Our one-year hand surgery training program is among the few in the U.S. that integrate orthopedic and plastic surgery approaches. We accept just one fellow per year, giving you flexibility to concentrate on your areas of clinical interest. 

You will find: 

• A nationally recognized ACGME-accredited program that has been training fellows since 1995
• A major regional referral center for replantation and complex upper extremity reconstruction
• Training in nerve repair, nerve grafting, nerve transfers, tendon transfers and free muscle transfers
• One of the nation’s few multidisciplinary brachial plexus and peripheral nerve centers  
• Exposure to shoulder and elbow complex reconstruction, shoulder and elbow arthroscopy, and shoulder and elbow arthroplasty 

You will train in all aspects of upper extremity pathology and treatment. You will gain in-depth experience in common hand surgery procedures with additional emphasis on: 

• Complex hand and wrist reconstruction
• Microsurgery
• Pediatric hand surgery 

You will be supervised by upper extremity surgeons in both plastic surgery and orthopedics.  

You will also teach plastic and orthopedic residents and medical students during the daily care of surgical patients.  

Structured learning experiences such as conferences, teaching and advanced skills development will support your hand surgery clinical training. During didactic rotations, you may: 

• Attend weekly virtual Hand Surgery Conferences
• Present at events alongside residents, faculty, community surgeons, hand therapists and guest experts
• Participate in cadaver prosections, journal clubs and case presentations
• Access a formal microsurgery curriculum and training lab for advanced skill development
• Build hands-on experience through twice-monthly cadaveric orthopedic skills labs
• Engage in research activities; publication is encouraged but not required 

Apply through the American Society for Surgery of the Hand (ASSH). You must be board eligible in general surgery, plastic surgery or orthopedic surgery before training starts in early August.  

In your application, include your CV, exam scores and three signed letters of recommendation. 

• Apply any time before the December 1 deadline.
• Match through the National Resident Matching Program.
• Interviews take place in March in Portland, Oregon.
• Fellowship training begins in early August. 

Learn more about how to apply to OHSU residencies and fellowships. 

Joel Solomon, M.D., Ph.D., is head of the hand surgery service within the Department of Surgery and the program director. Dr. Solomon is board certified in plastic surgery and holds a certificate of added qualification in surgery of the hand. He is broadly trained in plastic and reconstructive surgery and has particular expertise in surgically managing nerve injuries, reconstructive surgery of the hand and upper extremity, reconstructive microsurgery, brachial plexusy. 

Adam Mirarchi, M.D., is the program co-director. He completed his residency training at University Hospitals of Cleveland and a hand and upper extremity fellowship at the Harvard-affiliated Brigham and Women’s Hospital in Boston, Massachusetts. His research interests include distal radioulnar joint dysfunction and neuroprosthetic control.