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Pakistan Orthopaedic Association (POA)SUPER SPECIALTIES TRAININGFELLOWSHIP PROGRAM

EXECUTIVE BOARD2018-2019Prof. Muhammad Arif KhanPresidentProf. Khalil Ahmed GillSecretary GeneralDr. Shaikh Naeem ul HaqTreasurerVice President(s)Dr. Muhammad Hanif (P)Dr. Badaruddin (S)Dr. Naeemullah (KP)Dr. Hameedullah Kakar (B)Joint Secretary(s)Dr. Usman Zafar Dar (P)Dr. Abbas Memon (S)Dr. Abbas Ali (KP)Dr. Wazir Ahmed (B)Executive Member(s)Dr. Asad Ali Chaudhry (P)Dr. Muhammad Ather Siddiqui (S)Dr. Muhammad Ishaq (KP)Dr. Amanullah Khan Kakar (B)Dr. Sajid Manzoor (AJK)Prof. Ghulam Mustafa K KPresident ElectProf. Syed Shahid NoorImmediate Past PresidentDr. Faaiz Ali ShahEditor in Chief, JPOA

Message from President Orthopaedic Association (POA)It is indeed a ma er of great pleasure for me to write these introductory words for thePakistan Orthopaedic Associa on official fellowship Announcement.The Pakistan Orthopaedic Associa on (POA) has come a long way in its very shorthistory and is expedi ously progressing towards its goal of becoming a leadingprofessional organiza on in the interna onal ranking. The reason of this remarkablesuccess story lies in its constant persuasion and focus on educ on and hands-ontrainings.During the last few years, POA has focused on its na onal fellowship programs.There are 54 opportuni es of na onal fellowships in the following sub special esacross various Centres in Pakistan.1.2.3.4.5.6.7.8.ArthroplastyDeformity Correc on & bone regenera onHand surgeryOrthopaedic Oncology (new)Paediatric OrthopaedicsSport Surgery and Arthroscopy (new)Spine SurgeryTraumaLast year we received 74 applica ons for POA Na onal fellowships which shows the interest of young bloodtowards the subspecial es. Selec on of the candidates was through a very transparent process according tocriteria that have been developed by the previous execu ve boards.It would be unfair if we don't men on the effort of research & educa on commi ee and it s Chairman Prof.Anisuddin Bha who scru nized every applica on, and arranged interviews for all the candidates. This year twonew fellowships have been started in the subspecial es of Orthopaedic Oncology and Sport Surgery andArthroscopy.In order to maintain the quality of POA fellowships, POA Execu ve Board has worked the en re year toimprove on the guidelines , criteria for fellowships centers, supervisors and fellows.The new criteria and guide lines developed have been adver sed on the website.Slots for interna onal fellowsPOA board decided to keep three slots for interna onal fellows to be trained in Pakistan. These will be unpaid.These fellowships slots will be adver sed through our web site and foreign fellows can apply to POA to avail theseopportuni es.At the end I would like to emphasize that POA has provided a great pla orm to our young Orthopaedicsurgeons for ge ng subspecial es trainings and fellowships. I can visualize that in near future, surviving withouta subspecialty training in this country will be very difficult for an Orthopaedic surgeon. Now is the me that youcome forward and avail this opportunity so that you don't stay behind in the professional carrier.With best regardsProf. Muhammad Arif KhanPresident, Pakistan Orthopaedic Associa on (POA)Head, Department of Orthopedic and Spine SurgeryKGMC/ HMC, Peshawar, Pakistan

Message from ChairmanPOA Research and Education CommitteeIndeed it is a ma er of great joy and personal sa sfac on for me to see the fruits ofseeds we sow in 2006 to spread Knowledge and transform skill by crea ngOrthopaedic sub-specialty forums. Mentors in Pakistan Orthopaedic fraternity, the“POA” have really worked hard to create & con nuously upgrade the subspecialtyraining centers within Pakistan, not only to share experiences, knowledge but impart“hands on training skill” to our young Orthopods. Some of these MenteesAlhamdulillah! have a ained the status of mentors, transforming their skill veryamicably and have become a great asset to our Orthopaedic Community, “the POA”.The Pakistan Orthocon 2008 was a unique conference in history where the Subspecialty forums held all thesessions and these were the days when 03 sub-specialty centers got recogni on to start super-specialty trainingin Arthroplasty (IOS), Spine (Gurki) and Paediatrics (CHL). In 2012 recognized centers were six, and therea er in2015-2017 there was a fast growth that POA Training & Research commi ee recognized 18 subspecialty centersand today 23 centers are providing subspecialty hands on training Skill in almost all subjects, with a recentinduc on of Ortho-Oncology and Sports Injury / arthroscopy. Till date these Subspecialty centers of POA haveawarded 01-year hand on training to 30 and 06 months training to 6 consultants orthopaedic surgeons.It is a great hard work and enthusiasm of our mentors that they have a ained a status not less than aninterna onal centers that a significant number of “Interna onal applicants” are reques ng for Sub-specialtytraining at our centers in Pakistan, that indeed is a great honour and pres ge for our community, ”the POA”With this preamble, the POA Educa on & Research Commi ee announce 54 scholarships, including Spine,Arthroplasty, Ilizarov, Sports Trauma / Arthroscopy & Ortho-Oncology for POA members, the young Orthopaedicsurgeons.With best regardsProf. Anisuddin BhaChairman, Research and Educa on Commi eePakistan Orthopaedic Associa onProfessor of Orthopaedics, Trauma and Paediatric Orthopaedic SurgeryZiauddin Medical University Hospital, Karachi

Aim and ObjectiveIntroduc onA er comple ng PMDC Level-III training, the orthopaedic surgeons can obtain training at Level-IVthrough sub specialty fellowship training. Priori es for establishing a sub-specialty programfellowships in Orthopaedic Surgery are based on community needs and availability ofinfrastructure for the sub-specialty, which are mandatory for accredita on of the programs, thefirst me and every me.Vision/MissionThe sub-specialty fellowship training in Orthopaedic Surgery will ensure in depth knowledge, highquality of skills and a tudes essen al for Orthopaedic Surgeons to solve complex musculoskeletalproblems of human body in area of their subspecialty, adequately as an accomplished competentsub specialty expertList of Subspecialty FellowshipsPOA has iden fied following sub- special es to start fellowship training of one year in each.1. Trauma2. Arthroplasty3. Spine Surgery4. Hand & Plas c Reconstruc on5. Musculoskeletal Tumors6. Deformity Correc on and Limb Lengthening.7. Pediatrics Orthopaedics8. Sports Surgery & ArthroscopyAdministra on of Sub Specialty Fellowship ProgramsEach Sub Specialty Fellowship Program can have more than one trainers/supervisors/mentors.Qualifica on of trainer/supervisor for fellowship Orthopaedic surgeon with Level III PMDCrecognized and registered qualifica on (MS/FCPS) with at least 5 years' experience with largerinterest in sub specialty prac ce or successful comple on of one year of fellowship in samespecialtyOne of the Sub Specialty Fellowship Program supervisor at each site shall be responsible toadminister the “Fellowship Program” and will be called the “Fellowship Program Director”.The Program Directors of same subspecialty subject of all POA approved/accredited sites shallcons tute the “Fellowship Commi ee in the same subject”.Responsibili es of “Fellowship Commi ee of each sub specialty”.Towards achieving the mission, the “Fellowship Commi ee of each sub specialty” shall, fulfill theresponsibility to recommend followings to the Educa on and Research Commi ee of POA.1. Curriculum/Training Manual2. Log Book for the fellows to record clinical and academic experience during training.3. Technical requirements of the department to run sub-specialty fellowship in a subject.4. List of essen al learning facili es required in one subject5. The nature and volume of clinical material that should be available to the program.6. The senior teaching staff which should be involved in the each fellowship program.7. To assist the Educa on and Research Commi ee of POA to inspect/review the program8. To assist the Program sites in making evalua ons/examina ons of the fellowships.9. To recommend number of fellows in each year of the program.

Entry Criteria in Fellowship ProgramsCandidates shall possess MS/ FCPS (Pak) or equivalent qualifica on recognized by and registeredby Pakistan Medical & Dental Council (PM&DC) and shall be member of Pakistan OrthopaedicAssocia on.Provide minimum of two le ers of recommenda on from consultants with whom the candidatehas recently worked with for a minimum period of six months.Admission, Internal Assessments, Exit Examina on and Cer fica on of Fellowships.1. Candidates will apply directly to the POA accredited fellowship training sites along with atleast two le ers of recommenda ons by the supervisors/trainers with whom they hadworked during MS/FCPS training or a erwards.2. The “Program Director” at the training sites will hold entry test (oral or wri en or both),and will issue admission/acceptance le ers to the candidate and to POA Educa on andResearch Commi ee.3. POA will “Register the candidate” to follow and support the fellow.4. Examina on System: Con nuous Internal Evalua on by the supervisor (s) with record toperformance quarterly. Final Examina on of the candidate from Fellowship will be bypassing (1) log book (2) wri en and oral evalua on by 02 peers of same subspecialty(approved by POA as Fellowship trainers) to be invited by host ins tu on. The programdirector of fellowship/trainer will act as internal examiner.5. On successful training and terminal evalua on, the candidate will be awarded acer ficate/diploma of Subspecialty Training by POACurriculum/Training ManualEach fellowship shall provide to the fellows, a detailed wri en curriculum of training programaccording to the following.1. Introduc on2. General Objec ves3. Specific Objec ves4. Admission Procedure5. Fellowship seats with reference to beds, faculty and overall workload.6. Structure of the Training Program7. Contents of the Program- curriculum (Topics with statements of “Objec ves of learningwith outcome competencies” which can be measured during accredita ons.8. Technical Manual containing list of requirements (equipment/instruments/pa entload/quality standards) for running fellowship program according to curriculum9. Methods of Instruc ons/ Training10. Internal Assessments.Salary/Remunera on of the Fellows.1. The monthly take home salary/s pend can vary between 50,000/- month to 70,000/month.2. The POA share in remunera on shall vary from Ins tu on to ins tu on. This will mainlydepend on the nature of work of the Fellow.3. In public and charity hospitals where all pa ents are treated free, the remunera on will bepaid by POA.4. In mixed situa on the POA Educa on and Research Commi ee will make final judgment.

Supervisors & their CentresArthroplastyProf. Dr. Muhammad UmarConsultant Orthopaedic Surgeon,Institute of Orthopaedics, KarachiProf. Syed Shahid NoorHead Department of Orthopaedic,Liaquat National Hospital andMedical College, KarachiProf. Shahzad JavedConsltant Orthopaedic Surgeon,Ghurki Trust Teaching Hospital,LahoreDr. Israr AhmedAssociate Professor,Hayatabad Medical Complex,PeshawarDeformity Correction & Bone RegenerationDr. Asadullah MakhdoomIncharge Prof. Khaleeque AhmedSiddiqui Illizarov Surgery UnitLiaquat University of Medical &Health Sciences Jamshoro, SindhDr. Muhammad Shoaib KhanAssociate Professor,Khyber Teaching Hospital,PeshawarDr. Haroon ur RashidAssociate ProfessorAga Khan University Hospital,KarachiDr. Awad Ahmad AwadNishtar Medical University,MultanHand SurgeryProf. Tahseen Ahmed CheemaConsultant Orthopaedic SurgeonNational Hospital, BahawalpurCol Khalid MasoodConsultant Orthopaedic SurgeonHand & Upper Limb Centre,CMH, LahoreOrthopaedic OncologyDr. Muhammad Zeeshan KhanAssistant Professor,Hayatabad Medical Complex,Peshawar