Location | Wilmington, DelawareApply Now!
Institution website: www.christianacare.org
A one-year Fellowship in otology is being offered in response to the need in our specialty for increased clinical competence in otology at the graduating resident level. Most residents feel their clinical skills in surgical and medical otology are limited and, while they do not have aspirations to practice neurotology, do not feel adequately prepared to confidently offer surgical treatment of chronic ear disease, otosclerosis or feel prepared to establish adult or pediatric cochlear implant programs in their future communities of practice.
Most graduating residents also feel under-prepared to manage patients with complaints of vertigo or complex otologic problems like superior canal dehiscence. I believe these concerns can be fully addressed with one additional year of training in a busy otologic practice with a preceptor who has proven teaching ability and is dedicated to creating a rich otologic training experience.
The goal of this one-year Fellowship experience is to establish a knowledge base and level of clinical and surgical ability to allow the graduating Fellow to address the above-mentioned problems in their independent clinical practice. Although there will be some exposure to neurotology and skull base surgical procedures, this is not an accredited Fellowship for those services.
The clinical work in this Fellowship will be conducted primarily at the Christiana Care Health System, a 1000 bed Level 1 trauma center situated in northern Delaware, south of Philadelphia and northeast of Baltimore. We serve a general population of 1 million from Delaware, Southern New Jersey and Maryland.
Pediatric cochlear implantation is performed at the Nemours duPont Hospital for Children, a regional pediatric care center affiliated with the Department of Otolaryngology of Thomas Jefferson University and has rotating residents. My expectations are that the clinical Fellow in otology will participate in and conduct some of the monthly otology conferences provided to the Jefferson Otolaryngology residents. These cover a very wide range of topics, and will challenge the fellows' knowledge base and presentation skills. The fellow will also present on vestibular disease at monthly vestibular team meetings and participate in interpretation of vestibular testing.
The clinical fellow will participate in all surgical cases in a practice limited to otology. Annual caseload is approximately 225 cases. After an initial period of clinical observation and knowledge building, the Fellow will see new balance patients independently to establish diagnoses and treatment plans.
The clinical Fellow will participate in the instruction of the temporal bone surgical dissection course offered to the residents of Thomas Jefferson University Hospital, The University of Pennsylvania Hospital and Philadelphia College of Osteopathic Medicine Otolaryngology programs. Dissection in some of these courses is available.
The fellow will take the 10 week course of the Institute for Cochlear Implant Training and it’s associated 2-day temporal bone lab.
Participation in clinical research with publication is expected. The Fellow will have access to a world-class 3-D visualization computer laboratory and anatomic material sufficient to make important contributions in otology during their fellowship year. While I do not require that Fellows entering this program are dedicated to a faculty academic track, I do expect the participation of Fellows who are personally dedicated to practicing otology at a high level. A second year of paid research in auditory science laboratories at the University of Pennsylvania is available to qualified candidates.
Prerequisite Training/Selection Criteria:
-Candidates must have satisfactorily completed a residency in Otolaryngology Head and Neck Surgery
-Candidates must have a dedicated interest in persuing the practice of otology
-Candidates need 2 letters of recommendation that testify to competence in microsurgery ability sufficient to persue Otologic subspecialty training
-Candidates must have a publication history that verifies ability to participate in academic writing
-Candidate must work well with others
-Invited interview required
-Written/spoken English fluency required; ECFMG certificate required
-USMLE Step 1 and Step 2 are required for all candidates
To apply forward a cover letter, CV, and 2 letters of recommendation. Interviews by invitation.