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Spine Surgery Fellowship - Oakland

Clinical Experience

Percent of Fellowship devoted to Operative Care: 70%
Non-Operative Care: 20%
Research/Publication Obligation: 10%

Approximate percentage of exposure to the Spine by region:
Cervical: 30%
Thoracic: 10%
Lumbar: 60%

Approximate percentage of Fellowship exposure to the Spine by diagnostic category:
Degenerative: 60%
Trauma: 5%
Deformity: 20%
Tumor: 5%
Pediatric: 10%

Program Goals

The Kaiser Permanente Northern California Regional Spine Center is offering an extraordinary opportunity to complete a fellowship at the Kaiser Permanente’s flagship institution in Oakland. This fellowship program offers a unique experience for a hard-working candidate interested in comprehensive spinal care. All areas of spinal care are well covered including degenerative spinal pathology, herniated discs, spinal stenosis, degenerative disc disease, scoliosis, spondylolisthesis, adult and pediatric deformity and tumor.

Each fellow will evaluate patients in the clinic and actively participate in the pre-operative decision-making as well as the surgical procedures. The fellow will become expert in performing complex pre-surgical evaluations and have an effective command of intricate surgical procedures. The Regional Spine Center sees approximately 3,000 new patients each year. Over 1100 surgical cases are performed each year at the center. Each fellow participates in 40-60 procedures per month. Frequently performed procedures include: lumbar discectomy, lumbar laminectomy, lumbar disc replacement, ALIFs, PLIFs, TLIFs, vertebral resections, thoracic & lumbar osteotomies, complex scoliosis surgery, structure sparing & minimally invasive decompression instrumented fusions. Cervical procedures include ACDFs, cervical disc replacement, ant-post reconstructions, cervical laminoplasties, occipital-cervical, C1/C2 post. instrumented fusions. Our surgeons perform all their own anterior lumbar and thoracic approaches.

Our large volume of cases will allow the fellow to choose a particular area of interest such as cervical or deformity, etc. to better focus one’s skills. Our focus is on education and clinical skills. We have 3 spine PA’s to manage the post-op patient care and have a dedicated hospitalist service who sees every spine patient postoperatively, takes all evening call including weekends, and primarily admits transfer patients 24/7. Kaiser’s vast resources and electronic medical records allow for easy and thorough access to a patient’s medical history and imaging.

Research is also emphasized. Kaiser Permanente is beginning a spine registry which will allow an unprecedented access to large volumes of cases efficiently. Each fellow is required to complete at least one clinical research project suitable for presentation or publication. The fellow is also responsible for a resident education series that meets monthly during the entire fellowship.

The duration of the fellowship is one year, beginning on August 1st and concluding on July 31st of the following year. All candidates must be board-eligible in orthopaedic surgery or neurosurgery and have a California medical license by August 1 of the fellowship year.


Program Director: Ravi S. Bains, MD

Kaiser Permanente – Oakland Spine Center
280 West MacArthur Blvd.
Oakland, CA 94611

Phone: (510)-752-1531 or (510) 752-7040; Fax: (510) 752-1530
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