Clinical Practice

Approximately 1,100 operative cases are undertaken in the Division each year. The fellow should take an extremely active role in as many cases as possible. Since the Department has a large and active residency program, the fellow is expected to teach and direct the resident staff in both the hospital care of inpatients and the clinical care, both operative and nonoperative, of outpatients. In addition to participating in the care of the private office patients of Drs. Akelman and Weiss, a very active hand clinic is overseen once a week in the Rhode Island Hospital. The fellow will be responsible for a large portion of the clinical responsibilities encompassed by this clinic practice with the assistance of the resident staff and one of the staff surgeons.

The Division of Hand, Upper Extremity and Microvascular Surgery is involved in the care of all hand and upper extremity problems encountered at the Veterans Administration Medical Center in Providence. The fellow will be responsible for assisting the resident staff in operative procedures that are undertaken at the VA Medical Center one day every one to two weeks.

In general, the fellow will spend half of the year with Dr. Akelman and half of the year with Dr. Weiss. There are two full-time residents on the service at all times and the fellow will be directly responsible for their duties in clinical care of patients. During a typical week, the fellow will undertake approximately two days of patient evaluation in the office or clinic in conjunction with one of the staff surgeons, two days of operating, and one day of clinical and basic science research. There is some flexibility to the schedules which can be modified to meet the needs of the fellows and residents with regards to unusual operative procedures, or the particular demands of a basic science research project.

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