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July 9, 2025 at 9:49 am #6713
Lynne HamannParticipantHello ARCOS member,
I am wondering if any of the fellowship coordinators have a document that meets the requirements below, when a residency and a fellowship are both training at the same institution? And if you are willing to share? If so, please send to lhamann1@pennstatehealth.psu.edu
Thank youLynne – PSU
1.2.a. When orthopaedic residents and fellows are being educated at the same
participating site, the residency director and fellowship director must jointly prepare
and utilize a written agreement specifying the educational relationship between
the residency and fellowship programs, the roles of the residency and fellowship
directors in determining the educational program of residents and fellows, the roles
of the residents and fellows in patient care, and how clinical and educational
resources will be shared equitably. (Core)
July 9, 2025 at 10:03 am #6715
Amy KrausParticipantYes – We have a standardized letter that we renew regularly. Kept on file for reference. We define further in our Goals & Objectives specific to the PGY levels (including the fellows).
Hope this helps. I am sure we should be updating with new language.
Amy
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UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
HAND FELLOWSHIP/ ORTHOPAEDIC RESIDENCY AGREEMENT
This document describes the interaction between the University of Mississippi Medical Center Orthopaedic Surgery Hand Fellowship Program and the University of Mississippi Medical Center Orthopaedic Surgery Residency Program.
The Orthopaedic Hand Fellowship Program and the Orthopaedic Residency Program at the University of Mississippi Medical Center are fully integrated and each compliments and enhances the other.
The Hand Fellow and two Orthopaedic residents on the shared Hand / Sports service
(PGY-5 and PGY-2) work together on the Hand service during each resident rotation. The residents on this service work with the hand service 2 days a week, the sports service 2 days a week, didactic sessions ½ day per week and their continuity clinic ½ day clinic weekly. Thus, the fellow works with 2 residents weekly for approximately 2 days. All residents in the program have both junior resident and chief resident rotations on the service. There is frequent collaboration between the fellow, resident and faculty involved in the care of inpatients. Ultimate responsibility for following in-patients rests on either the resident or fellow – who participated in the surgery of that inpatient.
The educational program for the Fellowship Program is determined by the Fellowship Program Director in conjunction with the orthopaedic hand faculty, with input from the Residency Program Director. The educational program for the residency program is determined by the Residency Program Director with input from the orthopaedic hand faculty who are members of the full-time faculty of the residency program.
The fellow and orthopaedic residents assigned to the hand service work as a team in providing care of patients admitted to the hospital and in providing surgical care for both ambulatory and in-patient surgeries under direct faculty supervision and incorporating graduated responsibility. The chief orthopaedic resident supervises the junior resident, and the hand fellow provides supervision for the orthopaedic residents. There is absolutely no competition for surgical cases between the resident and hand fellow.
This fellowship enhances resident education by providing teaching and supervision on the hand service on hospital rounds, in the operating room, and through regularly scheduled conferences.____________________________ ____________________________
Residency Program Director Hand Fellowship Program DirectorThey sign and date the document for filing. We a narrative like this for each fellowship.
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