongoing prospective surgical registry with more than 6,000 surgical procedures that have been in place for over 15 years. During the past year the research produced in this unit included more than 35 podiums and posters presented at the Annual Meeting of the Florida Orthopedic Society (FOS), American Association of Hip and Knee Surgeons (AAHKS) and the American Academy of Orthopedic Surgeons (AAOS). The research being done at the center has resulted not only in better outcomes but also significantly complements resident education.

For more information please contact Madeleine Gonzalez at

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