Health Sciences Center

Orthopaedic Total Joint Arthroplasty Fellowship

The Steadman Hawkins Clinic of the Carolinas total joint fellowship was founded in 2009 and became part of the official match in 2015. We are located in Greenville, SC and the clinic is part of Greenville Health System. One fellow is accepted each year.

The fellowship is focused on high volume routine/complex primary hip and knee arthroplasty with approximately 15% revision cases. The fellow rotates amongst four reconstruction focused surgeons. The fellow can expect to perform approximately 450 cases during the year. Hip replacement is done predominantly via the posterior approach, but some direct anterior approach hip arthroplasty is performed. Reasonable exposure to unicompartmental arthroplasty is also available. The fellow typically works one-on-one with each attending for 3 months. The fellow is encouraged to cover unique or complex cases with other attendings at any time during the year. Physician assistants are integral to the arthroplasty service which allows the fellow to focus on the educational aspects of joint replacement.

Fellows spend approximately 2 days/week in the clinic, refining skills in appropriate patient selection for surgery, diagnosis, planning for complex cases, and how to efficiently run a total joint
arthroplasty practice. We believe time spent in clinic is as important as refining surgical skills during the fellowship year.

Research and Education

Completion of at least one publishable research project is expected during the fellowship year. Support for research is available through the Department of Orthopaedic Surgery and through the Hawkins Research Foundation. Bi-weekly conferences include core reading topics, review of current literature as well as the fellow presenting interesting/complex upcoming cases.


The fellow shares call responsibilities with the attending surgeons. Typical coverage will be 3-4 nights of home call every 4 weeks. There are also opportunities to work with the residents at
the Level 1 trauma hospital in our hospital system and to moonlight. This provides opportunities to maintain your core orthopaedic skills during the year-long fellowship.


We host an informational session at the AAHKS annual meeting in November and formal interviews occur on-site in Greenville in early December each year. To begin the application process please visit