Hand Surgery Fellowship

The one-year Plastic Surgery Hand Fellowship is one of only a few hand surgery fellowships in the country that truly integrates both Orthopedic and Plastic Surgery approaches to the diagnosis and treatment of upper extremity problems. The fellowship has been in existence since 1995, under the auspices of the Division of Plastic Surgery and is accredited by the ACGME.

Fellowship Information

Program Director

Joel Solomon, M.D.


Amanda Kotsovos


OHSU Hand Fellowship
3181 SW Sam Jackson Park Road
Mail Code: L352A
Portland, Oregon 97239

 503 494-7824

 503 494-5615


Number of Fellows (per year; August 1 to July 31)


Number of Faculty


Application Process

The Division of Plastic and Reconstructive Surgery welcomes you to apply for our Hand Surgery Fellowship Program which begins August 1. Anyone who is board-eligible in General Surgery, Plastic Surgery or Orthopedic Surgery when the hand surgery training starts may apply for the training.

It is important that you apply as early as possible for the processing of your application. The deadline for applications is December 31. Interviews will take place in Portland, Oregon in March. Candidates will match with the National Residency Matching Program (NRMP).

If you are interested in our one-year Hand Surgery Fellowship Program, please mail the following items to our Program Director, Joel Solomon, M.D. at the above address.

  • Universal Hand Fellowship Application
  • Curriculum Vitae
  • 3 letters of recommendation


Dependent on PGY level; 2015-2016 salary: $66,800.

Case mix/number of cases

Fellows have always had in depth exposure to common hand surgery procedures with emphasis on reconstruction, microsurgery and pediatric hand surgery under the supervision of upper extremity surgeons in both Plastic Surgery and Orthopedics. In the recent past, our fellowship applicants have sought increased exposure to orthopedic upper extremity surgery – particularly as it relates to the elbow and the shoulder. In response to this need, we continue to broaden the scope of our fellowship. The fellowship is also transitioning to having co-directors from both orthopedic and plastic surgery.

Strengths of program

The core of any hand fellowship is its clinical program. At OHSU, a broad array of upper extremity problems is managed by leaders in the field. As one of only two Level I trauma centers in the state, OHSU is a major referral center for replantation and complex upper extremity reconstruction for Oregon, Southern Washington, Northern California and Idaho. The fellow's exposure to upper extremity cases is further augmented by several affiliated institutions that are all located on the OHSU hilltop campus including a busy Veterans Hospital, Doernbecher Children's Hospital and Portland Shriner's hospital. OHSU is also home to one of the nation's few multidisciplinary brachial plexus and peripheral nerve centers so that the fellow can acquire skills in nerve repair, nerve grafting, nerve transfers, tendon transfers and free muscle transfers.

Interaction with general surgery residents

The Plastic Surgery Hand Fellow will be part of the surgical team and thus will interact with general surgery residents and medical students.  The fellow will be expected to participate in teaching opportunities of the daily care of surgical patients.


The centerpiece of the fellowship's didactic program is the weekly hand surgery conference. The conference is attended by the orthopedic and plastic surgery residents, the program faculty and community hand surgeons and hand therapists. The curriculum covers the breadth of hand surgery. Conference topics are presented by the hand fellow, the residents, the program faculty and invited guest experts. Presenters can avail themselves of a library of PowerPoint presentations covering all major topics in hand surgery. Several other special conferences also take place during this same time period, including cadaver prosections, journal clubs, and case presentations. Formal didactic and practical instruction in microsurgery technique in the microsurgery laboratory.  Hand conferences take place Thursdays from 6:45 - 7:45 am.

Research opportunities

Fellows are encouraged to participate in research activities during their training. The abundant clinical material allows for variety of projects. In addition, biomechanics projects are supervised by the Department of Orthopedics and by the hand surgery faculty at the VA Medical Center.

Outside rotations

Two-month off-campus rotation at nearby St. Vincent's Hospital and at Kaiser Hospital's ambulatory surgery center and fracture clinic.

Requirement for paper