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The twelve month fellowship is set up with clinical rotations with 2-3 faculty at a time.  These rotations are between 3 and 4 months each.  There is a mix of operative and clinical experience, typically 1-2 days in clinic and 3-4 days in the OR depending on the rotation.  In addition to the service the fellow is rotating with, there is flexibility to work with other faculty during this time for cases of special interest.  Some of the rotations have more shoulder and elbow exposure and some more microsurgery exposure.  With one fellow a year, the fellow can modify the rotation to fit her or his clinical and academic desires.  The curriculum is updated in an annual basis based on feedback from the current fellow and faculty. 

The operative experience will be a combination of cases under local anesthesia in our procedure room and anesthesia cases at our outpatient surgery center or one of the main hospitals.

The didactic portion of the curriculum consists of weekly conferences for about 90 minutes.  This will cover the entire scope of hand surgery as defined by the ASSH Surgery of the Hand and Upper Extremity (SHUE) document.  In addition, there is a monthly journal club reviewing articles from the Journal of Hand Surgery and other articles related to upper extremity conditions.

The fellow will attend a microsurgery course to learn and master techniques and the annual meeting for the American Society for Surgery of the Hand.