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Adult Reconstructive Surgery, Upper Extremity (Shoulder and Elbow) fellows in a meeting at Mayo Clinic in Rochester, Minnesota.

Clinical training

Clinical training in the Adult Upper Extremity Reconstructive Surgery Fellowship includes outpatient evaluation and hospital activities. Areas of specialized training focus on open and arthroscopic treatment of patients.

Rotations concentrate on shoulder reconstruction, elbow reconstruction, shoulder arthroscopy and elbow arthroscopy. Participation in trauma-related activities is encouraged and facilitated.

The fellowship provides balanced exposure to shoulder and elbow problems and the rotation schedule can be adjusted based on each fellow's anticipated needs and previous background and training.

Didactic training

Clinical conferences, seminars, small discussion groups, journal clubs, and one-on-one instruction are integral parts of the Adult Upper Extremity Reconstructive Surgery Fellowship. You are encouraged to take full advantage of these opportunities:

  • Wednesday morning upper extremity case conference (fellow is responsible for organizing and presenting cases)
  • Wednesday morning journal club
  • Monday morning Orthopedic Surgery Grand Rounds
  • Multiple other teaching conferences in both basic science (biomechanics, gait analysis, tissue engineering, cartilage, and soft tissue) and clinical topics that may interest you

You are also provided a detailed reading list to be completed throughout the year, as well as some shoulder and elbow textbooks.

Research training

Research is a prominent part of the Adult Upper Extremity Reconstructive Surgery Fellowship, enhanced by carefully monitored patient registries and close cooperation with the basic science laboratories, Division of Biomedical Statistics and Informatics and medical illustrators.

Call frequency

Shoulder and elbow fellows do not take call.


You may moonlight with program director’s approval. Moonlighting should not interfere with the required learning and must not violate the work-hour rules of the Accreditation Council for Graduate Medical Education or visa regulations.

Teaching opportunities

Teaching opportunities may be available when a medical student or junior resident is assigned to certain services, as well as during teaching conferences.


To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the course of the Adult Upper Extremity Reconstructive Surgery Fellowship. You are formally evaluated by supervising faculty members on a regular basis and meet with the program director to review these evaluations.

Each quarter, the faculty members complete a performance evaluation form in MedHub, Medical Education Management system. This form is shared with you at the end of the quarter.

In addition, you evaluate the faculty to confirm that your educational needs are being met. Your core competencies and milestones are evaluated by the Clinical Competency Committee semiannually in accordance with the Accreditation Council for Graduate Medical Education (ACGME) requirements. The program director also meets with each fellow semiannually to discuss progress during the year and address concerns that may arise.