Education in hand, upper extremity and upper extremity reconstruction and limb salvage to include comprehensive exposure to the upper limb that includes mangled hand and upper extremity trauma, free tissue transfer, pediatric and congenital hand, brachial plexus, and elective reconstruction of the hand, wrist, elbow, and shoulder. Training in acute mangling upper extremity injury and associated complex skeletal and microsurgical reconstruction, as well as secondary reconstructive procedures.