ISAKOS Approved Teaching Center

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Hospital del Trabajador Achs Salud

Center Information

Ramón Carnicer 185, Providencia
Santiago, Region Metropolitana 7501239
CHILE
https://www.hospitaldeltrabajador.cl/

Hospital del Trabajador (HT), Santiago, Chile, is the flagship hospital of Achs, Chile's largest occupational health and workers' compensation system, and the national referral center for complex musculoskeletal trauma, burns and rehabilitation. Specialty focus: knee and shoulder arthroscopy and orthopaedic sports medicine — ACL and multiligament reconstruction, meniscal repair, cartilage and patellofemoral procedures, rotator cuff repair, shoulder instability, and reconstruction of the post-traumatic joint. The department runs a structured subspecialty fellowship programme with 9 fellows distributed across its 6 trauma subspecialty areas [knee; shoulder and upper limb; hip and pelvis; foot and ankle; hand; spine], so a visiting fellow joins an established teaching structure rather than an individual surgeon's practice. HT is also the only center in Latin America with DNV Advanced Hip and Knee Replacement certification.

Primary Language Spoken: Spanish
Sponosoring ISAKOS Member(s): Carlos Rojas Zorrilla

Contact Information

Pablo Carreno Montenegro, Head of Academics and Research

Fellowship Program Information

Affiliation (Center Type): Universidad de Chile, Universidad Andres Bello, Universidad de los Andes (Teaching, Academic, University)
Fellowship Training Session or Other Educational Opportunity Length: 12 months
Can the Center customize educational opportunities for participants?: Yes
Fellows Accepted Per Year: 7
Faculty Participating in Fellowship Education: Hip and Pelvis: Claudio Rojas MD. and Alexandar Munjin MD Knee: Carlos Rojas MD and Rodrigo Olivieri MD Foot and Ankle: Camilo Piga MD and Gonzalo Bastias MD Shoulder: Pablo Vargas MD and Jorge Vargas MD
Recent activity of Teaching Center: Recent visitors: in 2025 the center hosted 68 clinical observerships, including physicians from Argentina, Brazil, Colombia, Ecuador, Spain, Guatemala, Peru, El Salvador and Venezuela. Major events: 16 scientific meetings and hands-on courses were held in 2025, with more than 900 participants in total, covering trauma, arthroscopy and reconstructive surgery in didactic or simulation-based formats. The center was re-certified by DNV Healthcare for Advanced Hip and Knee Replacement in 2025 — the only center in Latin America holding this certification Research activity: 62 indexed publications in 2025 from 14 clinical teams, drawn from a portfolio of more than 180 registered projects across over 20 teams.

Anticipated Fellowship Participation in Surgical Cases

Arthroscopy 20%
Knee Surgery 20%
Sports Medicine 10%
Trauma 30%
Artrhoplasty 20%
Area(s) of Specialty: Ankle Arthroscopy Knee Arthroplasty Knee Arthroscopy Hip Arthroplasty Hip Arthroscopy Shoulder Arthroplasty Shoulder Arthroscopy
Role of the fellow with respect to Clinical, Surgical, Research, and other opportunities: Clinical. The fellow is attached to one of the orthopaedic subspecialty teams — normally knee or shoulder — and follows its full weekly cycle: outpatient clinics, ward rounds, emergency and trauma admissions, and the team's clinical and complication meetings. Because HT manages the entire episode of care, the fellow follows individual patients from initial injury through surgery, rehabilitation and return-to-work assessment, which is the distinctive clinical exposure of this center. Surgical. The fellow scrubs in and assists in the operating room with the assigned team, with graduated hands-on participation determined by the supervising surgeon according to experience and, for international fellows, by Chilean medical licensing requirements. Exposure includes elective arthroscopic and reconstructive procedures as well as acute and post-traumatic cases. Hands-on surgical skills training is complemented by the hospital's simulation center and its cadaveric training programme. Research. The fellow joins an active research project, with access to an in-house methodologist, REDCap, the Scientific Ethics Committee pathway and the scientific library, and contributes to protocol development, data collection and manuscript preparation with authorship on the work contributed. Fellows are encouraged to present at the hospital's scientific meetings during the stay. Other. The fellow is invited to the hospital's courses, hands-on workshops and visiting professor sessions, and is integrated into a department that hosts international observers on a continuous basis. Working language is Spanish; English-speaking faculty are available, but working Spanish is strongly recommended for clinical activity.
Types of Educational Opportunities: Participate as an observer only, Scrub in for surgery, Assist in clinics under supervision, Receive hands-on training, Assist with research, Didactic sessions, Publishing opportunities
Research projects, research facilities and resources, cadaver labs, publication opportunities, integration of the patient and public involvement, and the role of the fellow: HT has run a formal research programme since 2016, when its Scientific Ethics Committee was established, supported by an in-house methodologist (2020), REDCap (2022) and a dedicated scientific library (2024). The portfolio currently holds more than 180 registered projects, around 160 of them active, across more than 20 clinical teams, and produced 62 indexed publications in 2025 — a more than fourfold increase since 2013. Consolidated research lines include surgical technique and functional outcomes in trauma, rehabilitation, burns and plastic surgery, reconstructive urology and occupational mental health. Methodological training is institutional rather than ad hoc: 32 HT professionals have completed the Principles and Practice of Clinical Research programme of the Harvard T.H. Chan School of Public Health since 2023, with a fourth cohort running in 2026. HT operates a simulation center used for hands-on surgical training, and has an established programme of cadaveric surgical training with imported specimens. Visiting fellows are expected to join an active project rather than observe one: the fellow contributes to protocol development, data collection in REDCap and manuscript preparation, with authorship on the work they contribute to, and has access to the methodologist, the ethics committee pathway and the library throughout the stay. Because HT follows its patients from injury to documented return to work, fellows also gain access to longitudinal functional and return-to-work outcome data that is uncommon in sports medicine settings.
Related Conference/Lecture Schedule: HT ran 16 scientific meetings and hands-on courses in 2025, with more than 900 participants in total. The regular teaching schedule includes weekly clinical meetings in each orthopaedic subspecialty team, combining case presentations, complication review and journal club; monthly hospital-wide scientific sessions; and periodic visiting professor sessions with international faculty. Course formats range from didactic scientific meetings to cadaveric and simulation-based hands-on workshops in trauma, arthroscopy and reconstructive surgery. Fellows attend all of these as part of the programme and are expected to present at the subspecialty meetings during their stay.
Athletic Team Coverage: HT does not provide medical coverage for professional or amateur athletic teams. Its sports medicine practice derives from work-related and traumatic injury in a working-age population, where the equivalent of return to sport is documented return to work — the endpoint the hospital measures and follows. Fellows interested in event or team coverage should note that this is not part of the programme.

Financial Support and Expenses

Types of Financial Support Available: No financial assistance or other support is available
Other support that the Teaching Center can provide: HT provides visiting fellows with meals during working days at the hospital cafeteria, at no cost to the fellow, and full access to the hospital's scientific library, including its physical collection, subscribed journal databases and study space. Fellows also receive institutional credentials, access to the hospital's clinical information systems for the patients under their team's care, and support from the Teaching, Research and Strategic Relations office for the administrative aspects of the stay, including invitation letters and coordination with Chilean licensing and immigration requirements where applicable. Housing and travel are not provided, and no stipend is available.
Estimate of Living Expenses (Housing and other major costs): Santiago is a moderately priced capital by international standards. The hospital is located in Providencia, a central, safe and well-connected district, so a fellow can live within walking distance or a short metro ride of the hospital. Housing: a furnished studio or one-bedroom apartment in Providencia or the adjacent Ñuñoa district costs approximately CLP 600,000–900,000 per month (USD 650–970); a room in a shared apartment costs approximately CLP 350,000–500,000 (USD 375–540). Leases usually require a deposit equivalent to one month's rent. Public transport: fares on the integrated metro and bus system range from CLP 735 to CLP 895 per trip depending on the time of day, with free transfers within two hours. A monthly commuting budget of CLP 45,000–60,000 (USD 50–65) is sufficient, and most housing in Providencia is within walking distance of the hospital.

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