Fellowships


Facial Plastic and Reconstructive Surgery Fellowship, Lawrence J. Marentette, MD, FACS

The fellowship provides a hands-on experience as first assistant or surgeon in a variety of craniomaxillofacial surgical cases. This includes maxillofacial and cranial base trauma, anterior and antero-lateral skull base tumor cases (excluding temporal bone surgery), post traumatic reconstruction, MOH's reconstruction, and operative exposure to cosmetic surgery.

The fellow may participate in any of the clinical or basic science research projects in the department or may pursue independent research. Sufficient time will be allotted for research in order for the fellow to complete a project as required by all AAFPRS fellowships.

The fellow will be actively involved in resident teaching, including clinic, surgical, and didactic. The fellow will also act as lab instructor in courses taught by the director.

The fellow will have the opportunity to operate with all members in the Division of Facial Plastic and Reconstructive Surgery. The fellow also has four clinics per month in which personal cases are generated. The fellow will act as a primary surgeon on facial plastic cases at the Veteran's Hospital. Call responsibilities are shared with other faculty members in the department.

The emphasis of the fellowship is craniomaxillofacial and anterior cranial base surgery. The fellow will also spend one day per week with Dr. Shan Baker in the OR. This is intended to provide exposure to cosmetic surgery and give the fellow a broader training in facial cosmetic and MOH's reconstructive surgery. The fellow can also spend time with the oculoplastic surgeons. The medical center is a Level 1-trauma center receiving pediatric and adult trauma patients. The fellow is the attending at the VAMC MOH's clinic on Thursday afternoon. The fellow will participate in the cranial base program clinic, which meets weekly and is attended by neurosurgery. Through interdisciplinary exam and planning sessions, the fellow will gain a working knowledge not only of basic neurosurgical principles but also of the design and implementation of the various cranial base osteotomies. Approximately 110 new patients were evaluated in this clinic. This fellowship is intended for individuals actively seeking a career in academic facial plastic and reconstructive surgery.

For general information on programs, handbook, and descriptions:
http://www.aafprs.org/fellowship/descriptions.html

Application:
http://www.aafprs.org/fellowship/pdf/FellowshipApplication.pdf

For more detailed information:
http://www.aafprs.org/fellowship/pdf/marentette.pdf

THIS PROGRAM DOES NOT ACCEPT INTERNATIONAL MEDICAL GRADUATES FOR TRAINING.



Facial Plastic and Reconstructive Surgery Fellowship, Shan R. Baker, M.D.,Jeffrey S. Moyer, M.D

The fellowship provides a broad base, hands-on exposure to a wide diversity of facial plastic and reconstructive surgical procedures including cosmetic, craniofacial and reconstructive surgery. The fellow can have an opportunity to observe a wide variety of microsurgical procedures if desired. Each fellow must perform some clinical or basic science research as required by all AAFPRS fellowship programs. Animal research facilities and limited funding is available. Residents are present at many of the surgical procedures and the fellow is responsible along with the attending physician to supervise them. The fellow will staff resident surgical procedures at the Veteran's Administration Hospital. Fellows may also be requested to present formal didactic lectures.

A fellow has two clinics per month at the University Hospital in which to generate personal surgical cases. The fellow will also first assist on most of the procedures performed by faculty. The fellow will be primary surgeon on all procedures performed at the Veteran's Administration Hospital. Call responsibilities are integrated with other faculty members.

A major emphasis of the fellowship is in the area of facial cosmetic surgery including most of the contemporary methods of aesthetic surgery. There is extensive exposure to facial reconstruction using local flaps, craniofacial surgery and facial trauma

For a handbook or application go the AAFPRS web page:
http://www.aafprs.org/Files/Fellowship-Handbook.pdf

THIS PROGRAM DOES NOT ACCEPT INTERNATIONAL MEDICAL GRADUATES FOR TRAINING.



Pediatric Otolaryngology, Marci Lesperance, M.D.

Pediatric Otolaryngology has over 5,000 patient encounters each year (includes outpatient and inpatient visits). Over 1800 operative cases are performed annually including airway reconstruction, cochlear implantation, BAHA, and chronic ear surgery, head and neck tumors, and rhinology.

Specialty Clinics: Airway and Voice clinics, Pediatric Genetics clinics, Skull Base Clinic

Conferences/Didactics: Weekly pediatric otolaryngology conferences, weekly grand rounds; monthly morbidity and mortality conferences and Vascular Anomalies Conference; quarterly pathology conferences and Airway Journal club (with PICU and anesthesiology).

Research Year: Optional year, funded by T32 grant, can take place either before or after clinical fellowship. See http://www.med.umich.edu/oto/research/artopindex.shtml Call Responsibility/Resident supervision: Attending call, approximately 6 weeks/year

Application Form: Please download the unified application form: http://www.aspo.us/fellowships.php or http://www.sfmatch.org/



Advanced Research Training in Otolaryngology Program, Marci Lesperance, M.D.

For the past 20 years, ARTOP has provided research training in otolaryngology-related disciplines for medical students, resident physicians and post-residency fellows to develop the next generation of clinician-scientists.

For the past 20 years, ARTOP has provided research training in otolaryngology-related disciplines for medical students, resident physicians and post-residency fellows to develop the next generation of clinician-scientists.

Applicants must be US citizens or green card holders to be eligible. For more information and to apply, see: http://www.med.umich.edu/oto/research/artopindex.shtml



Head and Neck Fellowship Program, Douglas B. Chepeha, M.D.

The Department of Otolaryngology Head and Neck Surgery sees nearly 50,000 outpatient visits per year, with over 400 major head and neck cancer patients treated annually. The Head and Neck Division staff is dedicated to the training of residents and fellows in the diagnosis, treatment and rehabilitation of head and neck cancer patients. We are also the lead department in the Head and Neck Oncology program within the University of Michigan Cancer Center and coordinate Cancer Center multi-disciplinary Head and Neck Cancer Clinics.

The Head and Neck Oncology Fellowship at the University of Michigan provides advanced training in head and neck surgical oncology with intensive training in microvascular reconstruction available for interested fellows. We offer a one or two year program. Fellowship applicants will be considered on merits, not on desired number of years of training. If chosen, the second year of training is primarily a research year. We believe that this design allows the fellow to develop an adequate research proposal in the first year for review by our department's Research Committee prior to approval and funding.

Contact information:
Douglas B. Chepeha, M.D.
University of Michigan
1500 E. Medical Center Drive
Ann Arbor, MI 48109-0312
T: (734) 763-4210 F: (734) 641-9691

American Head and Neck Society
http://www.ahns.info/residentfellow/fellowships.php

Applications for 2012 fellowships will be available in November 2010.



Fellowships Otology/Neurotology, H. Alexander Arts, M.D.

It is the goal of the Department of Otolaryngology-Head and Neck Surgery to contribute to the training of academic otolaryngologists by offering a fellowship in Otology - Neurotology. The fellowship was the first of its kind to be accredited by the American Council on Graduate Medical Education. It is specifically designed to prepare board-eligible or board-certified otolaryngologists for the practice of otology-neurotology in academic otolaryngology.

Faculty
The Department of Otolaryngology-Head and Neck Surgery at the University of Michigan is under the chairmanship of Carol R. Bradford, M.D. The fellowship director is H. Alexander Arts, M.D. The Division includes three other otologists: Steven A. Telian, M.D.; Hussam K. El-Kashlan, M.D.; and Syed Rizvi, M.D. The division enjoys a close collaborative relationship with Gregory Thompson, M.D., of the Department of Neurosurgery, who provides neurosurgical care for the acoustic neuroma operations and other skull base procedures.

The department is associated with an outstanding Division of Clinical Audiology and Neurodiagnostic Electrophysiology under the direction of Paul R. Kileny, Ph.D., an internationally recognized authority in his field. Teresa Zwolan, Ph.D., is the director of the Cochlear Implant Program, one of the largest implant programs in the United States. More than 1,000 patients have received implants. Our state-of-the-art vestibular testing facility is directed by Michael King, Ph.D., who also has a basic science research program in vestibular neurophysiology. In addition, the department is affiliated with the Kresge Hearing Research Institute under the direction of Thomas Carey, Ph.D. This institute houses laboratories staffed by approximately l5 Ph.D.-level scientists engaged in research concerned with the morphology, physiology, biochemistry, molecular biology, genetics and psychoacoustics of the ear.

Fellowship Design
The fellowship in Otology, Neurotology and Skull Base Surgery involves two years of training. During this time, the department intends to fully equip the fellow to function effectively in an academic department of otolaryngology. Candidates with a demonstrated prior commitment to academic medicine will be given highest priority in the selection process. However, those candidates who lack scientific experience because of clinical responsibilities during their medical education are not discouraged from applying if they earnestly desire to pursue an academic career.

The first year of training is clinically oriented, with approximately 20 percent of fellow's time protected so that he or she may pursue academic projects and develop a research interest. A formal research proposal will be designed, defended and submitted for extramural funding during the first year of training. During the first two months of training, a structured preceptorship in audiologic and vestibular diagnosis with related assigned readings will be completed. The next 12 months are spent involved in active care of neurotologic patients. Significant investment in laboratory temporal bone dissection is anticipated. Surgical opportunities in the operating room are graduated and commensurate with demonstrated competence in temporal bone surgery.

Typical first year schedule:

  • Operating room - two days
  • Outpatient activities - two days
  • Academic time - one day
  • Six months of the second year of training is designed to permit the fellow to pursue the basic research project designed during the first year, under the supervision of clinical and research faculty. Clinical commitments are limited in order to facilitate this activity. Elective rotations in neuroradiology, neurology, neurosurgery and related disciplines are available during the final four months of training. The fellow will continue to assist with the more sophisticated neurotologic skull base procedures during these elective rotations. The trainee can expect to function independently as a neurotologist after completion of the fellowship.

    Specific Duties of the Fellow
    Operating Room Experience:

    The fellow may participate in caring for all otologic surgical patients. The fellow's hands-on operative experience will be focused toward inner ear procedures, facial nerve disorders and neurotologic skull base surgery. The majority of the cases consist of acoustic neuroma operations (25-40 per year), cochlear implants (80-100 per year), vestibular nerve sections and labyrinthectomy (about 20 per year), and an assortment of complex facial nerve and lateral skull base surgery procedures (l0-20 per year). Translabyrinthine approaches are used in approximately half of the acoustic neuroma procedures, while the other half are performed with the goal of hearing preservation using the middle fossa approach. The retrosigmoid approach is occasionally used to attempt hearing conservation for larger or more medial tumors unsuitable for access through the middle fossa. These advanced otologic procedures, as well as surgery for otosclerosis, are performed by fellows and clinical faculty. On the other hand, middle ear and mastoid surgery primarily will be performed by residents on the Otology Service under the supervision of clinical faculty.

    Applicants must be eligible for the American Board of Otolaryngology examination or already board-certified. A training license to practice medicine in the state of Michigan is required for duties related to the training program, but an unrestricted license is needed if outside medical activities are planned. The fellow is appointed as a house officer due to ACGME regulations, and thus does not have independent clinical practice duties or on-call activities. The fellow will undertake the following duties related to clinical patient care:

  • Assist division faculty in evaluation of outpatients with otologic complaints, approximately two days per week.
  • Assist in a weekly multidisciplinary skull base surgery clinic.
  • Become sophisticated in vestibular diagnosis, including the interpretation of computerized ENG and oculomotor testing, rotational chair testing and dynamic posturography.
  • Help clinic staff triage urgent and emergent otologic consultations.
  • Perform initial evaluation of urgent patients and present the case to the division faculty member on duty.
  • Temporal Bone Laboratory:
    The Temporal Bone Dissection Laboratory has l3 stations with otologic drills, binocular operating microscopes and closed circuit TV for instruction. Fellows are encouraged to spend extended blocks of time in the Temporal Bone Lab perfecting surgical skills, particularly those related to transtemporal approaches to the internal auditory canal and other advanced techniques required for neurotologic surgery. These efforts will both precede and complement responsibilities in the operating room. In addition, fellows will participate in supervising otolaryngology residents during weekly drilling sessions and will circulate as instructors in temporal bone dissection courses offered four times a year.

    Teaching:
    The division is actively involved in the otolaryngology residency teaching program at the University of Michigan. There are weekly Otology Case Conferences, as well as didactic sessions and supervised temporal bone dissection for residents and fellows on service. In addition to the teaching responsibilities in the Temporal Bone Laboratory, fellows periodically lecture during the Otology Conference and in continuing medical education courses, as deemed appropriate.

    Research:
    A major research project is completed by the fellow as the primary focus of the second year of training. This project may be the continuation of a prior research interest, a major clinical research undertaking, or an area of investigation that interfaces with the ongoing activities of the scientists at the Kresge Hearing Research Institute.

    At least 20 percent of the weekly schedule will be available in the first year of training for research and academic pursuits. This should include development of a research plan leading to preparation of a formal NIH-style proposal. The fellow will have the opportunity to defend this proposal before the departmental Research Committee. The fellow will be expected to pursue extramural funding, although start-up support may be sought from the Otology Division and/or the department's Research Committee. In addition, the fellows are encouraged to initiate prospective or retrospective clinical studies leading to publication.

    Travel:
    The department will provide a travel stipend of $500 to assist the fellow with travel to one major otolaryngology meeting per year. Additional funding may be available at the discretion of the division director.

    Reimbursement and Benefits:
    The otology fellow will be compensated at a salary level commensurate with other University of Michigan house officers at the same level of postgraduate training. The department provides malpractice insurance. Health care coverage for the trainee and family members is available through HMO or traditional insurance plans. Some health care options require additional payment by the subscriber.

    Application:
    Click here for the Fellowship Application (.docx)