I use my right hand to cut food. Sometimes I cut it all up into bite sized pieces, then put the knife down and use the fork. Most of the time I just cut as I go and use the fork with my left hand. I never put my elbows or forearms on the table, but that is more hardwired into me. My hands can be either above or below the table, doesn't really matter. I do eat with the tines up more than down usually.