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Hand Fellowship

Hand Fellowship

The University of Michigan Hand Fellowship is 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. This is a one-year training program, running from July 1 through June 30 each year.

Faculty, Facilities, and Rotations

This fellowship is 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:

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 fellow accompanies 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.

Rotation Schedule

Description Duration Faculty Clinical Focus
Plastics - Trauma/Tumors 4 months Haase/Waljee Trauma, Benign & Malignant Hand Tumors
Plastics - Pediatric/Rheumatoid 4 months Chung Congenital Hand, Tetraplegia, Rheumatoid disease
Orthopedic - Hand and Elbow 4 months Ozer/Lawton 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.

Conference Topics

Fingertip & Nailbed Injuries Soft Tissue Tumors
Replantation & Microsurgery Bone Tuors
Amputations & Prosthetics Intrinsic Hand Flaps
Compartment Syndrome Regional and Distant Flaps
Infections & Bites Congenital Hand
High Pressure Injection Injuries Thumb Reconstruction
Thermal Injury (Frostbite & Burns) Brachial Plexus Palsy
Dupuytren's Disease Tetraplegia & Cerebral Palsy
Phalangeal Fractures (Extra-articular) Basal Joint Arthritis/CMC Arthroplasty
Metacarpal Fractures (Extra-articular) Inflammatory Arthritis
Intra-articular Hand Fractures Arthroplasty & Arthrodesis in the Hand
IP and MP Dislocations Joint Contractures
Scaphoid Fractures Swan-neck & Boutonniere Deformities
Distal Radius Fractures Carpal Instability
Malunions of the Hand and Wrist DRUJ Disorders
Flexor Tendon Injuries Kienböck's Disease
Extensor Tendon Injuries Forearm Fractures
Tenosynovitis Wrist Arthroscopy
Vascular Disorders Hand Therapy
Nerve Injuries Pain Syndromes
Compression Neuropathies Stress & Response to Injury
Tendon Transfers Worker's Compensation/Insurance
Skin Tumors Ethics/Legal Medicine/Depositions
CPT Coding

Our curriculum has been carefully designed to address the six core competencies set forth by ACGME:

  1. Medical knowledge
  2. Patient care
  3. Practice based learning and improvement
  4. Interpersonal and communication skills
  5. Systems based practice
  6. Professionalism

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 fellow is expected to supervise the residents when evaluating new emergency consults. When on call, the fellow is always backed up by attending surgeon.

Application Process

The University of Michigan Hand Fellowship has full accreditation. Applications for the Hand Surgery Fellowship 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:
Surgery Education
1500 E. Medical Center Drive
2207 Taubman Center
Ann Arbor, MI 48109-5342

Interview Dates

Interview dates are available here.

Please contact the Department of Surgery Education Office for additional details on the application process.

 

For adult appointments, please call 734.998.6022