The University of Michigan Hand Fellowship offers two positions available to board-eligible plastic and orthopedic surgeons who wish additional training in the evaluation and management of upper extremity problems. Trainees at Michigan benefit from our in-depth experience in the full breath of hand surgery, from the common to the complex. In addition to a busy clinical service, fellows will benefit from a comprehensive teaching curriculum and mentorship in research. Both positions are a one-year training program, running from July 1 through June 30 each year.
Faculty, Facilities, and Rotations
The fellowships are shared between the Section of Plastic Surgery, within the Department of Surgery, and the Orthopedic Surgery Department. Our core hand surgery faculty consists of 5 surgeons:
- Kevin C. Chung, M.D., MS
- Steven C. Haase, M.D.
- Kagan Ozer, M.D.
- Jeffrey Lawton, M.D.
- John Lien, M.D.
- Erika D. Sears, M.D., M.S.
- Jennifer F. Waljee, M.D., M.P.H., M.S.
Dr. Chung is the hand fellowship Program Director; Dr. Haase serves as Associate Program Director. Dr. Lawton is the Chief of Hand and Upper Extremity Surgery within the Orthopedic Department. Dr. Ozer is an exciting new addition to the orthopedic department with a special interest in trauma and microsurgery. Dr. Waljee joined the faculty after completing the Michigan Hand Fellowship in 2012.
The majority of training is carried out at the University of Michigan Medical Center, which includes the University Hospital and the adjacent C. S. Mott Children's Hospital. Outpatient clinics and ambulatory surgery centers are situated "off-campus", but these facilities are within 2-3 miles of the Medical Center.
The rotation schedule (see grid below) is set up in blocks to allow continuous immersion in the practice of these faculty members. The fellows accompany the faculty member to both the clinic and the operating room during these rotations, providing continuity of care between the initial evaluation, the operative management, and postoperative rehabilitation of each patient. Each four-month block will focus on specific clinic skills and surgeries that fall within the area of expertise of the faculty in charge. Typically, the fellows are given incrementally increased responsibility throughout the year, as they move through the program.
||Plastics - Trauma/Tumors
||Trauma, Benign & Malignant Hand Tumors
|Plastics - Pediatric/Rheumatoid
||Congenital Hand, Tetraplegia, Rheumatoid disease
|Orthopedic - Hand and Elbow
||Advanced Reconstruction, Microsurgery, Brachial Plexus Injuries
Curriculum & Research
The teaching curriculum has been carefully structured to cover the entire spectrum of hand surgery in a series of weekly conferences held jointly with the Plastics and Orthopedic Hand Teams. These conferences are the joint responsibility of the fellows, residents, PA, and faculty on the hand surgery service. The discussions are typically case-based, with occasional didactic lectures as well.
|Fingertip & Nailbed Injuries
||Soft Tissue Tumors
|Replantation & Microsurgery
|Amputations & Prosthetics
||Intrinsic Hand Flaps
||Regional and Distant Flaps
|Infections & Bites
|High Pressure Injection Injuries
|Thermal Injury (Frostbite & Burns)
||Brachial Plexus Palsy
||Tetraplegia & Cerebral Palsy
|Phalangeal Fractures (Extra-articular)
||Basal Joint Arthritis/CMC Arthroplasty
|Metacarpal Fractures (Extra-articular)
|Intra-articular Hand Fractures
||Arthroplasty & Arthrodesis in the Hand
|IP and MP Dislocations
||Swan-neck & Boutonniere Deformities
|Distal Radius Fractures
|Malunions of the Hand and Wrist
|Flexor Tendon Injuries
|Extensor Tendon Injuries
||Stress & Response to Injury
Our curriculum has been carefully designed to address the six core competencies set forth by ACGME:
- Medical knowledge
- Patient care
- Practice based learning and improvement
- Interpersonal and communication skills
- Systems based practice
Duty Hours & Call Schedule
At Michigan, the ACGME duty hour restrictions are strictly monitored and enforced for both residents and fellows. Hand surgery fellows at Michigan cover emergency hand call on average every fifth night. Junior residents provide "first call" coverage for floor calls and consults; the hand fellows are expected to supervise the residents when evaluating new emergency consults. When on call, the fellows are always backed up by attending surgeon.
The University of Michigan Hand Fellowships have full accreditation. Applications for the Hand Surgery Fellowships are due on December 31st. Please submit the following in your application packet:
- Completed Universal Hand Fellowship Application (pdf)
- Personal statement
- Curriculum vitae
- Medical school transcript
- Copy of USMLE Steps I, II, and III scores
- Three letters of recommendation, including one from your program director
- E-mail address where we can contact you
Mail your completed application to:
1500 E. Medical Center Drive
2207 Taubman Center
Ann Arbor, MI 48109-5342
Interview dates are available here.
Please contact the Department of Surgery Education Office for additional details on the application process.