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Orthopaedic Hand Fellowship

The BIDMC Harvard Orthopaedic Hand Fellowship at Beth Israel Deaconess Medical Center (BIDMC) is a one-year ACGME post-residency fe Teaching Session in the Weekly Hand Clinicllowship training program.  As part of the fellowship experience, fellows have the opportunity to work with hand attending faculty from Beth Israel Deaconess Medical Center, Children's Hospital Boston, and Shriners Hospital for Children. The 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 Shoulder/Elbow experience is also an option.

The program begins each year on August 1st and concludes on July 31st 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.  

To apply, interested applications should submit a      1) Universal Hand Application; 2) CV; 3) P ersonal Statement; 4) Three Letters of Reference to: 

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

Eligibility

Any resident who has completed an orthopaedic sugery, plastic surgery, or general surgery residency program. 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 Beth Israel. 

Program Goals

The goal of the Hand 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 wrist arthroscopies, wrist and hand arthroplasties, acute bony / microvascular trauma, bony and s Arthroscopy in ORoft 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 hand, wrist and 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.

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:

  • Adult Hand Orthopaedic Surgery, Beth Israel Deaconess Medical Center  
  • Adult Hand Surgery, Beth Israel Deaconess / Needham wrist arthroscopy
  • Adult Hand Plastic Surgery, Beth Israel Deaconess Medical Center
  • Pediatric Surgery, Childrens Hospital, Boston and Waltham
  • Pediatric & Burn Surgery, Shriners Hospital for Children, Boston
  • Orthopaedic Hand Surgery & Clinic Experience, New England Baptist Hospital
  • Shoulder/Elbow Elective, Beth Israel Deaconess Medical Center.

By spending dedicated time on both the Orthopaedic and Plastics Surgery, working under the supervision of diverse faculty, as well having rotations in a multitude of settings, the fellows have broad exposure to addressing a range of cases, from the most common to the most complex.  Throughout the year, fellows have multiple exposures to diverse approaches in treating problems of the hand. This collaboration and cross-fertilization 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 both hand attendings from both orthopaedic and plastic surgery at the trauma clinic.  Fellows play a critical role in the clinic, both in seeing patients, as well as serving as teacher and mentors to junior 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 on their patients, and then follow-up with the patients, throughout the year, in the weekly clinic. Wrist Arthritis
Metacarpal Fracture
Some of the cases seen in the trauma clinic are assessed re-evaluated during the Monday Hand Surgical Indications Conference.  This weekly conference includes participants from Orthopaedic and Plastic Surgery, Musculo-Skeletal Radiology, and Occupational Therapy,.  The session is often a final critique prior to performing a patient's surgery.  At the conference, diagnosis, surgical planning and techniques, as well as rehabilitation are addressed.  Fellows are taught different perspectives and appoaches to hand surgery.  Fellows also play a critical role in teaching junior residents.

The Ortho fellow shares hand call with the hand/microsurgery fellow (Plastic Surgery). Both fellows are part of the hand service team that includes interns, Orthopaedic residents, Plastic Surgery residents, and attending surgeons.

Fellow Didactics and Research


The Orthopaedic Hand 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 Orthopaedic Rotation, the fellow participates in the didactic meeti Marking a Vascular Anomalyngs and M&M of the Department of Orthopaedics. He/She can also attend the didactic meetings of the Division of Plastic Surgery (BIDMC), as well as the Vascular Anomalies Conference at Childrens Hospital. Monthly, the fellow attends a city-wide Hand Journal Club attended by hand fellows and faculty from the Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Childrens Hospital and the Massachusetts General Hospital. Once or twice a year, a hand dissection / cadaver lab is also offered.

While on Orthopaedics, the fellow is responsible for organizing the weekly Hands Surgical Indications Conference. While on plastic surgery, he/she is required to give an hour long hand conference once a month. 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 his/her fellowship year.

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. In addition, Dr. Day has an ongoing research group that meets regularly.

Faculty

Program Director:  Charles Day, MD (Orthopaedic Surgery, BIDMC)

Other Faculty:    

  • Martin Dolan, MD (Orthopaedic Surgery, New England Baptist Hospital) 
  • Mary Hochman, MD (Director of Musculo-Skeletal Radiology, BIDMC)
  • Peter Kim, MD (Plastic Surgery, BIDMC)
  • Samuel Lin, MD (Plastic Surgery, BIDMC)
  • Arun Ramappa, MD (Orthopedic Surgery, Shoulder/Elbow, BIDMC)
  • Tamara Rozental (Orthopaedic Surgery, BIDMC) 
  • Amir Taghinia, MD (Plastic Surgery, Childrens Hospital)
  • Joseph Upton, MD (Plastic Surgery, BIDMC, Childrens Hospital, Shriners Hospital for Children, Program Director, Hand/Microsurgery Fellowship)

Recent Fellows

2006-2007                Jennifer Graham, MD
2007-2008                Rebecca Bennett-Anderson, MD
2008-2009                George Mundanthanum, MD    
2009-2010                Robert Waugh, MD       
2010-2011                Gregory Byrd, MD    
2011-2012                Irfan Ahmed, MD
2012-2013                Peyton Hayes, MD            

Contact Us

For questions and more information, contact Geoffrey Brahmer, Fellowship Coordinator, at  gbrahmer@bidmc.harvard.edu or 617-632-9839, or Ginnelle Vasquez, Residency and Fellowship Coordinator, Department of Orthopaedics, gvasque3@bidmc.harvard.edu, or 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, Hand Coordinator // Ginnelle Vasquez, Education Coordinator, Department of Orthopaedics
Harvard Orthopaedic Hand Fellowship
Beth Israel Deaconess Medical Center
East Campus, Stoneman 10, Dept of Orthopaedics
330 Brookline Avenue
Boston, MA 02215
617-632-9839 or 617-667-2133
gbrahmer@bidmc.harvard.edu