The Roth | McFarlane Hand and Upper Limb Centre Hand Therapy Fellowship Program offers a comprehensive 600 hour hand and upper extremity rehabilitation fellowship designed for both entry level or experienced occupational or physical therapists who have a minimum of one year of direct clinic experience and desire additional theoretical and clinical hand and upper extremity rehabilitation expertise. This learning can be achieved on a full time basis over four months or part time (no less than three days per week). A fellow will be assigned to a mentor (occupational or physical therapist) who will facilitate learning and evaluate progress. Emphasis is placed on learning anatomy, physiology, biomechanics, pathology, functional utilization of the upper extremity and research methodology. The fellow will be given the opportunity to utilize various Roth McFarlane Centre learning resources such as cadaveric video demonstrations of elbow, wrist, and hand pathologies, observe various live upper extremity surgical procedures, participate in Roth McFarlane Centre teaching rounds and journal club meetings. The fellow will also work in collaboration with plastic and orthopaedic surgery residents and fellows within our facility. Significant priority is placed upon hands- on clinical training which includes patient evaluation and examination, treatment program implementation, hands-on orthotic fabrication (which will include static, dynamic, and static progressive designs), and problem-solve through the various complications seen with hand therapy practice. Furthermore, support for research initiation and implementation is provided.