Adult Reconstruction Fellowship Review 2021-22

2 months 4 weeks ago - 2 months 4 weeks ago #39316 by sawbone
Wanted to share my thoughts to offer recent information. Similar sentiments to the past: most places would train you well otherwise they wouldn't have a fellowship! Things to look for: complexity/revisions, volume, approaches, outpatient, robotics, research, mentorship, name etc.  Previous posts are badmouthing some programs, but most places have improved. 


HSS: Just an amazing place, top tier attendings pushing the needle in total joints. You will come out well connected, likely end up indoctrinated with arthroplasty history as well as training. Al implants. All approaches. Robot savvy. Most of the guys designed the robot.  Cement techniques. Questionable autonomy, but you see some excellent complexity w/ access to tremendous resources.

MAYO: Revision gurus. Low case volume, but excellent experience w/ regards to what you can do. Amazing staff, written most textbooks. Can’t go wrong. You will come out of here seeing the most complex cases of the country and they actually do really well post op.

RUSH: Strong didactics. Questionable autonomy w/ certain attendings. You have to drive to Indiana for some rotations, but they comp it. Learn distraction osteogenesis w/ Paprosky for tabs. The attendings are all top gun pilots, approaching optimal efficiency taking on everything. You will come out with a cookbook for outpatient total joints. 


HARVARD/MGH: Kwon seems to generally care about his fellows personal lives and career trajectories. 500 cases. 20% Real revisions. outpatient experience.  Autonomy. w/ attending in room. Robotics MAKO CORI. Robotic Uni and Revision.  Mainly posterior approach, but you get anterior w/ 1 or 2 docs. This fellowship is on upswing will be an amazing place to train if you’re fortunate enough to land it. All call issues were sorted out by 2021-22 fellowship class. Kudos to them. Can't go wrong w/ Harvard. 

UCSF: Amazing didactics. All approaches. Some of the best teachers in the business. The UCSF program is an amazing place to train. Some drawbacks would be of an academic system. 

USC: All posterior. Oakes seemed like he sets up his fellows to be successful. Amazing staff retention. Amazing facilities. No call. High complexity of cases. Only fellow. Lifelong mentor. Decent revisions. 

UTAH: Anterior based revisions. Amazing staff. Won’t go wrong, will come out a capable surgeon w/ ability to be marketable. Peters is very well known in the academic community.


YALE: Anterior approach gurus. Dr. Rubin is super nice and approachable. Great case volume and mix. Hip fracture call is amazing. You would learn a lot, and do a lot.

UT HOUSTON: No scut. OR heavy. Amazing staff. Down-to-earth docs. All approaches. No weaknesses. 1 house. Free breakfast everyday. Lifestyle fellowship. UT AUSTIN: Bozic is going to be AAOS president. Nuanced arthroplasty care. Perioperative home experience. All approaches. Koenig would be an amazing mentor. Fortunate if you match here. Tremendous autonomy. 

MAYO FLORIDA: Cam ledford is truly the man. He will set you up with the appropriate skills to succeed in the real world. It’s an amazing fellowship, strong didactics. A mix of tumor trained and arthroplasty trained docs. It’s truly going to be one of the most sought after fellowships in the country within the next 5 years.

CC FLORIDA: The sexiest program on the trail. Miami. Cool doctors. Anterior approach. Anterior revisions. High volume. Attendings challenging dogma of ortho.REVISION


UofC: Finn isn’t going anywhere. He’s the man, and he’s going to do a ton of revisions. Arthrofibrosis: Strip the collaterals drop an OSS Hinge type fellowship. Just fine for me.


NYU: Fellows seemed happy, but 5-10% revision rate. Seems like they use a lot of tech. Davidovitch would be one of the best guys to learn the anterior approach. Prolly one of the cleanest approaches in NYC.It all depends on what you are looking for.

Some will agree and some will disagree. Don't think about it too much.
Last edit: 2 months 4 weeks ago by sawbone.

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3 weeks 18 hours ago #39344 by JonBoneJovi1
In General, agree with previous post. Will add my own thoughts from this past interview cycle. Thought that virtually every place would provide great Joints training, just have to figure out what matters most to you. Name? Revisions? Anterior approach? Robotics? Location? Mentorship model? etc etc etc. I'll provide a short version of my own 2 cents based on some notable places I interviewed, this list isn't meant to be comprehensive.

Top Tier: 
 Usual players. These programs have the combination of well known names, academic prestige, and connected attendings. 

HSS: those that are lucky enough to score an interview here understand: the resources are unparalleled. Big name attendings. New York City. Robots, revisions, and research. If you don't mind training with 18 attendings and want to go into academics, this is the place for you. 

Mayo: The only place that could rival the resources of HSS is Mayo. Yes... its in Rochester Minnesota. If you can get over that, want to go into academics, and prefer the mentorship model, this place is it. Autonomy probably less than most other places, and case volume certainly lower, but that's what you get when you have famous Joints attendings doing the most complex cases you will ever come across

2nd tier:
These "2nd tier" places could easily be the best program in the country, depending on what you want out of a fellowship. 

CCF: Got the feeling this fellowship is a ton of fun. Great culture. Junior attending, revisions, robot. All approaches. Minimal research requirements. 5 fellows. Krebs seemed awesome

Duke: Bolo is the man, plain and simple. Felt like a family, very collegial atmosphere. Duke name, if that interests you. Minimal robot, and minimal DA experience where some notable drawbacks, though they did just hire a DA guy 

UTAH: Great culture, emphasis on anterior approach. Felt like after training here, could go anywhere and do anything. Attendings well connected in academic community

Up and Comers:
I picked 3 programs that may not be "tip of the tongue" names when it comes to Joints fellowships, but easily could jump to the above tier in near future. 

UVA: Got the sense from the interview that Browne is as good as it gets when it comes to a mentor. Complex cases, all approaches. Doesn't have the fellowship history like some of the other places, but as long as Browne stays, this will be a great place to train

U of Chicago: Surprised that this place isn't talked about more. You can live in downtown Chicago for a year. Tons of autonomy with good case numbers. Big time revisions (cup cages, hinges, triflanges). Great anterior hip exposure and tons of Mako hip and knee with Luu, who seems like the man. Wallace is young but getting more well known. 2 fellows, Mentorship model, seemed like they would be genuinely invested in your training 

USC: Liebermann is a big time name and is as connected as it gets. Again, geography isn't everything, but LA ain't a bad place to be for one year. Heckmann seems like the man, and no doubt is doing complex cases. Smaller program with 1 fellow, but that's not necessarily a bad thing. My only critique would be its a posterior-only program, and they seemed to be a bit anti-robot, but depending on what you want that may not be a bad thing either. 

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