Bethesda, MD 20894, Web Policies The Duke Minimally Invasive and Bariatric Surgery Fellowship is a one-year program (August 1 to July 31) designed to expand the skills and knowledge of participantsboth clinically and scientificallyand to empower them to become leaders in this evolving and exciting field of surgery. Applicants considered for an appointment will be invited to visit Mayo Clinic for a personal interview with the program director and selected faculty. We are no longer accepting applications for the Fellowship cycle starting July 2023. Ann Surg. Fellows should demonstrate understanding of and ability to order, integrate and interpret perioperative testing and evaluation of all organ systems as related to advanced GI surgery. 2006/2007 Minimally Invasive & Gastrointestinal Surgery. Only those fellowships that had fellow(s) for the year 2001-2002 were included in the survey. The Washington University Hernia Center provides patients with comprehensive hernia care, from diagnosis and prehabilitation to decision making, treatment and postoperative recovery. J Bone Joint Surg Am. In addition to the fellow, the MIS service has five attendings, three residents and medical students. Applicants must have completed aresidency in obstetrics and gynecologythat is accredited by the Accreditation Council for Graduate Medical Educationor equivalent international residency program. The Stanford Minimally Invasive Surgery/Bariatric Fellowship provides a one year fellowship offering a wide range of surgical exposure with a unique bariatric surgery experience at an American College of Surgeons certified Bariatric Center of Excellence. While this program expansion was associated with a 19% increase in available positions, the number of applications increased 36%. Additionally, Thrillist considers Grand Rapids the best food city in the state of Michigan, and in 2018, Trulia chose Grand Rapids as the Hottest Real Estate Market to Watch in the country. The study examined the charts of more than 130 patients who underwent recurrent ventral hernia repair using the technique at Washington University, finding that the procedure tends to provide durable and long-lasting results. The fellowship is in its fifth year of existence and has graduated four fellows. Epub 2016 Apr 29. Fellows perform procedures in state-of-the-art operating rooms equipped with the latest tools and technology. Accessibility 23501-1980, Minimally Invasive Gynecologic Surgery Fellowship, Sentara-EVMS Advanced Gynecologic Surgery Center, American Association of Gynecologic Laparoscopists (AAGL). and transmitted securely. 2022 Aug;14(4):377-381. doi: 10.4300/JGME-D-22-00002.1. official website and that any information you provide is encrypted Over the last decade, US residents have shown an increased interest in pursuing MIS fellowship positions. The site is secure. Along with foregut/solid organ/and endoscopic training, the Stanford MIS fellowship has . NCI CPTC Antibody Characterization Program, Fowler DL, Hogle NJ. Our growing campus in the sun-drenched desert southwest. Abstract Background: Minimally Invasive Surgery (MIS) is one of the more recently established surgical fellowships, with many candidates applying due to a perception of inadequate exposure to advanced MIS during residency. ACGME Accreditation of Orthopaedic Surgery Subspecialty Fellowship Training Programs. At EVMS Hoffheimer Hall, you will have access to the office-based practice, and see gynecologic referrals and surgical consults. Federal government websites often end in .gov or .mil. MeSH Please refer to the MCSGME admissions page for detailed information regarding visa eligibility. Although there is a strong bariatric component (approximately 200 cases), there is also a very strong advanced minimally invasive component, i.e., laparoscopic colectomies (approximately 40 cases/year), laparoscopic fundoplication (approximately 15 cases), laparoscopic inguinal hernia repairs (approximately 40 cases) and laparoscopic ventral hernia repairs (approximately 60 cases). Milestone assessment of minimally invasive surgery in Pediatric Urology fellowship programs. We help them prepare for surgery, discuss different surgical techniques and carefully manage their postoperative course to ensure the smoothest recovery with the best results.. Design: Retrospective report (Canadian Task Force classification II-2). 100 Michigan St. NE Appropriate candidates must be eligible to obtain a full medical license in the state of Florida. | Applications and timelines can be found through The Fellowship Council. Duration of fellowship: one year, from August 1 July 31, Colleen HarbowyPhone: (313) 745-7319Email: Colleen.harbowy@med.wayne.edu. Unable to load your collection due to an error, Unable to load your delegates due to an error. Objective: To evaluate the level of interest in the fellowship in minimally invasive gynecologic surgery (FMIGS) using data from the National Residency Match Program (NRMP) over the past 5 years. Fellows will demonstrate expertise in interpreting anatomic and physiologic studies of the GI tract and abdominal cavity relevant to their areas of expertise. Matching Process Statistics/Dec. Fellows participate in an organ-centered didactic schedule with regular journal clubs and weekly educational meetings. Minimally Invasive Surgery/ Bariatric Fellowship trainees are involved in all stages of the management of the surgical and bariatric patient, including preoperative evaluation, postoperative management and the follow-up of patients. Brunt serves as the current president of the Fellowship Council, which oversees 183 advanced gastrointestinal surgical training programs across the country. Such information would be valuable to prospective candidates, especially as immediate postresidency subspecialty training becomes the norm for general surgery. Minimally Invasive Surgery (MIS) is one of the more recently established surgical fellowships, with many candidates applying due to a perception of inadequate exposure to advanced MIS during residency. Sentara Princess Anne Hospitalis a 160-bed acute care hospital that serves southern Virginia Beach, Chesapeake and northeastern North Carolina. Please visit the ERAS site to learn more about application requirements, fees, and other details. This section is active on the frontiers of clinical research as well as surgical education, and offers a one-year fellowship. It is home to more than 70 residents and fellows, taught by 47 full-time faculty and more than 90 clinical faculty. This site will also allow you to rotate with EVMS Maternal-Fetal Medicine and get additional training in pelvic ultra-sound. Unable to load your collection due to an error, Unable to load your delegates due to an error. From the preoperative care to postoperative follow-up, we see our patients as individuals. 2008 Mar;22(3):650-4. doi: 10.1007/s00464-007-9430-6. Throughout the completion of this program, fellows in the Minimally Invasive Surgery/ Bariatric Fellowship program are mentored in the following laparoscopic procedures: diagnostic and interventional endoscopy, antireflux fundoplications, paraesophageal hernia repair, Heller myotomy, inguinal hernia repair, ventral hernia repair, colon resections, adrenalectomy, splenectomy, gastric bypass, adjustable gastric band and sleeve gastrectomy. HHS Vulnerability Disclosure, Help Societies or organizations that fund fellowships in Minimally Invasive Surgery (MIS) that may include robotic surgery (e.g., AAGL, FSF in US) are eligible to submit an application for this grant program. Such information would be valuable to pro- . Our primary goal is to train excellent MIGS surgeons, cliniciansand academicians who will become leaders in our field. The Hernia Center aims to make it easier for patients with challenging hernias to find the care they need. Find more COVID-19 testing locations on Maryland.gov. . Fellows are expected to be able to appropriately order, read, and interpret diagnostic tests and images. -, Borman KR, Vick LR, Biester TW, Mitchell ME. West Michigan - A great place to call home As the second largest city in Michigan, Grand Rapids is an amazing place to work, live, play and explore. The fellow will learn how to set up a bariatric practice. Academic rank, salary and benefits will be competitive and commensurate with experience and qualifications. 6, 2006 2007/2008 Minimally Invasive & Gastrointestinal Surgery. Fellows are expected to have basic FLS certification (now a requirement for graduating chief residents); to have knowledge of two or more journals delving into Advanced GI Tract Surgery and MIS. * Completion of a minimally invasive gynecologic surgery fellowship. Applicants must have passed USMLE Steps 1, 2, and 3 on first attempt. If you are a foreign medical graduate, you must have recent (within two years of application) ECFMG certification. No trauma. The fellow will participate in administrative activities of the department with active learning about practice management and other administrative aspects related to the future practice of their specialty. Our fellow will have access to a dedicated research division that includes Contraceptive Research and Development (CONRAD). Program Director: Eric Haas, MD Two fellows are accepted annually for positions in minimally invasive colorectal surgery. Surg Endosc. Selecting this option will take you to an affiliate website. VA Bariatrics: endoscopic sleeve gastroplasty, roux-en-y gastric bypass, single anastomosis duodenal switch, sleeve gastrectomy and bariatric revisions/conversions. The fellowship program is designed to provide a well-rounded clinical training in minimally invasive gastrointestinal surgery utilizing advanced laparoscopic, robotic-assisted, and flexible endoscopic techniques. As the only allopathic academic and quaternary health care institution in the state, IU School of Medicine's clinical partner IU Health . There are very few open procedures performed by the fellow, since the senior resident on the service will do most of these cases. The fellowship has been accredited by the Fellowship Council in both advanced minimally invasive surgery and minimally invasive bariatric surgery. Work-life balance is important during your fellowship, and we are committed to supporting our fellows throughout their time at EVMS. Effect of minimally invasive surgery fellowship on residents' operative experience. Fellows will demonstrate intraoperative decision-making that minimizes complications and demonstrates an awareness of the limitations of his/her technical skills. The Minimally Invasive and Bariatric Surgery Fellowship is a one-year program accredited through the Fellowship Council for training in advanced gastrointestinal minimally invasive surgery and bariatric surgery. Wayne State University School of Medicine, Plastic & Reconstructive Surgery Residency, Ovarian and Pancreatic Cancer Research Lab Dr. Batchu, FLS completion (if not completed during residency), knot-tying ability, both hands, intracorporeal and extracorporeal, decision to convert a laparoscopic procedure to an open operation, placement and fixation of prosthetic material, Laparoscopic Roux-en-Y gastric bypass = 50. Bral, Herzog, Sandoval, Saraf, and Shamsnia. Fellows will work with a high volume of complex gynecologic patients with benign disease who would benefit from a minimally invasive approach. See this image and copyright information in PMC. A new medical weight management program, led by Shaina Eckhouse, MD, and advanced nurse practitioner Michelle Cusumano, NP-C, assesses patients who may need to lose weight and helps them meet any mandated weight loss requirements prior to their surgery. Learn more about how we are taking action for change. 2006;243(4):431435. Since there was no accrediting body for minimally invasive surgery fellowships, this investigation was performed to characterize minimally invasive surgery fellowships. dukehealth.org. These would include some or all of the following: Fellows will be expected to demonstrate understanding of the anatomy, physiology and pathologic conditions of the entire GI tract, abdominal cavity, abdominal wall, and solid organs in the abdominal cavity and retroperitoneum. Older patients are disproportionately affected by age-related risk factors, which are often under-recognized and can adversely affect surgical outcomes. Continuing Education for Health Care Professionals. With new knowledge comes new techniques for teaching and learning. Wake Forest University School of Medicine does not discriminate regardless of race, color, national origin, religion, gender, age, sexual preference, or physical or mental disability. Surgery. Surg Endosc. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The program is led by Sara Holden, MD in collaboration with Timothy Holden, MD, a geriatric primary care physician also at Washington University. We compared match rates to other specialties using the National Resident Matching Program, a nonprofit organization established for US residency and some fellowship programs. Our fellowship is accredited through the Fellowship Council in Advanced GI/Minimally Invasive/Bariatric/Foregut surgery. Each fellowwill haveexposure to a variety of minimally invasive surgicalapproachesincluding operative hysteroscopy, advancedlaparoscopy and robotic surgery to manage complex benign gynecologic disorders,fibroids, abnormal uterine bleeding and endometriosis. Minimally invasive surgery: the evolution of fellowship. The Spectrum Health General Surgery department remains active in local and national meetings with both poster and podium presentations over the past several years. Fellows will demonstrate fundamental MIS competency relevant to their area of expertise. Learning environment, research and patient care, rankings, faculty, and vision and values. The Section of Minimally Invasive Surgery has a long-standing history of leadership and excellence in surgical training. Disclaimer: All research and clinical material published by Wake Forest University School of Medicine on its site is for informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. The Minimally Invasive Gynecologic Surgery Fellowship Program at Washington University in St. Louis prepares trainees to achieve excellence in academic medicine. Fellows will demonstrate an understanding of the surgical and nonsurgical options for managing pathologic conditions of the entire GI tract, abdominal cavity, abdominal wall, and solid organs in the abdominal cavity and retroperitoneum. Survey of the 2020 Fellowship Council application and match process and the impact of COVID-19. There was an average of 3.2 attendings for each program. It is with great enthusiasm that we introduce the three . Our spine fellowship training program provides exposure to the widest possible range of spinal pathology with . Fellows will also have access to a wide range of education and research activities, and opportunities for cross-disciplinary collaborations both nationally and internationally. Grand Rapids, MI 49503. Additional hospital specific teaching rounds are held weekly. One position is available in the Minimally Invasive Surgery Fellowship each year on a competitive basis. To be eligible for the Minimally Invasive Surgery Fellowship, you must have successfully taken and passed USMLE Steps 1, 2 and 3 on the first attempt, and have graduated from an accredited surgery residency or equivalent. and minimally invasive bariatric surgery. Not every hernia that we see is treated the same in all patients. Obstetrics and Gynecology Gynecology Job Summary: Ogden Regional Medical Center is seeking a minimally invasive gynecologic surgeon for an on-campus clinic in Ogden, UT. Fellows have ample opportunities to learn esophageal manometry, pH testing/impedance, and endolumenal management of gastroesophageal reflux disease (GERD). Normalized Competitive Index: Analyzing Trends in Surgical Fellowship Training Over the Past Decade (2009-2018). Spectrum Health provides a comprehensive and competitive benefits package for our residents, fellows, staff and their families. Bringing order to the chaos: developing a matching process for minimally invasive and gastrointestinal postgraduate fellowships. Swanstrom LL, Park A, Arregui M, Franklin M, Smith CD, Blaney C. Ann Surg. Both MIGS providers currently perform and interpret their own ultrasounds and have a designated sonographer assigned to each clinic. A one-year fellowship accredited through the Fellowship Council in Advanced GI/Minimally Invasive/Bariatric/Foregut surgery. NOTE:FMIGS fellow training is to start no earlier than July 7th or no later than August 1st. The fellow will be required to attend conferences, including medical surgical reviews, analyses of complications and deaths, seminars and clinical practice review meetings. Objective: There is a lack of literature describing how competitive surgical fellowships are, especially across specialties. Shaina Eckhouse, MD, has also been recognized for her outstanding mentorship by the 2022 class of general surgery residents. The fellow spends at least half of the training period working within this high-volume service, gaining a tremendous experience with techniques for laparoscopic intestinal anastomosis (Roux-en-Y gastric bypass, robotic duodenal switch) as well as sleeve gastrectomy, gastric banding, and revisional weight loss surgery, which have application to a wide variety of laparoscopic procedures. The https:// ensures that you are connecting to the The EVMS Minimally Invasive Gynecologic Surgery Fellowship is a two-year program accredited by the American Association of Gynecologic Laparoscopists (AAGL). -. @2023 Duke University and Duke University Health System. Sentara Norfolk General Hospital, the primary teaching hospital for EVMS,is home to the area's only Level I trauma center and burn trauma unit, and the region's premier heart program. Information is subject to change. For patients like Vojin Bozovich, who struggled with recurrent hernias for decades before coming to the Hernia Center, finding a durable solution is life-changing. Advanced techniques, including single-incision surgery and endoluminal procedures, foster various research initiatives. Eckhouse leads a peer advocate program for health care workers and initiatives to develop a culture of patient safety in surgery. The skills lab allows for both dry and wet lab opportunities, including a GI Mentor and LapSim simulator. official website and that any information you provide is encrypted Our Minimally Invasive Gynecologic Surgery (MIGS) Fellowship program is part of the Sentara-EVMS Advanced Gynecologic Surgery Center. Email: jacinta.russell@duke.edu. Appointments are made through the Advanced GI, Bariatric, Flexible Endo, HPB and Advanced GI MIS Match, which is coordinated by The Fellowship Council. With the remaining fifth day of each week, it is expected that fellows devote time to these educational opportunities and research projects that can lead to presentations at local, regional and/or national meetings. You will learn how to incorporate ultrasound into the diagnosis and management of AUB, adnexal masses and endometriosis. competitive surgical fellowships are, especially across specialties. Under the care of UTMB Health doctors, patients suffering from obesity can undergo minimally invasive bariatric surgery and transform their lives forever. A hernia occurs when the intestines bulge through a weak spot in the abdominal wall. An official website of the United States government. During the course of the year, the fellow will work closely with the general surgery faculty, rotating general surgery residents and medical students. sharing sensitive information, make sure youre on a federal Our group of surgeons are very committed to education and training across the board and are willing to invest the time to do it well, says Brunt. The fellow in this position will use minimally invasive techniques to diagnose and treat colon & rectal problems and colon cancer and receive exposure to a large volume of colorectal surgery with flexible endoscopes. You will be part of outpatient procedures such as hysteroscopy, SIS and trigger point injections, as well as have surgical exposure with the Program Director. All clinical fellowships were of one year duration. Minimally Invasive Surgery (MIS) fellowship website content: are applicants receiving enough information? The minimally invasive surgery fellowship participates in the Fellowship Council match. The Neurological Surgery Spine Fellow is appointed as an Acting Instructor in the Department of Neurological Surgery. Our Minimally Invasive Gynecologic Surgery (MIGS) Fellowship program is part of the Sentara-EVMS Advanced Gynecologic Surgery Center. Front Pediatr. The fellow will also follow-up on post gastric bypass and sleeve patients. Bringing minimally invasive techniques to the learners in WUIMIS was critical to the development of their educational programming, says Minimally Invasive Surgery Section Chief Michael Brunt, MD. Epub 2016 May 17. The IU School of Medicine Department of Surgery's Division of General Surgery offers a one-year Minimally Invasive Surgery (MIS) and Bariatric Fellowship to produce leaders in the field of modern surgery. For additional information, please contact: Jacinta Russell Disclaimer. The Department of Surgery has a long and proud history of service, education, and research. The minimum number of cases the fellow will complete is 250. -, Swanstrom LL, Park A, Arregui M, et al. Additionally, she partners with residents including Smith to publish research such as a recent chapter in the SAGES Manual of Quality, Outcomes, and Patient Safety. Please email: Grants@intuitive-foundation.org for more information on this program. On average, fellows in this program spend one day per week working in the outpatient clinic and three days per week performing surgical procedures. Progressive independence in patient evaluation and management is encouraged during the course of the fellowship. How to Apply to the Thoracic Surgery Fellowship The University of Pittsburgh School of Medicine accepts applications through the ERAS (Electronic Residency Application Service) Fellowships website. 2014 Jun 4;96(11):e94. doi: 10.1016/j.jpurol.2016.08.012. Masks are required inside all of our care facilities. Duke Surgery strives to refine departmental culture to increase the level and quality of equity, diversity, and inclusion in each of its divisions. The city has been recognized by numerous sources, including The New York Times, where Grand Rapids was ranked as one of the 52 Places to Go. Wake Forest Department of General Surgery offers a one-year post residency fellowship in Minimally Invasive Surgery. Chairman's OfficeDUMC Box 37042301 Erwin Rd.Durham, North Carolina 27710Phone: 919-681-3445, medschool.duke.edu We offer the most advanced surgical techniques using the Da Vinci Robotic system, natural orifice transluminal endoscopic surgery, therapeutic endoscopy and laparoscopic cases. The fellowship is clearly geared toward minimally invasive surgery in general. Dr. Ebinu is a dual-fellowship trained spine and skull base/neuro-oncology neurosurgeon whose clinical practice highlights a patient-centered approach to managing numerous brain and spinal disorders with an empasis on state-of-the-art computer-guided technologies, stereotactic radiosurgery, and minimally invasive techniques to improve patient . Washington University minimally invasive surgeons specialize in laparoscopic and open treatment of upper gastrointestinal conditions, abdominal wall hernias and bariatric surgery. Also seegeneral admissions requirementsfor Mayo Clinic School of Graduate Medical Education. The medical school is focusing on the integration of knowledge into surgical practice, Sacks says of the updated curriculum. Setting: Publicly reported data from the NRMP. Rosenbluth AL, Nagaraj MB, Brunt LM, Scott DJ. Fellows will acquire skill in diagnostic flexible endoscopy relevant to their area of expertise. Qualified applicants must have completed a general surgery residency program at an accredited institution in the US or abroad. Fellowship applications are reviewed and downloaded only through the Fellowship Council. Blatnik, Majumder and Holden are leading initiatives to inform patients about their options, address common surgical concerns and implement a patient-centered scheduling platform. Join a team that cares for each other and is committed to improving health and inspiring hope. The fellowship has been accredited by the Fellowship Council in both advanced minimally invasive surgery and minimally invasive bariatric surgery. Fellows are reimbursed for travel to meetings in which they present. Endourology/Minimally Invasive Surgery Fellowship Program . Amy Banks-Venegoni, MD, FACS, leads a quarterly minimally invasive surgery research meeting to facilitate progress in ongoing research projects and to develop new projects. The average fellow will graduate with approximately 400 cases and near 500 procedures. Box 1980 Careers. Through EVMS' Wellness Works program,our residents and fellowsreceive the same wellness resources asour faculty and staff. In comparison, the match rates for pediatric surgery, surgical oncology, vascular surgery, and surgical critical care fellowships remained largely unchanged, most recently 50%, 56%, 99%, and 100% respectively. The fellow can tailor their experience to meet their long-term career goals by choosing to focus the fellowship on particular areas of interest. A strong residency experience with a high level of autonomy is required. Minimally Invasive Gynecologic Surgery Fellowship is the most competitive fellowship in OB/GYN, and here at Maimonides, it has grown under the leadership of Drs. The Duke Department of Surgery is pleased to support three clinical laparoscopic fellowship positions providing clinical and academic training in advanced laparoscopic/Robotic surgery, bariatric surgery, and advanced endoluminal surgery. Surg Endosc. The minimally invasive surgery fellowship at Spectrum Health is a one-year program accredited by and matched through the Fellowship Council. Fellowswill rotate atJohns Hopkins Hospital,Johns Hopkins Bayview Medical Center and Johns Hopkins Howard County General Hospital. At EVMS, we know life happens, and we want you to be covered when it does. 2021 by SLS, Society of Laparoscopic & Robotic Surgeons. Bethesda, MD 20894, Web Policies government site. Focused on frailty and prehabilitation before hernia surgery, GrAMPS intends to prepare older patients who are less mobile and active for complex abdominal wall reconstruction. 2016 Sep-Oct;73(5):793-8. doi: 10.1016/j.jsurg.2016.04.012. Program Highlights The fellowship is in its fifth year of existence and has graduated four fellows. Chairman's Office DUMC Box 3704 2301 Erwin Rd. Serving more than 60 communities in Minnesota, Wisconsin and Iowa. National Library of Medicine 2021 Nov-Dec;60(6):1227-1231. doi: 10.1053/j.jfas.2021.04.018. Through the training program, students learn to become more than physicians they also learn to be scientists, educators and advocates who will reimagine the medical field towards advancing high quality healthcare. The Fellowship in Minimally Invasive Gynecologic Surgery is an AAGL accredited, two-year, post-residency program offered by the Division of Minimally Invasive Gynecologic Surgery. Our fellowship program seeks to create amazing surgeons and gynecologic experts through exposure to a wide variety of complex minimally invasive surgery. MeSH Watkins JR, Pryor AD, Truitt MS, Jeyarajah DR. Surg Endosc. Unauthorized use of these marks is strictly prohibited. FOIA This, coupled with porcine and cadaveric labs, provides fellows with the opportunity to teach residents advance laparoscopic techniques. Norfolk, Materials and methods: This legacy began in 1993 with the establishment of the Washington University Institute for Minimally Invasive Surgery (WUIMIS) and grew once again one decade later with the creation of the Washington University Fellowship in . 2006 Apr;243(4):431-5. doi: 10.1097/01.sla.0000205217.45477.25. The desire for advanced training should be reflected in increased competitiveness for fellowship positions. 2007;142(4):505511. The advanced minimally invasive surgery fellowship offers an opportunity for board-eligible surgeons to acquire advanced minimally invasive surgery (MIS) skills in all aspects of laparoscopy. J Am Coll Surg. Data from January 1, 2008 - December 31, 2019 were included. Washington University hernia surgeons Jeffrey Blatnik, MD, Arnab Majumder, MD, and Sara Holden, MD, specialize in all forms of hernia repair, including traditional open surgery, minimally invasive and robotic procedures, and complex abdominal wall reconstruction. : are applicants receiving enough information serving more than 60 communities in Minnesota, Wisconsin and Iowa opportunities cross-disciplinary... To develop a culture of patient safety in surgery doi: 10.1007/s00464-007-9430-6 strong residency experience with a high level autonomy... These cases be reflected in increased competitiveness for fellowship positions acgme Accreditation of Orthopaedic surgery Subspecialty training! 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