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Education

Hand Surgery Fellowship


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Hand Surgery Fellowship Brochure 

Overview

Excellence in patient care, research, and education is the overall goal of the Department of Orthopaedics at The Ohio State University. The Hand Fellowship Training Program is committed to a process of maturation in the pursuit of knowledge, and the development of intellectual capacity leading to a lifelong commitment of the fundamentals of a career in the hand and upper extremity surgery. Fellows will be exposed to the full spectrum of adult and pediatric clinical activities, teaching, and research.

The Department of Orthopaedics at The Ohio State University in collaboration with the Department of Plastic Surgery is committed to a Teaching Program that includes a comprehensive didactic program in which all areas of Hand and Upper Extremity are represented. The curriculum allows the fellow to be involved with orthopaedic hand surgery faculty as well as plastic surgery faculty. The variety of styles in the management of upper limb problems, surgical indications, patient/physician relationships, charting/documentation, and billing methods that exits in this broad spectrum of practices offer an experience that truly mosaic. Fellows are treated as individuals, are encourages to develop excellence, are held accountable for their personal professional development, and finally, have the great reward of knowing that they are part of an ongoing process on inquiry and discovery. Musculoskeletal health and well-being will continue to grow in demand, requiring practitioners committed to excellence in patient care, the quest to investigate and expand the ever-broadening horizons of technology. Upon completion of the program, the fellow will be qualified to sit for the certificate of added qualification in Hand Surgery.

The fellowship program is affiliated with the Orthopaedic Surgery residency Program and the Plastic Surgery Residency Program at The Ohio State University, which has a combined complement of 40 residents. The sponsoring institution currently supports 57 residency and fellowship programs. The Medical Center is affiliated with The Ohio State University College of Medicine. The Hand Center faculty consists of five core surgeons with expertise in all areas of hand and upper extremity disorders, including shoulder and elbow. Additional facutly resources include surgeons specializing in microsurgery, free tissue transplantation, replantation, and pediatric hand surgery. The newly opened Hand and Upper Extremity Center will provide the fellow with a comprehensive experience in all areas of hand and upper extremity surgery. The Ohio State University and the Department of Orthopaedics has fully equipped state of the art research facilities and research personnel to assist with fellow research, which is a requirement of the program• The fellow will take call at a Level 1 Trauma Center and will participate in both emergent and elective surgical treatment of wounds using conventional as well as microsurgical techniques and participate in the treatment of amputations and mangling and devascularizing injuries to the hand and upper extremity.

Education Program/Structure/Responsibilities of the Fellow

The fellowship is largely a one-on-one learning experience. This is accomplished by assigning the fellow to one of the hand and upper extremity faculty for one month at a time. While with this attending, the fellow's schedule mirrors the attending staff's schedule. This allows the fellow to be exposed to continuity of care for the patients on each attending service.

During each rotation the:

  • Fellow will observe, diagnose and treat all types of emergent fingertip injuries including direct closure, amputation, and delayed reconstructive techniques.
  • Fellow will diagnose and treat acute and chronic flexor tendon injuries and employ appropriate surgical treatment for primary repair, delayed treatment including tenolysis and staged tendon reconstruction.
  • Fellow will diagnose peripheral nerve injuries and understand surgical planning for proposed tendon transfers. Fellow will carry out all common tendon transfers and at the direction of the Faculty and will learn proper surgical technique for such transfers.
  • Fellow will gain experience in treatment of both acute nerve laceration as well as delayed nerve grafting and reconstruction using microsurgical techniques. Fellow will demonstrate competency in the diagnosis and, both operative and non-operative management of peripheral nerve compression neuropathies.
  • Fellow will treat emergent fractures of the hand and upper extremity while on call. Fellow will understand fracture pathomechanics, classification systems and both appropriate operative and non-operative treatment of fractures of the hand, wrist, forearm and elbow.
  • Fellow will understand the indications and techniques of both autologous bone graft and synthetic bone graft substitutes. Fellow will participate with the Hand Surgery Faculty in preoperative planning and operative techniques for reconstructive osteotomy.
  • The treatment of both osteoarthritis as well as inflammatory arthritis as it pertains to the joints of the hand, wrist and elbow will include techniques in arthrodesis, joint repair, and arthroplasty.
  • Fellow will treat acute thumb injuries while on call. Fellow will understand the treatment options for delayed thumb reconstruction including both conventional as well as microsurgical techniques and will participate with the Faculty on surgical cases. Fellow will have the opportunity to participate at Nationwide Children’s Hospital in the treatment of pediatric hand and thumb disorders.
  • Fellow will understand the diagnosis, including use of appropriate imaging, and treatment of osteonecrosis as well as nonunion of carpal bones. Fellow will gain experience at the direction of the Faculty in the use of conventional bone grafting techniques as well as vascularized grafting techniques.
  • Fellow will diagnose and treat all common tumors of the hand and upper extremity. Fellow will have the opportunity to participate with the Director of Musculoskeletal Oncology in the preoperative planning and surgical treatment of malignant tumors of the upper extremity including limb salvage techniques.
  • The diagnosis and treatment of compartment syndrome as well as all types of infection of the digit, hand, wrist and forearm will be taught by the Hand Surgery Faculty.
  • Fellow will rotate at the Nationwide Children’s Hospital where s/he will rotate in the pediatric hand clinic and participate in reconstructive surgical procedures.
  • Fellow will participate in the treatment of thermal injuries at the Ohio State University Hospital’s Regional Burn Unit with the direction of the Hand Surgery of Plastic Surgery Faculty.

Conferences

A year-long schedule of hand and upper extremity conferences has been established for the benefit of both the fellow and of the residents on the hand service. This schedule includes:

  • Hand & Upper Extremity Lectures – Every Monday, throughout the year, topics vary
  • Hand Indications Conference – three times a month
  • Hand Journal Club – Monthly
  • Hand M&M – Four times a year

The fellow also participates in several department-wide education activities. These include:

  • Monthly departmental Patient Safety And Quality Conferences
  • Visiting Professor presentations (4 per year) representing various orthopaedic subspecialties.
  • Hand and Upper Extremity Anatomy Dissections
  • Graded OSCE related to hand and upper extremity surgery
  • Basic science and research methodology lectures
  • Presentation on Billing/Coding

The fellow will also complete a laboratory course taught by the program director along with the microsurgery faculty on proper microsurgical technique. In addition, the fellow will attend a course on AO Technique and will attend the American Society for Surgery of the Hand annual meeting or another education meeting sponsored by the AAOS.

Research Requirement

Research is an important component of the Hand Surgery Fellowship program. Each fellow is required to complete, present, and submit a book chapter or case report for publication in a peer –reviewed journal prior to completion of the fellowship. In addition, the fellow will collaborate on on-going research projects underway in the division. Research projects are presented at the annual Mallory-Coleman Research Day. Ample time is provided to the fellow throughout the program to complete their project.

Accreditation

The Orthopaedic Sports Medicine Fellowship is accredited by the Accreditation Council on Graduate Medical Education.

Duration

The fellowship is one year in length. The program begins on August 1 and terminates on July 31.

Application Procedure

The fellowship program participates in the NRMP’s Combined Musculoskeletal Matching Program. The Universal Hand Surgery Fellowship Application is accepted. Applications are reviewed by the selection committee and are selected on the basis of their preparedness, ability, aptitude, academic credentials, communication skills, and personal qualities. All applications are reviewed by the Fellowship Selection Committee, which is comprised of all members of the Hand Division faculty. Fellowship positions are offered by the Program Director based on the outcome of the Match. Women and minorities are encouraged to apply to the fellowship program and are given equal consideration.

One fellowship position is offered through the Match each year. Applicants from orthopaedic surgery and plastic surgery residency programs are encouraged to apply.

We are currently accepting applications for the hand surgery fellowship position which will start on August 1, 2018. This position is offered in the Combined Musculoskeletal Match. In order to be considered, the following application materials must be submitted by December 1, 2016:

  • Universal Hand Surgery Fellowship Application
  • CV
  • Personal Statement
  • Three letters of recommendation
  • USMLE score report
  • Copy of current licensure
  • Copy of medical school diploma

Applicants selected for interview will be notified by December 31, 2016.

Interviews will be held in Columbus, Ohio on the following dates:

January 27, 2017
February 17, 2017

Please send all application materials and inquiries to:

Julia Panzo
Education Program Manager
Department of Orthopaedics
725 Prior Hall
376 W 10th Ave
Columbus, OH 43210
Phone: 614-293-6194
FAX: 614-293-3596
Email: Julia.Panzo@osumc.edu


Hand Surgery Fellowship Faculty

Hisham Awan, M.D.
Assistant Professor of Clinical Orthopaedics
Interim Chief, Division of Hand and Upper Extremity
Interim Director, OSU Hand and Upper Extremity Center

Kanu Goyal, MD
Assistant Professor of Clinical Orthopaedics
Division of Hand and Upper Extremity

Sonu Jain, M.D.
Assistant Professor of Clinical Plastic Surgery
Division of Hand and Upper Extremity

James Popp, M.D.
Attending Physician
Nationwide Children's Hospital

Julie Balch Samora, M.D.
Attending Physician
Nationwide Children's Hospital

Marlo Van Steyn, M.D.
Attending Physician
Ohio Orthopedic Center of Excellence