Richard Smith Day and Jupiter International Forum with the Hand and Arm Center at Mass General and Havard Medical School

Richard Smith Day

27th Annual Smith Day: April 29, 2016

Smith Day 2016 will be held at the Royal Sonesta in Cambridge, MA, and the Smith Orator is Dr. Joseph Upton, III, MD.

If you would like to present your research, please email an abstract to Chaitanya Mudgal, MD at To attend, please register via Harvard Medical School.

Smith Day is in honor of Dr. Richard Smith, who served as the Chief of the Hand and Upper Extremity Service from 1972 until 1987. Smith Day is a time for hand surgeons to present their original research and discuss this research with their peers. Dr. Smith was devoted to education, the pursuit of excellence and the advancement of the specialty of hand surgery, and Smith Day commemorates his legacy.

The 27th Annual Smith Day (detailed agenda):

7:00am Registration & Paper Presentations
4:00pm Smith Oration: Joseph Upton, III, MD: Microsurgery: Cases I have only done once!
6:30pm Adjourn

2016 Smith Orator: Joseph Upton, III, MD

Dr. Joseph Upton, III, Smith Orator 2016

Dr. Joseph Upton and his twin brother were born in New York City and grew up in Northern New Jersey and Vermont. He graduated from Yale University and matriculated through the Baylor Medical School in Houston. His twin went to Williams College became an architect. Dr. Upton’s hybrid surgical training included general surgery at Yale New Haven Hospital, orthopedic surgery in the USAMC at the Eisenhower Medical Center in Augusta, Georgia during the Viet Nam conflict, plastic surgery at the St. Joseph’s Hospital in Houston, Texas and hand surgery fellowship at the Roosevelt Hospital in New York City.

This year will be his 40th year of practice in Boston within the Harvard Medical system, where he is professor of surgery. He is one of the first generation of microsurgeons and has contributed to both the pediatric and adult literature. His clinical interests include vascular anomalies, thumb reconstruction, soft tissue coverage, congenital upper limb anomalies, pediatric microsurgery, Apert syndrome, and principles of surgery. Publications include several hundred peer reviewed papers, book chapters, and three books. He is presently working on Reconstruction of the Thumb and Digits, a work authored by five senior plastic surgeons including J. William Littler. He has mentored 60 hand fellows and innumerable surgical residents during his career. Dr. Upton has always been a surgeon committed to staying in the operating room instead of the boardroom with committees and administrators.

About Richard Smith, MD

Richard J Smith Day

Richard Smith, MD was an extraordinary individual and one who will not be easily replaced. Henry Mankin, MD, in writing Richard Smith’s obituary in the Journal of Bone and Joint Surgery in 1987, stated so eloquently, “his capacities, talents, and commitment made him, in the eyes of man, our finest flower and the thirty years he gave to hand surgery, one of its finest periods.”

Dr. Smith was born in the Bronx, New York, attending the prestigious Bronx High School of Science. He received his college education at Brown University, graduating in 1951. His medical education was obtained at New York Medical College, where he was elected to AOA and graduated in 1955. Following a surgical internship at Bellevue Hospital, Richard began his Orthopaedic surgical training at the Hospital for Joint Diseases in New York City, completing the program in 1960. During his training at the Hospital for Joint Diseases, he became a disciple of Emmanuel Kaplan, M.D., a then leading authority in anatomy of the hand and became determined to pursue a career in the relatively new field of hand surgery.

Following a two-year obligation to the Public Health Service in Boston, Richard Smith spent a year of Hand Fellowship, divided between Mr. Guy Pulvertaft in Darby, England and Dr. Joseph Boyes in Los Angeles, California. In 1963, Dr. Smith returned to the Hospital for Joint Diseases to join Dr. Kaplan and later in 1968 to succeed him as the Director of the Hand Service. During this time, he began to quickly establish himself as an outstanding clinician, surgeon, and most of all, educator.

In 1972, Richard moved to Boston along with Henry Mankin, M.D. to become the Chief of the Orthopaedic Hand Service at the Massachusetts General Hospital and, in 1980, was named Professor of Orthopaedic Surgery at Harvard Medical School. During his tenure at the MGH, which ended tragically with his untimely death in 1987, he expanded his activities in hand surgery to an international level and in 1982 served as President of the American Society for Surgery of the Hand. Despite all his commitments, he somehow found the time to be a devoted husband to his wife Jane and a devoted father to his daughters Lisa and Tracey, and late son James.

For all who had the unique good fortune to have known Dr. Richard Smith, studied under him, or worked with him in any capacity, what will endure most of all was his remarkable skill and devotion to education, the pursuit of excellence, and the advancement of the specialty of hand surgery.

Jupiter International Forum

3rd Annual Jesse B. Jupiter International Hand Forum: April 30 - May 1, 2016

This year's 3rd Annual Jesse B. Jupiter International Hand Forum is dedicated to upper extremity trauma from the clavicle to the wrist. A group of national and internationally renowned surgeons will address the current concepts and current areas of debate in upper extremity trauma. The Third Annual Jupiter Oration will be delivered by Milan Stevanovich, MD.

More information and registration

Course Description

Dr. Jesse Jupiter, Jupiter International Forum, Hand and Arm Center, Mass General

Dr. Jesse Jupiter

This activity is targeted towards orthopaedic surgeons, plastic surgeons, and general surgeons with an interest in hand and upper extremity surgery. Experienced hand and upper extremity surgeons—particularly those that are involved in teaching, research, and writing—need a course that goes beyond didactics. Through an interactive setting where areas of debate and variation are addressed dynamically with the lines between faculty and participants being blurred, this course will provide experienced surgeons with a forum where they can get feedback on new ideas and find best practices or consensus directions for future research. Participants will benefit from immediate feedback on where concepts and practices fit within the best evidence and standard approaches. Using vignettes, cases, and debatable issues, moderators will play the role of provocateur, raising the breadth and depth of opinion for discussion, and reinforcing the scientific methods and systems approaches that can reduce unwarranted variation, and optimize care of hand and upper extremity illness, leading to improvements in leaner competence and performance.

Jupiter International Forum Agenda.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • List the options for skin and soft tissue defects, nerve defects, and bone defects apply the reconstructive ladder (decision-making), know their own limitations, and share the decision with the patient.
  • Explain the reasons why a second surgery for carpal or cubital tunnel release has a delicate risk/reward ratio, recognized the importance of considering psychosocial influence, and ensure optimal methods for assessing and addressing the patient’s values and preferences.
  • Weigh the relative advantages of various grafting procedures compared to salvage procedures such as tendon or nerve transfers.

Target Audience

This activity is targeted towards orthopaedic surgeons, plastic surgeons, and general surgeons with an interest in hand and upper extremity surgery.

ACGME Competencies

The course is designed to meet the following Accreditation Council of Graduate Medical Educational competencies:

  • Patient Care
  • Medical Knowledge
  • Practice-Based Learning and Improvement

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