Department of Orthopedic Surgery

Adult Reconstructive Orthopedics Fellowship Curriculum


Program Purpose and Outline


The Adult Reconstructive Orthopedics Fellowship provides clinical and research exposure to prepare fellows for a career as a sub-specialist in joint replacement surgery. Fellows will have an extensive clinical experience with primary and revision total hip and total knee replacements. They are exposed to a wide spectrum of surgical techniques and problems, ranging from primary hip, knee and shoulder arthroplasties to complex joint revision and tumor reconstruction cases.

Fellows are responsible for staffing joint replacement cases at Baylor St. Luke's Medical Center, Houston Methodist, and at the Michael E. DeBakey Veterans Affairs Medical Center. The primary clinical responsibility for ward management falls to the residents on these services, or to the attending staff positions. Fellows are supervised by attending orthopedic surgeons who are either full-time or part-time faculty members in the Baylor College of Medicine Department of Orthopedic Surgery.

Fellows are expected to participate actively in the operating room either as first assistant or surgeon under direct faculty supervision. They do not participate in the orthopedic call schedule and are not primarily responsible for managing the inpatient services. In very unusual circumstances, such as serious illness or prolonged absence of the resident assigned to the arthroplasty service, fellow may be asked to take call or perform ward duties.




Fellows’ responsibilities include:

  • Follow-Up Care: Outpatient clinics and private office patients
  • Results Recorded: All patients, private and public, are available for review
  • Patients-Monthly Clinic/Office: Approximately 350 per month
  • Surgery Monthly: Approximately 40 joint replacement and adult reconstructive procedures per month
  • Teaching Aids: Video programs, cadaver dissections, and a library. Computerized database software is available for clinical studies.

Global Opportunities


All residents and fellows have the opportunity to spend a week in Guatemala with Dr. Brian Parsley as part of the Faith in Practice medical missionary. Faith In Practice is a non-profit, ecumenical Christian organization that seeks to improve the physical, spiritual, and economic conditions of the poor in Guatemala through short-term surgical, medical and dental mission trips and health-related educational programs. Faith In Practice is committed to serving the poor of Guatemala through short-term medical mission trips that take an integrated approach to care that strives to reach those in the greatest need.

Each year, more than 1,100 medical professionals and support personnel from across the United States and world travel to Guatemala, paying their own direct expenses to serve the poor through Faith In Practice. Each year, nearly 700 Guatemalan volunteers work beside our volunteers in this endeavor. Faith In Practice teams see more than 22,300 patients annually. Our volunteers serve through a variety of teams that are connected, providing a continuity of care in the context of short term medical mission.