The Upper Hand: Chuck & Chris Talk Hand Surgery AIN Palsy and Advice for New Fellowship Grads
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Aug 3, 2025 The hosts celebrate fellowship graduations with memorable anecdotes and practical advice for new graduates entering medical practice. They explore the integration of artificial intelligence in clinical settings, sharing insights on its potential benefits. A case of AIN palsy highlights the challenges of post-surgical complications and patient-centered care. Light-hearted banter creates a relaxed atmosphere, while discussions on surgical techniques and early practice complexities offer valuable guidance for aspiring hand surgeons.
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Fellow Graduation And Gifts
- The hosts described their fellows' graduation dinner and memorable gifts from trainees.
- Charles and Chris reflected on customizing fellow education and enjoying the outgoing class.
Daily AI Engagement Matters
- Clinicians risk falling behind on AI adoption if they don't engage daily and may miss operational improvements.
- Chris Dy champions departmental AI committees to evaluate clinical and administrative opportunities.
Approach To AIN Palsy After Block
- AIN palsy after shoulder surgery with a scalene block can present as isolated FPL and index DIP weakness and may be hard to conclusively attribute.
- Management options range from watchful waiting to EMG, imaging, neurolysis, nerve transfer, or tendon transfer depending on timeline and patient needs.