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Updated: Jan 7, 2026

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Global Hand Surgery Fellowship Education: Program-Reported Characteristics and Competencies.

Andrew D'Elia1, Armaan Dhanoa1, Barbara Jemec1,2

  • 1Temerty Faculty of Medicine, University of Toronto, ON, Canada.

Hand (New York, N.Y.)
|January 3, 2026
PubMed
Summary
This summary is machine-generated.

Global Hand Surgery Fellowship programs lack standardization, with varying curricula and training methods. This study analyzed 218 programs, revealing differences in focus based on faculty specialization and geographic region.

Keywords:
educationfellowshipglobalhand surgerystandardizationwebsite

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Area of Science:

  • Orthopedic Surgery
  • Surgical Education
  • Global Health

Background:

  • Hand Surgery Fellowship is crucial for training hand surgeons worldwide.
  • A standardized curriculum and consistent training offerings are currently lacking.
  • Discrepancies exist in operative exposure and program requirements among fellowships.

Purpose of the Study:

  • To characterize the promised curriculum of global Hand Surgery Fellowship programs.
  • To understand the training methodologies employed by these programs.

Main Methods:

  • Conducted an internet search for Hand Surgery Fellowship programs (March 2024 - February 2025).
  • Identified programs via the International Federation of Societies for Surgery of the Hand and affiliate society websites.
  • Included only fellowships recognized by national regulatory bodies.

Main Results:

  • Analyzed 218 program websites across multiple continents.
  • Mentorship/apprenticeships and rotation-based programs were common training approaches.
  • Trauma surgery was a universal focus; faculty specialization influenced training in specific subspecialties (e.g., orthopedics vs. plastics).

Conclusions:

  • Hand Surgery Fellowship program websites globally vary in detail and emphasis.
  • The United States had the most programs with the highest level of detail.
  • Clinical competencies varied by region and faculty specialization, suggesting a need for recommendations.