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Hand Therapy Fellowship

Twin Cities Orthopedics Hand Therapy Fellowship Mission

Twin Cities Orthopedics Hand Therapy Fellowship Program is dedicated to empower and equip occupational therapists with advanced skills in the evaluation and treatment of upper extremity injuries and conditions to restore optimal function in our patients.

Our mission is to facilitate a learning environment for occupational therapists to develop their evaluative and treatment skills in hand therapy while upholding strong ethical standards, embracing a team-first mentality, utilizing evidence-based practice to achieve optimal client-centered outcomes, and serving the profession through teaching, administration, and/or research. Our clinical training is built upon a challenging curriculum, dedicated mentorship, and support from a large faculty and institution to provide an enriching and holistic experience.

Twin Cities Orthopedics Mission

Twin Cities Orthopedics is committed to providing world-class service. Our independent orthopedic specialists strive to deliver individualized care informed by active research and outcomes data to improve outcomes and enhance the client-centered experience. TCO is dedicated to returning clients to an active lifestyle as quickly and safely as possible.

Twin Cities Orthopedics Core Values

Integrity: Do the right thing and take responsibility for what you do and say
Service: Consistently contribute to deliver an exceptional experience
Quality: Act with high purpose, committed effort, and skillful execution to exceed expectations
Innovation: Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness
Teamwork: Be a part of the whole; support each other positively


The fellowship applicant will ideally have 1-2 years of experience in the field of occupational therapy. New graduates will be considered on a case-by-case basis depending on Level II Fieldwork experience in the hand therapy setting. Twin Cities Orthopedics employment requires all therapists to be fully credentialed with governing agencies and insurers. The fellowship candidate must have current registration in Occupational Therapy with National Board for Certification in Occupational Therapy (NBCOT) and licensed with Minnesota Board of Occupational Therapy (MNBOT) in order to carry the OTR/L designation. Employment and credentialing will be processed with our Human Resources and Credentialing departments prior to start date. The fellow will commit to a full year, 52-week, curriculum for the academic year. The fellow will be employed at 40 hours per week (1.0 FTE) of which 30 hours will be spent in direct patient care (.75 FTE). Non patient care time will be spent in observation/shadow of clinical therapists, learning modules and hands-on labs to accentuate learning opportunities. The fellow will meet all requirements of employment as outlined by Twin Cities Orthopedics and should they need any accommodation, they will do so through our human resources department.

Stipends and Benefits

To maintain financial sustainment, TCO Hand Therapy Fellowship pay is set at .75FTE as a clinical provider. The revenue generated by the Fellow will support their salary and allow time for didactic curriculum, experiential learning, observation, event coverage, and projects as outlined in the Fellowship. TCO will provide $2500 to use in continuing education money and will allow use of these funds for both internal and external continuing medical education courses (CME).

Program Goals

GOAL #1: Develop highly skilled hand therapy practitioners with advanced training who effectively utilize evidence-based practice to help clients achieve optimal functional outcomes.


GOAL #2: Foster life-long learning and prepare fellows to advance the occupational therapy profession through development, service, education, and mentorship.


GOAL #3: Support and promote TCO’s mission of clinical excellence and values of integrity, service, innovation, teamwork, and quality to become a nationally recognized provider for post-professional clinical training in the occupational hand therapy arena.


GOAL #4: Prepare fellows to pass the Hand Therapy Certification Examination to become a Certified Hand Therapist (CHT).


GOAL #5: Educate and support our internal hand therapy practitioners to be strong mentors and instructors.


Educational and Professional Purpose

The purpose of the TCO Hand Therapy Fellowship program is to develop highly skilled hand therapy practitioners and educators built on a foundation of excellence in client-centered care within a culture of teamwork and innovation.

About the TCO Hand Therapy Fellowship Program

Twin Cities Orthopedics Hand Therapy Fellowship will provide the fellow with opportunities to advance their knowledge of rehabilitation of the upper extremity. Our Fellow will enhance their clinical reasoning and performance, develop ethics in practice and billing, and demonstrate interpersonal skills with clients and colleagues. This will be achieved through mentorship, didactic content, clinical caseload, scholarly and professional activities. The fellow will focus on client-centered evaluations with motivational interviewing to ensure all areas of occupation are identified. The fellow will learn to identify meaningful occupations, ensure psychosocial factors are considered to support the client, and learn skills to provide physical assessment of various upper extremity diagnosis. There will be opportunities to observe our hand surgeon teams both during surgery and in clinic as well as shadow our athletic trainers, nutritionists, and physical therapists to gain in-depth understanding of our holistic approach with client-centered care across a wide variety of patient populations. The fellow will have formal, twice-weekly, one-on-one mentoring provided by experienced OT’s and CHT’s and weekly learning modules, which will include a thorough didactic content, experiential learning lab, and assessment fulfilled by our curriculum.

Occupational Hand Therapy Fellowship Curriculum

The Twin Cities Orthopedics Hand Therapy Fellowship for the occupational therapist will focus on the fellow’s development of knowledge, competency and advanced practice skills in the following core areas:

Contact Info

TCO Hand Therapy Fellowship Team | [email protected]

Application Process

The application window is open and will remain open until filled. The official window will close on or before August 2, 2024. Interviews will follow and declination letters will be sent out to applicants. This application window is for acceptance into the Twin Cities Orthopedics Fellowship Program for the 2024-2025 academic year which is set to begin September 3, 2024 and end August 30, 2025.

To apply, please click here to access and download the application document. Once complete, please email the application directly to the Hand Therapy Fellowship Team (see email above). In addition to these documents, please attach your resume and/or curriculum vitae, two letters of recommendation, and a letter of intent stating your reason for interest in the fellowship program. Interviews to follow.