Through Education, Fellowship, and Research programs, we are the source for musculoskeletal health


The ROC Foundation is a non-profit 501(c)3. The Foundation operates within Reno Orthopedic Clinic in downtown Reno and oversees activity in orthopedic research, education, and community outreach. Each area has its own goals and objectives, and we work together with other community leaders to be the source for musculoskeletal health in our region.

About Us


The ROC Foundation was founded by Dr. Timothy J. Bray after he published the book series “Techniques in Fracture Fixation”. Dr. Bray wanted the royalties from the series to go back into the field of orthopaedics, and it was his hope that creating a 501(c) 3 would provide an opportunity for expansion of education for medical students and for our community.

In 2006, a small group of orthopaedic surgeons developed Nevada’s first orthopaedic trauma fellowship program. The fellowship was announced at the 2007 annual Orthopaedic Trauma Association meeting and our first fellow began in 2010.

Since then, we have gone through a dramatic growth spurt! We provide:

– the only post-graduate fellowship training in foot & ankle and arthroplasty in northern Nevada

– the only orthopaedic trauma fellowship in the state

– educational programs for hundreds of Washoe County students from  elementary school students to residents

– dozens of clinical research trials to improve orthopaedic care for northern Nevadans

– access to care for uninsured or under-insured community members

Our Mission

It is our mission to improve musculoskeletal health through comprehensive education, fellowship, and research programs.

We believe that every person should receive the best care possible, and should have access to health information to empower and educate themselves to help live happier and healthier lives.

Meet the Board

4_15_2019 CRC and Team Portraits 024

Timothy Bray, M.D.
Timothy J. Bray was educated at the University of California, Irvine, San Diego, and San Francisco. He completed an Orthopaedic Trauma Fellowship at the University of California Davis Medical Center and joined the full-time Davis faculty for 6 years prior to joining the Reno Orthopaedic Clinic in 1987. He was Director of Orthopaedic Trauma at University of California at Davis (UCD) from 1983 to 1987.

He currently is a Clinical Professor of Orthopaedic Surgery at UCD Medical Center and maintains a clinical affiliation with the University of Nevada School of Medicine. Dr. Bray is active in multiple national and international orthopaedic surgery organizations, he teaches orthopaedic residents and students, and is an examiner for the American Board of Orthopaedic Surgery. Dr. Bray is currently the Director of Orthopaedic Trauma Services at Renown Regional Medical Center in Reno, Nevada. He has multiple peer-reviewed scientific publications including the article describing the development of Northern Nevada’s trauma system. Dr. Bray is the Fellowship Director for the Reno Orthopaedic Trauma Fellowship.

Sanjai Shukla, M.D.
A native Nevadan and proud graduate of Galena High School, Dr. Shukla received his medical degree from Duke University School of Medicine in Durham, North Carolina. His orthopaedic residency and a fellowship in Adult Reconstructive Surgery were completed at Rush University Medical Center in Chicago, Illinois. Dr. Shukla is Board Certified by the American Board of Orthopaedic Surgery and is a candidate member of the American Academy of Orthopaedic Surgeons (AAOS) and the American Association of Hip and Knee Surgeons (AAHKS). He has published award-winning research in the field of orthopaedic surgery.



Gregory Lundeen, M.D.
Dr. Lundeen received his medical degree from the University of Utah and completed his orthopaedic residency at the Carolinas Medical Center in Charlotte, North Carolina. His subspecialty training in foot and ankle surgery included fellowships in Sydney, Australia and Oakland, California. He has advanced training in total ankle joint replacement and has specialty training in limb and joint preservation for patients facing possible amputation. He is certified by the American Board of Orthopaedic Surgery. Dr. Lundeen is the Co-Fellowship Director of the UCD/ROC Foot & Ankle Fellowship alongside UC Davis’ Dr. Eric Giza.


Justin Walker, M.D.
Dr. Walker, a Baton Rouge, Louisiana native, received his medical degree from Louisiana State University Health Sciences Center – New Orleans. He completed his orthopedic residency at the Mayo Clinic. During his residency, he also completed a Master’s of Science in Orthopedics at the Mayo Graduate School. Dr. Walker completed his orthopedic trauma fellowship at the Reno Orthopedic Clinic before accepting a full time position here in August 2015.

Lisa Mead
Lisa Mead has been in healthcare administration for 30 years including academic medicine, large group practice, and a large regional medical center. She completed her bachelors in Biology from the University of Wyoming and her MBA from the University of Nevada, Reno. She is a member of the AAOE and MGMA and serves on committees for the OrthoForum and AAOE. Mrs. Mead has been published in several areas, including group practice, orthopaedic practice management, and orthopaedic trauma.

Danielle Eaton
In her role as senior director of research operations and administration, Danielle Eaton works closely with UNR Med students, residents and faculty to provide a range of support services from assuring compliance with human research protections and funding agencies, to assisting with study design, providing resources for accurate data management, and locating local and national mentors. She is the administrative director of the new Clinical Research Center on campus, which seeks provide a one stop shop in support infrastructure for getting clinical research projects off the ground, and to the patients.  Danielle also serves as the strategic business partner for the senior associate dean of research, the associate dean for clinical and translational research, the Basic Science department chairs and the senior associate dean for administration and finance. A University of Nevada, Reno alumnus, Danielle earned her Bachelor of Science degree in biology, and is working on earning her Masters in Business Administration.


Ivy Spadone
Ivy Spadone serves as the Chief Operations Officer and Physician Assistant at Northern Nevada HOPES, a community health center in downtown Reno.  She completed her Bachelors of Science in Microbiology from University of Montana and her Masters in Health Sciences in Physician Assistant studies from George Washington University in Washington, DC. Ivy and her husband moved to Reno in 1999 and joined HOPES in 2000, as a part time HIV provider, caring for incarcerated individuals throughout the state of Nevada. In 2007, Ivy joined HOPES as a full time provider and over the last 12 years, she has transitioned from a clinical focus to an administrative focus. One of the more rewarding parts of her current role involves functioning as a people leader and modeling leadership skills to other people leaders within the organization.

Ivy currently holds a certification from the American Academy of HIV Medicine as a HIV specialist and continues to manage a small panel of HIV patients, holding clinic a couple of times a week.

Ivy’s desire in the last 20 years has been to provide access and care to vulnerable populations within our community. The community health center setting has afforded her the privilege to collaborate with a multidisciplinary team of co-workers, with the shared mission of providing affordable, high quality medical and behavioral care to all.

Traveling the world with her family is one of Ivy’s great passion in life. She believes strongly that travel changes a person’s perspective of not only self, but the world and allows the person to assess what they value most in life.

Meet the Staff

Sara DePaoli, MA
Foundation Director
A native Minnesotan, Mrs. DePaoli fell in love with nonprofits at an early age. Inspired by the amazing work being done at the Mayo Clinic, Mrs. DePaoli quickly developed a deep passion for helping others. This resolve stuck with her through her education and led to her work as a music therapist at University of Minnesota and University Hospitals Case Medical Center, the American Cancer Society, Note-Able Music Therapy Services, and the University of Nevada, Reno. She has given clinics and podium and poster presentations on music therapy, community education, program development, and non-profit management at a range of conferences and has been published for her research in acute mental health and bone marrow transplant. In 2011, Mrs. DePaoli relocated to Reno to continue her work in nonprofits and has been exploring the Sierra Nevadas ever since.

Janice Ta
Certified Clinical Research Coordinator

Janice was born and raised in northern Nevada along with being a University of Nevada, Reno alumna. She has a strong background in behavior analysis and clinical psychology with years of research experience. She works closely with current University of Nevada, Reno faculty and graduate students in various sub-topics of psychology research and has presented research at state and national conferences.  Janice has also been a teaching assistant for etiology of trauma, honors psychology, and organizational behavior management classes. With heavy experience in research and instruction, she hopes to one day attend graduate school for organization behavior management to provide interventions regarding the reduction of medical errors in healthcare.