Residency Advisor

The Hand and Upper Extremity Fellowship at NewYork-Presbyterian/Columbia University Irving Medical Center stands as a premier program in hand surgery, distinguished by its longstanding commitment to training and educating proficient hand surgeons since its inception in 1958. This program is recognized as the oldest one-year fellowship dedicated specifically to hand surgery in the United States, ensuring that fellows receive an education that blends advanced surgical techniques with comprehensive patient care (1).

The fellowship is designed to comprehensively train fellows in a variety of surgical cases covering all aspects of hand surgery, from congenital and developmental disorders to trauma, reconstruction, and complications arising from degenerative and rheumatological diseases. The program facilitates hands-on experience with a robust surgical caseload, giving fellows increasing surgical responsibilities as they advance through the fellowship year (1).

Curriculum Overview

The educational framework for the fellowship aligns with the guidelines set forth by the Accreditation Council for Graduate Medical Education. A typical year begins on August 1 and involves intensive training in direct patient care, surgical procedures, and academic engagement via participation in conferences such as grand rounds, journal clubs, and various lecture series. Fellows are also expected to actively contribute to applied and clinical research, reinforcing the academic foundations of the fellowship (1).

Training Sites and Surgical Exposure

Fellows are primarily trained at NewYork-Presbyterian/Columbia in New York City, a facility equipped with advanced surgical and diagnostic tools. The program offers the fellows exposure to a wide spectrum of hand and elbow surgeries, providing the diverse clinical and research opportunities necessary to develop into independent practitioners. Additionally, the presence of a fully-staffed microsurgery laboratory allows fellows to gain experience in techniques such as nerve and vascular repair, and bony and soft-tissue free flap procedures (1).

Research Opportunities

The fellowship strongly emphasizes research, with fellows encouraged to engage in both basic and clinical research initiatives. Through collaboration with local, regional, and national entities, fellows have the opportunity to develop research projects aimed at contributing to the body of knowledge in hand surgery. This engagement helps fellows refine their critical thinking and analytical skills while contributing to the continuous innovation within the field (1).

Visa Support and Competitiveness

The Hand and Upper Extremity Fellowship program offers essential visa support for international applicants, specifically sponsoring J-1 exchange visitor visas, which cater to international medical graduates who wish to pursue a fellowship in the United States. The program is considered competitive but is also noted for being friendly towards DO (Doctor of Osteopathic Medicine) and IMG (International Medical Graduates) applicants, reflecting a commitment to diversity and inclusion within the academic and clinical community (1).

Application Requirements

To apply for the Hand and Upper Extremity Fellowship, candidates are required to have completed prior training in orthopedic surgery, plastic surgery, or general surgery. The program is highly selective, looking for candidates who have demonstrated excellence in their previous training and show promise in the field of hand surgery. Specific prerequisites may include optimal scores on licensing exams, without a maximum limit on failed attempts; however, candidates are encouraged to present strong academic records. Applicants should carefully review the full set of requirements prior to applying to ensure compliance and to bolster their application profiles (1).

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Fit
Location
Culture
Prestige
Research
Schedule / Training

Program

Program Size

1 (1 years)
Accreditation Status
Continued Accreditation since January 1970

Composition

-

Quality of Life

First year average hours per week:

40hrs

First year max cons. hours on duty:

12hrs

First Year Salary:

-

First Year Paid Vacation:

-

First Year Paid Sick Leave:

-

Training

Fellowship Rate:

-

Faculty to Residents Ratio:

5X

Residents career path:

-

Admission

Min. Step 2 Score:

-

Visa Sponsorship:

-

YOG Cutoff:

-

Location

New York, NY

Population
8,804,190
Income
$77,719
Education
36.2%
Employment
60.6%
Health
7.9%
Age
38

Housing - Rental Prices

Crime - All Violent Offences

Living in New York, NY

  • Crime Rate and Safety: New York City has improved its safety over the years, but like any big city, it does have some crime. However, most areas where medical residents live and work are considered safe.
  • Fun Activities: New York City is a hub of culture, entertainment, and dining. From Broadway shows to world-class museums and iconic landmarks like Central Park and the Statue of Liberty, there's always something to do.
  • Climate: New York City experiences all four seasons. Winters can be cold and snowy, while summers are warm and humid. Spring and fall offer mild temperatures.
  • Races and Population: New York City is one of the most diverse cities in the world, with a large population of various races and ethnicities.
  • Education: New York City is home to prestigious universities and medical centers, offering ample opportunities for learning and networking.
  • Cost of Living: The cost of living in New York City is high, particularly for housing. Medical residents may need to budget carefully to afford living in the city.
  • Nearby Cities: Other major cities like Philadelphia and Boston are within a few hours' drive of New York City. Philadelphia is about 1.5 to 2 hours away by car, while Boston is around 3.5 to 4 hours away.
  • Pros: Diverse culture, countless entertainment options, easy access to top medical facilities.
  • Cons: High cost of living, crowded and fast-paced environment.

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Nearby Programs

Hand surgery (Orthopaedic surgery)

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