Dear Sir,

I extend my gratitude to the ISKSAA committee for granting me the opportunity to be a fellow under Prof Puneet Monga for two weeks at Wrightington Hospital. The fellowship, spanning from November 7, 2023, to November 20, 2023, proved to be an enriching experience filled with insightful discussions on various upper limb surgeries.

Upon arrival, Prof Monga and his fellow provided a comprehensive tour of the operation theatre and wards. I was introduced to the intricacies of the operation theatre on the first day and actively participated in multidisciplinary team discussions conducted by the shoulder unit weekly.

Over the course of two weeks, I observed a diverse range of surgeries, engaging in interactive discussions and presentations. Collaborating with other fellows and surgeons facilitated the exchange of ideas regarding different procedures.

The UK's operating theatre routine provided a valuable learning experience. I witnessed the meticulous process of patient consent, team meetings between the surgeon, staff nurse, and anaesthetist, and thorough documentation at each step before surgery.

The fellowship covered a broad spectrum of shoulder and upper limb surgeries, including Reverse Shoulder Arthroplasty, Anatomical Shoulder Arthroplasty, Rotator Cuff Repair with Superior Capsular Reconstruction, Biceps tendon avulsion repair, Distal radius fracture fixation with TFCC repair and various others. I found the detailed discussions on post-operative protocols quite useful and was amazed to note that many of the procedures were performed on a daycare basis.

Working under Prof Monga's mentorship was a boon, exposing me to diverse surgical techniques and effective ways to manage complications. It was a comprehensive learning experience for a fortnight, and I am immensely grateful for the support received.

I highly recommend this fellowship to anyone interested in arthroscopy with a special focus on the upper limb. The treatment from fellows, junior attendees, and the supportive staff was commendable throughout the two weeks.

My sincere thanks to ISKSAA for facilitating my fellowship at Wrightington. I look forward to maintaining my connection with ISKSAA and wish the organization continued success.

Thank you.

Best regards,