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Hand and Microsurgery Fellowship

Eligibility 
Program Goals 
Clinical Rotations
Fellow Responsibilities
Program Didactics and Research 
Faculty
Recent Fellows
Contact Information

The Hand and Microsurgery Fellowship at Beth Israel Deaconess Medical Center (BIDMC) is a one-year ACGME post-residency fellowship training program. As part of the fellowship experience, fellows have the opportunity to work with hand attending faculty from Beth Israel Deaconess Medical Center, Boston Children's Hospital, as well as the Shriners Hospital for Children. Fellows spend dedicated time on the hand plastic surgery service, as well as the orthopaedic service. OR cases and clinic experience is available at the New England Baptist Hospital. A 2-month elective experience at the Massachusetts General Hospital is an option.

The program begins each year on July 1st and concludes on June 30 of the following year. The program participates in the National Residency Match Program, and it is highly competitive. We interview two years in advance. Applicant interviews typically begin in late December and conclude at the end of March.

Interested applications should submit the following:
1. Universal hand application
2. Current CV
3. Personal statement
4. 3 letters of reference

Please send your application to:

Hand Fellowship Program(s)
BIDMC
Department of Orthopaedic Surgery
Stoneman 10
330 Brookline Avenue
Boston, MA 02215

Eligibility

Any resident who has completed a plastic, orthopaedic, or general surgery residency program is eligible for the fellowship. The final applicant must be eligible to obtain a medical license in the Commonwealth of Massachusetts and meet all of the credentialing criteria of the BIDMC.

Program Goals

The goal of the Hand and Microsurgery Fellowship is to train fellows in the art and science of upper extremity pathology and surgery. The fellowship provides comprehensive training in the medical treatment of the upper extremity. It helps the trainee to refine his/her competence and to demonstrate proficiency in the preoperative, operative, and postoperative management of all types of hand surgery including innovative microsurgical approaches and techniques, wrist arthroscopies, wrist and hand arthroplasties, acute trauma, bony and soft tissue reconstruction procedures, and minimally invasive hand surgery.

Hand fellows are responsible for the care of patients with a wide range of degenerative, traumatic, idiopathic, congenital and microvascular conditions of the upper extremity. Through close supervision and progressive responsibility, fellows are taught the necessary diagnostic, clinical judgment, and technical skills to carry out a complete range of medical and surgical treatment for the upper extremity. They are also taught to be compassionate and to effectively communicate with patients and their families, observing the highest level of ethics in all of their professional relations.

In this program, the fellows obtain extensive experience in the treatment of pediatric hand surgery, as well as congenital anomalies. Basic and fundamental surgical principles are emphasized as a way to address the most complex surgical problems. Throughout the year, there is an emphasis upon the importance of surgical planning and assessment. Complex cases are analyzed through multitude of approaches. Tri-dimensional and creative thinking, as well rigorous technical aspects of microsurgery are taught.

Clinical Rotations

BIDMC Hand Fellows rotate in a multitude of surgical and ambulatory settings, all of which expand the fellows experience in hand surgery. Throughout the year, the fellow rotates on the following services:

* Adult Hand Plastic Surgery, Beth Israel Deaconess Medical Center
* Adult Hand Orthopaedic Surgery, Beth Israel Deaconess Medical Center
* Pediatric Surgery, Boston Children's Hospital
* Pediatric and Burn Surgery, Shriner's Burns Hospital
* Orthopedic Hand Elective Surgeries, New England Baptist Hospital
* Hand Service, Massachusetts General Hospital (elective)

By spending dedicated time on both orthopaedic and plastics surgery, working under the supervision of diverse faculty, as well rotating in a multitude of settings, fellows obtain exposure to a broad range of cases, from the most common to the most complex. Throughout the year, fellows learn diverse approaches in treating problems of the hand. This integrative approach results in better care of patients, better trained hand surgeons, and more innovative approaches in the medical treatment of the upper extremity.

Fellow Responsibilities

Fellows are responsible for covering cases in the ER, OR, as well as in private clinics and a weekly trauma clinic. In the trauma clinic, fellows treat patients referred from the ER. Depending upon the rotation, the fellow spends three to four days per week in the operating room. He/She also spends at least a day per week in the ambulatory setting, participating in clinics of the attending faculty, as well as a trauma clinic. Typically, there are hand attendings from both orthopaedic and plastic surgery at the trauma clinic. Fellows play a critical role in the clinic. They see patients and also serve as teachers and mentors to residents and medical students. The clinic experience allows for an in depth, year-long experience in the continuity of care for patients. Fellows consult and treat patients referred from the ER, plan and perform surgery and then follow-up with the patients throughout the year in the weekly clinic.

Some of the cases seen in the trauma clinic, as well as from the cases of the attending surgeons, are re-evaluated during the Monday Hand Surgical Indications Conference. This weekly conference, with participants from orthopaedic and plastic surgery, musculoskeletal radiology, and occupational therapy, often serves as a final assessment just prior to surgery. At the conference, anatomy, diagnosis, operative planning and surgical techniques are emphasized. Rehabilitation and occupational therapy are also a priority in the conference. In this conference, fellows learn different perspectives and approaches to hand surgery. Fellows also teach residents and medical students.

The Hand/Microsurgery fellow shares hand call with the orthopaedic hand fellow. Both fellows are part of the hand service team that includes interns, orthopaedic residents, plastic surgery residents, and attending surgeons.

Program Didactics and Research

The Hand/Microsurgery Fellowship offers a wealth of resources and learning opportunities. The fellow attends a weekly Hand Surgery Indications Conference and a weekly Classic Articles' Session. While on the Plastic Surgery Rotation, the fellow participates in the didactic meetings and M&M of the Division of Plastic Surgery. He can also attend the weekly Grand Rounds of the Harvard Plastic Surgery Residency Program, as well as the Vascular Anomalies Conference at Children's Hospital. When on the Orthopaedic Service, fellows attend the Orthopaedic Grand Rounds and M&M. Monthly, the fellow attends a city-wide Hand Journal Club attended by fellows and faculty from the BIDMC, Brigham and Women's Hospital, Children's Hospital and the Massachusetts General Hospital. Once or twice a year, a hand dissection / cadaver lab is also offered.

While on plastic surgery, fellows are required to give an hour long hand conference once a month. While on orthopaedics, fellows are responsible for organizing a weekly Hand Surgical Indications Conference. The fellow is expected to be a mentor to junior residents and medical students. He/She will also be required to give a year-end presentation on the fellowship year.
X-Ray - Constriction Ring Syndrome
Throughout the year, fellows are encouraged to develop research projects and to participate with faculty in their ongoing clinical research endeavors. Public presentations and the writing of abstracts, original articles, and books chapters are highly encouraged. All of the hand faculty are dedicated to clinical research and have ongoing projects in which the fellow can participate. Dr. Upton and all faculty members make their own ongoing research, libraries, and extensive data-bases available to the fellows. Dr. Day meets weekly with a research team.

Faculty

Program Director
Joseph Upton, MD (Plastic Surgery)

Other Faculty

Charles Day, MD (Orthopedic Surgery)
Martin Dolan, MD (Orthopedic Surgery)
Mary Hochman, MD (Radiology)
Samuel Lin, MD (Plastic Surgery)
Tamara Rozental, MD (Orthopedic Surgery)
Amir Taghinia, MD (Plastic Surgery)

Current Fellow
Jacob P. Bloom, MD, graduate of Plastic Surgery Residency Program, University of Rochester

Recent Fellows

2001-2002  Robert Hagan, MD
2002-2003  Stephen Pap, MD
2003-2004  Brian Labow, MD
2004-2005  Ayman Al-Sheikh, MD
2005-2006  Lifei Guo, MD
2006-2007  Eran Bar-Meir, MD
2007-2008  Amir Taghinia, MD
2008-2009  Matthew Carty, MD
2009-2010  Jorge Brito, MD
2010-2011  Simon Talbot, MD
2011-2012  Reena Bhatt, MD
2010-2012  Chuck Wong, DO
2012-2013  Ben Christian, MD

Contact Information
Fellowship Coordinator: Geoffrey Brahmer, gbrahmer@bidmc.harvard.edu; 617-632-9839.
Or Ginnelle Vasquez, Education and Residency Coordinator, Orthopedic Surgery, 617-667-2133.

 

Some of our core hand faculty (l-r): Martin Dolan, MD, Peter Kim, MD, Tamara Rozental, MD, Charles Day, MD, and Joseph Upton, MD

 

 

 

 

 

 

 

 

 

 

 

         
  
 

 

 



 

Contact Information

Geoffrey Brahmer, Education Coordinator, Hand & Plastic Surgery, Ginnelle Vasquez, Education and Residency Coordinator, Department of Orthopaedic Surgery
Hand/Microsurgery Fellowship
Beth Israel Deaconess Medical Center
Stoneman 10, Department of Orthopaedic Surgery
330 Brookline Avenue
Boston, MA 02215
Geoffrey, 617-632-9839 or Ginnelle, 617-667-2133
gbrahmer@bidmc.harvard.edu