Hand and Wrist Teaching Rounds – Ulnocarpal Impaction and DRUJ Instability
Wednesday, April 16, 2025 (7:00 am - 8:00 am)
Admin L, General Campus/Ortho Boardroom J145, Civic Campus
The University of Ottawa Orthopedic offers the most comprehensive fellowship programs in Canada covering all subspecialities. With state-of-the-art equipment as well as strong clinical research unit fellows have a world class experience in clinical care to maximize their skill sets both in surgery and research. We attract fellows from around the world and our alumni represent great networking opportunities.
The University of Ottawa Division of Orthopedics is a leader in Education from undergraduate to the clinician in practice. The division welcomes both local and visiting undergraduates seeking to learn more about Orthopedics and the training opportunities Ottawa provides. Ottawa’s training program provides an unparalleled training experience boasting an excellent fellowship and job placement rate. We also provide advanced fellowship training in all Subspecialties and opportunities to link this with masters in sciences or medical education. In addition to weekly resident teaching we have dedicated subspecialty rounds for both staff and trainees. These rounds focus on improving the standard of care and continued quality improvement.
Our education program includes monthly subspecialty journal clubs encouraging the sharing of thoughts between staff and trainees. During the academic year, we also invite monthly subspecialty thought leaders (national and international) as visiting professors to participate in rounds, motor skills training or journal club.
Our Division also runs a variety of Continuing Professional education programs in the skills lab to share and pass on expertise locally and internationally. Our goal is to improve the Orthopaedic experience for our patients. As an academic program, our focus is on patient care and continually looking for ways to improve patient care in the future by way of a strong education.
Dr. Wade Gofton, MD MEd FAOA FRCSC
Director of Fellowships
Click on a program to reveal more details.
Length: 1 year
Type of Fellowship: Clinical Fellowship
Fellowship Supervisor: Dr. George Grammatopoulos
Fellowship Attending/Affiliated Surgeons: Drs. Beaulé, Feibel, Garceau, Grammatopoulos, Kim, and Gofton
Hospital Affiliation: The Ottawa Hospital; Hawkesbury and District General Hospital; Kemptville District hospital
The adult joint reconstruction fellowship is a twelve-month program in primary and revision hip and knee arthroplasty. In addition to general and revision arthroplasty exposure, the fellowship will be tailored to the fellows’ interest according to two streams: 1) Hip preservation, or 2) Periprosthetic joint infection management. Although fellows will have the opportunity to work will all supervising surgeons, the experience will be tailored to the fellows’ goals and interests. The fellowship will see significant involvement of the fellow in both clinical and surgical work to prepare them for independent practice. Responsibilities will be delegated based on demonstration of the individual’s ability.
Involvement in research and academic-related activities during the fellowship are mandatory. In addition to clinical duties, dedicated time will be allotted for research endeavors related to both periprosthetic joint infection and general arthroplasty. Dedicated research support is available including research coordinators and a dedicated statistician. The fellow will also have the opportunity to collaborate with other trainees, surgeons, and centers in pursuit of their research endeavors. A minimum of two projects that will be presented, and published in a peer-reviewed journal will be required.
Length: 6 months to 1 year
Number of Positions: 1
Type of Fellowship: Clinical Fellowship
Fellowship Supervisor: Dr. Paul E. Beaulé
Fellowship Attending/Affiliated Surgeons: Drs. Paul Beaulé, Sasha Carsen, George Grammatopoulos, Bogdan Matache, Kevin Smit and Geoffrey Wilkin.
Hospital Affiliation: The Ottawa Hospital (TOH), Children’s Hospital of Eastern Ontario (CHEO) and Hawkesbury District and General Hospital (HGH).
The hip preservation is a six to twelve-month program in hip preservation surgery covering both arthroscopic techniques and open techniques. The fellowship will see significant involvement of the fellow in both clinical and surgical work to prepare them for independent orthopaedic practice with a subspecialty in hip preservation. Responsibilities will be delegated based on demonstration of the individual’s ability.
The program will emphasize the evaluation and treatment of pre-arthritic hip disease including dysplasia, labral tears, femoro-acetabular impingement, sequelae from childhood hip disorders as well as failed hip preservation surgery. As part of this team, the fellow will also participate in monthly hip preservation clinical case reviews and research projects in optimizing the care for these patients.
This is no specific start date with the fellowship requiring a minimum of six months to up to 12 months. During this time, the fellow will be immersed in all aspects of the program and have the opportunity to work with multiple providers in the clinical practice unit of hip preservation.
The fellow will be involved in a highly specialized tertiary care referral center with care being provided at CHEO, TOH and HGH managing both labral pathology and bony deformities of the femur and the acetabulum. In addition, the fellow will be engaged in providing level 2 orthopedic trauma care. The fellow will have additional surgical experience via dedicated operative time for the primary and revision hip arthroplasty and post-traumatic reconstruction. At the end of the fellowship, the fellow is expected to demonstrate the skills required in the independent treatment of both arthroscopic and open surgical techniques.
The fellow will work be based with two primary preceptors, but will also be involved in cases and clinics with other hip preservation surgeons. A heavy emphasis will be placed on optimizing operative experience. The fellow can expect significant exposure to a wide range of procedures:
Involvement in research and academic-related activities during the fellowship are mandatory. In addition to clinical duties, dedicated time will be allotted for research endeavours related to pre-arthritic hip disease i.e. diagnosis, clinical outcome and quality of care. Dedicated research support is available including research coordinators and a dedicated statistician. The fellow will also have the opportunity to collaborate with other trainees, surgeons, and centers in pursuit of their research endeavours. A minimum of two projects that will be presented, and published in a peer-reviewed journal will be required.
Length: 1 year
Number of positions: 2
Type of Fellowship: Clinical
Fellowship Supervisors: Drs. Geoffrey Dervin and Michael Pickell
Fellowship Attending/Affiliated Surgeons: Drs. Geoffrey Dervin and Michael Pickell
Hospital Affiliation: The Ottawa Hospital, Kemptville District Hospital
Fellow will treat the gamut of knee pathology with meniscal and articular cartilage repair and allograft along with single and multiple ligament reconstruction, and progressive arthritis with osteotomy, unicompartment replacement and total knee replacement and some revision total knee.
Length: 1 year
Number of positions: 2
Type of Fellowship: Clinical
Fellowship Supervisor: Dr. Brad Meulenkamp
Fellowship Attending/Affiliated Surgeons: Drs. Brad Meulenkamp, Karl-André Lalonde, Mark Steeves
Hospital Affiliation: The Ottawa Hospital, Montfort Hospital, Hawkesbury and District General Hospital
The University of Ottawa offers a combined fellowship in comprehensive Foot and Ankle Reconstruction and Lower Extremity Trauma Surgery. This is a comprehensive, preceptor-based fellowship under the supervision of Dr. Karl-Andre Lalonde, Dr. Brad Meulenkamp and Dr. Mark Steeves, all dual subspecialty-trained in foot and ankle surgery and orthopedic trauma. Located at two sites – The Ottawa Civic Hospital and The Montfort Hospital, this is an enriching fellowship experience that covers all aspects of forefoot, midfoot, hindfoot and ankle reconstruction, as well as complex lower extremity fracture care.
Duration: 1-year comprehensive fellowship in Hand and Wrist Surgery through the Divisions of Orthopaedic and Plastic Surgery.
Supervisor(s): Dr. Braden Gammon
Affiliated Surgeons: Drs. Sarah Shiga, Brent Trull, Braden Gammon and Manisha Mistry. There is a preceptor-based format and fellows will spend three months with each supervisor. The fellow will participate in Hand Call with two supervisors on a rotating schedule (approximately six calls per month).
Fellows: 1-2 positions are offered annually. Canadian trainees or self-funded fellows from both Orthopaedic and Plastic Surgery programs are welcome to apply.
Hospital Affiliation: The Ottawa Hospital (TOH) and Hawkesbury District and General Hospital (HGH).
Clinical Exposure: Between the clinical practices of the supervisors, fellows are exposed to all facets of hand, wrist and upper extremity non-operative care and surgery. Commonly encountered pathologies include those with congenital, degenerative, neurologic and/or traumatic origins. Fellows learn how to interact with a hand therapist and apply rehabilitative protocols and splints where appropriate. Fellows should arrive with an intimate knowledge of the Hand/Wrist physical exam and comfort performing some procedures independently under local anaesthetic (trigger finger/carpal tunnel release, extensor tendon repair).
During the year, fellows will enhance their ability to complete more advanced procedures independently. Common procedures performed include but are not limited to: surgical management of Dupuytren’s disease/carpal tunnel syndrome/hand and wrist tendinopathies; wrist arthroscopy for TFCC debridement and repair; scaphoid fracture fixation; non-vascularized and vascularized bone grafting of scaphoid non-union; surgical management of Kienbock’s disease; correction of distal radius malunion and other congenital distal radius anomalies (Madelung’s Deformity); flexor tendon repair and reconstruction; LRTI for CMC OA; hemi-resection interposition arthroplasty/semi-constrained DRUJ arthroplasty for DRUJ OA; partial/total wrist fusion/total wrist arthroplasty for radiocarpal OA; PIP/MP arthroplasty and rheumatoid hand reconstruction. Fellows will also be involved other complex reconstructive cases including congenital hand surgery, rotational and free flap coverage of upper extremity soft tissue loss, tendon transfers and peripheral nerve repair/reconstruction/transfer. The fellowship is based out of a Level 1 trauma center and there is ample exposure to hand and wrist trauma.
Research: Protected time will be allocated for research and fellows are expected to generate a publishable manuscript over this period. There are a multitude of opportunities for involvement in novel projects or ongoing research programs. A database of PROM’s for hand and wrist surgical outcomes may be accessed. Fellows may also choose to participate in a project within the Orthopaedic Biomechanics Lab.
Education: There is a weekly conjoint seminar series presented by Plastic and Orthopedic surgery staff, which covers a broad curriculum of hand and wrist topics on a 2-year rotating schedule. Other educational opportunities include: Biannual Hand/Wrist Journal Club, microvascular lab training and motor skills labs in the University of Ottawa Skills and Simulation center. Fellows are also encouraged to participate in various industry sessions throughout the year. There will be funding to subsidize attendance at a hand/wrist conference (generally either the AAHS or the ASSH). Fellows are expected to take a graduated role in resident education and develop the capacity to independently supervise residents and students for some procedures.
Evaluation: Case-based feedback, mid-rotation feedback, end-of-rotation evaluation, end-of-year evaluation.
Fellowship Specific Objectives:
To assess and develop treatment plans for patients with disorders of the hand and wrist seen by referral in the outpatient clinic. These conditions may be congenital, degenerative, post-traumatic or neurologic in etiology.
To understand hand therapy management principles for routine and complex surgical disorders (eg. Reverse Kleinert Splint for extensor tendon reconstruction)
To assist and perform with indirect supervision, simple hand and wrist surgical procedures (eg. trigger finger and carpal tunnel release) and to understand the relevant surgical anatomy
To assist and perform under direct supervision, complex hand and wrist surgical procedures (eg. distal radius malunion correction) and to understand the relevant surgical anatomy
To partake in hand call with the attending staff on a rotating basis
To develop strategies for managing complex hand trauma, including acute damage control techniques and late reconstructive options
To become further educated in the theory and technical aspects of managing post-traumatic complications (eg. infection, CRPS, compromised soft tissue envelope)
To perform basic clinical and biomechanical research related to hand and wrist conditions. This would be presented and submitted for publication where appropriate
To participate in and conduct Hand and Wrist rounds for the residents and attending staff
Reading List: Available upon request
Length: 1 year
Number of positions: 2
Type of Fellowship: Clinical
Fellowship Supervisor: Dr. Joel Werier
Fellowship Attending/Affiliated Surgeons: Drs. Joel Werier and Hesham Abdelbary
Hospital Affiliation: The Ottawa Hospital, Hawkesbury and District General Hospital
Length: 1 year (Aug 1 to July 31)
Type of Fellowship: Clinical Fellowship
Fellowship Director: Dr. James Jarvis
Fellowship Attending/Affiliated Surgeons: Drs. Carsen, Jarvis, Kerrigan, Seth, Smit, Tice, Willis
Hospital Affiliation: The Children’s Hospital of Eastern Ontario (CHEO)
The overall educational goal of the program is for the Fellow to achieve competency and mastery of clinical and surgical skills for the management of children’s orthopaedic, trauma, and spine deformity problems by exposing the Fellow to all aspects of pediatric orthopaedics and spinal deformity. The Fellow will be expected to function effectively in the three major areas of: patient assessment and diagnosis, management, and surgical skill and will also be required to maintain a level of knowledge necessary to enable the Fellow to contribute to the clinical teaching and research activities of pediatric orthopaedics. They must acquire in-depth surgical skill in all aspects of reconstructive pediatric orthopaedics, trauma and infections.
The Fellow will develop the ability to accurately assess, diagnose and manage the broad spectrum of pediatric orthopaedic conditions and develop surgical skills in all aspects of acute pediatric orthopaedics.
The Fellow will demonstrate a comprehensive knowledge of pediatric orthopaedic conditions and the most recent treatment modalities for these conditions in order to effectively treat patients, teach others, and conduct meaningful research.
Fellows must be able to investigate and evaluate patient care practices, appraise and assimilate scientific evidence, and improve patient care practices in pediatric orthopaedic care.
Fellows must demonstrate the ability to effectively interact and communicate with patients and their families, professional associates, and health care support staff resulting in effective and accurate information exchange with patients, families, and professional associates.
Fellows must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
Fellows must demonstrate an awareness of, and responsiveness to, the larger context and system of health care as well as the ability to effectively call on appropriate system resources to provide care that is of optimal value.
The program includes a comprehensive set of resources which include the following:
Length: 1 or 2 years
Number of positions: 4
Type of Fellowship: Combined Orthopedic and Neurosurgical Spine Fellowship
Fellowship Supervisor: Dr. Stephen Kingwell
Fellowship Attending/Affiliated Surgeons: Orthopedic Surgery- Drs. Stephen Kingwell, Eugene Wai, Philippe Phan, Alexandra Stratton; Neurosurgery- Drs. Eve Tsai, Adam Sachs, Safraz Mohammed
Hospital Affiliation: The Ottawa Hospital
The combined Orthopedic and Neurosurgical adult spine fellowship is a 1 or 2 year fellowship in complex spinal surgery. Fellows will split their clinical time with both divisions however teaching rounds, spine call and research meetings are fully integrated. The fellowship is a comprehensive spine fellowship offering exposure to degenerative, traumatic, neoplastic and infectious conditions affecting the spine and neural axis from occiput to sacrum. The primary goal of the fellowship is to offer fellows clinical and research exposure that will allow them to transition to any independent spine practice.
Involvement in research and academic-related activities during the fellowship are mandatory. In addition to clinical duties, dedicated time will be allotted for research endeavors related to spine. Dedicated research support is available including research coordinators and statisticians. The fellow will also have the opportunity to collaborate with other trainees, surgeons, and centers in pursuit of their research endeavors. A minimum of one project that will be presented and published in a peer-reviewed journal will be required.
Length: 1 year
Number of Positions: 2
Type of Fellowship: Clinical Fellowship
Fellowship Supervisors: Dr. Allan Liew
Fellowship Attending/Affiliated Surgeons: Drs. Allan Liew, Steve Papp, Geoffrey Wilkin
Hospital Affiliation: The Ottawa Hospital (TOH), Hawkesbury District and General Hospital (HGH), Kemptville District Hospital (KDH)
The orthopaedic trauma fellowship is a one year program in the comprehensive management of musculoskeletal and soft tissue trauma covering both acute and delayed conditions. The fellowship will see significant involvement of the fellow in both clinical and surgical work to prepare them for independent orthopaedic practice with a subspecialty in orthopaedic trauma. Responsibilities will be delegated based on demonstration of the individual’s ability.
The program will emphasize the evaluation and treatment of long bone, pelvic ring, acetabular, and complex peri-articular injuries as well as the multiply injured trauma patient. As part of this team, the fellow will also participate in weekly trauma clinical case reviews, monthly journal review and research projects in optimizing the care for these patients.
This is a one year fellowship, during which the fellow will be immersed in all aspects of the program and have the opportunity to work with multiple providers in the clinical practice unit of orthopaedic trauma.
The Ottawa Hospital is the primary level one trauma center providing coverage for eastern Ontario, western Quebec, and Nunavut. The Orthopaedic Trauma Service at The Ottawa Hospital provides comprehensive treatment for the total spectrum of acute musculoskeletal injuries and post-traumatic complications.
Care is provided using a comprehensive multidisciplinary approach to ensure each patient receives the treatment they need to optimize outcomes and avoid complications. Patients with multi-system injuries are admitted to the Intensive Care Unit or Trauma Unit at the Civic Campus with care supervised by General Surgery and orthopaedics directing the care of musculoskeletal injuries. Patients with isolated musculoskeletal injuries are triaged and either admitted for surgery or treated through our outpatient surgical system.
The fellow will be involved in a multidisciplinary orthopaedic trauma service based at the Civic Campus, with clinical exposure at both in patient campuses as well as 3 outpatient facilities.
At the end of the fellowship, the fellow is expected to demonstrate the cognitive and surgical skills required in the independent practice of orthopaedic trauma.
The fellow will work with three primary preceptors but may also be involved in cases and clinics with other orthopaedic trauma surgeons. A heavy emphasis will be placed on optimizing operative experience. The fellow can expect significant exposure to a wide range of procedures:
Involvement in research and academic-related activities during the fellowship are mandatory. In addition to clinical duties, dedicated time will be allotted for research endeavours related to orthopaedic trauma conditions, i.e., diagnosis, clinical outcomes, and quality of care. Dedicated research support is available including research coordinators and a dedicated statistician. The fellow will also have the opportunity to collaborate with other trainees, surgeons, and centers in pursuit of their research endeavours. A minimum of one project that will be presented and published in a peer-reviewed journal will be required.
Length: 1 year
Number of Positions: 2
Type of Fellowship: Clinical Fellowship
Fellowship Supervisors: Dr. Peter Lapner
Fellowship Attending/Affiliated Surgeons: Drs. Peter Lapner and J Pollock
Hospital Affiliation: The Ottawa Hospital (TOH) and Hawkesbury District and General Hospital (HGH) and Kemptville District Hospital (KDH).
The University of Ottawa’s Shoulder and Elbow Surgery Fellowship is a comprehensive program that provides sub-specialty training in various areas of shoulder and elbow surgery. Fellows will receive training in shoulder and elbow arthroplasty and arthroscopic surgery. Additionally, fellows will receive training in complex shoulder and elbow trauma. The fellowship also includes a research component, where fellows will have the opportunity to conduct and participate in research projects. The fellowship places an emphasis on continuous quality improvement, with the goal of ensuring that fellows are able to provide the highest quality of care to their patients.
August 1st to July 30th. Consideration for 6 month fellowships may be given to fellows interested in pursuing a concomitant hand and wrist fellowship.
The fellow will be involved in a highly specialized tertiary care referral center with care being provided at TOH, HGH, and KDH managing both pathology of the shoulder and elbow. In addition, the fellow will be engaged in providing level 2 orthopedic trauma care. The fellow will have additional surgical experience via dedicated operative time for the primary and revision shoulder arthroplasty and post-traumatic reconstruction. At the end of the fellowship, the fellow is expected to demonstrate the skills required in the independent treatment of both arthroscopic and open surgical techniques.
The fellow will work be based with two primary preceptors. A heavy emphasis will be placed on optimizing operative experience. The fellow can expect significant exposure to a wide range of procedures:
Involvement in research and academic-related activities during the fellowship are mandatory. In addition to clinical duties, dedicated time will be allotted for research endeavours related to pre-arthritic shoulder disease i.e. diagnosis, clinical outcome and quality of care. Dedicated research support is available including research coordinators and a dedicated statistician. The fellow will also have the opportunity to collaborate with other trainees, surgeons, and centers in pursuit of their research endeavours. A minimum requirement is for two projects that will be presented and published in a peer-reviewed journal.
To be considered for our fellowship program, please complete the form below. You must be prepared to have all prerequisites available at request.
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