The Adult Hip and Knee Reconstruction Fellowship program is designed to provide a comprehensive experience in the surgical management of arthritic conditions of the hip and knee.
The fellowship provides extensive experience in surgical procedures including primary and revision total knee and hip arthroplasty, partial knee arthroplasty, custom knee replacements and robotics. There is an emphasis on the direct anterior approach to total hip arthroplasty, including revision.
With one fellow per year, the program offers an individualized approach. The fellow will rotate with three faculty members during the year, obtaining a high-volume, in-depth and personalized surgical experience. In addition to teaching the necessary technical aspects that lead to a skilled and confident surgeon, the art of taking care of patients is emphasized. The fellow is also encouraged to participate in on going investigator-initiated clinical studies.
The mission of the program is to provide an intellectually stimulating and challenging clinical, surgical, and research environment with thorough experience in joint replacement, and sound preparation for building a surgical practice in an academic or private setting.
Additionally, participation in ongoing clinical and basic science research projects is encouraged and protected time for these scholarly activities is built into the weekly schedule. The Institute provides a dedicated research staff that is available to assist on all projects. Didactic sessions following ACGME guidelines include a weekly case review and conferences covering a broad range of topics from anatomy, physiology, biomechanics, pathology, microbiology, pharmacology, epidemiology, and immunology to the latest surgical advancements. Fellows will also participate in a monthly journal club, M&M and interesting case conference. Finally, fellows have year round access to our on-site cadaveric BioSkills training lab to practice new procedures and hone their surgical skills.
1 Fellow each academic year
Miami Orthopedics & Sports Medicine Institute
The nationally recognized Miami Orthopedics & Sports Medicine Institute is a multi-site practice with locations across South Florida, offering comprehensive orthopedic services including sports medicine, pediatrics, foot and ankle, adult reconstruction and trauma care to community members and professional athletes. The staff of renowned sports medicine physicians and orthopedic surgeons – backed by the most advanced technology and comprehensive rehabilitation programs – brings a total team approach to each patient’s care. The program serves the Miami HEAT, Miami Dolphins, Florida Panthers, Florida International University athletics, Orange Bowl, Miami-Dade County Public Schools athletics, Miami Open Tennis and Miami Marathon & Half Marathon.
Doctors Hospital, located in the heart of historic Coral Gables, has provided high-quality medical care since 1949. The 281-bed, acute care facility is recognized for its services in orthopedics, sports medicine, general surgery, minimally invasive laparoscopic surgery, geriatrics, intensive care and a state-of-the-art Emergency Department.
Miami HEAT Sports Medicine Center
The Miami HEAT Sports Medicine Center is a new, state-of-the-art ambulatory surgery center located in the Medical Arts Building at Doctors Hospital. It is fully dedicated to orthopedic procedures and includes 4,500 square feet of the world’s most advanced and efficient operating room suites. Two of the four operating rooms have windows for viewing capabilities and student observation.
- All applicants must be a board-eligible graduate of a U.S. ACGME-accredited orthopedic residency program.
- Must be a U.S. citizen or permanent resident and have a Social Security number.
- Acceptance and admission to the program is contingent on submission of all requested materials and meeting all eligibility requirements as determined by the program.
- Applicants must be able to be granted an unrestricted license to practice medicine in Florida.
- Applications should be received via the San Francisco (SF) Match program 19 months prior to the start of the fellowship and interviews are conducted in January-March of the ensuing year. Applicants are required to have the following documents in order to apply:
- SF Match Central Application Service (CAS) Application
- USMLE Step 1/COMLEX 1 or equivalent
- Letter of Good Standing
- Three Letters of Reference
Where do applicants go to apply?
The San Francisco Match
- When are applications accepted? August 1 to November 1
- When are candidate interviews? January through April
- When are candidates matched/notified of acceptance? April
- When does the program start? Last week of July
Fellows will perform orthopedic cases in both the ambulatory surgical center and in the hospital operating room. Doctors Hospital, the sponsoring institution, has recently opened a new state of the art Ambulatory Surgery Center (ASC) located on the fourth floor of the Medical Arts Building that is fully dedicated to orthopedic procedures. 4,500 square feet of one of the world’s most advanced and efficient operating room suites. Two of the four operating rooms have windows for viewing capabilities and student observations. Fully integrated, live operating room viewing capabilities exist throughout the building.
In the hospital there are ten large surgical suites outfitted with the latest orthopedic surgery capital equipment. A dedicated orthopedic inpatient ward provides patients requiring an overnight stay exceptional orthopedic care in private rooms. On the floor, an orthopedic nurse practitioner (Monday through Friday) as well as an array of ancillary staff that includes physical and occupational therapists support fellows. The inpatient unit also utilizes CERNER as the EMR to allow for continuity of care between the outpatient office and the inpatient setting.
Fellows will spend between one and a half days in clinic evaluating patients with musculoskeletal injuries. Fellows will evaluate patients prior to surgery and follow them throughout their post-op care. Our 49,000-square-foot recently renovated outpatient facility consists of three floors of physician clinics with 42 exam rooms. The new pod concept with “touchdown” staff work areas allows clinical teams to collaborate across subspecialties. Physician offices includes a dedicated Fellow’s Office. During clinic, the allied health professionals that include PA’s (Physicians Assistants), ATC’s (Certified Athletic Trainers), and MA’s (Medical Assistants) support physicians. Our practice currently uses Cerner electronic medical records (EMR) and fellows receive specialized training in this system as part of their onboarding.
Fellows are encouraged to actively participate in multiple ongoing research projects within the institute. There are ample support for research including personnel - a research PhD, Certified Clinical Research Coordinators, and several volunteers – and resources such as the medical library and the BioSkills lab. In addition to participating in ongoing projects, fellows are encouraged to perform their own original research projects. Fellows receive a laptop during orientation for their use during the fellowship year, and have a well-equipped dedicated office space.
The Cadaveric Bio-skills Lab is an integral part of the Institute’s educational program and it provides a simulated surgical setting that allows our physicians to conduct hands-on cadaveric evaluations, surgical education, research studies and clinical trials. The lab has broadcast capabilities for a seamless learning experience.
Academic didactics include weekly lectures dedicated to:
- Anatomy, physiology, biomechanics, pathology, microbiology, pharmacology, epidemiology, and immunology as they relate to adult reconstructive orthopaedic surgery.
- Pain management for the subspecialty, including recognition of the signs of addiction.
- Evaluation of practices that ensure and improve patient safety.
- The program faculty and fellows will meet on a weekly basis to discuss the cases that will take place during the week.
- The program faculty and fellows will present on a monthly basis, interesting cases and a morbidity and mortality conference.
Monthly meeting with the program faculty, fellows and allied health practitioners .
The primary purpose of Rehabilitation Services is to provide assessment, therapeutic treatment and education to each patient and their family members. The rehabilitation plan is designed to promote health, restore function and improve overall life-style. Fellows collaborate directly with physical therapists and ATC’s.
Each year, fellows participate as instructors for the Florida International University Herbert Wertheim College of Medicine Musculoskeletal Course. This course allows them to develop and hone their skills as they teach 4th year medical students.