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Fellowship

Arthroplasty Fellowship 

Length: 1 year/6 months
Number of positions: 2
Type of Fellowship: Clinical Fellowship
Fellowship Director: Dr. Subhash Jangid
Hospital Affiliation: Fortis Memorial Research Institute, Sector-44, Gurgaon

Our Mission 

Our present-day mission is to enable compassionate patient care and superior training for existing and future generations of orthopaedic surgeons. Arthroplasty Fellowship Program aim to train and educate surgeons to be future academic leaders in musculoskeletal clinical care, research, and teaching. Our Fellows become an integral part of our team through close collaboration with faculty and all the members of patient care team. Led by 3 full-time surgeons, specialty-trained in hip and knee replacement and with a collective volume of over 500 cases per year, the Program provides an opportunity for Fellows to gain a broad range of in-depth experience over the course of the year. Upon completion of the Arthroplasty Fellowship Program, graduates are amply prepared to build an arthroplasty practice, with an additional focus on research and teaching.

Overview 

The Arthroplasty Fellowship is a twelve-month or six month program in primary and revision total joint replacements of the hip and knee. The program objective is to prepare an orthopaedic surgeon for a career in arthroplasty surgery. Training is provided in all aspects of adult reconstruction surgery including trauma, arthritis, congenital, and post-traumatic reconstruction. This is a “hands-on” fellowship where responsibility is delegated based on demonstration of clinical and surgical maturity and expertise.

The program will emphasize the diagnosis of clinical disorders of the bones, joints and soft tissues; the pathogenesis of these disorders; the treatment modalities available for managing these disorders; and the results and complications of such treatment. The fellow will assume a major role in the continuing care of patients and have progressive responsibility in patient assessment, preoperative evaluation, operative experience, and postoperative management and rehabilitation.

The educational curriculum will include occasions to study anatomy, physiology, biomechanics, pathology, microbiology, pharmacology, and immunology as they relate to adult reconstructive orthopaedics.

Duration of Fellowship

1 year/6 months

The fellowship begins July 1st / January 1st and ends June 30th. During this year, Fellows will be immersed in all aspects of the Program.

Objectives 

  • To develop a systemic approach to the patients’ problem and decision-making skills in management.
  • To develop and sharpen skills in examination and assessment of patients with arthritis and related problems requiring joint replacement surgery.
  • To attain basic surgical skills and techniques in primary and revision arthroplasty.
  • To obtain experience in scientific data collection, analysis interpretation, publication and surgical audit.

Clinical Training

Each Fellow is involved in over 350 cases, of which approximately 5 % are complex revisions. At the end of the year, the Fellow is expected to demonstrate an advanced level of expertise in the treatment of these patients. Participation in outpatient visits in clinic settings, along with intense operating room experience, provides Fellows with wide practice in the diagnosis, treatment, and follow-up of a diverse patient population.

Surgical training

The Fellow will first assist or perform the case under the supervision of the attending staff that he/she is rotating with. The exact role of the Fellow in the Operating Room will be discussed before the surgery with the staff. The Fellow can expect significant exposure to a broad range of surgical procedures:

Hip arthroplasty:

Hemi arthroplasty

Total hip arthroplasty – Cemented and Uncemented.

Revision hip replacement.

 

Knee arthroplasty:

Computer assisted Primary total knee arthroplasty

Revision knee arthroplasty.

Partial knee replacement surgery

High Tibial osteotomy

Research 

In addition to strong clinical experience, Fellows build upon their existing research skills with extensive exposure to research methodology, study design, and critical data review. The Program sets aside one day per week for this work, thereby protecting 20% of Fellow’s time for research. Projects are evaluated on how well Fellows demonstrate critical thinking, scientific approach, understanding of statistical criteria, literature support, and coordination of all project components to effect completed, scientifically sound manuscripts. Upon entering the Program, Fellows are expected to pursue at least one research projects during the fellowship year. They also have the opportunity to pursue additional research collaborating with other trainees in the program.

Fellows present their progress to the Program’s faculty and are also encouraged to attend and present their research at national and international academic meetings. Yearly, the highly-respected work of Fellows, along with other members of the Service, will be published in peer-reviewed articles.

Fellowship Duties 

Clinic work

  • Assisting or independently doing under supervision arthroplasty cases
  • Daily round of all inpatients
  • Assisting with the evaluation and management of outpatient arthroplasty patients
  • Pre-operative planning of all surgical cases and coordinating for special implants or equipment needed in the OR
  • Sharing in the call schedule along with the residents

Research work 

  • Completion of one research project: Planning and designing a study, data collection, analysis and defending the project/study.
  • Desirable to achieve one publication in a per-reviewed journal
  • Oral presentations in national/international conference. Attending at least one/two major conferences.
  • Regular presentations in Local body orthopaedic/Arthroplasty meets

 Weekly Schedule 

Five of the six workdays are spent in the operating room and clinic. The sixth day is protected to pursue research interests and gain office experience. One conference will be held each week to discuss specific arthroplasty topics, research projects, or difficult cases. The Fellow will be expected to attend Orthopaedic Rounds and Fortis Grand Rounds with presentations of scholarly subjects relating to orthopaedics. The Fellow will present at least 1 topic per month to the general group of staff and residents.

Send request and C.V. to Fellowship Director:

Dr Subhash Jangid

MS (AIIMS) DNB MNAMS MRCS M Ch

Director and HOD, Bone and Joint Institute

Speciality: Robotic and Computer Navigated Joint Reconstruction

Fortis Memorial Research Institute, Gurgaon

Mobile: +91 9873705242

Email: subhashjangid@yahoo.com

Fellowship run for 1 year from July 1st to June 30th.

Fellowship run for 6 months from Jan to June and July to December.