Hand and Upper Extremity Surgery Fellowship
The Rothman Orthopaedic Institute / Sidney Kimmel Medical College at Thomas Jefferson University – Hand & Upper Extremity Surgery fellowship is based at the Rothman Orthopaedic Institute (RI), headquartered in center city Philadelphia. The fellowship rotation schedule consists of 9 months dedicated to Hand, Wrist, & Microvascular surgery, 1 month to Pediatric Hand surgery, and 2 months of elective rotation, which may include Shoulder & Elbow surgery. The core faculty members include RI Hand Surgeons: Dr Pedro Beredjiklian, Dr Asif Ilyas, Dr. Christopher Jones, Dr. Jonas Matzon, Dr. Michael Rivlin, and Dr. Rick Tosti. Shriners Pediatric Hand Surgeons: Dr Scott Kozin and Dr Dan Zlotolow.
The Fellows participate with the Thomas Jefferson University Orthopaedic Surgery residency program. The program maintains a comprehensive conference schedule including weekly didactics, indications conference, anatomy/technique conference, and monthly journal clubs. The faculty is actively engaged in these conferences. Fellows have the opportunity to participate in ongoing research projects or to pursue an independent research project.
On average, graduating fellows perform 1000-1200 CPTs and published 1-3 papers upon completion of their fellowship year.
Fellows have an opportunity to cultivate surgical, research, practice management, and interpersonal skills. Please subscribe to RothmanHand on Instagram for a sense of daily life.
History of the Hand and Microsurgery Fellowship
The Rothman Hand, Wrist, Elbow and Microsurgery Fellowship was founded by Dr. Asif Ilyas in 2012 with the aim of training graduates of U.S. Orthopaedic or Plastic Surgery Programs in the medical arts of surgery of the hand and related structures. The fellowship was designed to optimize training hours to promote surgical skills, foster interpersonal development, and develop clinical wisdom specifically through interaction with a distinguished faculty. Administrative tasks are designed to be limited.
The Rothman Orthopaedic Institute is a uniquely successful practice on a National scale, which was made possible by the merits of the faculty across all of the Orthopaedic Surgery specialties. Each of the Hand Surgery Faculty trace their roots back to Dr. Sterling Bunnell, but endeavor to bring the best of contemporary surgical concepts to the learners, which includes a mix of both complex reconstruction and practice management strategies.
The ideal fellow candidate is one who has cultivated a self-starting mentality, has an openness to academic curiosity, and has a drive for personal excellence. Finally, we encourage graduates of the program to stay connected through alumni events.
Current Program Directors:
Jonas Matzon, MD
Rick Tosti MD
Past Program Director
Asif Ilyas, MD
Summary
Accreditation
ACGME - Hand Surgery
Number of Fellows
2 per year
Fellowship duration
1 year (August 1 – July 31)
Eligibility
Board Eligible in Orthopaedic Surgery
Match
National Residency Matching Program
Faculty
6 Hand, Wrist, & Microvascular Surgeons
4 Shoulder & Elbow Surgeons
2 Pediatric Hand Surgeon Fellowship
Design
Preceptorship Fellowship
Focus
Hand, Wrist, & Microvascular Surgery
Shoulder & Elbow Surgery
Pediatric Hand Surgery
Locations
Rothman Orthopaedic Institute
Thomas Jefferson University Hospitals and affiliates
Shriners Hospital for Children
Resources
Microsurgery & Animal Lab
Anatomy Lab
Research Service
Overseas Mission Trip support
Application Information
Requirement
Must complete an accredited Orthopaedic Surgery residency prior to start of fellowship.
Application Deadline
December 15
Interviews
February or March
Application Material
Online ASSH Hand Surgery Fellowship application
3 Letters of Recommendation (including 1 from Residency Director)
USMLE Scores (copy acceptable)
Application Submission
Online via: https://www.assh.org/applications/s/fellowshiphome
Clinical Experience
The fellow will gain clinical and surgical experience in all aspects of the upper extremity, including:
Fracture care of the upper extremity: The fellows will learn surgical indications and perform closed as well as open surgical treatment for all fractures and dislocations of the hand, wrist, forearm, elbow, arm, and shoulder. Furthermore, fellows will participate in complex reconstructions of traumatic injuries to the upper extremity.
Nerve surgery: The fellows will learn surgical indications and perform open, mini-open, and endoscopic decompression techniques for peripheral compressive neuropathies. The fellows will also develop skills in nerve repair, grafting, and transfers.
Tendon surgery: The fellows will learn injection techniques and perform surgical releases of all tendinopathies of the upper extremity. The fellows will also develop skills in tendon repairs and transfers.
Joint injury and arthritis treatment: The fellows will learn the indications and perform arthroscopies of the wrist, elbow, and shoulder. Fellows will also perform fusions of the hand and wrist, and arthroplasties of the fingers, wrist, elbow, and shoulder.
Skin and wound management: The fellows will learn the indications and techniques for skin grafting and be exposed to flap techniques.
Pediatric Hand surgery: The fellows will be exposed to congenital hand conditions and assist in their diagnosis and surgical management.
Microsurgery: The fellows will learn the principles and develop skills in microvascular
surgery.
Research
Rothman Orthopaedic Institute has a full-time research staff and facilities dedicated to Hand & Upper Extremity research. The Rothman Orthopaedic Institute Hand service manages multiple clinical, biomechanical, and bench research studies. On average, the service publishes 15 peer-reviewed articles and presents 25 national podiums and posters annually.
Topics of active current study include:
- Upper Extremity Fractures
- Pain Management Strategies
- Wide Awake Hand Surgery
- The Role of Adjunct Imaging
- Compression Neuropathies
- Infections of the Hand
- Biomechanical Analysis of Fracture Implants
- Tendon Repair and Healing
- Resident & Fellow Education
The faculty presents regularly at meetings such as the American Academy of Orthopaedic Surgeons (AAOS), American Society for Surgery of the Hand (ASSH), American Association of Hand Surgery (AAHS), the Eastern Orthopaedic Association
(EOA), and the Pennyslvania Orthopaedic Society. Similarly, the fellows will be expected to participate in on-going research or initiate a new study of their interest.
The fellows will also have access to seed money for independent study. Furthermore, the Rothman Orthopaedic Institute Research Database will be available and is an invaluable resource for clinical studies. Monthly research meetings will be held with the faculty to review on-going studies and discuss future studies. Lastly, an emphasis on the research process, study design, and statistical analysis is prioritized.
Faculty
Pedro K. Beredjiklian, MD
Chief, Division of Hand Surgery Rothman Orthopaedics
Professor, Department of Orthopaedic Surgery
Sidney Kimmel Medical College, Thomas Jefferson University
Asif Ilyas, MD, MBA
Hand, Upper Extremity, and Orthopaedic Trauma Surgery
Emeritus Program Director of Hand Surgery Fellowship
Professor of Orthopaedic Surgery at Thomas Jefferson University
Associate Dean of Clinical Research at Drexel University College of Medicine
Christopher M. Jones, MD MS
Hand, Wrist, Elbow, and Microvascular Surgeon
Associate Professor of Orthopaedic Surgery, Thomas Jefferson University
Jonas L. Matzon, MD
Hand, Wrist, Elbow, & Microvascular Surgery
Associate Professor of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University
Program Director, Hand Surgery Fellowship, Rothman Orthopaedic Institute
Research Director, Division of Hand Surgery, Rothman Orthopaedic Institute
Michael Rivlin MD
Hand, Wrist, Elbow, and Microvascular Surgeon
Chief of Orthopaedic Surgery Jefferson Health New Jersey
Associate Professor of Orthopaedic Surgery, Thomas Jefferson University
Rick Tosti, MD
Hand, Wrist, Elbow, and Microvascular Surgeon
Associate Professor of Orthopaedic Surgery, Thomas Jefferson University
Associate Program Director, Hand Surgery Fellowship, Rothman Orthopaedic Institute
Scott H. Kozin, MD, CPE
Chief of Staff Emeritus, Shriners Children’s – Philadelphia
Physician Lead - Shriners Children's Medical Group
Professor, Orthopaedic Surgery, Lewis Katz School of Medicine at Temple University
Professor, Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University
https://www.shrinerschildrens.org/en/our-care-providers/k/scott-h-kozin-md-37775
Dan Zlotolow, MD
Chief of Hand Surgery, Shriners Children’s – Philadelphia
Professor of Orthopaedic Surgery at Sidney Kimmel
https://www.shrinerschildrens.org/en/our-care-providers/z/dan-a-zlotolow-md-16225
Life in Philadelphia
Contact Information
For more information, contact:
Kelly Quici
Resident, Fellowship and Medical Student Coordinator
kelly.quici@rothmanortho.com