Pediatric Orthopaedics Fellowship Reviews 2021-2022

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4 months 3 weeks ago - 4 months 3 weeks ago #39306 by Pedipod17
Someone posted similar reviews a few years back that helped me so I thought I’d pay it forward. It is important to know that this is only one person’s opinions through a zoom interview. Others may have had different impressions. Things ideally will go back to normal so you can see the programs for yourself. Hopefully these reviews can give you a little insight about the different types of programs out there.


Arnold Palmer Hospital (Orlando Health)
FFR
: 5:1
Structure: Very flexible and nearly complete freedom. Fellow chooses cases the week before. Usually 2d OR, 2.5 clinic, 0.5 admin/research. 1/2 day of fellow clinic second half of the year. 4 residents on service. Chief resident makes the schedule a week ahead. Avg case load ~300-400.
Call: x1d per week and x1 weekend every ~5 weeks with junior residents doing all the ED work. Newborn consults seen by fellow while on call.
Subspecialty: Most attendings seem to be true generalists with some niche. Strongest in spine, trauma, and hip (+PAOs/hip scopes). Good deformity, neuromuscular, hand, FANKLE. They just hired a peds-sports attending that will start this upcoming year. No tumor other than minor benign cases.
Conference: Less formal than other programs. Monday resident-level didactic followed by postop conference. Friday formal preop conference.
Misc: APH used to be one of the premiere fellowships in the early 2000’s when Dr. Price was there. There has been a lot of turnover in the recent years due to attendings retiring, but it seems like they are almost back to having a full crew. The faculty were very friendly. Dr. Herrera-Soto (PD) is a stud and also well-known in the spine/hip world. Fellow seems extremely happy and states he has full autonomy in cases. He also feels he is treated like a colleague and not as a fellow. Salary is around $71,000. Orlando seems like an awesome city. Tons of restaurants and bodies of water around. It is also very family friendly with the theme parks near by. 

Boston Children’s
FFR
: ~30:3
Structure: Mixed. 3 x 2mo rotations followed by 6 months of complete freedom. Rotations are Spine, Hip/Sports, CP/LE. Each fellow makes the schedule x4 months out of the year and apparently a good bit of flexibility in the first 6 months as well. Average 3d OR, 1d clinic, 1d flex for admin/research but fellows use it to operate. Many residents (9) on service and unclear how crowded things get. Case load 400-500. Tons of super-fellows (x3 sports, x1 hip, x1 hand). Fellows round on their patients, write notes, and then sign out to APP’s for discharge planning. Fellows see newborn consults.
Call: x1 week every 3rd week as home call back up to residents. Rarely operate overnight. Most consults get splinted and sent out to urgent fracture clinic and then booked as cold trauma at Waltham. All other trauma cases get put on add-on list for the next day and worked into the OR schedule. No dedicated trauma OR.  Daily trauma cases optional, but weekend OR coverage mandatory when you’re on call.
Subspecialty: Everything covered well. Strong spine (6), neuromuscular (3), deformity (4). Also strong hip (4), sports (8 ), and hand (4) but competing with multiple super-fellows. Good FANKLE and LE. Weak trauma unless you make it a priority to schedule yourself at Waltham surgical center (30 mins to 1hr depending on traffic). No tumor exposure - all cases go to adult tumor service.
Conference: Strong daily didactics. They also offer a longitudinal course on how to teach residents, which I thought was a nice addition.
Misc: Really nice group of attendings. Very down to earth faculty even with the Harvard status. Dr. Shore is extremely committed to his fellows. Weekly PD meeting over coffee on Wednesday mornings. Fellows seem very happy. The network coming out of a place like BCH is unparalleled and having a name like that on your CV could go a long way for future jobs and national committees. One of the largest research powerhouses in the nation with an awesome infrastructure if interested in publishing during your year. Average ~200 publications per year. With that being said, you do not have to do research if not interested. The big issue here could be the amount of super fellows and residents, although the current and previous fellows at the social reassured that it is really not as big of deal as applicants think it is. Everyone was very adamant about there being too many cases to go around anyway. However, double scrubbing with the other fellows for certain cases is definitely something to consider. Salary is $92,000 and there is moonlighting opportunity at a fracture clinic. Boston is very expensive but would be an amazing place to be at for a year if you can swing it. 

CHOA - Atlanta Scottish Rite
FFR: 16:2
Structure: “Golden Year”. No blocks. Fellows have absolute control of their weekly schedules. You can do 5d OR per week if wanted. 1/2 day of fellow clinic on Friday afternoons. Attendings joked that fellows start the year doing a lot of OR and then slowly transition to a more balanced 3.5d OR and 1.5d clinic schedule as the year goes by. A few residents on service but definitely enough cases to go around (>6,000 per year). Fellow case load >500-700. There are 2-3 main campuses 20 mins from each other. Egleston/Emory (trauma), Scottish Rite (elective), Grady (county).
Call: Junior attending level home call x1d per week and x1 weekend per month at Egleston. No holiday coverage. Residents do ED work. Heavy trauma center. Daily trauma OR, only emergent cases go overnight. Only POSNA accredited, so you are able to run an OR without the attending on site.
Subspecialty: Everything well-covered except hand. Very strong trauma (all), spine (~7), sports (3), hip (4). Strong neuromuscular and tumor(2). Good deformity and FANKLE. No hand (adult service if interested). Most attendings have a general practice with a niche. Large OI center.
Conference: Strong daily didactics. Monday preop and Friday postop. Tuesday/Thursday rotating subspecialty lectures. Wednesdays fracture conference vs other core lectures.
Misc: Really nice and fun staff. Good mix between young and experienced attendings. Everyone seems extremely invested in the fellows’ education. The fellows are treated like junior partners. This program operates like crazy and everything is well-covered. Hard to find a better operative experience around the nation, especially in trauma, spine, and sports. The group was in private practice for >30 years prior to merging with Emory to become CHOA (1998). This means that they run a tight ship when it comes to efficiency in getting through daily cases and clinics. In my humble opinion, I think this program can be in the same category as the big name ones. They do over 500 spines per year and have all the technology you can dream of, including nav, robotics, 3D models, etc. CHOA has a hip program, including 3-4 attendings that do PAOs, baby hips, and hip scopes. The sports experience is top notch with 3 attendings. Strong research component and thought leaders in the field. Salary is about ~$73,000 and Atlanta would be an awesome city for the year. It’s a big city without being as expensive as others. Lots to do for someone that is single or with kids. They are building a new peds hospital that should be ready in 2025. 

CHLA
FFR: ~16:3 (Some attendings from Cedars-Sinai)
Structure: Flexible/“Choose your own adventure” model. Fellows make OR/clinic schedule x2-3 weeks in advance. 2-3d OR, 2-3d clinic. +Fellow clinic every other week. Case load unclear but some said ~350-400.
Call: Junior attending level call starting in October, but it depends on your skill level at the start of fellowship. x1d per week and x1 weekend q7wks. Fellows book their own cases and then follow them up in their fellow clinic. Residents do the ED work. Fellow staff inpatient consults during the weekdays.
Subspecialty: Everything covered. Strong trauma (daily OR), spine (3), hand, neuromuscular (+gait lab). Good hip (+PAO/scopes), sports, deformity, fankle, tumor.
Conference: Strong curriculum. M-W core didactics and Th preop/postop conference. CHLA also partnered with Orthobullets to create a daily educational curriculum for peds fellows specifically. Fellows can work on updating peds topics for the website.
Misc: Overall, really nice group of attendings. Definitely on the younger side of the spectrum. The culture itself seems great. Attendings treat their fellows as equals. Many leaders in the field have come out of CHLA. Dr. Skaggs is now at Cedars across the street. He still interviewed candidates this year and said that fellows can have an optional rotation with him. He is doing all the robotics, navigation, MIS spine cases at Cedars with another peds spine guy. The kicker is that he will also be having a peds spine fellow with him about half of the year, so unclear how much time you would actually be able to spend with him. With that being said, PD says they do about 300 spines a year. They have a Tumor Center, if interested. Tons of research ancillary help with x4 coordinators and x4 research fellows/assistants. 40-50 manuscripts published yearly. LA is very expensive and the salary is around $75,000. However, it would be an amazing place to spend a year at if you can make it work. 

CHOP
FFR: 17:4 (plus a few other plastic hand attendings, if interested)
Structure: Truly a “Golden Year” model. Full flexibility with no set rotations. Fellows choose their cases the week before. Average 4d OR and 1d clinic. Clinic coverage up to the fellows. There are a minimums of subspecialty clinics for a well-rounded experience. An army of APPs for clinic and floor work. Minimal scut work- no clinic or daily progress notes. Fellow clinic one afternoon per month starting around October. 7-8 Residents on service from 4 different programs. Case load ~500. No super-fellows except for sometimes a hand fellow (6 months).
Call:  x1 week every 4th week as home back up call to residents. Daily trauma OR so rarely operate overnight. Heavy trauma center.
Subspecialty: Everything very well covered with 2 or more attendings per subspecialty. Strongest in spine (6), sports (5), and trauma. Good hip (2), neuromuscular (3, no gait lab), deformity (3), tumor (2), hand (2), FANKLE (2). No obvious deficits. All the spine technology that one could imagine. Probably one of top centers for early onset scoli, growing rods, VEPTR, etc if that is of interest.
Conference: M/T daily resident-level conference on a 3-month rotation that fellows usually attend the first 3 months. Wednesday pre/op/postop. Thursday fellow- driven conference s on topics ranging from clinical pathology to finances, contracts, etc. Fellows choose the topics for the year. +IPOS/POSNA.
Misc: CHOP is a complete program that has every resource to prepare fellows. The “choose your own adventure” model is definitely for an adult learner. It seems like you would have to be self-motivated to make sure you get a well-rounded experience instead of just cherry-picking what you like. With that being said, it is an ideal program if you already know what subspecialty you would like to practice afterwards. Less clinic than other programs, which can be a plus or minus depending on how you look at it. You can schedule yourself into more clinic days, if needed. The people at CHOP is really what raises the program to another level. Very cohesive group of attendings at various stages of their careers. Drs. Flynn (past POSNA president) and Sankar are extremely invested on the fellows’ education and it definitely shows. Both are family men that care about a good work-life balance. Most of the faculty are well connected and are part of national committees, which would make finding a job easier. This was the happiest group of fellows I encountered throughout the trail. Research powerhouse with >225 publications last year alone… the department averages about 4 publications weekly. They have an army of research fellows and coordinators. Salary is ~$82,000. Philly is not as expensive as other large cities and it seems like a fun place to live at for the year. 

Cincinnati Children’s
FFR: 12:3
Structure: Fairly structured with some elective time at the end. 3 x 3mo rotations in Spine, Hip, and Sports. Other 3 months divided into trauma, general, and elective. Fellows say that there is more play in the schedule than expected. Average 3d OR and 2d clinic but it can be 5/0 if you want. 10 residents (x2 cinci and 7-8 DO’s from around the region). Case load 400-500. No super-fellows.
Call: q4d and x1 weekend per month back up call to residents. Daily trauma OR so rarely operate at nights. Heavy trauma center.
Subspecialties: Strongest in trauma, spine (2), hip (3), and sports (2), but everything covered. Good neuromuscular (+gait lab), hand/UE, and tumor. Ok FANKLE and deformity. No obvious deficits.
Conference: Daily lectures. M/T/Th resident lectures that transition to fellow-level 2nd half of year. Wednesday preop/post (Hip/Spine/Limb). Friday postop. There are some international traveling opportunities (India/Honduras).
Misc: Cinci seems like a well-rounded program with many experienced attendings. There are about x2 attendings per subspecialty and tons of cases to go around. The research infrastructure is strong and you could make it a fruitful year in terms of publications. The department puts out ~40-50 publications per year. Minimal scut work. They have an army of APP’s ready to help with clinic, floor, and OR. They currently don’t have navigation for spine but are working on it. Fellows seem very happy about their time there. One of the few top tier children’s hospitals in medium sized cities. Salary is $71,000 and Cincinnati seems like a nice, affordable, family-oriented place with lots to do. 

Colorado
FFR: 14:2
Structure: Mixed flexibility. 7 x 6-8wk rotations followed by 3 months of elective time. Also has 3 x 1wk protected research rotations spread throughout the year with many research fellows/assistants. Tons of APP’s so services function well without fellows in case you want to scrub a specific case outside your rotation.  Average 3-4d OR and 1-2d clinic. 3 CU residents on service (PGY2/3/4). Case load 500-700. No super-fellows.
Call: Home call x1d per week and x1 weekend per month. Residents do ED work. Daily trauma OR. Fellows usually cover their post call cases. Only level 1 trauma center in the region, so tons of trauma cases daily.
Subspecialty: Strong trauma, spine (2), hip (3), neuromuscular (2 w/ +gait lab), deformity (2-3). Good sports (1 and adding 2nd), hand (1), tumor (1). No obvious deficits.
Conference: Strong curriculum with daily didactics. Daily fracture conference for 30 mins. M/F for preop/postop.  Wed for fellow specific lectures. T/Th resident level lectures.
Misc: This program seems awesome with no obvious deficits. You would gain great mentors here. Dr. Erickson is very involved and seems like an awesome person to have in your corner. He does spine and wants the fellows doing the left side, which isn’t something I have personally seen before. Only 2 spine guys, but they get the entire gamete with all the different techniques, including free-hand and nav/robotics. Their hip program is excellent with 2-3 attendings doing PAOs, baby hips, scopes, etc. Attendings pride themselves on treating fellows like their partners. Autonomy seems to be excellent. The fellows are extremely happy with their experience. They are treated like royalty, even with a concierge service that takes care of their dry cleaning, car issues, etc… although the current fellows have not used it yet. Minimal scut work. Salary is $70,000 and Denver is obviously a big sale for most people. Mid-Large city vibe without being as expensive. 

Duke/UNC
FFR: 9:2
Structure: Very structured with 6 months at each campus. 3 x 2mo rotations at each institute. Mentorship model with x2 attendings per rotation that you spend time with. Average 3d OR, 2d clinic. OR takes priority. You are able to go into other cases outside of your rotation if you really wanted to though. Case load ~300.
Call: Minimal trauma, zero call. No daily trauma OR. No specific peds trauma call pool so adult guys take much of the peds trauma cases. Unsure how easy it is to scrub those cases.
Subspecialties: Strong spine (most attendings ~7/9, minimal navigation), Good hip, neuromuscular/CP, limb deformity. Minimal trauma/hand. Weak sports (all operative cases go to the adult service, although they are hiring a hip scope guy).
Conference: Standard weekly indications conference. Monthly indication zoom conferences with both institutions to discuss complex cases. Weekly resident level conferences. Not very formal otherwise.
Misc: Overall nice and genuine staff. They all seem to get along, despite the known UNC/Duke rivalry. Drs. Lark and Stone seem very invested in the fellows’ education and both would be amazing mentors. Fellows are graduating with >300 cases, but it completely depends on their interests and complexity of cases. Both institutes have large funds for research so tons to go around, if interested. You don’t really interact with the other fellow since you have opposite rotations. A big deficit is the sports and trauma experiences. Not a great place if you are truly interested in sports. Fellows say they manage all the non-op stuff, but then pass it on to the sports guys for operative management. Tons of sports fellows and residents at each campus, so unclear if you’d be able to scrub any sports cases. Most attending go abroad for mission trips throughout the year, which seem like you’d be able to join them. Durham and Chapel Hill are 10 miles (~25min) from each other and are both great small cities to live in. Very affordable and tons to do, including restaurants, sports, hiking/outdoor activities, etc. You have mountains and beaches about x2-3 hrs away. 

HSS
FFR: 10:1
Structure: 5 blocks of 10 weeks. First 3 core blocks are structured to cover everything, then 2 blocks (20 weeks) of elective time. Average 4d OR, 1d clinic. You have a designated preceptor whose clinic you attend depending on the rotation block. Case load ~300.
Call: Fellow takes trauma call across the street at NY Presbyterian (Cornell) 1d per week and 1 weekend per month. Fellow covers all call cases M-F. Unclear if you are taking primary call or back up to residents.
Subspecialties: Strong spine and sports. Also strong hip, but there is a superfellow. Good deformity, neuromuscular/CP (+gait lab), fankle. One of the largest OI centers in the nation. Light/Unclear Trauma experience. No dedicated peds hand.
Conference: Standard AM conferences daily with 2hr preop/postop on Thursday (second hour dedicated to spine). Monthly journal clubs.
Misc: Very nice faculty that get along well and are invested in the fellow's education. Everyone seemed down to earth, even for a big institute like HSS. Obviously easy to find a job with their connections. Unclear how much the hip preservation superfellow affects your time in the OR, but apparently they are in Switzerland for part of the year. Dr. Sink is a hip guru and does close to 100 PAOs per year. Adult sports guy does his hip scopes prior to PAOs. Apparently you can watch them but not sure how much you actually get to do in them or if the sports fellow/hip preservation superfellow takes them. PD states fellows are graduating with about 300 cases, but it completely depends on their interests. Salary is ~$99,800 and there is subsidized housing walking distance to hospital in the Upper East Side. Apparently you can get a 1 or 2 bedroom apartment if you have a family. Unclear how much it costs though. Obviously NYC can get expensive, but it can be a fun city for a year. Possibilities for international elective. 

Lurie Children’s (Northwestern)
FFR: 10:1
Structure: Very structured w/ some elective time at the end. x5 blocks of x2mo each and last block is elective. Blocks = Spine, Neuromuscular, Hip/Hand/Deformity, and Trauma. They seem completely fine with the fellow going outside the rotations for certain cases. Typically 2.5d OR, 1.5d clinic, 0.5d protected research. Half day of fellow clinic weekly. Case load ~350 (during pandemic).
Call: x1d per week and x1 weekend per month. Residents take care of all ED consults and you come in for cases. ACGME accredited so attending has to be in the OR. PD says that she likes to sit in the corner and let fellows do the their thing as long as they are comfortable.
Subspecialties: Strong spine (4 +Nav), sports (2), neuromuscular (2 +gait lab). Good hip (1 +scopes), trauma (+daily OR). Ok hand, limb deformity.
Conference: Weekly indications conference and resident level conferences. Monthly ortho-nsg complex spine conferences. Monthly journal club.
Misc: Really awesome group of faculty that obviously respect and get along with each other. Dr. Swaroop is taking over as PD and she seems really great. She is truly invested in the fellow’s education. They are transitioning to navigation for spine. Less growth-friendly surgical techniques done, per old PD (Sarwark). Occasional Mehta casting (no table). The department does an impressive amount of research. They have up to 6 research coordinators to help with projects. PD wants an IRB ready before you even start your fellowship. It can be extremely fruitful if you take advantage of it. Downside, in my opinion, is the amount of residents on service. x7 total residents on service (x5 from NW, x1 Rush, and x2 from nearby DO program). No super fellows. Although it’s great for teaching, unclear how crowded things get in the OR. PD says that it should not interfere with cases for the fellow. NW chief resident makes the weekly schedule. Fellow rounds on their patients. Minimal scut work otherwise. Clinics are setup to run without the need of the fellow. Chicago seems like an amazing city for a year. Big sports and foodie place. Salary is about $80K, which is manageable depending on your family situation. With that being said, there are many different lifestyle options, and the public transportation is excellent in Chicago. Brand new hospital (2012) in downtown. Most clinics are within 10 min of the main hospital. There is parking, but it does cost extra. The faculty was pretty transparent about the weather. It’s only extremely cold for about 4 months and all the buildings are connected by overpasses. 

Nemours - AI Dupont
FFR: 15:3
Structure: Mixed with first x6 months composed of 3 x 2mo rotations, followed by x6 months of complete freedom. Rotations are LE/Hip, Neuromuscular, and Spine/Sports. Typically 3-4d OR, 1-1.5d clinic, 0.5d admin. 7 residents on service (PGY3/4’s from various residencies). Fellows make the schedule 2nd half of the year 2-3 weeks in advance and residents get leftover cases/clinics. No super-fellows. Case load ~400.  Tons of ancillary help and minimal scut work. Fellows round socially but APPs and residents do daily progress notes/discharge planning.
Call: x1 week every 3rd week home call to residents. Daily trauma room so not much operating overnight.
Subspecialty: Premier center for skeletal dysplasias and OI. Strong spine, CP/neuromuscular (+gait lab), hip. Good trauma, sports, deformity, FANKLE, hand/UE, tumor. Everything covered with at least 1-2 attendings per subspecialty. No obvious deficits.
Conference: Strong daily conference schedule. Daily morning report on overnight consults and admissions followed by other educational sessions. Solid pre/postop conferences on T/W, respectively. Fellow-lead conference for residents on Thursdays. They also have a strong curriculum for fellow-level lectures, including topics like job hunting, contracts, etc. Tons of industry-sponsored cadaveric labs. They expect the fellows to attend POSNA/IPOS/POST/ICSS. All fellows go without need for one of them to stay back to cover call.
Misc: I was blown away by the cohesiveness of the faculty and fellows. Very collegial and mentoring faculty with good mix of early, mid, and later career surgeons. Drs. Shah and Mackenzie foster a strong “family” vibe between the faculty and fellows. They treat the fellows like junior partners… but really also like family. AI Dupont has a strong podium presence in all national meetings. The program as a whole has a lot more to offer other than the well-known fact that they are the premier center for skeletal dysplasia and OI. For someone not really interested in skeletal dysplasias, the interview day was refreshing in terms of seeing all the other pathology they see. One of the few programs around the nation with a robust c-spine experience. Extremely happy fellows. This is a “fellow-centric” program. The faculty make every decision thinking about the fellows’ education, and it shows. Competitive salary ~$74,000 for the area. Wilmington seems to be very affordable. One of the fellows pays ~$1,800 for a 3br home close to the hospital. Beautiful medical campus with brand new facilities. 

NYU
FFR: 6:1
Structure: Complete flexibility. Resident makes schedule but fellow gets priority. 3-4d OR, 1-2d clinic. 6-8 residents on service at any time (x2 chiefs, x2 PGY4, x2 PGY2 - unclear how crowded things get). Case load ~500.
Call: Home call x1 week at a time every 4-5 weeks and you are back up for residents. Rarely operate overnight. Daily trauma room usually covered by the resident/fellow assigned to it.
Subspecialty: Strong hip (+scopes/PAOs), sports, limb deformity (+frames). Good neuromuscular, tumor and UE/brachial plexus. Ok trauma. Possibly weak spine experience- mostly done by the adult spine service due to political reasons. Dr. Litrenta is starting to be more involved (~25 spines yearly), and PD says that they are formalizing the relationship with the spine service. One of spine guys does tethering. PD says you can scrub with them if interested, but they do have spine fellows so unclear how feasible this may be.
Conference: Very strong didactic curriculum. Daily conferences with indications/postop on Mondays. Bi-weekly research meeting.
Misc: Very friendly staff. Smaller program in terms of attending numbers, but with some big names. Dr. Castañeda is the Division Chief, PD, and a hip guru. He would be an awesome mentor to have in your career. He is respected and very involved at a national level. Dr. Carter is the newly elected PRISM Society president, so sports connections will be second to none. The fellow seems very happy at the program. He has full flexibility in OR/clinic coverage. The case volume seems on the higher end of the spectrum. NYU has an excellent research infrastructure with tons of ancillary support. They work closely with residents and med students to get projects going. Likely not the ideal program if you are trying to crank out a large number of spines, but hopefully that changes in the near future. Salary is around $85,000. According to fellow, >80% of the time is spent at the new peds hospital in Lower Manhattan and ~>20% at another hospital nearby for clinics (short walk). There are satellite clinics, but you are not required to cover them often unless interested. The fellow lives in Long Island and commutes daily. NYC has a great public transportation system, so you’d likely not need a car. 

Rady Children’s
FFR: 11:4
Structure: Mixed. 4 teams each made up of about 3 attendings, 1 fellow, and 1-2 residents. 4 x 2-month structured rotations, and then 4 months of elective time at the end. Each team is balanced in regards to subspecialties (ie. each team has spine, sports, neuromuscular, etc). 2-3d OR, 2-3d clinic. +Fellow clinic. Case load 350-500.
Call: Paid attending level call. x1 day per week and x1 weekend (Friday/Sunday) per month. Residents do all the busy ED work and you come in only to operate. Attendings as back up, but they usually let you fly with cases. Attendings do not need to be in house for cases. You send them the final XR to get the thumbs up. Fellows say they make about an extra $1,000-1,500 with call per month. Fellows are constantly operating at night. Definitely not a program for hand holding.
Subspecialty: Everything covered. Strong trauma (daily PM OR), spine (x3), sports (x2-3), neuromuscular (+gait lab). Good hip, deformity, tumor, and fankle. Ok hand. No spine navigation yet, but Dr. Newton says they are working on it and should be in place in the next year or so. Mostly free-hand and flouro for pedicle screws for now. Minimal hip scopes, but are trying to hire a hip scope specialist.
Conference: Very strong didactics. Daily AM conferences. Mondays (indication), Tuesday (Hip), Wednesday (Grand rounds/Deformity). Thursday (Spine/Sports/Neuromuscular), Friday (Postop).
Misc: The autonomy at Rady may be unparalleled around the country. The Fellows truly are junior attendings. It seems that fellows definitely come out of this program confident to tackle anything. The faculty cares about each other and wants to see the fellows succeed. The alumni network is huge (~130). This is definitely a place that you will have tons of connections and mentors for life. It does seem like there is a significant amount of busy work with floor work, presentations, call, etc. Fellows were pretty upfront about it, which I appreciated. They are doing most of the leg work for their research projects. Not much admin time on their weekly schedule to work on research. Everything done in one campus.  No satellite clinics. Salary comes out to be around $75,000 after taking call, which can be an issue depending on your situation. San Diego is obviously a huge draw for most people. 

Stanford
FFR: 12:1
Structure: Complete flexibility with no “fixed” blocks. Fellow makes the schedule. 3d OR, 0.5d research, 1.5 clinic (including half day fellow clinic on Fridays during the second half of the year). Case load ~350-400. 2 residents on service (PGY4 & 3). An army of APPs willing to help. Fellow rounds daily.
Call: Paid attending level call starting around October. x1 day per week and x1 weekend per month ($250 per call - paid quarterly). Residents do ED work. Daily AM “bump” room - x1hr in the mornings for trauma cases. Otherwise, cases added to end of day.
Subspecialty: Very strong in spine (5) and sports (4). Also strong in FANKLE and hip (+hip scopes/PAOs). Good deformity and neuromuscular (+gait lab). Ok trauma. Weak hand/tumor. There are hand and tumor attendings, but they are not part of the program unless you are interested. There is a hand fellow.
Conference: Regular pre/postop conference on Wednesdays after resident lectures (6:30-9:30am). Fellows use this time to get in a quick trauma case or two. Other conferences/lectures on Monday and Thursdays. According to the fellow, the program will pay for any conferences that you present research done while at Stanford, even after you graduate.
Misc: This is a newer fellowship that is well on its way to become a powerhouse program, if not one already. They have the perfect combination of experience and youth. Dr. Imrie is very invested in the program and seems like an awesome person to have in your corner. Dr. Frick was the 2018-19 POSNA president and is well-known around the country. He has tons of connections and will help with the job search. Very few programs will give you the spine and sports experience that Stanford has to offer. About half of the attendings (5) do spine. Mostly free-hand pedicle screws but they do have an O-arm and are transitioning to navigation. Dr. Shea is one of the most respected peds sports guys around the nation. Dr. Pun is a hip guru and does plenty of PAOs (x30-40/yr). This is definitely an adult learning program. You can make whatever you want of it. The current fellow shared her and the previous fellows’ case logs and they were all different in terms of subspecialty breakdown. There are plenty of opportunities for abroad experiences during the year, although they have not gone recently due to the pandemic. The research being done here is impressive. Tons of ancillary help to get projects going. Brand new state-of-the-art hospital built in 2017 with all the new technology one can imagine. Palo Alto is extremely expensive. Salary is about $95,000 plus another ~10k in paid call. There are options of subsidized housing but a previous fellow said not to count on it. There are nice suburban areas (ie. Sunnyvale) near Palo Alto that can be a bit “cheaper”. You do have to pay for daily parking. Overall this is a well rounded program that will prepare you to take care of just about anything. 

TSRH
FFR: 20:5
Structure: Mentorship model. 9 x 1-month fixed rotations with teams of 1-2 attendings followed by 3 x 1-month elective rotations. Typically 2d OR, 2d clinic, 1d flex (OR/research/admin). 4 residents on service, but you hardly ever overlap with them since you are paired up with attendings. Most of the resident teaching occurs during weekend trauma call. This may change in the future though. They are entertaining the idea of moving into larger teams where you would have more fellow-resident interaction. Fellows round on their patients and do all the floor work throughout their hospital stay. x1 sports and x1 hand superfellow. Case load ~400-450.
Call: This is a significant change from previous years. Fellows used to take q5 weekend (Friday night-Sunday morning) in-house call in a 2br apartment at SR. They are moving away from this model. No more in-house call at SR and now they take q5 weekend home-call for the elective patients at SR. They are working with the ED staff for moonlighting opportunities now and fellows only get ortho-specific calls at home. Additional Q5 weekend trauma call at CMC Dallas, which is back up call to residents and only come in to operate. +Daily trauma room there.
Subspecialty: Everything covered. Strongest in spine (6), hip (7), FANKLE (4). Good in hand, neuromuscular (+gait lab), deformity, sports, and trauma (at Children’s). Unclear on the tumor exposure or the interaction with the 2 super fellows (hand/sports).
Conference: Well-known for being the most involved daily didactic experience around the nation. About ~10hrs worth of conferences throughout the week, including 2.5hrs Monday nights for preop conference. Definitely intense but you can tell fellows are very well-read and are confident clinical decision makers. T-Th morning lectures and Friday postop. The learning and teaching in this program is excellent, but you may be making tons of PowerPoints.
Misc: TSRH is well-known for their final product. Their fellows come out extremely prepared and ready to handle just about anything. The mentorship model has worked for them, but they are attempting to make the schedule more flexible. Dr. Sucato seems like an awesome mentor. Everyone was very adamant about TSRH being a fellow-centric program. Strong research component and thought leaders in the field. The complexity of cases seen here are high, which are probably the cases you want to see as a fellow anyway. They do also have lots of bread-and-butter cases. There is a new Frisco campus about 20 mins away where fellows go mostly for ambulatory cases during some blocks. The mentorship model seems like it makes for a well-rounded experience and very strong clinical decision making training but there probably is a little bit more scut work than some other programs. On the other hand, the size and prominence of the alumni network of this institution may be second to none and there is a very fraternal feel of TSRH doing everything to support its alumni. Salary is about $70,000. Dallas seems great with tons to do and not as expensive as other big cities. 

Vanderbilt
FFR: 7:1
Structure: Very flexible and nearly complete freedom. Fellow chooses the schedule. 3-4d OR, 1-2d clinic (including a 1/2 day fellow clinic on Fridays). Case load >500. 3 residents on service (chief/PGY3/intern).
Call: x1 weekend every ~6 weeks with residents doing the ED work. Daily trauma OR.
Subspecialty: Strong trauma and spine (3). Good hip and sports (+PAOs/hip scopes). Ok deformity and neuromuscular. Weak hand/tumor. Some hand and tumor adult attendings you can work with if really interested. Most attendings are truly generalists with some niche except for one true sports guy.
Conference: Less formal than other programs. Monday preop and Friday postop. Resident level lectures every other Monday after indications conference. Fellow expected to give x2-3 lectures throughout the year. New fellow curriculum starting in 2022 for fellow-level workshops on practical stuff like contracts, finances, job search, etc.
Misc: The fellowship has a feeling of a community program with some big names and obviously the Vandy brand. Really nice and involved staff. Dr. Mencio is well-known and respected around the nation. He was a previous POSNA president and will most definitely help you find a job afterwards. Definitely more of a “choose your own adventure” model. One of the higher case logs I’ve personally seen in the trail. They are doing >500 “anesthetic events”, which, in my opinion, is more indicative of the operative experience. The current fellow wants to do mostly general peds and says that she will definitely be prepared to start her practice. The spine experience seems excellent. They cover the entire spectrum, including EOS/AIS/Neuromuscular/C-spine/etc. Most of them used to free-hand pedicles but are now transitioning to navigation with O-arm and Stealth. Probably not the best program for someone really interested in hand or tumor, although most people are doing a second fellowship for those subspecialties anyway. Salary is about $72,000 and Nashville would be a fun city for the year with tons to do around the area.
Last edit: 4 months 3 weeks ago by Pedipod17.

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4 months 4 hours ago - 3 months 4 weeks ago #39324 by pedipod18
Figure I can toss in my reviews also:

Program: Phoenix (AZ)
•    Accreditation: POSNA, ACGME
•    Attendings (10): Bennett (spine, deformity, trauma), Esparza (complex deformity), Menzer (sports), Vaughn (sports), White (high volume spine mostly AIS), Wood (trauma), Karlen (NM spine, pelvis, hip), Burns (spine, hip), Andrisevic (clubfeet, NM, gait), Belthur (deformity, NM)
•    Faculty/Fellow Ratio: 10:1
•    Hospital, Rotation Structure: 1 main hospital with 2-3 suburban clinic sites, and 2 of these sites have surgical centers. They are opening two smaller ancillary hospitals, one to the east and one to the west. Seems that east is opening very soon (2022 or 23?) and west to follow. Unclear how these new hospitals will come into play. Currently the fellow is spending the majority of the time at the main hospital, but does go to the off sites 30-45min away from sports, ambulatory cases, and some clinics. There are very remote sites in Flagstaff and in Mexico but unclear if the fellow ever goes to these. The structure is rotation-based but is very fluid. The fellow stated she doesn’t actually know what her rotations are going to be for the coming months. You are expected to rotate on all the main services (spine, sports, trauma, FA/limb, NM, pelvis) but it seems that the length of each of these is variable. Each are at least 1 month.
•    Specialties, Cases: all fields well represented. Seems that the strengths are spine, deformity, trauma. Case volume seems high as a department, but not necessarily high for the fellow due to scheduling.
•    Residents, Other Fellows: 5-6 residents from both locally and rotating. No other conflicting fellows for right now. There seems to be a lot of potential change in the program. Discussion to add a second fellow could happen soon. Also discussing the possibility of a pediatric spine fellow and/or a pediatric sports fellow but these are more in their infancy.
•    Call: very ill defined. The ED manages all orthopaedic patients themselves (does the reductions, aspirations, etc) so residents take home call and the fellow historically has been in the resident call pool. Per the fellow you get a lot of pages from floor nurses, the ED, and transfer centers overnight. She has tried to make a backup call pool for the fellow and has been doing that M-Th with 1 weekend a month. There is also talk about removing ACGME accreditation so that fellows can take attending call.
•    Lectures, Other Duties, Opportunities: some weekly lectures. Get to go POSNA or IPOS. A couple attendings do mission trips but it’s a scheduled not part of the fellowship.
•    Overall Takeaway: Very rapidly growing program, also very young (hospital only built in ~2010 and fellowship started ~2014). The fellowship itself seems to be fairly nebulous with many moving parts and frequent changes to fellows, rotations, call, lectures, etc. Seems like once these questions are answers or finalized this will be a very solid, comprehensive, and specialized program.

Program: CHLA (CA)
•    Accreditation: POSNA
•    Attendings (7 + Skaggs + 4 hand): Lightdale (hand), Tolo (spine, emeritus, unclear if still practicing), Kay (chief, NM), Skaggs (employed by Ceder Sinai, spine), Andras (spine), Goldstein (hip), Owen (general), Meisel (hand), Vandenberg (sports), Abousamra (deformity), Stevanovic (hand), Wright (hand), +1 new spine attending reportedly joining. 
o    Others: Christ (tumor), Bent (nonop peds), Allison (tumor), Edison (nonop peds), Kelln (nonop, peds), Wren (research), Zaslow (nonop, peds)
•    Faculty/Fellow Ratio: 8:3 excluding hand, tumor
•    Hospital, Rotation Structure: Everything is done at CHLA, no other hospitals or surgical sites. This is the only Level 1 Trauma in LA. You start taking attending call 2 months into the fellowship 1d per week and up to 1 weekend per month. When you are on call you staff the trauma room and then take anything overnight. You follow up these patients in your trauma clinic every 2 weeks. There is no true attending backup but you could call them in the middle of the night if you wanted. If you have cases you need to get done you can request a 5AM or 6AM start time. This coverage is not reimbursed. Otherwise the remaining days are a regular fellowship, doing PRN scheduling typically 2 days in OR and 2-3 days in clinic. You can get credentialed to work with Skaggs at CS, though this takes a long time and you’re limited with how frequently you can go/scrub there.
•    Specialties, Cases: All fields represented. Extremely strong in spine, hand, research. Not much deformity and less FA, NM than other places.
•    Residents, Other Fellows: 5 residents, no apparent other fellows though it was hinted that there may be spine fellows that want to scrub some cases
•    Call: See above, frequent attending call shifts and personal clinics
•    Lectures, Other Duties, Opportunities: Lectures M-W though these repeat after 10 weeks for the remainder of the year, Preop and postop on Thursdays. Unclear if any international opportunities.
•    Overall Takeaway: historic program with very strong national name and well known faculty, but has recently undergone a lot of turnover with faculty retiring or leaving while also increasing their number of fellows, resulting in one of the lowest faculty:fellow ratios out there. Additionally, a large chunk of your training is taking call and following up those patients. Unclear if this is the best training environment.

Program: Stanford (CA)
•    Accreditation: POSNA
•    Attendings (12): Frick (FA), Imrie (spine > general), Rinsky (general, soon retiring), Pun (hip pres), Tuleston (spine, CP, general), Meadows (sports, general), Chan (sports, hip preservation), Young (deformity, CP, general), Vorhies (spine), Policy (spine), Gamble (general, soon retiring), Shea (sports)
o    Also 2 hand and 2 tumor, 1 adult spine surgeon Hu that also does some peds cases
•    Faculty/Fellow Ratio: 12:1
•    Hospital, Rotation Structure: Established in 2014. There are off sites, but as a fellow you only go to the main hospital or the nearby surgical center. Most fellows walk or bike because of the centralization of the fellowship. Structure is completely PRN and the fellow makes the schedule weekly for themselves and the residents. They do more OR than clinic but do have their own clinic to run Friday afternoons.
•    Specialties, Cases: all reasonably represented with strengths in hip preservation, sports, and spine (albeit diffuse across multiple partial surgeons). Reasonable in FA. Weaker in deformity and surprisingly also CP/NM (relative to other places where it’s typically a strength). Case volume is increasing but most of the surgeons are doing more clinic than operating. Frick is working to get more nonop sports medicine docs to decrease and streamline the clinic volume to drive higher case volumes and percentage of surgical visits.
•    Residents, Other Fellows: only a PGY3 and 4 from Stanford. There is a hand fellow almost always covering any hand cases.
•    Call: call for the first 3 months is backup call, then switches to primary call with an assigned faculty to be backup. This is once weekly and 1 weekend a month. You are paid for call. Despite being Level 1, volumes are low typically only getting 0-3 operative cases per call shift.
•    Lectures, Other Duties, Opportunities: standard weekly lectures and research project, some fellows in the past had issues getting research rolling. You do have to make the schedule, though it’s only for 3 people. You have to round every morning, typically at 6AM. There are not many midlevels so more of that floor round and work falls on the fellow.
•    Overall Takeaway: Nice, relatively new program in a great location and with as associated big name hospital and university. The department has been growing rapidly with younger faculty (10 new hires from 2009-2021), as the two most senior faculty are planning to retire soon. Stanford would be an excellent place to train once it’s more established or if you want to be prepared for general pediatrics, but doesn’t necessarily have the subspeciality focused surgeons or case volumes, aside maybe from the strengths noted above, for highly concentrated training.

Program: UC Davis & Sacramento Shriners (CA)
•    Accreditation: POSNA
•    Attendings (8+1 hand): Kulkarni (NM), Davids (NM), Haus (sports, hip pres), Friel (sports), James (hand), Leshikar (limb, hip pres), Whitaker (general), Lerman (spine, limb, FA), Templeton (foot)
•    Faculty/Fellow Ratio: 8:1 excluding hand
•    Hospital, Rotation Structure: cover both hospitals. Davis has more trauma, sports, and hip preservation. Shriners has more deformity, NM, spine, and foot and ankle. Schedule is PRN, no assigned rotations, services, or attendings.
•    Specialties, Cases: Strengths are in hip, CP, NM, deformity, gait. Weak in spine, only Lerman does any spine cases but mny of those are casting and he also does a lot of lower extremity. The past few years fellows have scrubbed minimal to zero spines. The majority of spine are done by the adult spine attendings and they have their own spine fellows. Most fellows don’t do any hand cases. Relatively good volume, quoted at 350-400 cases per fellow. One fellow from years ago “41% trauma, 16% hip, 10% sports, 8% foot ankle, 8% tumor, 7% limb, 6% hand, 4% spine”
•    Residents, Other Fellows: 4 residents. There is a tumor fellow. No hip preservation or peds sports fellows. Spine covered by adult spine unless its Lerman. Also there is a hand fellow.
•    Call: backup call, “reasonable” so sounds like not often maybe a couple per month
•    Lectures, Other Duties, Opportunities: Most days have lectures. Spine every other week. JC twice a month. Fellows give one grand rounds. Fellows have their own fracture clinic bimonthly. At least 1 attending goes on mission trips.
•    Overall Takeaway: Strong program if you want CP/NM, limb deformity, or hip/pelvis. More than enough trauma. Fellows seem happy. Most all have gone into community practice. Overall is a target for general peds and/or private practice job.

Program: UCLA aka Orthopaedic Institute for Children (CA)
•    Accreditation: POSNA, ACGME
•    Attendings (5): Silva (trauma, general), Thompson (all body parts for NM, CP), Beck (sports, general), Bowen (sports, spine, general), Scaduto (spine, deformity, general)
o    Note that they list more attendings on their site, but at my time of applying 2 of them are tumor and have a tumor fellow, 1 is emeritus (retired), 1 was hand and typically does not have a fellow or sometimes the hand fellow, and 1 was a nonoperative family medicine sports attending.
•    Faculty/Fellow Ratio: 5:1
•    Hospital, Rotation Structure: 1 main hospital with surgical center, 1 hospital for more complex cases in Santa Monica. Major trauma is managed by CHLA, the majority of orthopaedic trauma comes through a dedicated orthopaedic urgent care. The program structure is completely PRN weekly, so pick and choose your cases and clinics every week. 
•    Specialties, Cases: Most of these attendings run a general practice. Strength seems to be in NM and limb deformity/deficiency. Less strong in spine and complex trauma. Thompson is most subspecialized given that almost all her patients are NM/CP, but she will do any and all surgeries for them from UE to spine to hip to foot. Cases volumes are ~300-350 but in theory could be more if you really pursue a lot of cases or come in for traumas.
•    Residents, Other Fellows: no other fellows seem to cover cases but may run into the tumor fellow if you want to do some of the tumor work. Only 3 residents.
•    Call: none whatsoever, can do cases overnight or on weekends PRN. Up to the fellow.
•    Lectures, Other Duties, Opportunities: Preop and postop conferences, otherwise does not have a rigid lecture schedule
•    Overall Takeaway: They describe it as a research heavy program that has put a lot of prior fellows into academics. My perception is that this program in isolation would be very well fitted for someone who wants to go into general pediatrics, have a broadly focused practice, or is planning on doing a second fellowship. 

Program: UCSF (CA)
•    Accreditation: POSNA
•    Attendings (9): Swarup (general), Delgado (general), Diab (general with a focus on hip, spine), Sabatini (foot, global health), Pandya (sports, trauma), Livingston (general), Sabharwal (deformity), Jagodzinski (general), Brar (NM, spine)
o    Also reportedly added a hand attending and a dual-fellowship trained sports attending
•    Faculty/Fellow Ratio: 9-11:1
•    Hospital, Rotation Structure: 2 hospitals, one in Oakland and one in SF. There are also separate clinics. Would have to get around by car, as you are frequently moving around between the different sites throughout any given week. Structure is three 2-month paired blocks of deformity/FA, sports/hip, spine/NM. The remaining 6 months are elective and you can do 1 month in Uganda.
•    Specialties, Cases: most of the attendings are general practice as reviewed above, but it seems that they do most things. Lower complexity than other children’s hospitals where there are specific subspecialized faculty. Cases should be reasonable since there’s only 1 fellow, but not as busy as other places.
•    Residents, Other Fellows: three mid-training residents (PGY3-4) and there are both a spine and a sports fellow but neither are scheduled to come to the childrens cases.
•    Call: despite not being ACGME, they do not make you take attending call like other places. 1 weekday per week, 1 weekend per month
•    Lectures, Other Duties, Opportunities: just standard lectures, they didn’t really discuss the exact lecture schedule. Thursdays are preop, postop conference.
•    Overall Takeaway: Brand new program that certainly is very interested in having a fellow. Major strength includes the general-style practice with most attendings, beneficial for someone looking to going into general practice themselves. A couple attendings are doing complex elective cases, though less commonly. Extremely strong global health interest. Would be the right fit for someone looking for a general, less complex exposure.

Program: Colorado (CO)
•    Accreditation: ACGME, POSNA
•    Attendings (11 +1 tumor and +1 hand): Erickson (spine), De (CP, deformity), Rhodes (CP), Georgopoulos (general), Sellberg (hip pres), Sanders (trauma >> deformity), Sibbel (hand), Albright (sports), Garg (spine), Donaldson (tumor), Murphy Zane (general), Hadley-Miller (spine, deformity), and new sports attending. Also Mayer (hip pres, sports; employed by adult hospital)
•    Faculty/Fellow Ratio: 11:2
•    Hospital, Rotation Structure: Spend the majority of the time at the main hospital, though there are 2 smaller associated hospitals that have ambulatory surgical centers. Hospital system is highly ranked across the board and only level 1 trauma for that entire multi-state region. ORs overall are very busy. There is a strict rotation schedule for the first 9 months and then elective the remaining 3 months. It does not sound like there is much flexibility in being able to deviate from the rotations (e.g. current fellow going into peds spine has only been able to scrub 6 spines total in the first 6.5 months).
•    Specialties, Cases: all fields reasonably represented. Maybe strongest field would be trauma since they do not send any cases over to the main and have a massive catchment area. Also strong in hip preservation. Seem about par for spine, sports, FA, and CP. Deformity used to be a weakness but recently built a department and are expecting to be a major deformity location in the coming years. They do minimal hand. Case volume is massive, fellows averaging 500-550 cases a year with reportedly great autonomy.
•    Residents, Other Fellows: Minimal competition. Only 3 home residents on service at a time. There are rotating adult spine and hand fellows, but there is minimal overlap as they are assigned to the services when the peds fellows are on other services
•    Call: minimal backup call 2 weekdays a month and 1 weekend a month, really just come in for cases as consults are staffed with the attendings directly
•    Lectures, Other Duties, Opportunities: Lecture 5 days a week. Fellows make the preop (Mon) and postop (Fri), and it does sound like this takes a significant amount of time. Fellows also make the schedule for the residents. Go to IPOS or POSNA. No international rotations.
•    Overall Takeaway: Overall you certainly get exposed to everything, and they have great complexity. The autonomy and case volume will get you ready for practice, though a couple of their recent fellows have gone on to a second fellowship reportedly for their own reasons, not related to the quality of training. The strict rotations does seem to be a hang-up if you want to tailor your training but unclear if it’s a true hinderance or not.

Program: Children’s National (DC)
•    Accreditation: ACGME, POSNA
•    Attendings (9): Kelly (spine), Oetgen (spine), Friend (sports), Peck (hip pres), Tosi (dysplasias), young (deformity), Martin (spine), Niu (sports), Tabaei (NM, FA). Also 3 hand and 1 tumor. Plus a couple attendings that are private and occasionally operate there
•    Faculty/Fellow Ratio: 9:1
•    Hospital, Rotation Structure: There are a couple sites, but the way the fellow schedule is built you essentially are only ever at the main hospital. The only time you would go do an off site is if you want to go there to see a specific case or clinic. The first 6 months are designed scheduled rotations, but the difference being the rotations have mixed surgeons in them rather than a specific specialty to help keep things diversified every week. There is a lot of flexibility getting into cases if you want as you’re the only fellow and they “pamper” you.
•    Specialties, Cases: essentially have everything. Strengths seem to be spine, FA, maybe trauma. Weaknesses are hip preservation and maybe deformity. Case volumes are above average ~400 and the fellow is in the OR more often than clinic every week.
•    Residents, Other Fellows: there are upwards of 8 residents including a chief, but they tend to be very flexible. The chief makes the schedule but the fellow gets first pick at cases. There is a tumor fellow but otherwise no fellow overlap.
•    Call: there is essentially zero call. Fellows are welcome to volunteer for backup call or to come in on weekends to see cases, but this is not part of the design
•    Lectures, Other Duties, Opportunities: there are daily lectures. Otherwise, minimal work, just running journal club. Chief takes care of the schedule and the residents and NPs manage all the rounding and floor work. You get to go to POSNA and they also pay for IPOS as a PGY5. Additionally they are flexible in paying for specific conferences or educational courses if the fellow specifically requests.
•    Overall Takeaway: overall this is a very fellow focused program. They seem to bend over backwards to make sure the fellow has a fantastic experience, and they will certainly do their very best to prepare you for being an attending and likely help you get a job. They don’t have quite the volume or complexity of other major hospitals, but do a good job making up for it with the design.

Program: Nemours duPont (DE)
•    Accreditation: ACGME, POSNA
•    Attendings (15+1): Shannon (sports), Su (sports), Atanda (sports), Franzone (deformity), Kruse (trauma), Shah (spine > NM), S McKenzie (spine, dysplasia), Howard (hip pres, CP), Shrader (CP), Trionfo (CP), W McKenzie (dysplasia, deformity), Gabos (spine, NM), Thacker (deformity, tumor), Nichols (deformity, FA), Dabney (CP)
o    Ty (hand)
•    Faculty/Fellow Ratio: 15:3
•    Hospital, Rotation Structure: main hospital is level 1. Minimal off sites. The hospital was founded nearly 100yr ago as peds ortho only (e.g. "TSRH of the northeast") but have since expanded to a full children’s hospital. They were one of the first programs to have elective rotations for fellows, obviously now others have followed suit. You do 6 months of rotations (spine/sports, NM, dysplasia/limb/hip) and then 6 months of elective. Within the rotations you can still tailor it, i.e. spine >> sports or hip >> limb.
•    Specialties, Cases: all are represented. Extremely strong in spine, dysplasias, CP. Also good at sports and deformity. Decent tumor and some hand also. Level 1 trauma but case volume is limited by the major trauma centers in Philly and Baltimore, though they still get the occasional polytrauma. Case volumes are high and continue to grow. Typically 3-4 ORs a week, this past year the 3 fellows logged 534, 535, and 546 cases. Incredible.
•    Residents, Other Fellows: there are 7 residents including some seniors. Zero other fellows, not even hand. All Jefferson fellows stay at Rothman, and for combo cases the other service does not bring their fellow.
•    Call: q3d call and q3weekends. You are backup, no attending call.
•    Lectures, Other Duties, Opportunities: very detailed lecture schedule 5 days a week. Later on in the year the lectures become very personalized for each fellow’s interests. You social round, and 1 lecture a week is given by a fellow. There are a couple attendings that do mission trips that fellows have been able to go to, but it’s not built into the curriculum.
•    Overall Takeaway: historically one of the strongest programs in the 70s-90s. It was down in the early 2000-10s with faculty retiring and the hospital structure changing, but it seems to have returned to its former glory. They boast extremely strong volumes and are an international hub for complex dysplasias. They will work to not only train you well, but also get you a job. Wilmington itself is smaller and this impacts their trauma and life outside of work. Overall, objectively and subjectively they deserve to be named with the best-of-the-best.

Program: CHOA/ASR (GA)
•    Accreditation: POSNA
•    Attendings (14): Fletcher (spine, hip), Egger (sports), Schrader (hip pres), Flanagan (deformity), Willimon (sports), Bruce (spine, NM), Perkins (sports), Busch (sports), Axelrod (FA), Fabregas (spine, NM), Devito (spine), Schmitz (NM, CP), Murphy (spine, NM), Olszewski (limb, NM, FA)
o    McLaughlin (tumor)
•    Faculty/Fellow Ratio: 14:2
•    Hospital, Rotation Structure: used to be two separate hospitals, with Eggleston focusing on Emory and Scottish Rite focusing on the fellows. They came together around 2017, though some Eggleston faculty are still separate from the fellowship. Most of the cases and fellow experience is still at Scottish Rite although fellows can cover cases at Eggleston and this is also where they take their call. There are also surgical centers. The program is completely unstructured, the fellows make the schedule for themselves and the residents every with no specific expectations or rules.
•    Specialties, Cases: Every specialty well represented with multiple attendings covering every field. Especially strong in spine and sports. Also have a relatively higher volume of deformity. There aren’t any hand faculty. All attendings split call. Case volume may be the highest in the country, with one fellow saying they operate 4+ days per week doing 10+ cases.
•    Residents, Other Fellows: no other fellows, numerous residents from Emory, Duke, Medstar, others totaling about 6-7.
•    Call: starts out as backup call, transitions to attending call though there is an attending scheduled for backup.
•    Lectures, Other Duties, Opportunities: standard set of conferences. Fellows have to build a weekly schedule for themselves and the residents. Fellows have to run their 1/2 day of trauma clinic every or every other Friday. IPOS and POSNA. Unclear if any missions trips.
•    Overall Takeaway: Well established program with many faculty ranging from junior to mid-career to senior. Adding in Eggleston gave a nice boost to trauma exposure and additional complex cases with some more senior attendings. PRN scheduling is very flexible and many prior fellows have gone into academics. Has both the complexity and breadth, with all fields covered. Very strong fellowship.

Program: Lurie (IL)
•    Accreditation: ACGME, POSNA
•    Attendings (12.5): Sagan (general), Grayhack (general), Sarwark (spine >> general), Swaroop (LE, FA), King (hand >> spine), Janicki (hip pres), Gibly (deformity), Finlayson (sports), Patel (sports), Larson (NM), Brasher (general), Fuller (spine), Lemke (general). Also 2 tumor attendings.
•    Faculty/Fellow Ratio: 12.5:1
•    Hospital, Rotation Structure: Almost everything is done at the main hospital downtown though there is an ambulatory surgical center where they do sports that the fellow can go to. The hospital is pushing to be a top children’s in the country. Program has dedicated 2 month rotations for the first 10 months with elective for the final 2 months. Since you are the only fellow they are very encouraging of floating to cases if you want to see something but aren’t on that rotation.
•    Specialties, Cases: at least 1 attending in every field. A lot of their faculty is new and another cohort has been there for a very long time, and most are running general-type practices. Case volumes are TBD since they haven’t had fellows recently, but expected to be busy enough (maybe 350?)
•    Residents, Other Fellows: there are a lot of residents (7) but not much in the way of interfering fellows as these all stay at the main NW hospital
•    Call: call is backup for the residents, standard 1 weeknight and 1 weekend. It is Level 1. Residents staff consults with you. You do have a fracture clinic that you can have these patients follow up in on Monday afternoons.
•    Lectures, Other Duties, Opportunities: lecture schedule has been designed. Minimal other duties that they think will be needed. Can go to POSNA and IPOS.
•    Overall Takeaway: this program is another one that is rapidly growing. A number of their attendings are still running general practices. They have had fellows in the past but none in the last few years due to not matching or revamping the program. They are now reestablished and will be pushing hard to solidify themselves as a desirable national fellowship in years to home.

Program: Boston Children’s (MA)
•    Accreditation: ACGME, POSNA
•    Attendings (~30 total): Matheney (CP), Murray (sports), Christino (sports), Vuillermin (UE), Spencer (deformity, NM), Kim (hip pres), Shore (CP), May (deformity, FA), Mo (incoming FA), Anderson (onc), Bae (hand), Bauer (hand), Birch (spine), Emans (spine, ?retiring), Gebhardt (tumor) Hedequist (spine), Heincelman (tumor), Heyworth (sports), Hogue (spine), Hresko (spine), Karlin (spine), Kasser (FA, retired), Kocher (sports), Kramer (sports), Mahan (hip), Milewski (sports), Mills (LE), Novais (hip?), Snyder (CP), Watkins (general?), Yen (sports)
•    Faculty/Fellow Ratio: ~26:3 excluding hand, tumor
•    Hospital, Rotation Structure: vast majority of cases are done at BCH. There is a secondary hospital you have to drive to, this is where more of the sports cases or other outpatient surgeries are happening. First 6 months you have rotations through hip, NM, spine, sports, LE and the second 6 are completely free. Fellows did say the first 6mo are loosely defined, and they can pick-up specific cases they want to see, regardless of their rotation.
•    Specialties, Cases: all well represented. Very high case volumes in every field, but they have 2-3 other peds subspeciality fellows along with multiple adult fellows crossing over. They lack in deformity relative to other places (WashU, TSRH, DuPont) and are working on improving this. Case numbers were never specifically brought up, only mentioned that fellows get “hundreds” of cases. By the way it presented, my guess is they are relatively average on cases (~300). A concern about limited autonomy was also mentioned.
•    Residents, Other Fellows: ~9 residents. Fellows make the schedule so you can keep the residents from double scrubbing you unless you or they specifically want to be there. There are tons of other fellows. Hip preservation attendings have their own fellow, same with sports who have 3. Hand always has a hand fellow on service. And tumor has their own fellow. So this leaves spine, CP, deformity, and FA as the remaining fields solely covered by the peds fellows.
•    Call: Take 1 week at a time. Home call. Only come in for cases if you want to, but not a requirement.
•    Lectures, Other Duties, Opportunities: Lots of lectures. Fellows build the schedule for all fellows and residents every week, which seems to take a lot of time. Additionally, fellows attend a leadership curriculum from Peter Waters, give presentations, see NICU consults, and run trauma clinic Monday nights for which they are paid. There is a mission trip to Colombia.
•    Overall Takeaway: Extremely well-known program with an international reputation to patients and colleagues alike. They work hard to get fellows into their desired jobs. With that said, there seems to be less autonomy, and a massive amount of mouths to feed at both the resident and fellow level. Overall, still a fantastic place to train and worth the accolades it gets.

Program: WashU & St. Louis Shriners (MO)
•    Accreditation: POSNA
•    Attendings (8): Shoenecker (chief, LE), Meyer (general, trauma), Gordon (deformity, general), Hosseinzadeh (NM), Miller (general), Nepple (sports), Luhmann (FD, spine), Kelly (spine)
o    Goldfarb (hand), Wall (hand)
•    Faculty/Fellow Ratio: 8:2
•    Hospital, Rotation Structure: 2 hospitals that are both right near each other in STL. You start out doing 4m rotations at each, but can easily bounce between the two if you really want to see a case at the other or if your service is slow. The structure is PRN schedule, do what you want at your hospital.
•    Specialties, Cases: everything seems well represented. Certainly strong in spine and especially limb/deformity. Didn’t discuss much about hip preservation, but I also didn’t ask. All subspecialities covered by at least 1 attending but typically 2. Seems like the volumes are reasonable but not overly impressive, maybe 300 cases a year (POSNA minimum is 250)
•    Residents, Other Fellows: trauma fellows cover peds pelvis or complex pediatric polytrauma. Spine fellows do spend some time scrubbing spine cases but not always. Neurosurgery will bring their own fellow if it’s a combo spine with them, which does happen occasionally. Otherwise cases are yours. If you want a lot of spine the other fellows won’t get in the way, and as far as trauma you would just have to share the complex trauma cases with the trauma fellow. There are a lot of residents and many cases will have a resident in them along with the fellow.
•    Call: 1 per week, 1 weekend per month. Not ACGME so second half of the year you take primary call but there is always an attending on backup.
•    Lectures, Other Duties, Opportunities: mission trip to Caribbean with Gordon. Can moonlight Shriners as the hospitals for $600 overnight. Go to IPOS, POSNA, hip course, TSF course.
•    Overall Takeaway: Strong program overall with particular strengths in deformity and spine. Well balanced without major shortcoming. Some bigger name senior faculty and some faculty are quite young (Meyer, Kelly). Graduated call and PRN scheduling could be viewed as a pro or con. Not too much competing for cases but often also have a resident scrubbed. Overall, would do a good job preparing for either a general or subspecialized academic career.

Program: Duke UNC (NC)
•    Accreditation: POSNA, ICGME (international)
•    Attendings (9): Hubbard (deformity, hand) Catanzano (general), Alman (Chair, NM, general), Fitch (residency PD, deformity), Lark (spine), Stone (hip, spline), Sanders (Chair, spine), Vergun (general), Mitchell (young/new, maybe spine?)
•    Faculty/Fellow Ratio: 9:2
•    Hospital, Rotation Structure: You are primarily a Duke fellow and then can get accredited as a rotator/visator to UNC. Therefore you cannot bounce between hospitals to cover cases. UNC gets the trauma but you don’t take call there, and Duke doesn’t have much trauma that even needs coverage. 6 months at each hospital so fellows don’t interact. Preceptor based, new attending each month, about 3 OR and 2 clinic.
•    Specialties, Cases: A lot of the pediatric patients are funneled away to adult providers. Mainly what is left is some trauma, spine, limb, FA, NM.
•    Residents, Other Fellows: Arguably the most hands in the pot out there, with many cases being shifted to other services/fellows/residents. They have a hip preservation fellow. Adult sports fellows cover the peds sports cases. Overnight or “hot” trauma covered by adult trauma team. Hand fellow does peds hand cases. And on top of this, both programs mentioned that they are “resident focused” and pride themselves in having their residents perform key roles in cases.
•    Call: none
•    Lectures, Other Duties, Opportunities: Normal didactics. IPOS, POSNA
•    Overall Takeaway: This program was concerning to me. Prior fellow said he almost didn’t get the 250 case minimum. Recent fellows have all been international and 1 spot this past year went unfilled. Due to the adult attendings/fellows, there is minimal access to sports, hip preservation, trauma, and hand. Seems to be a good fit for someone mainly looking to be credentialed in peds.

Program: Cincinnati (OH)
•    Accreditation: ACGME, POSNA
•    Attendings (11+3): McCarthy (CP hip), Sturm (spine), Jain (spine, deformity), Jones (spine), Denning (FA, trauma), Ramalingam (trauma, general), Tamai (pelvis, FA), Whitlock (hip pres), Mehlman (trauma, general), Wall (sports), Parihk (sports). Also Crawford (spine, emeritus, retired but educates)
o    Little (hand), Cornwall (hand), Sorger (tumor)
•    Faculty/Fellow Ratio: 11:3
•    Hospital, Rotation Structure: One main hospital (900+ beds) and one smaller hospital (~50 beds) along with multiple clinic sites. Level 1 trauma with no other children’s hospitals in the city. Rotations are specialty-based throughout the year (e.g. hip, spine, sports) though fellows select their clinics and cases the week before and the rotations are fairly loosely defined. Fellows can scrub other cases if they would like.
•    Specialties, Cases: All fields with at least 2 surgeons except tumor and hip preservation. Case volume is high, with a dedicated trauma room daily and running a spine room every day. Sports also almost daily at the surgical center.
•    Residents, Other Fellows: 3 home residents including a peds chief, 6-8 rotating osteopathic residents PGY2-4
•    Call: 1 day per week, 1 weekend per month
•    Lectures, Other Duties, Opportunities: Daily lectures MTuTh with preop W and postop F. Otherwise expected to do a research project. Social rounding. NPs take care of all busy work. Chief resident takes care of most administrative duties.
•    Overall Takeaway: High-volume with many busy surgeons and all fields well represented, though there are a lot of residents. Moderate history of fellows pursuing major academic positions after fellowship, including recently to UMich and Portland. Overall, a very good training environment with majority senior faculty and a national presence.

Program: CHOP (PA)
•    Accreditation: ACGME, POSNA
•    Attendings (13.5+2): Anari (spine), Baldwin (spine), Flynn (spine), Sankar (hip pres, spine), Goodbody (deformity, general), Davidson (FA, deformity), Arkader (tumor, deformity), Horn (FA, deformity), Lawrence (sports), Cahill (spine), Williams (sports), Ganley (sports), Maguire (sports), Spiegel (NM, global health)
o    Wells (no longer operating, only clinic), Carrigan (hand), Shah (hand)
•    Faculty/Fellow Ratio: 14:4
•    Hospital, Rotation Structure: main hospital downtown, smaller hospital approximately 20 miles northwest. The smaller hospital is brand new. The fellows spend the majority of the time at the main although approximately once a week will go to the secondary hospital which has some lesser trauma and then a lot of outpatient and same-day cases. Rotations are 100% elective. The 4 fellows divide up the week beforehand and then pass on the requests for the residents to fill in the blanks. You are expected to do at least one day of clinic a week and once a month you have a half day of your own general clinic.
•    Specialties, Cases: extremely strong in spine, sports. Also get tons of trauma. Good amount of hip preservation, NM/CP, and FA. Relatively weaker in deformity but they have deformity attendings so it’s still better than most programs. Not too much hand. There is a tumor attending. Case volumes are high, 400-500 range depending on how the fellows focus.
•    Residents, Other Fellows: there is a hand fellow and a couple adult sports fellows that occasionally come over for cases, but no inference in other fields other than your own co-fellows. Good number of residents: ~7, a couple of which are senior, but the faculty make it clear the fellows are the priority.
•    Call: one week a month, only come in for cases
•    Lectures, Other Duties, Opportunities: the first three months there are daily lectures, but after that the cycle repeats and you only have lectures on two days a week. Essentially no busywork for the fellows, and they pride themselves on that. Do not have to round, do not have to write any notes (seriously), do not have to do any floor work, minimal requirements on call, and are not making weekly schedules or PowerPoints. Have a scholarship fund to allow you to go on a one-week international trip, you can choose a destination. 
•    Overall Takeaway: prestigious, historic, extremely strong program that seems to provide exceptional training, excellent lifestyle, and fantastic job placement. There are 4 fellows and only 14 dedicated peds faculty, a low ratio. I could foresee some butting of heads if 2 or 3 fellows in the same year had overlapping interests. The other hospital is ~1hr drive each way and sounds like they want fellows regularly going there. Overall, I would consider the shortcomings minor in the broader picture. You cannot go wrong matching here, no matter what your interest. It’s arguably the best fellowship.

Program: Baylor TCH (TX)
•    Accreditation: ACGME, POSNA
•    Attendings (16): Shenava (limb, trauma), McKay (sports, international), Shilt (CP, US Olympics), Powers (general), Rosenfeld (FD, hip), Gerow (spine), Smith (Chair, spine), Kushare (sports), Hill (FA, deformity), Beauvais (general), Davino (general), Gladstein (sports), Hanson (spine), Antony (spine), May (sports)
o    Bell (hand), Montgomery (tumor), 
•    Faculty/Fellow Ratio: 16:2 (one of the most favorable ratios of any program with 2+ fellows)
•    Hospital, Rotation Structure: Most stuff is done at main hospital. Used to be associated with Shriners but that moved to Galveston because TCH was getting too big, volume has not suffered. Recently built West hospital, 30-40min drive west, and Woodlands hospital 1hr+ north. Also opening another hospital in San Antonio. You do have to go to these sites for certain services such as sports, FA. All blocks are 1m long. Total 2m hip, 2m spine, 2m lower extremity, 1m sports, 1m NM at woodlands, 1m trauma. Final 3m are all elective.
•    Specialties, Cases: All fields very well represented. Many of the attendings are sub-specialized other than the newer faculty that haven’t gotten to that point yet. Tons of volume and continuing to grow very rapidly. Current fellows are on pace for 400-450 cases, previous fellows have gotten 500+.
•    Residents, Other Fellows: 5 residents. No other fellows. Previously had a 3rd fellow but temporarily removed it after Shriners moved, may be added back in the future.
•    Call: 1 weekend per month, no weekdays. This is just for cases, all consults overnight are staffed directly with attendings, no fellows acting as middlemen 
•    Lectures, Other Duties, Opportunities: Daily lectures and fellows make the Thursday lecture every week. IPOS, fracture course, POSNA, sometimes 1 or 2 more. I don’t recall any international opportunities.
•    Overall Takeaway: Very chill program with massive volume, decent amount of driving, and tons of faculty although most of them are very young. I think it would be a great place to train with really good exposure, and in about 5-10 years the program will be very solid and "mature".

Program: TSRH (TX)
•    Accreditation: ACGME, POSNA
•    Attendings (16): Johnson (spine), Brooks (spine), Rathjen (spine > general), Copley (infection/trauma), Ellis (sports), Wilson (sports), Sucato (spine > hip preservation), Herring (general), Wimberly (CP), Ramo (general), Podeszwa (deformity >> hip preservation), Kim (hip preservation), McIntosh (general), Ricco (FA), Gill (FA, deformity), Morris (spine, hip pres)
o    3 hand: Ho, Oishi, Stutz
•    Faculty/Fellow Ratio: 16:5
•    Hospital, Rotation Structure: The main hospital is solely orthopaedic and used to be based on charity, so essentially a Shriners but way more substantial. 50 beds including some stepdown beds all of which are managed by an intensivist. There is an ambulatory hospital north with some ORs and clinics. They get trauma experience at Children’s Medical Center where they do backup call. All attendings go to both except Ho and Copley are only at CMC. There is no ED or UC at TSRH. The structure is very rigid to be able to manage 5 fellows. Your days, weeks, and months are discretely scheduled at the start of the fellowship for the first 9 months, after that is electives. You can occasionally deviate from the schedule to do interesting cases, but sounds like this is few and far between. Most fellows stick to their daily schedule.
•    Specialties, Cases: all well represented, and world leaders in spine and deformity. They do all surgical techniques and see the most complex pathologies. They have the newest technology. Fellows average >400 cases but this does include casting.
•    Residents, Other Fellows: 4 residents, there is a sports fellow but I believe this person is nonoperative
•    Call: historically fellows take q5 in-house call (!), but at the time of my interview we were told this is being removed and would not be happening when we get there. That just leaves backup call at CMC.
•    Lectures, Other Duties, Opportunities: tons of lecture. They have morning lecture every day, 2.5hr preop conference every Monday, and a handful of other evening lectures the rest of the week. The preop conference is notoriously grilling, akin to taking your oral boards every week. You go to IPOS and POSNA. Fellows have to present at preop and postop, and reportedly preparing these presentations takes 2-10 hours/week. You also have dedicated research time every week. Occasionally you give a morning presentation on Thursdays. You also have to do the morning rounds and the floor work due to a limited amount of inpatient APPs. Overall, a massive amount of ancillary work and lectures relative to most programs.
•    Overall Takeaway: Arguably the most "famous" peds fellowship that is fellow-centric. The curriculum is more old-school with rigid rotations with tons of excess work and didactics. They are working to make it more life-friendly.  You will get large numbers of cases and these will be all forms of complexity. You’ll be ready to go out into practice at the end and also carry a great name for the job hunt. Ultimately, the name continues to carry the biggest weight, but other programs have caught up in research, cases, and complexity so I did not get the impression they are the Mecca they once were. Nonetheless, it's still a top-tier fellowship.

Program: Utah (UT)
•    Accreditation: POSNA
•    Attendings (11): Carroll (NM), Stotts (NM), Makarewich (deformity), Holmes (general), Woiczik (general), Heflin (spine), Hennessey (all lower extremity), Klatt (spine, NM, hip), Jacobsen (sports), Machen (sports), Smith (spine)
o    Also 1 adult sports that does some peds, 4 adult trauma attendings that sometimes come over for complex trauma cases, and 1 tumor attending but he has his own fellow with the other tumor attending
•    Faculty/Fellow Ratio: 11:2
•    Hospital, Rotation Structure: Fellowship has been around since the 80s. Primary and Shriners are the two hospitals. Historically the fellows split time at both, but recently all ORs have moved to Primary but faculty still see many kids at Shriners and that has the gait lab and other related things. Schedule is completely elective, typically 2 days of clinic and 3 days of OR but you can have entire weeks of OR. Can make it as diverse or specialized as you want. The chief resident puts together the final schedule after the fellows request their days.
•    Specialties, Cases: all fields represented but relatively limited access to hand, tumor, and sports. Biggest strengths are CP/NM and associated complexity. Lots of trauma. Case volumes are high, ~400-450 per fellow. This is bumped up by the fact that the fellows do at least 1/2 day in the trauma OR every week, but usually more like a full day in total.
•    Residents, Other Fellows: fellow for tumor cases otherwise not much interference. There are about 5 residents but typically there’s enough going on that there isn’t much overlap. Fellows tend to be paired with junior residents if at all.
•    Call: do have attending privileges, but at the time of interviewing it was just backup call on a weeknight and weekend. Fellows do accept transfer calls. They may be transitioning to fellows taking paid attending call for the final 3-6 months of the year but this isn’t in place yet.
•    Lectures, Other Duties, Opportunities: lectures are mainly MWF but only half the Fridays, so overall light. Fellows do round, floor work, and help make preop conference. Normal research project expectations. Are working on bringing back the abroad rotation that was cancelled because of covid.
•    Overall Takeaway: Longstanding program at a great location that still has good access to the community patients through Primary and the complex/rare conditions through Shriners. Case volumes will be excellent and the fellowship can be tailored to your liking. They do have a couple weaknesses as far as rotations go, and a number of the faculty still run a more general practice. Certainly would be a good year of training.

Program: Seattle (WA)
•    Accreditation: ACGME, POSNA
•    Attendings (12): Lindberg (tumor, general peds), Saper (sports), Schroeder (CP), Bauer (spine), Yaszay (spine), Schmale (sports), Mosca (FA but retiring, will be replaced with another FA attending), Yandow (tumor, CP), White (spine, deformity), Blumberg (CP, hip), Dales (retiring but general), Goldberg (syndromes)
o    Steinman (UE), Also have 6 additional hand and tumor attendings
•    Faculty/Fellow Ratio: 13:2 (19 including hand, tumor)
•    Hospital, Rotation Structure: Main hospital and secondary hospital are both downtown, right near UW. The children’s hospital is Level 2, Harborview is Level 1 and gets all the polytrauma including pediatric. Rotations for the first 6 months, then electives for the last 6 months.
•    Specialties, Cases: major strengths include spine, dysplasia, sports, tumor. Not as strong in trauma simply because it’s Level 2. Foot and ankle along with deformity are in flux due to retirements. Case volumes seem substantial and can be what you make it based on how you build your schedule.
•    Residents, Other Fellows: 5-7 residents but all are PGY2-3, so the fellows are not competing with senior or chief residents. Fellows that visit there include tumor, hand, and sports fellows, but not the spine fellows.
•    Call: 1 day per week, 1 weekend per month. This is all backup call, no primary call. Mainly covering cases. Level 2 trauma center so minimal severe polytraumatic patients 
•    Lectures, Other Duties, Opportunities: scheduled lectures for the first 6 months, then more fellow and career. It was not discussed what conferences you attending or if there are international opportunities.
•    Overall Takeaway: Strong faculty skillset with well represented subspecialities. Major shortcomings being the significant turnover with the faculty, chair, director positions, and how the fellowship is being redesigned. They also didn't have fellows for 2 years due to an Aspergillus problem. Despite this, a fellow would leave this program well trained and ready for either a private or academic career.
Last edit: 3 months 4 weeks ago by pedipod18.

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4 months 3 hours ago #39325 by pedipod18
Want to add in my overall categorizations:

•    Boston, TSRH, CHOP: powerhouses, excellent historic and current reputation, complex cases, high volumes, internationally known, tons of research. Many consider to be the most desirable destinations for someone who wants to go into academics. Despite the stardom, they each have their own shortcomings (lots of non-peds fellows snagging a piece of the pie, rigid rotations with lots of work, and 4-fellow-free-for-all madness, respectively). Pick your poison.
•    DuPont/Nemours, CHOA: feels like they don't get mentioned in the same breath as the first 3, but my impression they're nearly at the same tier: research, comprehensive training, high volume, complexity, academic placement, renowned faculty, longstanding fellowships, etc. Their biggest shortcoming may be that their names aren't "famous".
•    Rady, CHLA: historic programs with many of the senior faculty having trained here. Many of those senior faculty still recommend them, but they both are not what they used to be. Now small departments but with relatively many fellows that work very hard, often filling attending roles.
•    WashU, Cincinnati, Colorado, UC-Davis, Seattle, Utah: longstanding programs but don’t have quite the national presence as those above. Most considered "Top 10" fellowships, known for very good fellow experiences and do place into academics relatively frequently
•    Baylor TCH, Vanderbilt, Stanford, Arizona, Children’s National, Lurie: these programs are growing rapidly and may not have a lot of history but are paving the way to be some of the better fellowships down the line. Have connections but being younger faculty and programs they lack the leverage of the "big guns".

*Nonexhaustive list

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