Mark A. Frankle, MD, Fellowship Co-Director
Mark A. Mighell, MD, Fellowship Co-Director
Kaitlyn N. Christmas, BS, Fellowship Coordinator
Tampa, FL 33367
The Florida Orthopaedic Institute (FOI) is the largest orthopaedic group in the state of Florida offering experts in every orthopaedic subspecialty. FOI provides exposure to a high volume tertiary referral practice exclusive to shoulder and elbow reconstruction and fracture management.
The Foundation for Orthopaedic Research and Education (FORE) was founded by the surgeons at FOI in 1999 as part of their commitment to providing world-class orthopaedic care to their patients. The foundation was established as a way to improve the care of patients with musculoskeletal disorders through research and education.
FORE is comprised of 4 departments: clinical research, biomechanical research, surgical skills training, and continuing medical education. Each department is staffed by specialty trained research and educational coordinators, biomechanical engineers, statisticians, faculty supervisors, and departmental assistants. The FORE campus houses a biomechanical research laboratory for testing orthopaedic devices and materials, as well as a surgical skills laboratory for training fellows and other surgeons on the latest surgical techniques and devices on cadaveric specimens.
The shoulder and elbow fellowship at Florida Orthopaedic Institute provides exposure to a high volume tertiary referral practice exclusive to shoulder and elbow reconstruction and fracture management. With over 2700 new patient visits, 13,000 clinic visits, the fellows are given ample exposure to the entire spectrum of shoulder and elbow disorders, including shoulder arthroplasty, arthroscopy, open reconstruction, fracture management, elbow arthroplasty, arthroscopy, ligament reconstruction, and fracture management. The Shoulder and Elbow Fellowship provides an opportunity to actively participate in over 1,200 cases per year split evenly between arthroscopic and open surgery. The Fellow evaluates patients in three weekly clinics and participates in shoulder and elbow operative cases with the attending surgeons on the Florida Orthopaedic Institute Shoulder Service. In addition to clinic and surgery, fellows take part in a weekly 2 ½ hour educational conference with their attending physicians, members of the clinical research team, engineers from the biomechanics department, and a statistician. During the conference, clinical cases are reviewed. Fellows are challenged to identify disease pathology and various treatment options. Clinical research projects are designed and updated, assuring ample progress is being made. Basic science projects are discussed, often with presentations of various anatomical computer simulations of shoulder anatomy and kinematics. FORE provides consultation, hardware, software, and facilities where the research takes place. Fellows have the opportunity to work on product research and development.
This fellowship program has a strong academic focus in that the program requires participation in regular journal club meetings and requires that the fellow complete a research project as a first author, with a manuscript to be submitted to a peer-reviewed journal at the end of the year. While one project is required, fellows often work on multiple projects during their time at FOI/FORE. Research projects can be either clinical or basic science. Fellows are given full access to the biomechanics lab onsite. Each fellow presents a project at the ACCME accredited annual Orthopaedic Research Day conference sponsored by the Foundation for Orthopaedic Research and Education (FORE). Fellows are also required to attend one other ACCME accredited conference (usually the course hosted by the fellowship director) for CME credit.
These requirements provide a tremendous learning experience in terms of evaluating medical literature and research, as well as designing an experiment around a research question and hypothesis. The fellow works with the attending physicians and Foundation for Orthopaedic Research and Education (FORE) scientists to design the protocol for their research project. We are a private practice and do not rely on Medicaid subsidies to support the fellowship. This Program is also unique in that there is no physical distinction between the clinic and research departments, making constant ongoing research a reality. The Foundation of Orthopaedic Research and Education is located in the lower level of the main clinical office of the Florida Orthopaedic Institute. This ensures each aspect of the fellow’s education is seamlessly integrated and easily accessible. The fellows work closely with the research staff throughout the length of the project.
By the end of the fellowship year the fellow should have gained knowledge, increased competency and improved performance in the following:
- understanding of shoulder/elbow anatomy and biomechanics
- assessment and management of upper extremity pathologies
- distinguish between pathological and normal variations
- obtain medical history
- develops patient care plans
- determines appropriate diagnostic tests
- understand disease processes that benefit from surgical management and the various surgical techniques
- interpret imaging tests
- demonstrates interpersonal skills required for patient care
- competency in repair of soft and bony tissues
- proper arthroscopic assessment of shoulder/elbow pathology
- grasping current literature
- attends conference
- attends journal club meetings
- Attends at least one ACCME accredited conference
- Completed clinical research project
The fellow will take general orthopaedic emergency room call for a community hospital 1-2 times each month.
2019-2020 Fellowship Match
The 2019-2020 Fellowship Match Program has concluded as of March 28, 2018. However, there are a few institutions that still have fellowship positions available for those that are interested.
- Brown Shoulder and Elbow Fellowship - contact Audrey Bell at firstname.lastname@example.org
- Kerlan Jobe Adult Shoulder and Elbow Reconstructive Fellowship - contact Karen Mohr at email@example.com
- San Francisco Shoulder, Elbow and Hand Clinic - contact Chris Jara at firstname.lastname@example.org
- UTHSCSA Shoulder and Elbow Fellowship - contact Lashun Matthews at email@example.com
Important dates for the 2020-2021 Match Cycle
Application Start Date: Monday, August 6, 2018 (application will not be posted until this date)
Application Deadline Date: Thursday, September 6, 2018
- This is the Target Date for applicants to complete the requirements for application distribution.
- This is NOT a deadline. Some programs accept applications at any time; others may set a deadline.
- It is the applicant's responsibility to contact training programs for individual deadline dates.
Interviews: January 2, 2019 - April 15, 2019
Rank List Deadline: Tuesday, April 16, 2019 (12:00 PM PT)
- ALL rank lists must be submitted by 12:00 PM (noon) PST.
- After the deadline rank lists choices will be locked and no changes can be made.
Release of All Results: April 30, 2019
The ASES participates in the SF Match. Please find a link to the Orthopaedic Shoulder & Elbow Match through SF Match below:
2020-2021 Interview Schedule (TBD)
Information for the 2020-2021 Orthopaedic Shoulder & Elbow Match
- The application for next year's match cycle is centralized with SF Match. You can register with the SF Match and complete your application through their website.
- All rank list information is to be submitted to SF Match, not the ASES office.
All fellowship programs require a completed application via the Central Application Service (CAS) with SF Match, a CV, a photo, and three (3) letters of recommendation. There may be additional items required by each program. These required items vary by location. Please work with the programs directly to ensure you have submitted all the required documents for that program.
Attention Applicants: In order to participate with the Orthopaedic Shoulder & Elbow Match process, you will have to register through the SF Match.
There is a $50 non-refundable applicant registration fee that covers registration and matching. This is paid directly to the SF Match. Once registered, applicants can manage their account by logging in to their account profile. To register, click on “Register” and follow the steps. The registration fee can be paid with a Visa or a MasterCard.
If you do not take this step, you will not be included in the match process. Simply sending your application materials to a program does not make you eligible to be part of the match.
There are also fees associated with the number of programs in which you will be applying. Please see the SF Match website for details.
Please contact the SF Match directly with any questions you may have about the Orthopaedic Shoulder & Elbow Match. You can email your questions to firstname.lastname@example.org or call them at (415) 447-0350.
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