Adult Reconstruction Hip & Knee Fellowship
The fellowship in Adult Reconstruction at Hoag Orthopedic Institute is
designed to allow considerable freedom in the educational process. The
goal of the Adult Reconstruction Fellowship at Hoag Orthopedic Institute
is to train up to two board eligible orthopedic surgeons in the basic
science, research, clinical, surgical, and rehabilitative techniques as
it pertains to the field of adult hip and knee reconstruction. The fellow
will find that the clinical experience and instruction will facilitate
the maturation of an understanding of the complexities of total joint
replacement and related reconstructive surgery.
CASE VARIETY & VOLUME
The fellows surgical experience will exceed 700 cases and will be quite
broad. The surgical experience is hands-on with graduated independence
based on the fellow’s development over the year. Fellows will be
exposed to multiple surgical approaches for total hip arthroplasty including
the posterior and direct anterior approach. The Adult Reconstruction faculty
surgeons are some of the thought leaders in the area of direct anterior
THA and fellows will benefit from this greatly. For primary THA, fellows
will be exposed to a number of different types of implants and fixation.
The revision THA experience will include complex acetabular revisions
including pelvic discontinuities, use of cages, porous tantalum implants
and augments, metal on metal revisions, and acetabular allografts. The
revision THA experience will also include complex femoral revisions such
as extended trochanteric osteotomies, proximal femur replacements, total
femur replacements, modular femoral revision stems. The primary TKA experience
will teach different surgical exposures, cruciate retaining and posterior
stabilized techniques, rotating platform implants, and computer navigation.
The fellow will have exposure to both fixed and mobile bearing unicompartmental
knee arthroplasty. The revision TKA experience will include use of augments,
sleeves, cemented and cementless fixation, hinged prosthesis, and tumor
SCHEDULE, CALL, COVERAGE
The fellows rotation schedule is broken into six two-month blocks. During
each block, the fellow will be paired with two attendings for their clinic
and OR days. This rotation schedule allows for concentrated yet varied
clinical and surgical experience with each faculty. The fellow's weekly
schedule will include up to two days in the outpatient setting and three
days in the operating room. Fellows are expected to round on all the patients
they operate on. Dedicated research time is allocated for one half to
one full day per week. Fellows will divide weekend and holiday coverage.
Fellows will take call for their particular service and must be available
when faculty are on ER call to assist with in-hospital consultations,
OR, and rounding. The faculty to fellow ratio is 8:2.
The fellowship requires a minimum of two projects. Fellows are expected
to submit abstracts of their projects to the major adult reconstructive
meetings. A completed manuscript ready for submission for publication
is expected by the end of the fellowship year. The fellows have access
to three clinincal research coordinators, one clinical research assistant,
one clinical data coordinator, and a statistician to assist them with
their research needs. Fellows will present their research at a symposium
held by Hoag Orthopedics at the end of the year.
EDUCATIONAL CONFERENCE SCHEDULE
- Preop/Postop Conference – Every Thursday
Didactic Conference – 4th Thursday of the month
Research Conference – 2nd Friday of every month
Grand Rounds – 2nd Friday of every month
- Journal Club – Quarterly
- Cadaver Labs – 1 Hip and 1 Knee lab each year
SALARY, VACATION, AND TRAVEL
Fellows are paid at the PGY-6 level including benefits, and receive two
weeks of paid vacation. In addition, travel accommodations and reimbursements
are granted for the Fellow to attend either the AAOS or AAHKS annual meetings.
There are two (2) positions available for the 2022-2023 fellowship year.
1 year (August 1st – July 31st)
Hoag Orthopedics’ Adult Reconstruction Fellowship Program participates
in the San Francisco Match Program. Applicants must complete a residency
in orthopedic surgery at an ACGME accredited program. The deadline for
completing the application process for our program is
October 30th, 2020 via SF Match. Invitations to interview will be sent out to selected applicants
upon review of all applications. Applicants must be eligible to obtain
an unrestricted California Medical License prior to the start of Fellowship
for credentialing purposes.
In alliance with the match guidelines, we will not be in contact with you
after your interview. Your consideration of the Hoag Orthopedics’
Adult Reconstruction Fellowship is appreciated and we welcome your questions
regarding the program.
Friday, December 11th, 2020
Friday, January 22nd, 2021
16300 Sand Canyon Avenue
Irvine, California 92618