Adult Reconstruction Fellowship Review 2021-22

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6 days 18 hours ago - 6 days 18 hours 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. 

"ELITE ORTHO" PLACES INTERVIEWED: 

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. 

EXCELLENT TRAINING UPPER TIER: 

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.

SLEEPERS PROGRAMS: 

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

HEAVY REVISIONS:

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.

BIG NAME w/ LOW REVISION:

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: 6 days 18 hours ago by sawbone.

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