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top hand fellowships

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17 years 6 months ago - 17 years 6 months ago #29138 by joints
top hand fellowships was created by joints
Current PGY-3. Plan to apply to hand fellowships next year. Just curious on the current thoughts of top tier hand programs. Input from current fellows would be great too. Thanx.

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17 years 6 months ago - 17 years 6 months ago #14823 by
Replied by on topic I'm a PGY-4 and in
I'm a PGY-4 and in the process of applying for hand fellowships. Just like residency, it all depends on what you're looking for in your fellowship experience. It seems like hand is getting more popular each year. The good news is that there usually are more fellowship spots than the applicants.

I think these programs are generally considered great hand programs.

Brigham and Women's
Mass General
Wash Univ in St. Louis
University of Washington
Indiana hand center
Philadelphia hand center
Duke
San Antonio
Mayo

I'm sure I'm missing many more great programs. but I think you have to consider what you want out of the fellowship. Do you want to work your butt off (think repeating your PGY-2 year) for a year and come out of your fellowship as a hand master or do you want to have a good life style and come out of your fellowship as an orthopod who's comfortable with bread & butter hand cases? there's nothing wrong with choosing either. Just my 2 cents

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17 years 6 months ago - 17 years 6 months ago #14824 by
Madelung... I interviewed last year and mostly agree with your assessment of the great hand fellowships probably with the exception of Indiana hand and San Antonio.

San Antonio just plain isnt what the other's in the list are.

Indiana Hand used to be the premier hand fellowship although recently has had non-ortho and non-MD people filling slots because it is just not what it used to be. The chief there gives you this talk about how they are building you up and you have to work hard for a year... but esentially what he is saying is... kill yourself all night on call and do like 13-16 billable cases all night... and dont refuse any transfer so the group can make money. Thats what the place is really all about these days. Just ask around.

May also wanted to consider these other great programs you left out.... Allegheny, Curtis National Hand (Union Memorial), Tufts/NE Baptist, and Brown.

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17 years 6 months ago - 17 years 6 months ago #14825 by
Phillyortho, thanks for your input.

How many programs did you apply? what were your thoughts on each program and where did you match? thanks.

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17 years 6 months ago - 17 years 6 months ago #14830 by
Phillyortho- Congrats on your match. It’s clear that you have a poor opinion of Indiana hand. I’m a current fellow at The Indiana Hand Center and based on my experience over the past 6 months I can say that your impression is incorrect. This program is still a premier fellowship. My goal here is not to change your opinion, but to shed some light for those who for whatever reason might have a skewed impression.

Indiana Hand is selective when evaluating candidates and traditionally takes orthopods and occasionally outstanding non-ortho fellows. The plastic surgeon in my class brings with him a unique soft tissue experience that most of us don’t receive in ortho. His ideas, thought process, and approach to problems have been a positive impact on my education. I’m glad he’s a part of our class and I wouldn’t trade him out for anyone.

One of the distinctive aspects of this program is that it’s a private practice with 9 partners who treat every aspect of pathology in the upper extremity. Each one of these guys is a scholar and a gentleman. They have or are currently making significant contributions to the advancement of our field. They have a wealth of knowledge & experience and are eager to share it with us. It’s great to see that each one has a different approach to a problem- at times that’s 9 different techniques you can learn and put in your armamentarium.

True, we’re busy. However, if you come here prepared to be busy it’s not a problem. During the day, time is spent with one of the partners seeing patients in office & operating (not watching). Call is our opportunity to have autonomy. There are some great cases that come in on a call nights. My experience has included replants, 4 part proximal humerus fx w/ shoulder dislocation, myonecrosis of the upper extremity resulting in forequarter amputation. Certainly those are the bigger cases and rare. Usual call includes a good number of tendon/nerve/artery lacerations, open fx’s, nail beds, amputations, infection. In my opinion this is a great experience that will better prepare me for practice. My time has never been spent doing skut. I don’t feel taken advantage of, nor have I been treated like an instrument for increasing the group’s revenue. The guys in the practice work equally hard themselves. Education comes first and we are protected from clinical responsibilities during teaching conferences.

I interviewed at 11 programs. I scheduled Indiana Hand as my first interview- I had no intention of ranking it and only scheduled it as a “practice” interview. I was caught off guard with what I learned and when I submitted my rank list it was at the top. My 6 months here have been phenomenal and I have absolutely no regrets. When I complete this fellowship, I know I will leave with outstanding training and 13 friends (mentors and fellows) that I can call at any time.

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17 years 6 months ago - 17 years 6 months ago #14832 by
Replied by on topic Does anyone have any thoughts
Does anyone have any thoughts about the Kleinert Institute Hand Fellowship Program???

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