About the Program
The Adult Reconstructive Orthopedic Surgery Fellowship at Baylor College of Medicine is ACGME accredited and focuses on joint replacement of the hip and knee. Our program trains fellows to be well prepared to enter into academic or private practice. The fellow will participate in a large volume of primary and revision cases, including state-of-the-art and robotic techniques. The training will stress patient selection, pre-operative planning, surgical techniques, patient follow-up, and research.
Our program is diverse and unique. The program is located in the heart of Houston in the Texas Medical Center, the largest health science complex in the world. Baylor has affiliations with several highly respected hospitals as well as with leading universities, NASA and other institutions which allows unparalleled access to clinical and research resources.
Our fellows work in two primary clinical settings within the medical center. They are: Baylor St. Luke's Medical Center, a large academically focused community hospital, and the Michael E. DeBakey Veterans Affairs Medical Center, one of the largest and busiest VA hospital's in the entire country. The VA is a regional referral center for complex and revision arthroplasties.
Admissions and Benefits
For a current list of required documents, contact the Academic Office at 713-986-7390 or orthoeducation@bcm.edu.
Requirements include:
- M.D. degree
- Graduate from an approved Orthopedic Surgery Residency Program
- Completed Fellowship Application Packet
- Letter of reference from the residency program director
- A Texas Medical License
- CPR (ACLS or ATLS) certification
Apply to this fellowship through the San Francisco Matching program. Universal or other application forms are not accepted.
Only completed applications through the SF Match are reviewed by the fellowship program director. The deadline is Nov. 30. All applicants are requested to submit an e-mail address and a valid overnight address with a telephone number and a fax number.
The following documents must be submitted for consideration for an orthopedic fellowship position
Note: All notarized documents must contain the statement notarized as a true copy of an original document
- Completed SF Match application, including a passport-sized photograph
- Current CV
- Personal statement
- Four letters of recommendation, of which one must be from the dean of students at your medical college or a copy of the MSPE (Medical School Performance Evaluation)
- Notarized medical school transcript
- Notarized medical school diploma
- USMLE transcript (steps I and II)
This fellowship program only accepts J-1 visa sponsorships for consideration.
- USMLE test results (steps I and II)
- TOEFL or ECFMG English exam results
- FLEX (if taken)
- Dean's Certification Form (a BCM form)
- Medical diploma and English translation reduced to an 8 ½-inch by 11-inch page notarized on the front of each page and containing the statement "notarized as a true copy of an original document"
- Transcript and English translation reduced to an 8 ½-inch by 11-inch page notarized on the front of each page and containing the statement "notarized as a true copy of an original document"
- Mark sheet & English translation reduced to an 8 ½-inch by 11-inch page notarized on the front of each page and containing the statement "notarized as a true copy of an original document"
- Valid ECFMG certificate and page notarized on the front of each page and containing the statement "notarized as a true copy of an original document"
- Visa questionnaire—all completed applications are reviewed.
Once the applicant's San Francisco Match Application file is complete, the fellowship selection committee reviews it. If the committee feels the applicant is competitive for our program, the applicant will be invited to a formal interview. The Department of Orthopedic Surgery conducts interview sessions by appointment only. Each applicant is interviewed by all members of the section. A certified final rank list is submitted to the San Francisco Match before the match deadline by the program director. Match result notifications are distributed on the designated match day through the SF Match. All potential applicants are required to register with the SF Match to be considered.
For questions, contact the Orthopedic Academic Office by email at orthoeducation@bcm.edu. Thank you for your interest in our fellowship program.
Baylor College of Medicine Stipend Level: PGY VI, $83,519
Visit the Graduate Medical Education Office site for additional information.
Curriculum
The Adult Reconstructive Orthopedic Surgery Fellowship provides clinical and research exposure to prepare fellows for a career as a sub-specialist in joint
replacement surgery. Fellows will have an extensive clinical experience with primary and revision total hip and total knee replacements. They are exposed to a wide variety of surgical techniques and problems, ranging from primary hip, knee arthroplasties to complex joint revision and reconstruction cases.
Fellows are responsible for staffing joint replacement cases at Baylor St. Luke's Medical Center and at the Michael E. DeBakey Veterans Affairs Medical Center. The primary clinical responsibility for ward management falls to the residents on these services, or to the attending staff positions. Fellows are supervised by attending orthopedic surgeons who are either full-time or part-time faculty members in the Baylor College of Medicine Department of Orthopedic Surgery.
Fellows are expected to participate actively in the operating room either as first assistant or surgeon under direct faculty supervision. At the VA under the supervision of our staff, the fellows function as attending physicians and guide residents through cases to enhance their educational skills. They do not participate in the orthopedic call schedule and are not primarily responsible for managing the inpatient services.
The fellows’ clinical responsibilities include clinical evaluation, office management and the preoperative, operative and postoperative care of patients. It is anticipated
that each fellow will participate in the surgical care of more than 500 cases. Approximately one-third of the cases will be revisions. All fellows are expected to maintain a case log per ACGME requirements.
Fellows will have extensive exposure to the following cases:
- Total Knee Arthroplasty including primary TKA CR & PS, UKA, PFJ, robotic assisted surgery, gap balancing, measured resection, kinematic alignment, navigation techniques, multiple implant companies/designs, and minimally invasive techniques
- Total Hip Arthroplasty including primary THA, multiple implant companies/designs, robotic assisted surgery, navigation techniques, minimally invasive techniques and multiple surgical approaches, including direct anterior
- Revision TKA including multiple implant companies/designs, and surgical techniques
- Revision THA including multiple implant companies/designs, and surgical techniques
- Hip fractures, core decompression, periprosthetic fractures
The fellows also have the opportunity to spend a week in Guatemala with faculty members as part of the Faith in Practice medical mission. Faith In Practice is a non-profit, ecumenical Christian organization that seeks to improve the physical, spiritual, and economic conditions of the poor in Guatemala through short-term surgical, medical and dental mission trips and health-related educational programs.
During the week in Antigua, Guatemala, the fellow has the opportunity to participate in numerous complex hip, knee, revision and trauma cases. There is a large number of DDH cases that are performed providing an outstanding, unique, and extremely rewarding educational experience.
Adult Reconstruction Conference
- Every Tuesday at 6:30 am.
- Lectures and case presentations related to joint replacement are presented by faculty, guest lecturers, fellows, and residents.
- Journal Club article presented
- The fellows are responsible for organizing the conference schedule and distributing the relevant articles.
Each fellow will have the opportunity to conduct and present clinical and/or basic science research. The fellow must complete at least one research project that is publishable in a peer-reviewed journal and present their research findings at our annual Resident and Fellow Research Day in June. The fellow will have protected time to pursue scholarly investigation of interested topics.
The full support of departmental and institutional resources will be made available to the fellow in pursuing research. The faculty will act as co-investigators and mentors in formulating projects, interfacing with the IRB, executing the research plan, interpreting results and preparing manuscripts and presentations.
The fellow is expected to complete at least one project and prepare at least one manuscript for peer-reviewed presentation. Financial support will be made available for travel to present research findings at regional and national meetings.