A ROTATION SCHEDULE CREATED TO HELP YOU SUCCEED.

5 Total Rotations

  • Dr. Green

  • Dr. Bagg

  • Dr. Person

  • Dr. Srinivasan

  • Dr. Desai

Dr. Green’s Rotation

You will work with Dr. Green in clinic at The Hand Center on Tuesdays and Wednesdays. Dr. Green currently works two 1/2 days in the clinic. Each fellow will each spend one ½ day of clinic with Dr. Green. In total each fellow will interact with Dr. Green weekly for the entire 12 month fellowship experience. This presents a unique opportunity to not only learn from the patients seen directly in Dr. Green’s clinic, but to also discuss patients/cases from the other rotations with him.

Dr. Bagg’s Rotation

You will spend an average of 2 days in the OR and 2.5 days in clinic. You will encounter a wide breadth of orthopaedic cases, including shoulder and elbow arthroplasty. The fellow will encounter “cold trauma cases” throughout the entire year, but the majority of fractures proximal to the elbow are treated while on service with Dr. Bagg. Dr. Bagg will also perform microsurgical reconstruction of lower limb and upper limb soft tissue defects. The fellow will gain confidence with the anatomy of the upper extremity given the wide variety of procedures performed on the upper extremity (from fingertip to shoulder) on this rotation. On average a half day/week will be committed to research and academic activities.

Sample Cases Include:

  • Mini Open Carpal Tunnel Releases

  • Thumb CMC Trapeziectomy with LRTI

  • Total Elbow Arthroplasty

  • Total and Reverse Shoulder Arthroplasty

  • Rotator Cuff Repair

  • DRUJ Reconstruction

  • Thumb UCL Repair and Reconstruction

  • ORIF Distal Radius

  • CRPP and ORIF Metacarpal Fractures

  • Lateral Epicondyle Release

  • ORIF Olecranon Fracture

  • ORIF Humerus Fracture (Distal, Shaft, and Proximal)

  • Vascularized Bone Grafting of Scaphoid Nonunions with Medial Femoral Condyle

  • Opponensplasty

Dr. person’s Rotation

You will spend an average of 2 full days in the OR and 2.5 days in clinic with Dr. Person. ½ day per week will be spent doing “minors” (small surgical procedures such as trigger fingers etc.) in the clinic as well. You will be exposed to a wide variety of cases, ranging from the common to the exquisitely complex. You can expect to add considerably to your skill set in the evaluation and surgical treatment of complex problems.

Dr. Person sees both pediatric and adult patients and performs a variety of surgical procedures, ranging from “typical” elective hand surgery cases to complex microvascular head and neck reconstruction. Fellows will benefit from exposure to a wide array of hand pathology as well as microvascular reconstruction of complex head and neck defects after radical tumor resection. ½ day per week on average will be dedicated to research activities.

Dr. srinivasan’s Rotation

On average 2 days per week are spent in the operating room and 2.5 days in the clinic. The hand surgery fellow will be exposed to a wide variety of techniques in the care of upper extremity conditions. The fellow can expect to see a wide range of conditions, from the simple to the complex for hand, wrist, elbow and shoulder.

Sample Cases Include:

  • Elbow and Wrist Arthroscopy

  • ORIF Wrist Fracture

  • Shoulder Arthroscopy (Including SAD, DCE, RCR, Capsular Release)

  • Ulnar Shortening Osteotomy

  • Open and Endoscopic Carpal Tunnel Release

  • Thumb CMC Trapeziectomy with LRTI

  • Elbow Arthrotomy and Contracture Release

  • Total Elbow Arthroplasty-Primaries and Revisions

  • Total and Reverse Shoulder Arthroplasty

  • Rotator Cuff Repair

  • DRUJ Reconstruction

  • Thumb UCL Repair and Reconstruction

  • CRPP and ORIF Metacarpal and Phalangeal Fractures

  • Lateral Epicondyle Release

  • ORIF Olecranon Fracture

  • ORIF Humerus Fracture (Distal, Shaft, and Proximal)

  • Vascularized Free Fibula Reconstruction of Nonunion

Dr. desai’s Rotation

Dr. Desai, sees a typical variety of congenital and adult elective hand surgery cases. Fellows will be exposed to complex upper and lower extremity microvascular reconstruction for scaphoid nonunions, trauma, and following tumor extirpation surgery. Fellows will also be exposed to complex peripheral nerve reconstruction and challenging hand ischemia cases. In addition, he staffs the Brachial Plexus clinic at Methodist Hospital and is responsible for the assessment and subsequent surgical management of these patients. By the end of this rotation, fellows should be comfortable with the management of skin and soft tissue, nerves and blood vessels, WALANT and the operating microscope.