FESSH-listed Hand Surgery Training Centres — Western Europe

Duration: 1 year for the clinical fellowship described in the FESSH centre profile

Exposure: Hand, wrist and elbow sports injuries, trauma, post-traumatic reconstruction, scaphoid, distal-radius and forearm surgery, Dupuytren disease, nerve problems, tendon transfers and research

Funding / fees: A funded route is described for candidates with Dutch-language proficiency; the current amount and availability are not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Hand, wrist and elbow trauma and elective surgery, arthroscopy, joint replacement, complex reconstruction, theatre efficiency and research

Funding / fees: Not published; the FESSH profile lists research and observer attachments without practising rights

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 6 weeks, 3 months, 6 months or 1 year; short visits are also offered

Exposure: Elective and emergency hand surgery, wrist arthroscopy, microsurgery, congenital and reconstructive procedures, elbow and broader upper-limb surgery, theory and scientific activity

Funding / fees: Self-funded and centre-funded routes are listed; Dutch and participation in the SOS Hand on-call rota are required for a funded route

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Annual placement; exact duration is confirmed directly with UZ Leuven

Exposure: Hand, wrist and elbow trauma, microsurgery, Dupuytren disease, wrist instability, arthroscopy, rheumatoid surgery and joint replacement

Funding / fees: Self-funded and centre-funded routes are listed; the amount, accommodation and active vacancy are not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the unit; no fixed period is published

Exposure: Adult trauma, brachial plexus, shoulder, elbow, complex wrist and hand surgery, congenital differences, supervised operating, outpatient clinics, on-call work and research

Funding / fees: Self-funded fellows are welcomed; occasional European fellows may be funded as Belgian assistants, subject to vacancy and eligibility

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Open hand surgery, wrist and digit arthroscopy, ultrasound-guided surgery, trauma and planned hand-and-wrist procedures in a focused private-practice unit

Funding / fees: Self-funded fellowship or attachment; research, observer and practising routes are listed but remuneration is not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with AZ Groeninge; no fixed period is published

Exposure: Hand and wrist surgery, trauma, microsurgery, brachial plexus, congenital differences, arthroscopy, Dupuytren disease, fractures, arthroplasty and elbow surgery

Funding / fees: Observer, practising, self-funded and centre-funded routes are recorded; Dutch is required for a funded clinical route

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Hand trauma, wrist arthroscopy, congenital differences, microsurgery, brachial plexus, rheumatoid and tetraplegia surgery, fractures, joint replacement and elbow surgery

Funding / fees: The centre lists a funded fellowship route; the amount and current availability are not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 6 months, with possible extension to 1 year

Exposure: Elective and emergency hand, wrist, elbow and shoulder surgery, microsurgery, arthroscopy, peripheral-nerve and brachial-plexus reconstruction, complex trauma and a historic composite-transplant programme

Funding / fees: Funded by the centre with a basic resident salary plus on-call duties; the exact amount is not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 6 months

Exposure: Hand and wrist surgery, wrist arthroscopy, microsurgery, congenital differences, peripheral nerve and brachial-plexus surgery, spasticity and upper-limb reconstruction

Funding / fees: Not published by the current official application form; an older centre-submitted FESSH record mentioned paid resident posts, which must be reconfirmed

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Hand trauma and emergency care, microsurgery, brachial plexus and peripheral nerves, congenital cases, Dupuytren disease, wrist instability and arthroscopy, fractures, elbow and joint replacement

Funding / fees: Self-funded and centre-funded routes are listed in the centre-submitted FESSH profile; current remuneration and terms are not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Hand and upper-limb emergencies, fractures, dislocations, tendon and soft-tissue injuries, microsurgery, Dupuytren disease, wrist instability, arthroscopy and joint replacement

Funding / fees: Self-funded fellowship, research and observer routes are recorded; the observer route has no practising rights

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration is not published in the current centre record

Exposure: Twenty-four-hour hand emergency care plus elective hand, wrist, elbow, shoulder, nerve and brachial-plexus surgery with research and weekly teaching

Funding / fees: Centre-funded route; the FESSH record historically states EUR 1,219 per month with social cover, but the current amount must be reconfirmed

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 6–12 months in the centre-submitted FESSH record

Exposure: Hand and upper-limb trauma, plastic surgery and general/orthopaedic/hand-trauma on-call exposure

Funding / fees: Self-funded and centre-funded routes are recorded by FESSH; current salary, contract and availability are not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Hand trauma, microsurgery, Dupuytren disease, wrist instability, arthroscopy, rheumatoid and fracture surgery, joint replacement and research

Funding / fees: Self-funded fellowship or observer attachment

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 3 months

Exposure: Chronic hand and wrist disease, arthroscopy, trauma, upper-extremity reconstruction, paediatric hand trauma and congenital cases, dry-lab and microsurgery training

Funding / fees: Self-funded fellowship

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the department; no fixed period is published

Exposure: Hand trauma, peripheral-nerve and brachial-plexus surgery, paediatric limb differences, plastic and reconstructive surgery

Funding / fees: Self-funded observer attachment

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: High-volume hand and plastic surgery, wrist arthroscopy, Dupuytren disease, peripheral-nerve surgery, paediatric hand differences, trauma and replantation care

Funding / fees: Self-funded and centre-funded routes are recorded in the centre-submitted FESSH profile; current funding terms require direct confirmation

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with TUM; no fixed period is published

Exposure: Comprehensive hand and forearm surgery, replantation, reconstructive microsurgery, carpal and wrist surgery, WALANT, nerve reconstruction and university research

Funding / fees: Research and self-funded fellowship routes are recorded; no stipend or salary is published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Current international attachment duration is not published and must be agreed with the section

Exposure: Adult and paediatric brachial plexus, peripheral-nerve reconstruction and transfer, nerve decompression, tendon and muscle transfer, microsurgery and complex hand deformity

Funding / fees: The historical FESSH record included self-funded and centre-funded pathways; current funding, fees and vacancy status are not published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with UMC Utrecht; no fixed period is published

Exposure: Tertiary wrist surgery, hand trauma, arthroscopy, revision arthroplasty, complex nerve problems, congenital hand differences and research

Funding / fees: Self-funded observer/fellowship pathway

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with Erasmus MC; no fixed period is published

Exposure: Congenital hand differences, hand trauma, microsurgery, Dupuytren disease, wrist instability and arthroscopy, nerve surgery, tetraplegia, fractures and joint replacement

Funding / fees: Self-funded fellowship route

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with Amsterdam UMC; no fixed period is published

Exposure: Academic hand and wrist surgery, trauma, reconstruction, peripheral nerves, arthroscopy and linked research

Funding / fees: The centre-submitted record lists self-funded and centre-funded routes; Dutch and institutional appointment requirements apply to any funded or practising role

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration is not published; availability requires a new enquiry

Exposure: Multidisciplinary hand and wrist trauma, degenerative and congenital conditions, complex reconstruction, peripheral-nerve surgery, rehabilitation and research

Funding / fees: The older centre-submitted record lists a self-funded observer route without practising rights

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Up to 3 years, consecutive or non-consecutive, as an ISFM Category B postgraduate training centre

Exposure: Private-sector hand and wrist surgery, Dupuytren disease, instability, arthroscopy, fracture surgery, joint replacement, peripheral nerves and research

Funding / fees: Paid postgraduate appointment under an employment contract issued through the regional training network; the individual contract determines the amount

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period is published

Exposure: Hand trauma, Dupuytren disease, arthroscopy and outpatient hand-surgery practice across two public-hospital locations

Funding / fees: Self-funded observer attachment

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the clinic; no fixed period is published

Exposure: Twenty-four-hour hand emergency care, fractures, revascularisation and replantation, tendon and nerve reconstruction, arthroscopy, endoscopy, rheumatoid and tumour surgery and joint replacement

Funding / fees: Self-funded observer attachment

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 6–12 months in the centre-submitted fellowship record

Exposure: Hand and wrist trauma, post-traumatic and degenerative reconstruction, arthroscopy, peripheral-nerve surgery and medical 3D printing in a 24-hour emergency service

Funding / fees: Self-funded observer attachment

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with KSA; no fixed period is published

Exposure: Hand and wrist trauma, fractures and joint disorders, microsurgery, replantation, peripheral-nerve and brachial-plexus reconstruction, arthroplasty and soft-tissue reconstruction

Funding / fees: Self-funded observer attachment in the centre-submitted FESSH record

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the clinic; no fixed period is published

Exposure: Hand and forearm surgery, joint replacement, complex wrist procedures, peripheral nerves, rheumatoid surgery, Dupuytren disease, outpatient clinics and research

Funding / fees: Self-funded observer attachment

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration is arranged directly; the centre-submitted profile does not publish a fixed term

Exposure: Hand and wrist trauma, peripheral nerves including brachial plexus, reconstructive extremity microsurgery, biomechanics and clinical research

Funding / fees: Self-funded observer or research route in the FESSH record; current costs and any research support require direct confirmation

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: 12 months in the original centre-submitted profile; current duration must be reconfirmed

Exposure: Complex upper-limb reconstruction, hand/wrist/forearm/elbow trauma, osteoarthritis, arthroplasty, revision surgery and complex nerve palsy

Funding / fees: The FESSH record describes a centre-funded practising fellowship; no current funding terms or vacancy are published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host

Duration: Duration agreed directly with the centre; no fixed period or current intake is published

Exposure: Hand, wrist and elbow surgery, trauma, microsurgery, arthroscopy, joint replacement, peripheral nerves, research and structured wrist-arthroscopy training

Funding / fees: The centre-submitted record lists a self-funded research or observer route; no current stipend or programme fee is published

Language: Language information not published

Clinical role: Registration and hands-on restrictions must be confirmed with the host