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Three (or four) hand surgery fellows are selected every year and will rotate on three 4-month rotations (or four 3-month rotations, as indicated). The experience ranges from seeing patients in an outpatient clinical setting at The Hand Center to emergency room consults at a Level 2 hospital. Procedures are performed in a variety of settings, including in-office procedures, outpatient surgery in ambulatory surgery centers (ASC’s) and inpatient hospitals. Through its affiliation with UT Health Sciences Center at San Antonio and the Audie L. Murphy VA Hospital, the fellows are exposed to both academic and private practice perspectives.
The fellow will work with Plastic Surgeons (Dr. Person and soon Dr. Desai) and Orthopaedic Surgeons (Dr. Green, Dr. Bagg, Dr. Srinivasan, Dr. Saucedo and Dr. Anil Dutta from UTHSCSA), providing a broader perspective and understanding of acute and chronic fracture care, soft tissue reconstruction and the treatment of “bread and butter” upper limb conditions. In addition, the hand surgery fellow will be exposed to a variety of techniques for the care of common conditions. For example, some of the surgeons prefer open or mini-open carpal tunnel release while others perform a high volume of endoscopic carpal tunnel releases. Similarly, hand surgery fellows will be exposed to multiple techniques of thumb CMC arthroplasty, including LRTI, APL suspensionplasty and mini-tightrope suspensionplasty. The fellow will treat both pediatric and adult patients during their year with us. Each attending surgeon sees approximately 1000-1400 new patients or consults per year, and each fellow will scrub approximately 1000 cases in a year.