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Hand & Microsurgery Clinical Fellowship Programme

Pantai Hospital Kuala Lumpur

This programme is designed to give you a meaningful, hands-on exposure to hand and microsurgery, with a strong focus on clinical judgement, and integrated multidisciplinary care. Over the course of your attachment, you will be involved in a variety of cases, offering insight into both the technical and decision-making aspects of this highly specialised field.

While the clinical pace work may be demanding, we encourage you to take ownership of your learning by asking questions and engaging actively with all members of the team (nurses, therapists) to gain a holistic experience.

Beyond clinical skills, we hope you will also gain an understanding of the philosophy of hand surgery, from preoperative planning to communication, teamwork and therapy.

Programme objectives:

To impart knowledge on the art and science of Hand Surgery.
To educate surgeons (orthopaedic, plastic, or general) in the basic and finer points of the practice of Hand and Microsurgery.
To spread the philosophy and establish a network of Hand Surgeons in the region.

Main Areas of Interest

Syllabus:

Consists of, but is not exclusive to, the following main topics in Hand Surgery:
Congenital: Syndactyly, polydactyly, brachydactyly, Apert’s, Radial club hand.
Infective: Bacterial, viral & fungal infections of the nails, digits, hands, and forearm.
Inflammatory: Rheumatoid hand, psoriatic arthropathy, gouty arthropathy.
Traumatic: Fractures of all the bones in the upper limb, soft tissue injuries to the tendon, nerves, vessels, and connective tissues.
Metabolic: Gout, diabetes, thyroid disorders, parathyroid disorders.
Nerve: Brachial plexus, nerve compressions, injuries and loss.
Tumours: All benign and some malignant tumours of the bone, cartilage, muscle,nerves, vessels, and connective tissues found in the upper limb.
Degenerative: Loss of cartilage due to trauma, arthritides, inflammation or tumour and the replacement as well as reconstructive options.

Specialties

Orthopedics

Plastic Surgery

Microsurgery

Techniques You Will Learn

1. Joint replacement of small joints of hand

CMC joint of thumb
PIP joints of fingers
MCP joints of fingers

2. Joint replacement of wrist joint

Wrist joints: Total and partial
Distal radioulnar joint: Total and partial

3. Joint replacement of elbow joints

Proximal radius
Total elbow replacement

4.Small joint arthroscopy

Wrist, elbow, CMC joints

5. Endoscopic nerve release

Carpal cubital tunnel release

6. Internal fixation of upper limb with use of 3D planning for corrective osteotomies, complex fractures, patient-specific instrumentations

7. Congenital hand problems

Treatment including corrective surgery and toe transfers

8. Microsurgery involving replantation, skin flaps, muscle flaps

9. Nerve and tendon repairs including microsurgical repair and reconstructions involving nerve transfers

Curriculum

The Clinical Attachment Programme is divided into clinical and academic components, providing candidates with the opportunity to actively participate and learn from them. A typical week includes a good mix of accompanying the attending consultant in the operating room, outpatient clinics, didactic sessions, and research hours. Candidates are expected to participate in case discussions and CME sessions. Candidates will also have on-call responsibilities, providing emergency care and surgical intervention under the supervision of senior surgeons.

1. MMC / Temporary Practising Certificate (TPC) – Fee Structure
For non-Malaysian applicants applying through the Malaysian Medical Council:

Application fee: ~MYR 200–500
TPC approval fee: ~MYR 1,000–2,000
Also, let us know if the candidates can get a waiver

2. Expected Timeline
The typical processing timelines are as follows:

MMC processing: approximately 4–8 weeks (with possible extension up to 10–12 weeks)
Additional time for queries/conditional approvals: ~2–3 weeks

3. Programme Structuring
To ensure compliance and avoid any regulatory ambiguity for international applicants:

Track 1 (No TPC Required):

Observership / Visiting Fellowships
No hands-on exposure/ scrub and stand-by only
Can commence immediately

Track 2 (TPC-Based):

Clinical fellowship with supervised hands-on exposure
Commencement subject to MMC approval and issuance of TPC

Accommodation

Candidate should self-arrange their own accommodation. Try airbnb.com. It is extremely economical

Fees and Program Logistics

This program has the following durations available:

Duration	Total Fee
12 weeks	$2,080.00

Who Can Apply

Malaysian

Registered medical practitioner with the Malaysian Medical Council (MMC) and holding a valid Annual Practising Certificate (APC).

Non-Malaysian

Registered medical practitioner with a valid practising licence in their country of origin, and eligible for registration with the Malaysian Medical Council (MMC). Must obtain a Temporary Practising Certificate (TPC) before appointment in Malaysia.
Fluent in English.
Between the ages of 32 and 45 years old. Candidates outside of this age group will be considered on a case-by-case basis.
Qualified surgeons who have completed an accredited postgraduate programme in Orthopaedic Surgery or Plastic Surgery.
Has a minimum of two years of experience as a specialist with adequate subject knowledge.
Candidate must obtain and maintain at his/her own cost, a valid professional indemnity/medical malpractice insurance.
Provide recommendation letters from two referees.

Host Details

Host Name: Hand & Upper Limb Centre, Pantai Hospital Kuala Lumpur

Affiliation: Pantai Hospital Kuala Lumpur

Address: Pantai Hospital Kuala Lumpur, 8, Jalan Bukit Pantai, 59100 Kuala Lumpur

Website URL: https://www.pantai.com.my/kuala-lumpur

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

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