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Orthopaedic Surgery - Shoulder & Elbow Fellowship, Royal Oak


Block rotations

The Orthopaedic Adult Reconstruction - Shoulder and Elbow Fellowship includes two and three month block rotations with the core faculty, Dr. Michael Wiater and Dr. Brett Wiater (Shoulder Team I) and Dr. Anderson (Shoulder Team II). While on either rotation, the fellow has the option of spending time with any of the adjunct faculty. Other members of the team will include a fourth-year orthopaedic resident, a third-year orthopaedic resident, outside rotating orthopaedic residents, and medical students.

The rotation blocks will be staggered with the Orthopaedic Sports Medicine Fellowship so that no overlap between the fellows will occur, since Drs. Wiater and Anderson serve as faculty for both fellowships. In addition to ample time in the operating room, the fellow will spend at least one-half day per week in the Beaumont Orthopaedic Institute and the private offices. The fellow will spend at least one day per week free of clinical duties to allow for protected research time. The fellow will be given ample opportunity to work independently with supervising attending staff immediately available at all times. While general orthopaedic trauma call is not part of the fellowship, the fellow will be expected to be available by page to provide support for the residents on call with the management of complex shoulder and elbow problems.

Conferences and education

Fellows will be financially supported to attend at least one national subspecialty meeting during the fellowship year, such as that held by:

  • the American Academy of Orthopaedic Surgeons
  • the American Orthopaedic Society for Sports Medicine
  • the American Shoulder and Elbow Surgeons
  • the Arthroscopy Association of North America

The program will also offer educational opportunities about medical research and statistics, practice initiation and management, coding and billing regulations, and bioethical and medico-legal issues.


Weekly shoulder and elbow teaching conference

  • held every Wednesday at 6:30 am in the Applebaum Surgical Learning Center
  • faculty, fellows, orthopaedic residents, outside rotating residents, and medical students are in attendance
  • conference is facilitated by the program director and organized by the fellow
  • will include the presentation and discussion of interesting and challenging shoulder and elbow cases
  • preoperative evaluation, diagnostic work-up, treatment options, surgical planning, intraoperative findings, and postoperative radiographs are discussed
  • upcoming cases and cases from the week prior are discussed
  • a review of the current literature are also part of the discussion
  • the fellow is required to present a lecture quarterly

Weekly interesting case conference

  • held every Friday at 6:30 a.m.
  • attended by the entire Department of Orthopaedic Surgery
  • conference is facilitated by the department chairman
  • interesting cases are selected by the staff and residents
  • shoulder and elbow cases are frequently presented
  • fellows will be required to present at least one shoulder and elbow case during the academic year

Shoulder and elbow lecture series

  • series is part of the core curriculum of the Department of Orthopaedic Surgery
  • held every Monday and Tuesday at 6:30 a.m.
  • cover all aspects of orthopaedic surgery and are attended by the orthopaedic residents
  • fellows are expected to attend when the topic is pertinent
  • lecturers include teaching staff, research staff, musculoskeletal radiology staff, fellows, and residents
  • the shoulder and elbow fellow will prepare and give several of these lectures to the residents per year
  • clinical and basic science topics in shoulder and elbow surgery, as well as shoulder and elbow Orthopaedic In-training Examination (OITE) questions will be covered throughout the year

Monthly shoulder and elbow journal club

  • Ten monthly shoulder and elbow journal clubs will be held on the third Tuesday of the month at 6:30 p.m. (September through June)
  • the fellow will select the most relevant articles from the Journal of Bone and Joint Surgery-American Volume, Journal of Shoulder and Elbow Surgery, American Journal of Sports Medicine, Journal of Arthroscopic and Related Surgery, and the Journal of Orthopaedic Trauma
  • all residents on service and the fellow are expected to have reviewed the articles in advance and will be called upon to discuss the articles
  • combined with the experience in research, the fellow will develop skills in critical review of the literature
  • fellows encouraged to attain a level of expertise sufficient to participate as a reviewer for appropriate journals upon completion of the fellowship

Monthly morbidity and mortality conference

  • held on the last Friday of every month at 6:45 a.m.
  • attended by the entire Department of Orthopaedic Surgery
  • conference is facilitated by the department chairman
  • cases are selected by the chief resident and the fellow will be required to present cases in which he or she is involved
  • case presentations will include thorough literature reviews

Monthly shoulder and elbow research conference

The fellow and faculty will meet with members of the laboratory and clinical shoulder and elbow research team to discuss the progress of ongoing projects and the timeline for completion.  Novel ideas for research projects will be presented to the group.  The status of presentations and manuscripts to meet upcoming deadlines will be reviewed.

Monthly grand rounds

  • held on Mondays in the afternoon and are presented from September through May
  • distinguished visiting orthopaedic surgeons are invited by the chief resident
  • all subspecialty fields are covered
  • interesting cases treated in the department are presented to the visitor by the residents and fellows
    • this is followed by a lecture given by the visiting orthopaedic surgeon
  • the fellow will be required to present at least one interesting shoulder and elbow case at grand rounds during the year

Gross anatomy cadaver dissection course

  • musculoskeletal gross anatomy cadaveric dissections are held weekly throughout the academic year
  • prosection is the responsibility of the second-year orthopaedic residents
  • the fellow will attend and participate in the anatomy sessions that pertain to the shoulder, arm, and elbow

Arthroplasty bioskills laboratory

Workshops are held in the state-of-the-art Applebaum Surgical Learning Center throughout the academic year. While primarily structured as "sawbones" workshops, cadaver labs will also be utilized. All orthopaedic surgery residents and fellows are expected to participate. This conference is facilitated by teaching staff as well as corporate sponsors and allows participants the opportunity to enhance surgical skills outside the operating room.

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