Comprehensive · Source does not publish funding, official contact
DECISION SUMMARY
Key facts at a glance
Eligibility
Entry requirements published; international route unconfirmed
Funding
Stipend amount for 2028–2029 is not yet published
Deadline
2027 appointment Match rank-order lists closed 29 April 2026 and Match Day was 13 May 2026; the next cycle is not yet published on the reviewed NRMP page
Duration
12 months
Hands-on
Unclear — confirm privileges
Clinical exposureFour three-month rotations spanning fingertip to shoulder, adult and paediatric care, fractures, peripheral nerve, degenerative reconstruction, wrist, elbow and shoulder surgery and microsurgical reconstruction, with approximately 700–800 scrubbed cases per fellow annually
Participation levelClinical participation and hands-on restrictions must be confirmed directly with the host.
INTERNATIONAL APPLICANT CHECK
Can an international surgeon apply?
—Not published
International applicants
The public ASSH index does not establish international eligibility, licensing, ECFMG requirements or visa sponsorship; confirm every requirement with the host before applying.
?Confirm directly with host
Clinical role
Clinical or combined training pathway; exact duties remain appointment-specific. Hands-on participation and operative restrictions are not explicitly published.
≈Partially published
Medical registration
Licensure by the Texas Medical Board is required; the Hand Center states that it pays the fee
—Not published
Language
No formal language requirement is published by the cited source.
—Not published
Visa or work authorisation
Visa sponsorship is programme-specific and is not established by ASSH directory inclusion.
DATA QUALITY & AVAILABILITY76% of core application fields verifiedChecked 23 Sep 2026 · Next scheduled editorial review: 2027-03-31
✓ programme title✓ institution / department✓ city and country✓ programme classification✓ subspecialty✓ current status evidence✓ duration✓ commencement / intake✓ benefits✓ eligibility✓ registration✓ deadline✓ application process✓ required documents✓ application portal✓ faculty✓ verified faculty photograph✓ verified institution logo✓ official source✓ institutional source✓ accreditation / organisation source✓ verification date— positions · official sources conflict— Funding information not published · not published by the cited official source— accommodation / relocation · not published by the cited official source— international eligibility · not published by the cited official source— Language requirement not published · not published by the cited official source— visa / work authorisation · not published by the cited official source— official contact · not published by the cited official source
APPLICATION TIMELINE & CONTACT
Plan the application
Application deadline2027 appointment Match rank-order lists closed 29 April 2026 and Match Day was 13 May 2026; the next cycle is not yet published on the reviewed NRMP page
Commencing dateJuly 2027 appointment year; the 2026 central Match is complete
Application route / cycleNRMP Hand Surgery Match for July 2027 appointments: Match opened 11 February 2026, ranking opened 25 March, rank-order lists were due 29 April and Match Day was 13 May 2026. That central cycle is complete; applicants should check the host and NRMP for unfilled positions or the next published cycle.
Official contactNo programme-specific contact published
Completion of orthopaedic-surgery or plastic-surgery training
Eligibility for Texas medical licensure
Completion of an Orthopaedic Surgery, Plastic Surgery or General Surgery residency before appointment
Programme-specific licensing, credentialing and specialty prerequisites still apply
Application documents
Published by official source
Universal Hand Surgery Fellowship Application (ASSH)
Curriculum vitae
Official medical school transcript
Three reference letters, including one from the programme director
PROGRAM OVERVIEW
What this program offers
A 12-month ACGME-accredited San Antonio fellowship with four preceptors, four rotations and approximately 700–800 scrubbed cases per fellow. The host page conflicts on annual capacity, so both official figures remain visible; no current dated application deadline is published.
Intended for: Eligible surgical graduates pursuing advanced hand, upper-extremity or microsurgery training; qualifying specialty is programme-specific
BENEFITS & SUPPORT
Published benefits and support
Two weeks of paid vacation, additional interview leave, health-insurance premiums, professional-liability insurance and Texas licensure fee paid by the Hand Center
HOST INSTITUTION
About Hand & Upper Extremity Center of San Antonio / TIGMER–University of the Incarnate Word
The Hand Center publishes a four-preceptor private-practice fellowship, approximately 700–800 scrubbed cases per fellow and paid insurance and licensure support.
Managing Partner; Associate Fellowship Director; Director of ResearchOfficial profile & photo verified
Position / status
Managing Partner; Associate Fellowship Director; Director of Research
Affiliation
Hand & Upper Extremity Center of San Antonio
Clinical focus
Hand & Microsurgery training and clinical practice
Ramesh Srinivasan is a hand and upper extremity surgeon at the Hand & Upper Extremity Center of San Antonio. He has completed fellowships in hand and microsurgery and in shoulder and elbow surgery; his practice lists him as managing partner, associate fellowship director and research director.
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