Applicants should apply through the American Society for Surgery of the Hand (ASSH) by completing an online application and providing other requested documents. The online application is expected to be available on October 15, 2017.

• ASSH Universal Hand Application
• Brief personal statement
• Picture
• Curriculum vitae
• List of Publications and presentations
• List of hobbies
• Copy of USMLE/COMLEX transcript (all three steps; passed within three attempts)
• Three letters of recommendation:
  • One of which should be from the chairman or program training director of your training program
  • Letters must be on official letterhead and may not be older than six months
• Copy of medical school transcript
• ECFMG Certificate (applicable to international graduates)

In order to be eligible for ACGME-accredited fellowship training, you must adhere to the following application requirements:

• You must have completed an ACGME-accredited residency program or RCPSC-accredited or CFPC-accredited residency program located in Canada. Exceptions may apply for exceptionally qualified applicants (and institutional GME approval is required). For details, please refer to the Fellowship Appointments section of the ACGME Program Requirements for Hand Orthopaedic Surgery (approved but not in effect until 2016).
• You must provide proof that you have taken and passed all three steps (within three attempts) of appropriate medical licensure examinations (USMLE/COMLEX). This is required by the North Carolina Medical Board and is a Duke institutional policy for all graduate medical trainees, whether U.S. or international medical school graduates at the PGY-3 level or higher, as well as qualify for a resident training license in the state of North Carolina in order to be eligible for employment at Duke University Hospital.

Foreign medical graduates: additional requirements

Foreign medical graduates must hold a valid and current ECFMG certificate in addition to meeting the above requirements. Your ECFMG certificate must be valid as of the start date of the program. For foreign nationals who are medical graduates of LCME-accredited schools in the U.S., Canada, and Puerto Rico, copies of the diploma will suffice in lieu of an ECFMG certificate.