Sub-Specialty Fellowships

Fellowship Overview

Rotation Schedule

Fellowship Education

Fellowship Education

Friday Morning Adult Recon Conference:

Every Friday morning at 7 am, a clinical conference is held in the 3rd floor conference room at the Hip and Knee Center. The Fellows are responsible for putting together pre-operative and post-operative cases for presentation. All cases are kept electronically in a database and catalogued by the Fellows. The conference is attended by all Hip and Knee Center Attending Surgeons, other OrthoCarolina and Community Surgeons with an interest in hip and knee arthroplasty, several PAs, and all industry representatives. The conference is 1 hour in duration. 

Fellows Lecture Series: Attached Example of Lecture Series Schedule:

Following the 7 am conference, there is a 1 hour didactic conference given by one of the Hip and Knee Center Attendings. It is mandatory for all of the Fellows to attend – this is protected time for the fellows. Each Attending will rotate through the schedule which reflects the annual curriculum. All topics covered in these lectures are associated with a reading list from OKU 3 – Hip and Knee Reconstruction. 

Product Exposure:

The first Friday of every month, in lieu of Fellows Lecture, one of the industry representative will spend time reviewing the produce on Primary or Revision Hip or Knee Arthroplasty. This will give fellows the opportunity to spend time evaluating and asking question about all arthroplasty products that are on the market. 

Core Curriculum Articles:

A collection of core article in Adult reconstruction has been formulated into a library of reading materials for fellows to have as a reference throughout the year. The fellows are expected to add to this collection as they see fit during the year to expand the library both for themselves, the attending as the new incoming fellows. 

Fellows Educational Opportunities: 

The fellows have multiple educational opportunities through out the year for education. Below are listed a few of the educational event for the fellows that occur during the fellowship year

John Insall Travelling Fellows Educational and Social Activities (October)

Visit to Dr. John Collier polyethylene implant at Dartmouth(October or Nov)

Adult Recon Journal Club (occur approx every 6 weeks)

Anderson Clinic Fellows Symposium

Educational Meetings:

  • American Association of Hip and Knee Surgeons
  • American Academy of Orthopaedic Surgeons
  • International Congress of Joint Replacement
  • Industry Plant Tours (Depuy, Stryker etc)

Fellows Graduation:

Fellows graduation is a special and exciting time of year for the current fellows and alumni. The two day event held in July is a combination of didactic and social events. Each current fellow will present their research from the current year. In addition, a distinguished visiting professor will spend time both lecturing and in the operating room with the current fellows. Past visiting professors have included: Thomas Thornhill, Chit Ranawat, Larry Dorr, Aaron Rosenberg.

 

 

Fellows Research

Fellows Research

Research is an integral part of the Adult Reconstruction Fellowship at OrthoCarolina. Each fellow is expected to produce one publication quality research project that will be submitted to the annual meetings of AAHKS and AAOS. Fellows may also do additional projects either independently or with an attending sponsor. Fellows have full support and access to the OrthoCarolina Research Institute (OCRI). www.orthocarolinaresearch.org

It is important to establish a project early in order to get timely IRB approval. Susan Odum, Senior Research Scientist, and Amy Roznowski, Project Manager, are available to assist you.

Fellows will be responsible for:

  • Literature reviews
  • Providing Attending and Research Department (OrthoCarolina Research Institute- OCRI) with research plan for each project
  • Assisting with IRB submission – IRB submissions are due within first two months of start of fellowship
  • Requesting charts/x-rays (note: requests must be made 1 week in advance)
  • Chart review
  • Data collection
  • Assisting with data entry
  • Assisting with phone surveys if applicable to study
  • Assisting with contacting patients for return visits if applicable to study
  • Assisting with consenting patients for study
  • Planning clinic time to see returning study patients
  • Submitting drafts of abstracts/manuscripts and completed two weeks prior to the deadline to allow proper time to review and edit
  • Providing electronic copies of all work to research department for permanent filing. Correspondence to research staff will be done using OC e-mail only. No outside email addresses will be used.

The research staff will assist in:

  • In-servicing proper procedures for the above listed responsibilities
  • Providing tools and resources to assist Fellows through the study process
  • Protocol design and power analysis
  • IRB final submission
  • Contacting medical records staff to pull charts/x-rays
  • Contacting and consenting patients
  • Database/spreadsheet design
  • Data collection form design
  • Data/statistical analysis
  • Final manuscript editing

Research Time Lines:

August 1 – Selection of research project
August 15 – Background/Rationale complete
August 15 -31 – Meet with OCRI to design protocol
September 1 – Protocol draft completed
Sept-Oct – IRB submission
Nov-May – Data Collection
May 15 – Abstract data due to OCRI for review
May 25 – Abstract draft due to OCRI for review 
June 1 – AAOS, AAHKS, Knee and Hip Society abstract deadlines 
June 1-July 31 – Write manuscript and prepare for Fellows Research Day

 

Fellows clinic

Fellow’s clinic is scheduled weekly on Friday afternoon and each Fellow will rotate through this clinic on a monthly basis. One fellow will staff the clinic on a weekly basis. New patients as well as Fellow (call-case) post-operative visits are scheduled during this clinic

Call Hospital Responsibility

Call is voluntary; Fellows are not required to take call. However, Fellows may wish to take call at two different hospitals, Charlotte Orthopaedic Hospital, and CMC Mercy Hospital. Call at both hospitals is compensated directly to the fellow. In addition, each clinical Fellow is considered a Junior Faculty member and can book and bill for cases performed while on-call. Fellows on call will be supervised by the attending for whom they are taking call for. 

The fellow is responsible for assisting with rounds for the service in which he/she is rotating. In addition, every attending has a physician assistant (PA) that will help with rounding responsibilities when needed. On weekends, one fellow will cover rounds at Charlotte Orthopaedic Hospital on a rotating basis (1 in 4 weekends). The fellow will round on all adult reconstruction inpatients on both Saturday and Sundays.

Fellowship Alumni

Fellowship Alumni

A quality experience:

"OrthoCarolina’s (OC) adult reconstruction fellowship program not only met my expectations but also excelled in every aspect of education and training. Several aspects to this training program should be highlighted. First, the revision joint experience is phenomenal. Every joint fellow specifically wants additional training in revision joints, as this is often a weakness of their residency training programs. OC has continued to perform a strong amount of revisions throughout the practice of each of the attendings. The revision cases are not more heavily concentrated on the younger junior attendings but instead distributed evenly among all of the attendings including the most senior partners. This is a key component because we get to learn from surgeons that have been performing complex revisions for 15 years as well as learn from the younger surgeons that are still creating their own techniques on how to handle these difficult cases. Approximately 40% of my cases were revision, making this one of the best revision fellowship experiences in the country. Secondly, the volume of surgery is appropriate. Although high volume (~500 cases per fellow) it is definitely not the highest volume practice in the country. I view this as an advantage because I never felt the pressure to “hurry-up” and finish the case because we have so many more to do… As the fellow operating, we always had plenty of time to think about the case and make intra-operative decisions during the case without the time constraint pressures. Also, when you have ~35-40% revisions in your practice it will account for the lack of other high volume areas. Thirdly, the research resources available to us throughout the year are phenomenal. We have full access to all of the research staff; we attend monthly research meetings, we attending and presented IRB applications to the committee. We were encouraged to attend any and all adult reconstruction educational meetings including but not limited to AAHKS, AAOS, ICJR, CCJR, etc. In addition, OC physicians arranged for all the fellows to take 3 trips annually to visit a retrieval / metallurgy labs, implant manufacturer, and a fellows only forum course at Anderson Orthopaedic Research Institute. It is quite evident that the fellow’s educational experience is their priority, not to have a “worker bee”. Our “scut work” is appropriate and actually very minimal. Fourth, our autonomy was appropriate. Early on in the year they are beside us throughout the entire case, letting us operate but providing helpful hints with appropriate criticism. As the year goes on, their trust grows, and so does our autonomy. We also have the luxury of taking elective, paid trauma call (not required) in which the cases are our own if we are comfortable. If we do not feel comfortable, the OC surgeons provide a “back up” system in which they will help. The relationship between the attendings and fellows is outstanding. We are treated much more like colleagues than “fellows”. Our opinions were always considered and often our advice was used to change policy. They included us in many of their prestigious dinners and conferences. During the several days that the Traveling Insall Fellows attended OC, we were not only allowed but also encouraged to attend every event planned. This made for an outstanding experience! It gave us an opportunity to meet theses young surgeons and gave us inspiration to want to take similar paths. I have nothing negative to say about this program. It excelled everything I could have desired in a fellowship program. I feel extremely well trained and am ready for any complicated case that comes my way. In closing, I also feel that I have an OC family that I can lean on and continue a relationship for many many years to come."

Dr. Paul Edwards -- OrthoCarolina Adult Reconstruction Fellow

 

Vacation Meetings

A total of three weeks beyond standard OrthoCarolina holidays is granted. This is to be used for job hunting, vacation or educational meetings. Any time off must be approved by the Fellowship Director, Dr. Springer. All fellows should not be off at the same time.

Educational Meetings

One domestic meeting will be paid for per year. The meeting must be approved by the Fellowship Director

Links

Applications

  • Fellowship Application Deadline is December 1, 2014.
  • Application material is through the SF Match. No additional application is required other than the Match Application
  • We currently only accept applications from the United States and Canadian Residency Programs.