Trauma and Orthopaedic Surgery Fellowships

Based at: The Fortius Clinic, London

Surgical Specialty Association approving: BOA

Approval period: March 2020–May 2023, reapproved June 2024–May 2027

Supervisor/Lead Consultant: Professor James Calder, Consultant Orthopaedic Surgeon, and of the Department of Bioengineering, Imperial College, London, with Mr Andy Roche, Consultant Orthopaedic Surgeon

Fellowship duration: 6–12 months

Stated learning outcomes:

• Demonstrate a thorough understanding of the management of F&A conditions with particular reference to the evaluation of the most appropriate treatment options that may be considered for elite-level athletes.
• Critically evaluate these options and discuss them clearly with the supervisor and athlete/physiotherapist.
• Understand the different approaches that may be considered for elite athletes when compared to the general population.
• Demonstrate an understanding of the most appropriate investigations for specific F&A conditions.
• Demonstrate a sound knowledge of the anatomy and radiological features of the F&A and common conditions encountered in sports.
• Understand the principles of rehabilitation following F&A injuries, particularly in the athlete.
• Understand the ethical principles underlying patient care and the relevance of legal aspects that are specific to managing professional athletes.
• Demonstrate competency in clinical examination of F&A conditions.
• Understand the principles of arthroscopic procedures and specific ligament and tendon repairs.
• Able to critically review research and initiate/participate in research projects.
• Communicate clearly with patients and their medical teams regarding injuries, treatment and rehabilitation.
• Lead the clinical audit and monthly MDT meeting.

Clinical competencies to be achieved:

• The fellow is expected to participate in 250-300 surgical procedures during the 6 months. The majority (90%) will be the sole assistants as they are private patients and elite athletes.
• There is an opportunity to lead on surgery under the direct supervision of the Lead Supervisor as first assistant at the Hampshire Clinic, where NHS patients are treated. There is not the opportunity to undertake surgery unsupervised.

The number of main operations the fellow could expect to be involved in:

During 6 months:

• Ankle arthroscopy - 50
• Ankle ligament reconstruction - 30
• Achilles tendon repair - 30
• Other Achilles surgery - 20
• Syndesmosis stabilisation - 20
• Hindfoot fusions - 12
• Hindfoot/midfoot osteotomies - 12
• ORIF ankle - 20 Forefoot procedures - 60

Fellows awarded Fellowship Certificate (dates of fellowship):

• Stefan Wever (Feb 21 – Jul 21)
•  Andrew Hong (Apr 22 – Oct 22)

***The recruitment for this fellowship post is advertised in March or April each year. To apply please visit the NHS website***

Based at: Frimley Health NHS Foundation Trust

Surgical Specialty Association approving: BOA

Approval period: Initially approved October 2013/Reapproved April 2017/Reapproved February 2021–January 2024/Reapproved October 2024–September 2027

Supervisor/Lead Consultant: Mr Sebastian Sturridge, Consultant Orthopaedic Surgeon

Fellowship duration: 12 months

Stated learning outcomes:20

• Demonstrates the skills necessary to confidently assess hip pathology and plan treatment.
• Produces surgical plans for complex hip reconstruction.
• Demonstrates the surgical skills necessary to be able to run a complex hip surgery practice independently.
• Demonstrates the knowledge, leadership qualities, attitudes and communication skills necessary to run a consultant practice.
• Evidence of an interest in audit, research and service development.

Clinical competencies to be achieved:

• The ability to take a detailed history and demonstrate examination findings relevant to a young adult's hip presentation.
• The ability to take a detailed history and demonstrate examination findings relevant to a patient with a failing implant.
• The ability to safely execute a diagnostic hip arthroscopy with minimal supervision.
• The ability to safely remove a failed femoral stem and any surrounding cement with minimal supervision.
• The ability to safely remove a failed acetabular shell and any surrounding cement with minimal supervision.

The number of main operations the fellow could expect to be involved in: 

• 9 periprosthetic hip fractures - revision or fixation as the first surgeon.
• 202 primary hip replacements, 175 first surgeon.
• 91 hip arthroscopies, 68 as first surgeon.
• 19 revision hip replacements, 14 as first surgeon.

Fellows awarded Fellowship Certificate (dates of fellowship):

• Azal Jalgaonkar (Apr 14–Jan 15)
• Rasheed Afinowi (Sept 17–Mar 18)
• Hayat Khan (Aug 18–Aug 19)
• Sherif Hosny (Sept 19–Sept 20)
• Daniel Wilson (Oct 20–Sept 21)
• James Nutt (Oct 21–Oct 22)
• Michael Field (Oct 22–Sep 23)

Based at: Ashford & St Peter’s NHS Foundation Trust, Surrey

Surgical Specialty Association approving: BOA

Approval period: Initially approved February 2014; reapproved July 2018; reapproved October 2021–September 2024

Supervisor/Lead Consultant: Mr Paul Trikha, Consultant Trauma and Orthopaedic Surgeon, with Mr Dean Michael, Consultant Trauma & Orthopaedic Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• Be able to see patients in the clinic and comprehensively manage the presenting conditions, including management plan explanations and counselling of patients.
• Demonstrate to the supervising consultants that the fellow is able to perform and deal with possible complications of surgery (Arthroscopic Knee surgery: microfracture, meniscal repair, ACL reconstruction including graft harvest techniques, Hip Arthroscopy and FAI Debridement, Hip and Knee arthroplasty, revision hip and knee arthroplasty, foot and ankle surgery).
• Fellows are encouraged to undertake an audit/research activity, present it at academic meetings, and publish it in relevant journals.
• Fellows are encouraged to take part in teaching and training other junior staff members.

Clinical competencies to be achieved:

• Achieve independent practice-level surgical skills in soft tissue knee surgery and knee arthroscopy, including ACL reconstruction, meniscal repair, microfracture and chondroplasty.
• Achieve independent-level surgical skills in primary hip and knee replacement, including complex primary procedures.
• Independent surgical skill level to carry out revision hip and knee arthroplasty.
• Competent skills in outpatient clinics and managing trauma and elective inpatient care as part of a team.
  

The number of main operations the fellow could expect to be involved in:

• ACL reconstruction: 75-100
• Meniscal repair: 100
• Arthroscopy knee: 100
• Arthroscopy hip: 25
• Primary hip replacement: 100
• Primary knee replacement: 75
• Revision hip/knee replacement: 25

Fellows awarded Fellowship Certificate (dates of fellowship):

• Hazem Hassouna (Jan 15 – Jul 15)
• Evangelos Tsialogiannis (Sept 16 – Jul 17)
• Chris Gee (Jan 18 – Oct 18)
• Anshul Sobti (Oct 18 – Oct 19)
• Nivraj Bhamber (Oct 19 – Jan 20)
• Mohammed Kamran Shahid (Aug 20 – Jan 21)
• Vineet Trivedi (Jan 21 – Apr 22)

***January 2023: this fellowship programme is not recruiting fellows until 2024 due to financial constraints***

Based at: Princess of Wales Hospital, Cwm Taf Morgannwg University Health Board

Surgical Specialty Association approving: BOA

Approval period: February 2021–February 2025

Supervisor/Lead Consultant: Mr Amit Chandratreya, Consultant Trauma and Orthopaedic Surgeon, with Mr Rahul Kotwal, Consultant Trauma and Orthopaedic Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

The Supervisor says: "The fellow should become competent to perform elective knee surgery supervised or unsupervised depending upon his / her progress through the Fellowship. Fellows will be encouraged to undertake an audit research activity and present in national/international meetings. They will also be encouraged to publish in relevant journals. The fellow will be able to see patients in the elective clinics and discuss their management with the supervising Consultant. Over time, the fellow should be able to make independent management decisions."

Clinical competencies to be achieved:

The Supervisor says: "The surgeries will include broadly reconstructive surgery around the knee, meniscal treatment including repairs, debridement and meniscal transplant; unicompartmental replacement including medial and lateral and patellofemoral arthroplasty. The unit performs a high number of partial knee replacements. Management of patellar instability includes nonoperative treatment and surgical treatment including tibial tubercle osteotomies, MPFL reconstructions and trochleoplasty. Depending upon the NHS model from now on, there will be an opportunity to take part in revision arthroplasty cases."

The number of main operations the fellow could expect to be involved in:

Approx 300 per year. TKR: 50; UKR/PFR: 30; ACL: 60; Arthroscopy: 120; Patellar realignment procedures: 30; HTO/SCO: 10; Meniscal and Cartilage procedures: 40; Meniscal Allograft Transplantation: 5; PCL/other ligaments: 10; Combined Cell Therapy treatment: 15.

Depending upon experience, the fellow can be the lead surgeon in half of these.

Fellows awarded Fellowship Certificate (dates of fellowship):

• Chaitanya Vyawahare (Feb 20 – Oct 21)
• Abdullah Hanoun (Feb 22–Feb 23)
  

• Core
• Applied: number of procedures

• Submission of scientific abstracts to BESS Annual Congress or Shoulder & Elbow Journal.
• Annual scientific congress attendance.
• Instructional courses attendance.

• Ability to clinically assess and take appropriate management decisions for common and complex disorders of the shoulder and elbow.
• Achieve proficiency in common surgical procedures for shoulder and elbow disorders and trauma.
• Demonstrate proficiency in peri-operative care; post-operative follow-up and principles of managing surgical complications.

• The number of main operations the fellow could expect to be involved in:

A post-CCT fellow who is confident with independent operating may expect to perform the following operations (unit volumes in brackets):

• Primary and revision shoulder and elbow arthroplasty (typically 80 per year).
• Arthroscopic surgery of the shoulder (typically 250 per year), e.g., instability repair, cuff repair, subacromial surgery and distal clavicular excision.
• Rheumatoid disease procedures (typically 40 per year).
• Complex tertiary shoulder and elbow trauma at the MTC (typically 50 per year).

Based at: South Tees Hospitals NHS Foundation Trust

Surgical Specialty Association approving: BOA and BESS

This fellowship scheme is accredited under the RSC - BESS Partnership

Approval period: Initially approved November 2012; reapproved December 2015; reapproved June 2019–August 2022; reapproved June 2023–May 2026

Supervisor/Lead Consultant: Prof Amar Rangan, Professor of Orthopaedic Surgery and Consultant Orthopaedic Surgeon, with Mr Philip Holland, Consultant Orthopaedic Surgeon

Fellowship duration: 12 months

Stated learning aims:

1. Professional behaviour and leadership skills

2. Surgical competencies:

• Core
• Applied: number of procedures

3. Completion of research project 

4. Completion of audit/practice development project 

5. Engagement with BESS, with evidence of: 

• Submission of scientific abstracts to BESS Annual Congress or Shoulder & Elbow Journal
• Annual scientific congress attendance
• Instructional courses attendance

Stated learning outcomes:

Stated clinical competencies:

• Ability to clinically assess and take appropriate management decisions for common and complex disorders of the shoulder and elbow.
• Achieve proficiency in common surgical procedures for shoulder and elbow disorders and trauma.
• Demonstrate proficiency in peri-operative care; post-operative follow-up and principles of managing surgical complications.

The number of main operations the fellow could expect to be involved in:

A Post-CCT fellow who is confident with independent operating may expect to perform the following operations (unit volumes in brackets):

• Primary and revision shoulder and elbow arthroplasty (typically 80 per year).
• Arthroscopic surgery of the shoulder (typically 250 per year), e.g., instability repair, cuff repair, subacromial surgery and distal clavicular excision.
• Rheumatoid disease procedures (typically 40 per year).
• Complex tertiary shoulder and elbow trauma at the MTC (typically 50 per year).

Fellows awarded Fellowship Certificate (dates of fellowship):

• Naghman Choudhry (Feb 18 – Feb 19)
• Ahmed Nagi (Feb 19 – Feb 20)
•  Shashi Kumar (Aug 19 – Feb 21)
• John Adam (Aug 20 – Aug 22)
• Gurvinder Kainth (Aug 22 – Aug 23)

Based at: Nottingham University Hospitals NHS Foundation Trust

Surgical Specialty Association approving: BOA

Approval period: Initially approved February 2013 / Reapproved January 2018 / Reapproved December 2021 - November 2024 / Reapproved December 2024 - November 2027 

Supervisor/Lead Consultant: Mr Khalid Salem, Consultant in Trauma & Orthopaedic Surgery, with Mr Daniel D'Aquino, Consultant Spinal Neurosurgeon

Fellowship duration: 12 months at the level of Senior Fellow

Stated learning outcomes:

To be able to independently:

• Evaluate and formulate a management plan for degenerative spinal conditions in the outpatient setting and be competent in the surgical aspects of the management of such conditions.
• Assess and manage a wide spectrum of traumatic spinal conditions in the emergency setting (including the initial resuscitation and spinal immobilisation when clinically indicated) and be competent in the surgical management of such conditions.
• Have an evidence-based approach to the management of neoplastic spinal pathology (primary and metastatic) and have a clear understanding of the role of surgery and an understanding of patient selection for surgery. Additionally, be competent in the surgical management of metastatic spinal column pathology.
• Have a clear understanding of various types of spinal deformity (adult and paediatric) and a good command of the basic and some of the advanced techniques in the management of such conditions and be able to perform a well-planned surgical intervention under supervision where indicated.
• Critically read and appraise the literature.

Clinical competencies to be achieved:

By the end of the fellowship, it is expected that the senior fellow has the competency to:

• Be able to independently assess and formulate a management plan for patients presenting with common spinal conditions in the outpatient setting.
• Be able to independently assess patients presenting with complex spinal conditions in the outpatient setting these complex cases coherently to colleagues in an MDT setting.
• Be able to independently perform standard emergency and elective surgical procedures for common spinal pathologies.
• Be able to perform complex emergency and elective surgical procedures under direct supervision.

The number of main operations the fellow could expect to be involved in:

Supervisor: 'Our senior fellows are expected to have been in at least 120 spinal operations per year (those are mostly deformity surgeries, tumour and trauma surgeries) and the number DOES NOT include spinal injections.'

• Andrew Young (Aug 14 – Aug 15)
• Arion Kapinas (Nov 13 – May 16)
• Marcin Czyz (Oct 14 – Aug 16)
• Dritan Pasku (Feb 15 – Feb 17)
• Giuseppe Morassi (Feb 16 – Jan 17)
• Muhammad Mansha (Aug 16 – Aug 17)
• Sleiman Haddad (Feb 16 – Oct 17)
• Malik Ahmed (Sep 16 – Jan 18)
• Edward Bayley (Aug 17 – Aug 18)
• Dan D'Aquino (Aug 17 – Feb 19)
• Oded Hershkovich (Feb 18 – Feb 19)
• Saurabh Kapoor (Feb 18 – Feb 19)
• Ahmed Aly (Feb 18 – Jul 19)
• Darko Stipić (Feb 19 – Feb 20)
• Galateia Katzouraki (Nov 18 – Feb 20)
• Olakunle Badmus (Aug 18 – Oct 20)
• Akshay Gadiya (Feb 19 – Jan 21)
• Rakesh Dhake (Feb 19 – Feb 21)
• Ahmad Tarawneh (Feb 19 – Mar 21)
• Siddharth Shah (Feb 20 – Apr 21)
• Jonathan Koch (Feb 20 – Jul 21)
• Nigil Palliyil (Aug 20 – Aug 21)
• Ali Shetaiwi (Aug 20 – Aug 21)
• Martin Estefan (Feb 21 – Feb 22)
• Ali Hussain Mohammad (Feb 21 – Feb 22)
• Elie Najjar (Feb 21 – Feb 23) 
• Arvind Janardhan Vatkar (Aug 21– Aug 22)
• Ankur Goswami (Aug 21 – Jan 23)
• Alan Maximiliano Gessara (Aug 21 – Jul 22)
• Rishi Rampersad (Aug 22 – Aug 23)
• Ma'en Mohammad Tarawneh (Aug 22 – Aug 23)
• Naveen Pandita (Aug 22 – Jul 23)
• Fre Alemseged Hader (Sep 21 – Jul 23)
• Mohamed Mostafa Abdelghafor Hassanin (Aug 21 – Sep 23)
• Anish William Isapure (Feb 23 – Feb 24)
• Rami Saleh (Mar 23 – Feb 24)
• Spyridon Komaitis (Feb 22 – Mar 24)
• Ivan Coc (Feb 23 - Jul 24)

Based at: University Hospitals of Derby and Burton NHS Foundation Trust

Surgical Specialty Association approving: BOA

Approval period: Initially approved March 2024–February 2027

Supervisor/Lead Consultant: Professor Neil Ashwood, Consultant Upper Limb Surgeon and Co-supervisors, Mr Andrew Dekker and Mr Mark Hamlet, Consultant Upper Limb Surgeons.

Fellowship duration: 12 months

Stated learning outcomes:

• Attend clinics to develop decision-making skills in complex upper limb cases evidenced by supervised learning/audit.
• Develop further surgical skills as lead surgeon for complex upper limb cases evidenced by improved logbook numbers.
• Develop teaching skills in multidisciplinary teams.
• Undertake a quality improvement programme to improve care in upper limb surgery.
• Present a piece of research to a national meeting.

Clinical competencies to be achieved:

• Shoulder arthroplasty
• Shoulder arthroscopy
• Elbow arthroscopy
• Elbow arthroplasty with RDH colleagues
• Trauma cases

The number of main operations the fellow could expect to be involved in:

• Shoulder Arthroplasty (Performed: 20)
• Shoulder Arthroscopy (Performed: 30)
• Upper Limb Trauma Cases (Performed: 40)
• Hand Cases (if desired) (Performed: 40)