Clinical Training

Because only one fellow is appointed annually, they will be involved in a wide array of cases and in all aspects of patient care—from the initial evaluation appointment to post-operative care. During the program, the fellow will gain the skills and experience necessary to evaluate and treat complex problems of the hip, knee and shoulder. Fellows will be involved one-on-one with the consultant, as well as physician assistant, to provide care for patients. Service work is kept to a minimum and the emphasis is strongly on education and clinical experience.

As part of training, fellows will perform preoperative consultations, actively participate in surgical procedures and manage post-operative patients.

The fellows will learn the intricate anatomy and biomechanics of the hip and knee and gain the skills necessary to independently evaluate and treat:

  • Complex primary hip and knee replacements
  • Revision of failed hip and knee replacements
  • Osteotomies of both the hip and knee
  • Reconstruction following oncological resection

For all patients, the fellows will:

  • Perform an accurate history and physical examination in both routine and complex surgical reconstructive patients
  • Present patient information to consultants
  • Document all pertinent clinical information in the form of dictated clinical notes
  • Rapidly assume surgical responsibilities
  • Communicate with other specialists in other areas, including infectious diseases, plastic surgery, vascular surgery, physical therapy and occupational therapy

Throughout training, fellows will become more aware of the social and economic issues that affect the chronically ill orthopedic patient.

Didactic Training
Clinical conferences, seminars, small discussion groups, journal club and one-one instruction are all an integral part of the Adult Reconstructive Surgery Fellowship.

Fellows are expected to read extensively throughout the fellowship year, including pertinent articles in the Journal of Bone and Joint Surgery, Journal of Arthoplasty, as well as current texts and other pertinent periodicals.

Fellows will be responsible for organizing and distributing the article chosen for the monthly journal club.

In addition, Orthopedic Surgery Grand Rounds are held once monthly. Fellows will be expected to prepare and present research interests, clinical or surgical techniques or other relevant topics to residents, fellows and consultants.

Research Training
Fellows are encouraged to participate in ongoing or new research projects with the consulting staff. You will have opportunities for clinical or laboratory/biomechanical based projects.

Fellows are expected to participate in the development of at least one manuscript suitable for presentation and/or publication in either a text book or peer review journal.

Fellows will rotate with each of the hip and knee orthopedic specialists. During each rotation, the fellow will receive feedback and a formal evaluation of their performance.

Additionally, the consultant staff will meet and discuss the progress to ensure educational goals are being met. A summary will be provided to the fellow by the program director.