Carilion Clinic Advanced Clinical Practitioner Fellowship in Orthopaedic Surgery

The Carilion Clinic Orthopaedic Department would like to offer a post-graduate Advanced Clinical Practitioner Fellowship in Orthopaedic Surgery for Physician Assistants (PAs) and Nurse Practitioners (NPs) that have a RNFA certificate. This intensive program will build upon the strength of our highly successful PA and NP orthopaedic practice already in place, combined with the largest and most effective orthopaedic surgeons in southwest Virginia. The fellowship will be a complement to the Orthopaedic residence currently training at Carilion Clinic. NP and PA fellows will benefit from didactic and clinical experiences that mirror orthopaedic residents training.

Graduates of this one-year fellowship program will possess substantial skills, knowledge, and competencies required in the field of orthopaedics.

Fellows accepted into the program will be full-time employees of Carilion Clinic and eligible for full medical, dental, and disability benefits. They will also retain CME benefits of other fellows such as BCLS/ACLS/PALS certifications, subsidized healthcare, lab coats, moving expenses, phones, etc.


  • To educate and train highly motivated NPs and PAs in the challenging and diverse knowledge base and procedural skills required for excellence in clinical practice in orthopaedic surgery.
  • To prepare NPs and PAs for a career in orthopaedics as competent, highly functional members in healthcare.
  • To provide NPs and PAs with further education, specialized clinical and professional experience that distinguishes them from non-specialty trained NPs and PAs.
  • To retain extremely focused and well trained NPs and PAs as strong clinicians and employees of Carilion Clinic who are interested in academics and higher learning.


This dynamic program includes didactic instruction and clinical training components that two fellows will complete over 12 months. Orientation will be approximately six weeks long (EPIC, credentialing, etc).

Clinical Rotations

  • Foot and Ankle
  • General Orthopaedics
  • Hand and Upper Extremity
  • Pediatrics
  • Spine
  • Sports Medicine
  • Total Joint Replacement
  • Trauma
  • Emergency medicine

Clinical time will be spent in various departments of Carilion Clinic, under the supervision and direction of Carilion faculty. They will be working alongside other residents, NPs, PAs, and attending physicians in all sections of the orthopaedic department. They will also take call in the emergency department.

Didactics include, but are not limited to:

  • Weekly education conference
  • Morbidity and mortality conference
  • Journal club
  • Certification courses: Fellows will become certified in BCLS, ACLS and PALS.

The didactic portion begins with a month of orientation and skills workshops designed to provide introduction to orthopaedics. Fellows will attend lectures that cover the core curriculum for orthopaedic specialties.

Length of Program

12 months

Class Size


Starting Date

February 4th


Carilion Clinic

Admissions Process and Timetable

Rolling application process.
Interviews occur in October and November.

Application Components

  • Transcripts from undergraduate institution and PA/NP program
  • NPs will need a RNFA certificate
  • Three letters of recommendation
  • CV- including recreational and community service activities
  • Personal Statement: Discuss anticipated strengths that you bring to the fellowship as well as professional knowledge, skill and or behavior that you wish to enhance.

Selection Criteria

The ideal candidate has demonstrated leadership ability, flexibility, self-directed learning,  excellent clinical skills and a sincere interest in orthopaedic surgery


Credential Awarded

Certificate of Completion


Submit applications to:

Carilion Clinic Advanced Clinical Practitioner Fellowship in Orthopaedic Surgery

2331 Franklin Road

Roanoke VA  24014

Electronically to:


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