Marini currently serves as Associate Chair for Administration for the UNC Department of Orthopaedics, where he provides strategic and operational leadership across the department’s clinical, education, and research missions. He has been an active member of the ACHE chapter since 2018 and has served on the chapter’s Board of Directors since 2023. Earlier this year, Marini earned Fellow status in the American College of Healthcare Executives after successfully passing the ACHE Board of Governors Examination.

ACHE is the leading professional association for healthcare executives, with more than 50,000 members nationwide committed to advancing leadership excellence in healthcare management. ACHE of the Triangle and Eastern North Carolina (ACHE-TENC) serves approximately 1,000 members across 54 of North Carolina’s 100 counties. The chapter was formally established in October through the merger of the Triangle Healthcare Executives’ Forum (THEF) and the Sandhills Healthcare Executives Forum, expanding its geographic reach and strengthening its statewide impact.

ACHE-TENC is consistently recognized at the national level for chapter excellence, earning awards from ACHE for the past eight consecutive years. In 2025, the chapter achieved the highest Member Needs Satisfaction Survey score among all ACHE chapters nationally, reflecting the strength of its educational programming, networking opportunities, leadership development, and volunteer engagement.

From left to right: Trent Beach, Paul Marini, Ana-Elis Perry, and Matt Gitzinger.

As President-Elect, Marini will serve alongside 2026 President Trent Beach, PharmD, FACHE, System Executive Director of Pharmacy for UNC Health, and Immediate Past President Matt Gitzinger, MHA, FACHE, Executive Director of Population Management for UNC Health Alliance. The timing of Marini’s presidency is especially notable, coinciding with Ana-Elis Perry, MBA, MSHA, FACHE, Associate Vice President of Operations at UNC Hospitals and the chapter’s 2023 President, who was recently elected ACHE Regent for North Carolina. Together, this represents four different chapter presidents from UNC Health leadership within a five-year span.

“I am incredibly honored to be elected President-Elect and grateful for the trust placed in me,” Marini said. “This chapter has demonstrated excellence year after year, and I am deeply committed to continuing that momentum while further elevating the value we deliver to our members through education, networking, mentorship, and leadership development.”

Marini also emphasized the broader institutional impact of the role. “I am passionate about continuing to elevate the visibility of UNC School of Medicine and UNC Health not only as thought leaders, but as an organization whose work meaningfully shapes healthcare delivery, leadership development, and the future of our profession at both the local and national levels. I also look forward to engaging even more UNC Health leaders with ACHE of the Triangle and Eastern North Carolina so that together we can continue to Lead the Way with our growing impact across the state of North Carolina.”

Marini will assume the role of President-Elect in 2026 and serve as President of ACHE of the Triangle and Eastern North Carolina in 2027.

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In September 2025, Dr. Hart was awarded a $500,000 in partnership with Novant Health (New Hanover County) to establish a statewide musculoskeletal research consortium (CMRC). The two-year award will launch with a focus on shoulder injuries, co-led by Dr. William Hope, a trauma surgeon at Novant, and Dr. Alex Creighton from UNC. The team centers around a collaboration with UNC School of Medicine’s Clinical Research Alliance (CRA), a clinical coordinating center for multi-site clinical trials. Rachel Goolsby, the CRA’s Senior Program Manager, will be the primary project manager for the consortium. The initiative will create a harmonized data registry spanning multiple sites across North Carolina that will lay the groundwork for identifying best care pathways and enabling large-scale, multi-site clinical trials.

“This capacity grant is what I came here to write,” Hart says. “UNC has all the pieces necessary to make an impact on musculoskeletal research—we just have to figure out a way to pull everything together. Departments are invested in doing this and getting them to look in the amenity’s direction takes time, takes coordination, takes cheerleading–but it will all be worth it. To share that with other parts of the state will be an honor. Having internal and external partners is the next step to helping us to the point where we can make significant advances for North Carolinians.”

Dr. Hart’s academic in musculoskeletal clinical research has also been recognized nationally. He was inducted into the National Academy of Kinesiology in 2024, joining a select class of fellows honored for advancing the field. He also received the Medal for Distinguished Athletic Training Research in June, a career achievement award recognizing his contributions to interdisciplinary research. Dr. Hart was also named Innovator of the Year by the University of Virginia earlier this year for his work as co-founder and advisor of SpringBok, along with co-founders and UVA professors, Drs. Silvia Blemker and Craig Meyer.

Reflecting on these accomplishments, Hart emphasizes collaboration over individual recognition: “These awards are not about me—they’re about the teams that make this work possible. I’ve been fortunate to surround myself with talented, energetic people who drive our success. For me, this is a charge to keep our teams together, repeat our successes, and build on them for the future.”

Looking ahead, Hart and his team remain focused on a clear goal: “We’re building the infrastructure and community that will make UNC Orthopaedics the best program in the country—one defined by collaboration, discovery, and impact.”

The UNC Health–UNC School of Medicine / Novant Health Affiliation is a long-term (25-year) collaboration with a shared commitment to promote the lifelong health and well-being of Southeastern North Carolinians. The Affiliation’s mission “to serve all North Carolinians as unparalleled health advocates by enhancing timely, compassionate care, pioneering prevention, advancing cures, and educating future health leaders — all closer to home,” the affiliation advances its work through three Councils — a clinical council (with emphasis on pediatric specialty care), a research council, and an academic council.

The Affiliation focuses on four strategic goals: access (bringing care, education, and research to the local region), value (achieving better outcomes at lower cost), equity & outcomes (addressing disparities in health), and talent (growing a local pipeline of providers and learners committed to serving the community). Geographically, the affiliation’s clinical and academic work focusses on New Hanover, Brunswick, Bladen, Columbus, and Pender counties — while its academic footprint also extends into Charlotte.

For news coverage on the Novant UNC Research grant, visit the WWAY3 website or the view the Novant Health press release.

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Dr. Brian Phelps

UNC Orthopaedics proudly welcomes Dr. Brian Phelps, a spine surgeon specializing in adult spinal deformity care. Born and raised in North  Carolina, Dr. Phelps returns home with a mission to improve lives through advanced surgical techniques and patient-centered care.

Dr. Phelps was drawn to spinal deformity because of its unique blend of biomechanics, anatomy, and the potential for life-changing outcomes. “It’s rewarding to see patients regain independence after years of disability,” he explains. This sense of purpose shaped his decision to focus on adult spinal deformity surgery.

Balancing optimal spinal alignment with minimizing surgical burden is one of the greatest challenges in this field. Each case requires creative planning, mastery of multiple techniques, and often multidisciplinary collaboration. For Dr. Phelps, the most rewarding part is witnessing patients return to activities they once thought impossible.

Dr. Brian Phelps performing surgery.

His decision to join UNC was influenced by the combination of academic excellence, welcoming culture, and the commitment to patient centered care. “I was drawn to the opportunity to contribute to a program that values clinical innovation and educating the next generation of surgeons,” added Dr. Phelps.

Looking ahead, Dr. Phelps aims to strengthen UNC’s spine program by building comprehensive care pathways for complex reconstruction, advancing perioperative optimization, and mentoring future surgeons. He is particularly excited about innovations such as surgical navigation, patient-specific implants, and machine learning tools that personalize goals and improve outcomes.

Dr Phelps is now accepting new patients at UNC Orthopaedics. For appointment information, visit the UNC Orthopaedics website or call 984-974-5700. For referrals select Dr. Phelps as the referring provider.

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One of the studies, “Impact of Perioperative GLP-1RAs on Outcomes Following Carpal Tunnel Release,” was selected as a Top 10 Paper for 2025, underscoring the division’s leadership in exploring timely clinical questions that are shaping the future of hand surgery. The project examined the effects of GLP-1 receptor agonists on outcomes following carpal tunnel release, providing valuable insights for improving patient care.

Dr. Megan Patterson, Division Chief of Hand and Microsurgery, highlighted the division’s outstanding national presence and the continued momentum of its research program, noting how these efforts reflect the team’s commitment to both clinical excellence and discovery.

“It was an absolute pleasure getting to represent UNC Orthopaedics at the 25th Annual ASSH Meeting,” said Dr. Nicholas Banks, resident and presenting author. “Our work highlights the growing importance of understanding how new medications impact surgical outcomes—and it’s exciting to contribute to that conversation.”

Dr. Stephen Himmelberg also commented on the research he presented, “Validation of a 2D Artificial Intelligence Camera Application to Assess Hand, Wrist, and Forearm Range of Motion,” a collaboration between residents and the hand surgery teams at UNC, Duke, and WakeMed.

“Our project offered validation for a new, faster approach to measuring forearm, wrist, and hand motion in clinic using the Exer AI system,” said Dr. Himmelberg. “It was a great chance to work together with industry partners and other institutions toward advancements in the field of hand surgery.”

The Hand Division continues to build on this success and has hopes to present innovative studies in progress and additional findings at next year’s ASSH meeting in Boston.

UNC Orthopaedics residents and faculty at the ASSH Annual Meeting.

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Featuring UNC Orthopaedics’ Dr. Stuart Mitchell, who is dedicated to enhancing outcomes for children through innovation, technology, and the pursuit of excellence in pediatric spinal surgery.

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Each year, only eight staff members across the School are recognized for their outstanding contributions to advancing the tripartite mission and vision of UNC SOM. This award reflects extraordinary dedication, innovation, and impact—paired with a $1,000 honor in each of four categories: Clinical/Patient Care, Education, People, and Research.

(From Left to Right): Manal Khan, Abby Noscehse, and Paul Marini at the SOM Staff Summit.

Abby was honored for her countless contributions in Clinical/Patient Care, while Manal was recognized for her outstanding work in Research.

Abby was chosen for her “leadership, eye for innovation, strategic insights and valuable contributions across mission areas to advance the department’s work and improve patient care. She is known for fostering strong relationships, using data-informed approaches to achieve meaningful and measurable outcomes and going above and beyond to contribute to all facets of the department’s operations.”

Manal was chosen for her “central role in establishing the infrastructure, processes and culture that have enabled her department’s research mission to thrive. Her teammates tell us she is the driving force of the department. Her leadership has helped UNC Orthopaedics research earn its first ever place on the Blue Ridge Institute’s NIH ranking list–a historic milestone. Her ability to bring clarity and structure to a complex environment allows researchers to focus on discovery and her eye for collaboration has helped engage clinical faculty in research as well.”

When asked about how it felt to be recognized with this award, Abby said “It is really gratifying to be recognized for all the work that goes on behind the scenes to make our department run. We have worked very hard to build a cohesive team, and I’m thrilled to be helping lead and support that team.”

The Department is so proud of Abby and Manal for this well-deserved recognition and grateful for their remarkable contributions to our department and the School of Medicine–with their dedication and leadership, the Department of Orthopaedics has been able to grow and excel in both the clinical and research areas!

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An interdisciplinary team from the Lampe Joint Department of Biomedical Engineering, the Department of Orthopaedics, and the University of Delaware has received a new 5-year, $3M R01 Grant from the National Institutes of Health to explore Achilles subtendon structure-function relationships and their role in treatment outcomes in patients with Achilles tendinopathy.

The project will be led by PI and Lampe Joint BME alumnus Dr. Stephanie Cone (University of Delaware) and UNC subaward PI and BME Professor Dr. Jason Franz, and will see pivotal contributions from BME/Orthopaedics Assistant Professor Dr. Geoffrey Handsfield and Physical Therapy Professor Dr. Karin Silbernagel (University of Delaware).

Achilles tendinopathy is a painful and debilitating condition, and unfortunately the gold-standard treatment – exercise-based therapy – is sub-optimal in nearly half of all patients with high recurrence rates. The complex anatomy of the Achilles tendon, which connects the heel to three separate muscles in an anatomical arrangement that varies across people, may lead to this inconsistency in success rates with the current one-size-fits-all treatment.

Together, the research team will integrate advanced in vivo techniques, including novel biomechanical sensors and cutting-edge medical imaging, with state-of-the-art modeling approaches to enhance our understanding of anatomic variability in Achilles tendinopathy toward more effective, personalized clinical interventions.

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Ming-Feng Hsueh, PhD, Assistant Professor in the Department of Orthopaedics at the UNC School of Medicine, is leading innovative research entitled “

To uncover these findings, Dr. Hsueh and his team used advanced mass spectrometry to analyze cartilage proteins and identify newly synthesized molecules. This approach enabled them to observe active tissue-building (anabolism) in ankle cartilage and to identify a key role played by small RNAs (smRNAs)—tiny molecular regulators that act like conductors of a biological orchestra, coordinating the repair process. By comparing the activity of these molecules in the ankle to those in the knee and hip, the researchers revealed why ankles are less susceptible to OA and possess superior regenerative capacity.

The research aims to translate the ankle’s natural healing mechanisms to other joints, like the knee and hip, which are more prone to degeneration. Dr. Hsueh’s long-term goal is to develop biological therapies that mimic or activate these smRNA pathways in less regenerative joints, enabling non-invasive treatments that stimulate natural repair. When asked about the future of this project and where he hopes it will, Dr. Hsueh said, “This research could revolutionize how we treat arthritis—shifting from symptom management to curative, regenerative medicine.”

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Scoliosis, a condition that causes an abnormal curvature of the spine, affects people of all ages but is most diagnosed in children and adolescents. Each June, Scoliosis Awareness Month brings attention to the importance of early detection and access to specialized care—something the UNC Department of Orthopaedics is deeply committed to providing.

At UNC Orthopaedics, scoliosis care goes far beyond diagnosis. The department is forming a dedicated Spinal Deformity Program, where patients will receive individualized treatment from a multidisciplinary team of experts in pediatric orthopaedics, orthotics, rehabilitation, and advance pediatric care. This collaborative approach hopes to ensure that each patient benefits from the latest advances in treatment, whether they require bracing, physical therapy, or complex spinal surgery.

Image of Dr. Jim Sanders

Beyond patient care, UNC Orthopaedics remains committed to advancing scoliosis research. The department continually prioritizes research and clinical innovations aimed at improving outcomes and quality of life for patients with spinal deformities. The department’s Chair Dr. James Sanders, an internationally recognized leader in pediatric spine care developed what has become known as the Sanders Scale, a tool that helps physicians assess skeletal maturity using hand x-rays, an essential factor in determining how much more a child may grow and, in turn, how likely their scoliosis is to progress. This scale has become a critical guide in timing treatments, ensuring the best possible outcomes for young patients.

Since coming to UNC, Dr. Sanders has also developed a strong scoliosis research team in seeking to understand why scoliosis worsens in children and how to cure it. The team has worked to better understand the pulmonary problems arising in early onset scoliosis. Sean Zeller, a certified prosthetist and orthotist, is also developing innovative methods of treating scoliosis in children with engineers at NC State.

Image of Dr. Stuart Mitchell

For the department’s pediatric patients, our providers, like Dr. Stuart Mitchell, take extra steps to make a challenging diagnosis a little easier to bear (literally). The department provides Higgy Bears, specially designed stuffed animals that wear miniature spinal braces that match those worn by the children themselves. These comforting companions help kids feel seen, understood, and less alone as they undergo treatment. Dr. Mitchell and his team have also integrated advanced 7D technology into their surgical planning and treatment, significantly reducing patients’ exposure to radiation. This is a critical consideration in pediatric care, where minimizing long-term risks such as cancer and other radiation-related conditions is especially important.

“The faculty and staff of our department realize that scoliosis and other spinal deformities are not just disorders children have but are disorders that effect so many areas of a child’s life including their comfort, self-concept, and their relationships with others.  This gives them the desire to make sure the treatment meets the needs of the children and their families,” reflected Dr. Sanders.

Scoliosis Awareness Month is an opportunity to recognize not just the challenges of this condition but also the strength of the patients who face it and the providers who stand beside them. At UNC Orthopaedics, compassion, innovation, and excellence in care are at the heart of everything they do.

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Dr. Patterson has been a vital member of the department since 2009, helping to shape its clinical, educational, and cultural landscape. In addition to her new role as Professor, she holds several key leadership positions, Vice Chair of Culture and Engagement, Division Chief of Hand and Microsurgery, Director of Ambulatory Surgery for the department, and Director of the Peripheral Nerve Center. Her clinical expertise, mentorship, and advocacy have left an indelible mark across the department.

Reflecting on her journey, Dr. Patterson credits her upbringing for laying the foundation for her success. “I came to UNC already incredibly fortunate because–number one–I grew up in a very supportive family with parents who are both surgeons who always encouraged me.  My mother is a surgeon, so I grew up knowing that it is absolutely possible to both be a successful surgeon and have a family – I watched my mom do it, so I had no preconceived notions that I couldn’t do this.”

She also highlights the importance of her partnership with her husband, Dr. Ganesh Kamath, who is also a faculty member in the department. “I have an incredibly supportive spouse who understands exactly what I’m doing. He knows if I say, ‘I’m stressed about a case tomorrow’ he knows exactly what I’m talking about.”

Dr. Patterson emphasizes the support she has received from colleagues throughout her career, particularly from chairman Dr. Jim Sanders, former senior partner Dr. Don Bynum and her two current partners Dr. Reid Draeger and Dr. Greg Knoll. “The success that I have is a combination of the foundation that I came in with, both my upbringing and my current support from my family, and my [current and former] chairman(s) and my partners. I have great partners and a great department.”

Looking to the future, Dr. Patterson is focused on elevating those around her and mentoring the next generation of Orthopaedic Surgeons—especially those pursuing careers in hand and microsurgery. Her advice for new residents and faculty: “Respect those around you, because that respect will come back to you one day; and don’t forget to celebrate the little victories and joys throughout your day.”

Congratulations to Dr. Patterson on this well-deserved achievement!

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Q: What is the TARA project, and what are its primary goals? I saw that a goal of this project is for Mass General Brigham to develop a protocol on 3T scanners–how does UNC factor into the research of this project and in the end goals?

A: The TARA project is an NIH-funded project through the National Center for of Complementary and Integrative Health (NCCIH) which aims to develop a digital anatomical atlas that includes acupuncture points (acupoints) along with conventional anatomical and physiological points. The purpose of this digital atlas is so that researchers from around the world will be able to access this as a digital resource and explore hypotheses around the structural and functional nature of the acupoints. In other words, the question: “what is being stimulated by acupuncturists when they insert needles into acupoints?” remains elusive. By creating a digital atlas where acupoints are well-marked, this question may be explored collectively by researchers around the world. UNC’s contribution is to assist the group in developing MRI protocols that include fascia and other connective tissue, so that these important tissues are included in the MRI based atlas. 

Q: Why is fascia an important tissue to study, and what are the challenges in imaging it?

 A: Fascia is ubiquitous in the human body– it is present from the top of your head to the soles of your feet, but it is very thin, and its role in human musculoskeletal function is poorly characterized. Its mechanical contributions to movement  have been described as a ‘packing’ structure where it encases other tissues to assist structural integrity, a tissue that transmits forces throughout the body (see Anatomy Trains), and a tissue that itself is active and creates tension and pressure as needed to perform bodily functions. It may even be involved in chronic pain, other aspects of the nervous system, and other body systems. Imaging fascia is challenging because it is very thin, requiring high resolution, but it does not create contrast in Xray and its T2* properties are such that you need a very short echo time (TE) to image it in MRI. These technical challenges– high resolution and ultrashort TE– push the limits of MRI hardware, but we can overcome them with modern MRI sequences and careful optimization of our MRI protocols. 

Axial image at the upper torso demonstrating the projects full body imaging approach, provided by Dr. Handsfield.

Q: Why has it been historically difficult to image fascia using conventional imaging techniques?

 A: Conventional imaging does not acquire signal fast enough to image fascia. Fascia signal in MRI decays very quickly, so an MRI sequence has to be capable of acquiring signal in much less than 1ms to capture the fascia signal before it decays. Conventional short TE imaging only captured signal at greater than 1ms TE, so fascia always appeared dark in those images. If you don’t get any signal from the tissue you are interested, then you cannot reliably image that tissue and understand the quality of that tissue in your participant.

Q: How does this project fit into the larger field of fascia research and digital anatomy?

 A: One of the things this project is providing is a high-fidelity dataset of anatomy that future researchers can explore. There are several high profile examples of digital anatomy datasets that have been transformative for research into the medical sciences; one that comes to mind immediately is the Visible Human dataset that the National Library of Medicine worked on in the 1990s. I don’t know how many research projects leveraged that data but it surely must be in the 1000s. We want to do a similar thing that includes acupoint data and fascia. The hope is that we can enable exploration of mechanisms for the efficacy of acupuncture, and link fascia tissue to those mechanisms. Once we start to understand how fascia may be contributing to acupuncture, and how acupoints and fascia are related, that will open a lot of avenues for understanding the role of fascia broadly in human musculoskeletal function. I might just note that the study of fascia thus far has relied on dissection and some ultrasound imaging. I think a public dataset of fascial anatomy in MRI may be transformative for digital exploration of the anatomy. 

Q: Additionally, how does this project being a multi-organization collaboration impact the project?

A: One of the great things about big collaborations like this is the ability to work with a lot of really talented and insightful people all thinking about the same questions and problems. It is motivating and the intellects of my collaborators really accelerates the project. While the Supplement itself is a collaboration between UNC and Mass General (Spaulding Rehabilitation Hospital), the larger TARA project includes collaborators from Europe, New Zealand, and across the US. My involvement has also given me access to other groups like the ForceNET group. Ultimately, it’s just a lot of brainpower moving this project forward. Beyond that, having access to more resources than just one site is helpful for what we’re trying to achieve.

Q: Can you explain how dual echo UTE MRI overcomes these challenges?

A: Echoes is how we collect data in MRI. It’s a technique where we refocus signal by flipping the precession direction of protons in the signal. It basically magnifies the signal at some time after we have stimulated the sample. The first echo we use is in the ultrashort range (<0.1ms) — this echo is capable of acquiring signal in connective tissue like fascia, but it also has signal from bone, muscle, fluid, and fat. We collect a second echo in the short TE range (~2ms) where we have no signal from connective tissue, but we do have signal from bone, muscle, fluid, and fat. You could say that the first echo gives us signal but not contrast in connective tissue. The second echo gives us contrast but not signal. Once we have these two echoes, we subtract the second from the first, and the resultant image gives us signal and contrast for connective tissue. 

An image from the project dataset with some labels, provided by Dr. Handsfield.

Q:How could this research impact our understanding of musculoskeletal health and injuries?

A: Our hope is that by acquiring good imaging data for fascia and other connective tissues, we can eventually move these scans into the clinic for diagnostics, injury rehabilitation, and clinical research. There are a few conditions where fascia is primarily involved, such as compartment syndrome, fibromyalgia, potentially chronic pain conditions, and potentially spasticity. Treating these conditions will be improved markedly with improved imaging as a diagnostic and to track treatment progress. Beyond this, the interaction between skeletal muscle and connective tissue is fascinating and there are neuromechanical reasons why connective tissue may be vulnerable and give rise to tendon strains, tears, and tendinopathies. I think really deep understanding of connective tissue physiology and mechanics is missing in our understanding of a lot of musculoskeletal issues.

Q: What potential clinical applications do you foresee for fascia imaging with dual echo UTE MRI?

A: As mentioned before, I think fibromyalgia, compartment syndrome, chronic pain, spasticity, and tendon ruptures/tendinopathies are some of the big areas. Other areas will need further exploration, but that’s really exciting in light of the use of advanced MRI for this application.

Q: How will the data collected from these participants contribute to the 3D fascia models being developed at the Auckland Bioengineering Institute?

A: The Auckland Bioengineering Institute has a role in the broader TARA project to add 3D fascia anatomy to some of the digital human models that they are building. That group is really interested in digital twins for human health, and they have worked for years on the development of virtual physiological models. The fascia imaging will allow them to integrate the fascial system into their models, which opens the possibility of exploring fascia mechanics using computational mechanical models. 

To read more about this project, visit the NIH Project Details page.

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