ICAHN SCHOOL OF MEDICINE ORTHOPEDIC HAND SURGERY
FELLOWSHIP PROGRAM AT MOUNT SINAI BETH ISRAEL
The goal of the Hand Surgery Fellowship at Mount Sinai Beth Israel is the preparation, through education, of a highly skilled physician with the capacity to enhance, academically and clinically, the quality of hand surgery.
The fellowship provides an in-depth training in surgery of the hand. The fellow is exposed to a large clinical practice that encompasses all aspects of patient management. Over 1800 surgical procedures are performed for various disorders including acute traumatic fractures and dislocations, congenital anomalies, arthritic disorders, vascular conditions, soft tissue injuries and management, microsurgery, as well as benign and malignant tumors of the hand. The hand center is unique in that it triages and treats a large number of patients for acute traumatic injuries. Out-patient surgical procedures are performed in our office out-patient surgical suite (these include closed fracture manipulations, percutaneous pin fixation, incision & drainage, complex and simple wound closures, and evaluations under anesthesia).
The fellow has abundant exposure to emergency and in-patient consultations , being responsible for initial evaluation and treatment during his or her operative days when at Mount Sinai Beth Israel. Further microsurgical experience is gained through the fellowship with its abundant amount of elective digital nerve repairs/grafts, microsurgical digital sympathectomies and vascular procedures. Fellows receive individual teaching and supervision in the operating room and clinical setting. Weekly teaching conferences, operative case conferences, and journal club sessions provide a strong academic environment.
The program provides fellows with the tools necessary to perform clinical research and to present that research at regional and or national meetings. On-site access to practice management trends in the specialty of hand surgery is gained through exposure to current coding processes which will assist the fellow in the transition to clinical or academic medicine in the current healthcare system. An ethics course is provided by the Beth Israel Department of Orthopaedics prior to graduation. In addition, the fellow will attend a formal microsurgical training course held at Columbia University Medical Center. The fellow will also attend the annual meeting of the American Society for Surgery of the Hand.
Listed below are the required competencies for the hand surgery fellows upon program completion. The fellow is made aware of these expectations during orientation.
This program trains one fellow yearly (12 months) and applicants are selected from either orthopaedic , plastic, or general surgical backgrounds who then participate in the National Residency Matching Program. Beth Israel’s Hand Surgery Service is directed by Dr. Charles P. Melone, who is also the program director. Direct supervision is provided by Dr. Melone as well as all other members of the teaching faculty (Dr. Brad Horak); The teaching faculty is also responsible for teaching, journal club presentations, conferences and operative didactics. Other key components of the fellowship are the extensive exposure to amateur, Olympic and professional sports injuries of the hand and wrist; wide exposure to multifarious types of arthritis and connective tissue disorders, including scleroderma with its unique vascular and wound problems; constant exposure to on-premise hand rehabilitation techniques; with an opportunity to design and fabricate orthotics with a on-site Certified Hand Therapist.
Compex surgical procedures are performed at Beth Israel’s Petrie Division which permits in-patient management of complex reconstructive and microsurgical procedures. Ambulatory procedures are performed there in addition to Phillips Ambulatory Care Center which is nearby. These sites are attended by Drs. Melone and Horak. on alternating schedules which afford the fellow continuity of operative follow-up for these patients in the clinical setting at Beth Israel’s Hand Surgery Center. Our practice is well known in the Tri-state area for providing emergent care and it is common practice for patients and/or physicians to refer patients directly to our hand center.