The upper limb unit at ULHT has 7 substantive consultants. The fellowship is run by Mr Motkur, Mr Corbin and Mr Yewlett but there will be an opportunity to work with all of the upper limb consultants. The team sees a wide range of elective shoulder, elbow and hand cases as well as specialist trauma referrals. The post has been planned with the aim of preparing the incumbent for a consultant appointment. It is funded through the NHS with salary at SpR level. The fellow will be exposed to all aspects of shoulder and elbow surgery including arthroscopic procedures, arthroplasty, trauma and revision surgery. There will be an opportunity to develop ultrasound skills relating to shoulder and elbow surgery and guided injections and diagnostic scans as an adjunct to clinical examination. There will also be exposure tohandand wristincluding wrist arthroscopy, small jointreplacement, Dupuytrens surgery andmanagementof complex hand and wrist trauma includingwrist arthroscopy,scaphoid fracture fixation, complex wristfracturefixation, correction of malunions and arthrodesis. There are regular weekly elective and a fortnightly upper limb trauma list with the supervising consultants. The fellowship enables the fellow to participate in the general on call rota on weekends without losing any elective activity. This allows for additional exposure to general trauma cases without detracting from the day to day timetable. The fellow will be actively involved in research and audit and will be responsible for running the Upper Limb MDT meeting. They will be expected to take on and potentially initiate original research which should lead to presentations and publications. We have established links with a number of Universities including Lincoln, Leicester and most recently have successfully introduced the associate PI scheme in collaboration with Oxford University for MSK research. The fellowship although new intends to pride itself on its excellent operative training and supervision and will maintain a training list ethos to its weekly timetable rather than a pure service provision only. Once the fellow has gained sufficient experience and is deemed ready there may be the opportunity to do supervised parallel lists to increase confidence in independent operating to prepare them for a consultant post. Tentative Timetable The finalized weekly timetable is awaiting confirmation but the fellow would be doing at least 2 all day elective lists, 2-3 specialist upper limb clinics and possibly one specialist trauma list. To maintain exposure to general trauma, the fellow would be expected to cover the night oncall during the week on rolling 1:12 rota and 1:12 weekend on call. These timings are chosen so that they do not impact on the day to day timetable of the fellow and will not detract from their regular activities.