Orthopaedic Training FocusMaximizing Surgical Skills During Fellowship TrainingShiu, Brian MD; Petkovic, Djuro MD; Levine, William N. MD; Ahmad, Christopher S. MDAuthor Information From the Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY. Dr. Levine or an immediate family member serves as an unpaid consultant to Zimmer Biomet and is Editor-in-Chief, Journal of the American Academy of Orthopaedic Surgeons. Dr. Ahmad or an immediate family member has received royalties from and serves as a paid consultant to Arthrex; has stock or stock options held in At Peak; and has received research or institutional support from Arthrex, Stryker, and Major League Baseball. Neither of the following authors nor an immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Shiu and Dr. Petkovic. Journal of the American Academy of Orthopaedic Surgeons: June 2017 - Volume 25 - Issue 6 - p 421-426 doi: 10.5435/JAAOS-D-17-00244 Metrics Abstract Orthopaedic surgery fellowship provides an opportunity to further develop skills in a particular subspecialty. However, the condensed time frame, complex skill acquisition, and clinical demands require efficient and effective learning techniques to achieve mastery. As with any advanced task, success during fellowship training can be achieved with active participation and a goal-directed approach. Skill acquisition can be successfully achieved by following a framework that includes preparation, execution, and reflection for every surgical case. Copyright 2017 by the American Academy of Orthopaedic Surgeons.