Ruth Delaney

MB BCH BAO, MMEDSC, FFSEM, FRCS(TR&ORTH)

CONSULTANT ORTHOPAEDIC SURGEON - SHOULDER SPECIALIST

 

Ms. Ruth Delaney is a consultant orthopaedic surgeon and shoulder specialist. Ms. Delaney specializes in the full range of shoulder surgery, including open and arthroscopic procedures.

 

Her subspecialist areas of interest include shoulder instability and shoulder replacement surgery. She also maintains an active academic role, teaching visiting fellows and medical students on elective rotations, as well as teaching shoulder courses internationally, and is a reviewer for the Journal of Shoulder and Elbow Surgery. Ms. Delaney founded the Irish Shoulder Fellowship programme, which began taking international fellows in 2018.

 

After spending her initial postgraduate years in Cork, Ms. Delaney joined the Harvard Combined Orthopaedic Residency Program, where she underwent a comprehensive training in all aspects of orthopaedic surgery at Massachusetts General Hospital and the other Harvard-affiliated hospitals.


During her time in Boston, Ms. Delaney had the opportunity to complement her Masters degree in sports and exercise medicine with direct experience of professional sports teams such as the New England Patriots and the Boston Red Sox. She maintains her interest in care of athletes and sports injuries as a Fellow of the Faculty of Sports and Exercise Medicine in Ireland and as shoulder consultant to Munster Rugby.

 

Shortly before the end of her orthopaedic training, Ms. Delaney was a chief resident on the orthopaedic trauma service at the time of thetragic events of the 2013 Boston marathon bombings. In 2014, she ran the Boston marathon to honour the victims and her patients, as well as to raise money for the MGH emergency response fund.

 

Following general orthopaedic training, Ms. Delaney completed her specialist shoulder training at the Harvard Shoulder Fellowship in Boston as well as in France, under the guidance of Drs. JP Warner, Gilles Walch and Laurent Lafosse. This international training afforded her opportunities to work with world-class surgeons at the top of their field in areas such as shoulder replacement, instability surgery and complex arthroscopic surgery.

 

Ms. Delaney is an active researcher, and in 2014 won the premier research award in shoulder surgery, the Neer Award, for work on shoulder instability surgery.

 

In 2015, Ms. Delaney was invited to become a reviewer for the Journal of Shoulder and Elbow Surgery, the leading journal worldwide for specialist shoulder surgery. In October 2016, she was admitted as a member of the American Shoulder and Elbow Surgeons, the foremost shoulder surgery organisation in the world.  

 

Ms. Delaney became an Assistant Clinical Professor at University College Dublin in 2017.

 

In 2018, Ms. Delaney founded the Dublin Shoulder Institute.

 

In 2020, Ms. Delaney was appointed an Associate Editor for the Journal of Shoulder and Elbow Surgery - Seminars in Arthroplasty.  

 

She is regularly invited to teach and lecture at shoulder courses and conferences all over the world.

 

Procedures that Ms. Delaney commonly performs include:

• Arthroscopic (keyhole) surgery
• Rotator cuff repair
• Shoulder stabilization/labral repair (Bankart procedure)
• Coracoid transfer procedure (Latarjet procedure)
• Shoulder replacement surgery
• Reverse shoulder replacement surgery

2006

Medical Degree:
MB BCh BAO (1st class hons), UCC

2008

Masters of Medical Science in Sports & Exercise Medicine:
MMedSc (1st class hons), UCC

2009

Intercollegiate Membership of the Royal College of Surgeons:
MRCS, 2009, RSCI

 

Member of Faculty of Sports & Exercise Medicine:
MFSEM, 2009, RCSI/RCPI

2008-2013

Orthopaedic Surgery Training:
Harvard Combined Orthopaedic Residency Program.
Harvard Medical School/Massachusetts General Hospital, Beth Israel Deaconess Hospital, Brigham & Women’s Hospital, Children’s Hospital Boston, USA

2013-2014

Shoulder Fellowship:
Boston Shoulder Institute - Harvard Medical School, Boston, USA.
Clinique Générale Annecy, France.
Centre Orthopédique Santy, Lyon, France.

 

Clinical Instructor in Orthopaedics, Harvard Medical School.

 

Associate Orthopaedic Surgeon, Brigham & Women’s Hospital and Massachusetts General Hospital.

2014

Fellow of Faculty of Sports & Exercise Medicine:

FFSEM, RCSI/RCPI

2015

Fellow of the Royal College of Surgeons in Trauma & Orthopaedic Surgery:                                                           FRCS (Tr & Orth), RSCI          

2017

Assistant Clinical Professor, University College Dublin.               

2018

Fellowship Director, Irish Shoulder Fellowship                            

 

Founder, Dublin Shoulder Institute      

2018

Invited International Guest Speaker at the Argentinian Society for Shoulder & Elbow Surgery.

2019

Scientific Committee Member for the International Congress of Shoulder & Elbow Surgery.

2020

Invited Speaker, Advanced Shoulder Arthroplasty conference, Utah, USA.

 

Invited Speaker, Paris Shoulder Symposium.

 

Invited Speaker, Colombian Society for Shoulder & Elbow Surgery Biennial Meeting.

2020

Associate Editor, Journal of Shoulder & Elbow Surgery - Seminars in Arthroplasty

2002-2006

Undergraduate Scholarship, UCC

2005

Winner, Cork Orthopaedic Registrars’ Research Prize

2006

Henry Hutchinson Stewart Prize

National University of Ireland 

 

Best Poster Presentation

UCC Faculty of Medicine & Health Annual Research Day 

2006-2007

Postgraduate Scholarship, UCC

2012

Ruth Jackson Orthopaedic Society Scholarship

2013

Best Research Paper 

Harvard Orthopaedic Thesis day 

2014

Charles S. Neer Award 

American Shoulder & Elbow Surgeons

 

Best of AAOS (American Academy of Orthopaedic Surgeons)

2016

Invited Guest Speaker

British Orthopaedic Association - Belfast

 

American Shoulder & Elbow Surgeons member 

2018

Invited Guest Speaker

 Asociación Argentina de Ortopedia y Traumatología - Rosario, Argentina

 

Invited Guest Speaker

Irish American Orthopaedic Society - Westport

2019

Best Research Paper Award

Irish Shoulder & Elbow Society

2019

Selected as member of the International Scientific Committee

for the International Congress of Shoulder & Elbow Surgery (ICSES) 

2020

Invited Guest Speaker

Advanced Shoulder Arthroplasty meeting (ASAP), Utah, USA.

 

Invited Guest Speaker

Paris Shoulder Symposium.

American Academy of Orthopaedic Surgeons

American Shoulder and Elbow Surgeons

Irish American Orthopaedic Society

Irish Institute of Trauma & Orthopaedic Surgery

Irish Orthopaedic Association

Irish Shoulder and Elbow Society - founding committee member

Société Européene pour la Chirurgie de l’Épaule et du Coude (European Society for Surgery of the Shoulder and Elbow) - committee member

2006

The Limping Child: an algorithm to outrule musculoskeletal sepsis.
RA Delaney, B Lenehan, L O’Sullivan, JT Street, AJ McGuinness.
J Bone Joint Surg Br, 2006 88-B: 437.

2009

Orthopaedic Admissions due to Sports & Recreation Injuries.
RA Delaney, E Falvey, S Kalimuthu, MJ Molloy, P Fleming.
Ir Med J. 2009;102(2):40-42.

2011

Arteriovenous Fistula after a Closed Proximal Tibial Fracture in a Child.
J Bone Joint Surg Br 2011 93(10):1424-6
RA Delaney, A Burns, JB Emans.

 

Utilization of the Safe Surgical Dislocation Approach of the Hip to Retrieve a Bullet from the Femoral Head.
R Delaney, M Albright, G Rebello.
Case Rep Orthop. 2011;160591. doi: 10.1155/2011/160591

2012

Non-arthroplasty Options for the Management of Massive and Irreparable Rotator Cuff Tears.
RA Delaney, A Lin, JD Tompson, JJP Warner.
Clin Sports Med. 2012; 31(4):727-48.

2013

Immobilization in internal or external rotation does not change recurrence rates after traumatic anterior shoulder dislocation. A systematic review and meta-analysis.
P Vavken, P Sadoghi, J Quidde, R Lucas, R Delaney, AM Müller, C Rosso, V Valderrabano.
J Shoulder Elbow Surg 2013 Sep 30.

 

Effectiveness of Bracing in the Treatment of Nonosseous Restriction of Elbow Mobility: a systematic review and meta-analysis of 13 studies.
AM Muller, P Sadoghi, R Lucas, L Audige, R Delaney, M Klein, V Valderrabano, P Vavken.
J Shoulder Elbow Surg 2013; 22(8):1146-52

 

Massive Rotator Cuff Tears.
DM Hampton, RA Delaney, LD Higgins.
in Orthopaedic Knowledge Update: Shoulder and Elbow 4. American Academy ofOrthopaedic Surgeons August 2013. Ed: Gregory P. Nicholson. ISBN/ISSN: 9780892039555.

2014

2014 Neer Award Paper: Neuromonitoring the Latarjet Procedure.
RA Delaney, MT Freehill, DR Janfaza, KV Vlassakov, LD Higgins, JJP Warner.
J Shoulder Elbow Surg 2014 Oct;23(10):1473-80

 

Durability of Partial Humeral Head Resurfacing.
RA Delaney, MT Freehill, LD Higgins, JJP Warner.
J Shoulder Elbow Surg 2014 Jan;23(1):e14-22

2015

Complications of the Latarjet Procedure.

A Gupta, R Delaney, K Petkin, Lafosse L.

Curr Rev Musculoskelet Med. 2015 Mar;8(1):59-66.

2016

Arthroscopic Capsular Releases for Loss of Motion.

RA Delaney, RW Simovitch, LR Miller, LD Higgins.

in Operative Techniques in Sports Medicine Surgery. Wolters Kluwer January 2016.

Eds: Sam W. Wiesel, Mark D. Miller. ISBN/ISSN: 9781451193015.

2019

Evaluating Glenohumeral Arthritis: The Relative Impact of Patient Age, Activity Level, Symptoms, and Kellgren-Lawrence Grade on Treatment. 

Schumaier A, Abboud J, Grawe B, Horneff JG, Getz C, Romeo A, Keener J, Friedman R, Yian E, Muh S, Nicholson G,Delaney R, Otto R, William W, Tokish JT, Williams G, Kazanjian J, Dines J, Ramsey M, Green A, Paxton S, Namdari S, Flanagin B, Hasan S, Kaar S, Miniaci A, Cuomo F. 

Arch Bone Jt Surg. 2019; 7(2): 151-60.

 

Ms. Delaney has published multiple peer-reviewed articles and book chapters, and has presented and lectured all over the world.

Dublin Shoulder Institute

The concept of bringing together the expertise needed to provide top class shoulder care is central to Dublin Shoulder Institute.  From our excellent administrative staff to our consultant surgeon, all staff members are focused on providing the patient with the very best experience.

 

Our team has recently expanded to include a shoulder fellow (a fully trained orthopaedic surgeon who has chosen to spend a year working with Ms. Delaney for sub-specialist training in shoulder surgery) and an academic administrative assistant who coordinates our research efforts and our presence on the international stage, ensuring that we bring the best of world class shoulder care to Ireland.

 

DSI is still growing, and will soon include a dedicated physiotherapist.

 

DSI has also had the privilege of hosting visiting surgeons from all over the world, having been chosen as a host site for the SECEC European Traveling Fellowship and the American Shoulder & Elbow Surgeons Traveling Fellowship.  Our visiting surgeons come to learn from us, but invariably we also learn from them and gain invaluable insights through discussions with our international colleagues, ensuring that DSI remains at the forefront of world class shoulder care.

Our Team

 

 

Teamwork is at the heart of what we do.  We strongly believe that the best patient outcomes are achieved when a dedicated team of skilled professionals come together to provide care.  We are lucky to have a fantastic team here at DSI to take care of our patients.  Communication is key. Our team will regularly be in contact with your own local caregivers throughout your shoulder journey - your GP, your physiotherapist and anyone else you wish to keep informed.  

 

Consultant Shoulder Surgeon: Ms. Ruth Delaney 

 

 

 

Shoulder Fellow 2020/21: Dr. Joachim Demyttenaere

 

 

 

 

Practice Manager: Louise Fleury

 

 

 

Assistant Practice Manager: Danielle Roche

 

 

 

Academic Admin: Lisa Mitten

 

 

 

 

Physiotherapist: coming soon - watch this space!

 

Research

Asking questions and seeking answers is a fundamental part of advancing the quality of what we do. Research is therefore an important aspect of our shoulder practice. In addition, recording and reporting patient outcomes is the only honest way to show value in what we do.

 

All patients who undergo surgery are offered the opportunity to enrol in Surgical Outcomes System, which allows each patient to report scores that reflect their pain and function before surgery and at various points after surgery during their rehabilitation.  This allows us to keep a close eye on each patient's progress, and also to compare an individual patient's progress to our practice average and to global averages.  We therefore know that our standards are on a par with international standards, and we are able to pick up any potential problems early and put in place solutions.

 

 

 

 

We are fortunate to have international relationships that allow for rewarding collaborations in research, which ultimately lead to better care for our patients.  We have recently set up a collaborative effort with Queensland Unit for Advanced Shoulder Research (QUASR) in Brisbane, Australia.

 

We have submitted articles for publication this year on Superior Capsular Reconstruction (a grafting procedure for large rotator cuff tears that are not possible to repair directly), on pseudoparalysis (a term used to describe difficulty in raising the arm that can occur with certain shoulder conditions) and on utilisation of shoulder MRI.  We have ongoing studies in the area of shoulder instability, in particular around return to play of collision athletes after shoulder stabilisation surgery.  This work is done in collaboration with the Sports Surgery Clinic physiotherapy department and its Return to Play programme

 

 

Ms. Delaney has published multiple peer-reviewed articles, reviews and book chapters, and has given presentations at a number of international conferences. In 2014, she won the premier research award in shoulder surgery, the Charles S. Neer Award, for work on shoulder instability surgery.

 

Selected publications include:

  • Schumaier A, Abboud J, Grawe B, Horneff JG, Getz C, Romeo A, Keener J, Friedman R, Yian E, Muh S, Nicholson G,Delaney R, Otto R, William W, Tokish JT, Williams G, Kazanjian J, Dines J, Ramsey M, Green A, Paxton S, Namdari S, Flanagin B, Hasan S, Kaar S, Miniaci A, Cuomo F.

Evaluating Glenohumeral Arthritis: The Relative Impact of Patient Age, Activity Level, Symptoms, and Kellgren-Lawrence Grade on Treatment.

Arch Bone Jt Surg. 2019; 7(2): 151-60.

 

  • RA Delaney, RW Simovitch, LR Miller, LD Higgins.

Arthroscopic Capsular Releases for Loss of Motion.

 In Operative Techniques in Sports Medicine Surgery. Wolters Kluwer January 2016.

 Eds: Sam W. Wiesel, Mark D. Miller. ISBN/ISSN: 9781451193015.

 

  • A Gupta, R Delaney, K Petkin, Lafosse L.

Complications of the Latarjet Procedure.

Curr Rev Musculoskelet Med. 2015 Mar;8(1):59-66. doi: 10.1007/s12178-015-9258-y.

 

  • BE Morrissey, RA Delaney, AJ Johnstone, L Petrovick, RM Smith.

Do Trauma Systems Work? A comparison of major trauma outcomes between Aberdeen Royal Infirmary and Massachusetts General Hospital.

Injury. 2015 Jan;46(1):150-5. doi: 10.1016/j.injury.2014.08.048.

 

  • RA Delaney,MT Freehill, DR Janfaza, KV Vlassakov, LD Higgins, JJP Warner.

2014 Neer Award Paper: Neuromonitoring the Latarjet Procedure.

J Shoulder Elbow Surg.2014 Oct;23(10):1473-80. doi: 10.1016/j.jse.2014.04.003.

 

  • RA Delaney, MT Freehill, LD Higgins, JJP Warner.

Durability of Partial Humeral Head Resurfacing.

J Shoulder Elbow Surg 2014 Jan;23(1):e14-22. doi: 10.1016/j.jse.2013.05.001.

 

  • P Vavken, P Sadoghi, J Quidde, R Lucas, R Delaney, AM Müller, C Rosso, V Valderrabano.

Immobilization in internal or external rotation does not change recurrence rates after traumatic anterior shoulder dislocation. A systematic review and meta-analysis.

J Shoulder Elbow Surg 2014 Jan;23(1):13-9. doi: 10.1016/j.jse.2013.07.037.

 

  • AM Muller, P Sadoghi, R Lucas, L Audige, RDelaney, M Klein, V Valderrabano, P Vavken.

Effectiveness of Bracing in the Treatment of Nonosseous Restriction of Elbow Mobility: a systematic review and meta-analysis of 13 studies.

J Shoulder Elbow Surg 2013 Aug;22(8):1146-52. doi: 10.1016/j.jse.2013.04.003.

 

  • RA Delaney,A Lin, JD Tompson, JJP Warner.

Non-arthroplasty Options for the Management of Massive and Irreparable Rotator Cuff Tears.   Clin Sports Med. 2012; 31(4):727-48.

 

  • DM Hampton, RA Delaney, LD Higgins.

Massive Rotator Cuff Tears.

            in Orthopaedic Knowledge Update: Shoulder and Elbow 4.  American Academy of

Orthopaedic Surgeons August 2013. Ed: Gregory P. Nicholson. ISBN/ISSN: 9780892039555.

 

  • RA Delaney, A Burns, JB Emans.

Arteriovenous Fistula after a Closed Proximal Tibial Fracture in a Child.

J Bone Joint Surg Br2011 93(10):1424-6

 

  • R Delaney, M Albright, G Rebello.

Utilization of the Safe Surgical Dislocation Approach of the Hip to Retrieve a Bullet from the Femoral Head.

Case Rep Orthop. 2011;160591. doi: 10.1155/2011/160591

 

  • RA Delaney, E Falvey, S Kalimuthu, MJ Molloy, P Fleming.

Orthopaedic Admissions due to Sports & Recreation Injuries

Ir Med J.2009;102(2):40-42.

 

  •  RA Delaney, B Lenehan, L O’Sullivan, JT Street, AJ McGuinness.

The Limping Child: an algorithm to outrule musculoskeletal sepsis.

Abstract - J Bone Joint Surg Br, 2006 88-B: 437. Full Paper Ir J Med Sci.2007;176(3):181-7.

2019

Evaluating Glenohumeral Arthritis: The Relative Impact of Patient Age, Activity Level, Symptoms, and Kellgren-Lawrence Grade on Treatment. Schumaier A, Abboud J, Grawe B, Horneff JG, Getz C, Romeo A, Keener J, Friedman R, Yian E, Muh S, Nicholson G,Delaney R, Otto R, William W, Tokish JT, Williams G, Kazanjian J, Dines J, Ramsey M, Green A, Paxton S, Namdari S, Flanagin B, Hasan S, Kaar S, Miniaci A, Cuomo F. Arch Bone Jt Surg. 2019; 7(2): 151-60.

 

2016

Arthroscopic Capsular Releases for Loss of Motion.

RA Delaney, RW Simovitch, LR Miller, LD Higgins.

In Operative Techniques in Sports Medicine Surgery. Wolters Kluwer January 2016. Eds: Sam W. Wiesel, Mark D. Miller. ISBN/ISSN: 9781451193015.

2015

Complications of the Latarjet Procedure.

A Gupta, R Delaney, K Petkin, Lafosse L.

Curr Rev Musculoskelet Med. 2015 Mar;8(1):59-66. 

2015

Do Trauma Systems Work? A comparison of major trauma outcomes between Aberdeen Royal Infirmary and Massachusetts General Hospital. BE Morrissey, RA Delaney, AJ Johnstone, L Petrovick, RM Smith. Injury 2014 Sep 18.

2014

2014 Neer Award Paper: Neuromonitoring the Latarjet Procedure. RA Delaney, MT Freehill, DR Janfaza, KV Vlassakov, LD Higgins, JJP Warner. J Shoulder Elbow Surg. 2014 Jun 18.

 

 

2013

Durability of Partial Humeral Head Resurfacing. RA Delaney, MT Freehill, LD Higgins, JJP Warner. J Shoulder Elbow Surg 2013 Jul 5.

 

Immobilization in internal or external rotation does not change recurrence rates after traumatic anterior shoulder dislocation. A systematic review and meta-analysis. P Vavken, P Sadoghi, J Quidde, R Lucas, R Delaney, AM Müller, C Rosso, V Valderrabano. J Shoulder Elbow Surg 2013 Sep 30.

 

Effectiveness of Bracing in the Treatment of Nonosseous Restriction of Elbow Mobility: a systematic review and meta-analysis of 13 studies. AM Muller, P Sadoghi, R Lucas, L Audige, R Delaney, M Klein, V Valderrabano, P Vavken. J Shoulder Elbow Surg 2013; 22(8):1146-52

 

Massive Rotator Cuff Tears. DM Hampton, RA Delaney, LD Higgins. in Orthopaedic Knowledge Update: Shoulder and Elbow 4. American Academy of Orthopaedic Surgeons August 2013. Ed: Gregory P. Nicholson. ISBN/ISSN: 9780892039555.

2012

Non-arthroplasty Options for the Management of Massive and Irreparable Rotator Cuff Tears. RA Delaney, A Lin, JD Tompson, JJP Warner. Clin Sports Med. 2012; 31(4):727-48.

2011

Arteriovenous Fistula after a Closed Proximal Tibial Fracture in a Child. J Bone Joint Surg Br 2011 93(10):1424-6 RA Delaney, A Burns, JB Emans.

 

Utilization of the Safe Surgical Dislocation Approach of the Hip to Retrieve a Bullet from the Femoral Head. R Delaney, M Albright, G Rebello. Case Rep Orthop. 2011;160591. doi: 10.1155/2011/160591

2009

Orthopaedic Admissions due to Sports & Recreation Injuries. RA Delaney, E Falvey, S Kalimuthu, MJ Molloy, P Fleming. Ir Med J. 2009;102(2):40-42.

2006

The Limping Child: an algorithm to outrule musculoskeletal sepsis. RA Delaney, B Lenehan, L O’Sullivan, JT Street, AJ McGuinness. J Bone Joint Surg Br, 2006 88-B: 437.

She has presented and lectured all over the world.

Irish Shoulder Fellowship

The Irish Shoulder Fellowship programme began on August 1, 2018. 

 

As of 2017, there was no dedicated shoulder fellowship program on the entire island of Ireland (Republic and Northern Ireland). The opportunity existed to offer high quality, high volume, specialist training in shoulder surgery from leaders in the field. Fellowship-level training requires organised input from established specialists to guide newly trained orthopaedic surgeons through their shoulder specialist education and prepare them to become leaders themselves. The standard of shoulder fellowships outside the US is variable, however there can be many obstacles to pursuing a US fellowship (visa and immigration requirements, board eligibility requirements etc).  Because of the experience of the fellowship director, this fellowship will offer training that is on a par with top level US fellowships, and therefore offer that opportunity to international surgeons, and will also be a viable option for US-trained orthopaedic surgeons who wish to broaden their experience by pursuing fellowship training overseas. 

 

Fellowship Program Title: Irish Shoulder Fellowship

Specialty Area: Orthopaedics/Shoulder Surgery

Fellowship Director: Ms. Ruth A. Delaney, FRCS

Fellowship Faculty: Ms. Ruth A. Delaney, FRCS; Mr. Ross E. Kingston FRCS. 

Location: Dublin and Tralee, Ireland.  

Duration: 6 or 12 months 

Principal Facility: Sports Surgery Clinic, Dublin / University College Dublin 

Other Facilities: Beacon Hospital, Dublin; and  Bon Secours Hospital, Tralee, Co. Kerry. 

 

Fellowship Program Goals and Learning Objectives:

 

  • Achieve an understanding of the indications for surgery in shoulder pathology
  • Gain competence in shoulder surgical procedures – arthroscopic and open procedures
  • Gain competence in diagnosis and management of shoulder trauma
  • Evaluate outcomes of surgical intervention in shoulder pathology
  • Achieve competence in diagnosis and management of complications of shoulder surgery
  • Exposure to current research methods in shoulder pathology, and deliver at least one research project for presentation and publication
  • Prepare the fellow for entry into practice as an independent shoulder specialist and future leader in the field of shoulder surgery

 

Delivery Format and Audience:

 

This is primarily a clinical shoulder fellowship program, with built-in research opportunities, both clinical and basic science. Delivery format is that of an apprentice-based learning program, with graduated responsibility, so that at the end of the fellowship period, the fellow is ready to begin independent practice as a shoulder specialist, and has the foundation to continue to develop as a thought leader and innovator in the field of shoulder surgery.

Typically the fellowship duration will be twelve months. The application process will include a written application, with letters of recommendation, and an interview. Applications will be considered from all suitably qualified orthopaedic trainees who have completed their general orthopaedic training in a recognised, accredited program, including international applicants.

 

Fellowship Program Description:

 

The Irish Shoulder Fellowship is a coast-to-coast fellowship across two sites – Dublin and Tralee, Co. Kerry. The fellow will receive comprehensive training in all aspects of shoulder surgery, including open and arthroscopic surgery. There will be exposure to a wide range of cases, from arthroscopic sports, instability and rotator cuff cases, to open reconstructive and arthroplasty cases, as well as trauma cases. Complexity will vary from primary cases to complex revision situations. Modern techniques such as superior capsular reconstruction and patient-specific 3D planning for shoulder arthroplasty will form part of the experience. There will be exposure to outpatient clinics, allowing for training in decision-making, indications for surgery of the shoulder, and follow up of outcomes in shoulder surgery. The fellow will also receive education on practice management approaches.

 

The fellowship meets all applicable criteria of the new American Shoulder Elbow Surgeons (ASES) Quality Standard Requirements, including:

  • Minimum 200 shoulder cases per year – the fellowship program director alone performed approximately 320 separate shoulder surgeries in 2016, while the other lead clinician performed 310 rotator cuff repairs in 2016.
  • Faculty to fellow ratio 2:1
  • Program Director is an active ASES member
  • Educational Curriculum, as set out below
  • Schedule of Conferences, as set out below
  • Clinical Schedule, as set out below
  • Semi-annual evaluation of the fellow by faculty, and of faculty and the fellowship program by the fellow

 

Representative Weekly Schedule (Dublin)

  • Monday – academic time/protected research time
  • Tuesday – outpatient clinic; shoulder conference
  • Wednesday – surgery (Mater Private Hospital ) or multidisciplinary academic conference (physiotherapy, sports medicine) followed by outpatient clinic
  • Thursday – surgery (Sports Surgery Clinic)
  • Friday – surgery (Beacon Hospital)
  • Saturday (once per month) – surgery (Sports Surgery Clinic)

 

The fellow will also spend time in Tralee, Co. Kerry, with Mr. Kingston, in order to further the breadth and depth of exposure to shoulder surgery. The timing of visits to Tralee will largely be determined by the surgical schedule at both sites, to maximise the fellow’s learning opportunities. Typically, the fellow will not go to Tralee more often than one week in a month. Travel and accommodation costs in Tralee will be covered by the fellowship program. Tralee is approximately 300km southwest of Dublin, with multiple daily flights of one hour duration.

 

There will be ample opportunity for academic endeavour in the field of shoulder surgery. Both practices use Surgical Outcomes System to track clinical outcomes, and to provide a database for use in research. Ms. Delaney has also set up the Shoulder Instability Registry in Dublin, which tracks all operative instability patients and involves collaboration with the physiotherapy department, particularly on return to play protocols for athletes. Ms. Delaney is Assistant Clinical Professor at University College Dublin (UCD), with academic links to UCD via the UCD Academy at Beacon Hospital and directly with the Bioengineering Department at UCD. This offers the fellow the opportunity to engage in basic science research as well as clinical research. The fellow will be expected to complete at least one research project during the year, and submit for publication in a peer-reviewed journal. The fellow will be encouraged to submit his/her work to international shoulder meetings.

 

The fellow will have frequent opportunities to engage in academic discussion with the fellowship director, with once monthly shoulder journal reviews.  There will also be a monthly indications conference at the Dublin site.

 

The fellowship is based across two private practices, with full resident coverage at each hospital, and therefore no formal on-call responsibilities. The fellow will be expected to round on post-operative patients, whenever there are inpatients. The practice is 100% shoulder, and the fellowship director is a Harvard-trained, Neer award-winning shoulder surgeon who has extensive European and North American shoulder surgery connections, facilitating potential international surgical visit opportunities for the fellow.  

This is a rigorous fellowship with extensive commitment to clinical experience.  Furthermore, the fellow is an active participant in the team both in and out of the operating room.  Thus vacations had been an afterthought in the past.  Our policy would be that fellows are entitled to vacation time, but it would be best to try and coordinate with your individual consultant surgeon to take this time when he or she is away.  Furthermore, we are aware of the need for and support your taking time away to interview for potential job opportunities.

 

In order to participate in this fellowship, the successful applicant must register with the Medical Council of Ireland (on the General Register) https://www.medicalcouncil.ie/Registration-Applications/   

Prospective applicants should ensure that they can meet the Medical Council requirements before applying for this fellowship.  In addition, the fellow must be fluent in spoken and written English. If English is not the applicant's first language, then an IELTS score of minimum 6.5 must be presented.

 

 

Applications:

Applicants should include a cover letter stating why they wish to pursue this fellowship, along with their CV, a photo and two letters of recommendation, preferably from consultant/attending shoulder surgeons. 

 

NOTE: Applications have now closed.  The next available fellowship position is August 2022.  Applications for the August 2022 - July 2023 fellowship period will open in 2021. Any documents emailed to the office when applications are not open will not be processed.

PROFESSIONAL AFFILIATIONS