Duke Otology/Neurotology Fellowship

Location | Durham, North Carolina
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Website
Duke Head & Neck Surgery: headnecksurgery.duke.edu
Description

PROGRAM DEMOGRAPHICS

 

Program Title:                Duke Otology/Neurotology Fellowship

Host Institution:             Duke University Health System

                   Trent Drive, Durham NC 27710

                  

Specialty:                   Otolaryngology

Subspecialty:                 Advanced Otology

 

Correspondence address:           David M. Kaylie, MD

                    Office 

    DUMC 3805 Durham NC 27710

    Phone:  919-684-6968

    Fax:919-684-9108

    Email: David.kaylie@duke.edu

 

Program Address(Physician):        Clinic     

    Duke South Clinic 1F

    Phone:  919-684-6968

    Fax:919-684-9108

    Email: David.kaylie@duke.edu

 

Program Director:             David M. Kaylie, MD     

 

 

INTRODUCTION

Established:              June 2019

Duration of Fellowship:     1 year

Program Participants:

7/1/2019-6/30/2020      Ofri Roned, MD 

                Residency Hadassah Hospital Jerusalem, Israel

                Current practice location – Poriya Israel

7/1/2020-6/30/2021        Matthew Cooper, MD 

                ENT Graduate, Duke Department of Head and Neck Surgery 

                (Current practice location) – New Orleans, LA

7/1/2021-6/30/2023        Noam Barov, MD 

                ENT Graduate, Kaplin Medical Center, Israel

                

Prerequisite Training/Selection Criteria: 

-Candidates must have satisfactorily completed a residency in Otolaryngology, Head and Neck Surgery

-Candidates must have a dedicated interest in pursuing the practice of otology

-Candidates need 2 letters of recommendation 

-Candidates must have published at least 1 manuscript and presented at least on national meeting

-Candidate must be of good moral standing and work well with others

-Interview required      

-written/spoken English fluency

Educational Purpose: To provide advance otologic surgical skill for graduates of otolaryngology residency.  This program will provide an extensive training in surgery of the skull base.  It is our philosophy that competency in these advanced procedures will enhance surgical skill in otologic surgery.  We will provide autonomy to help build confidence by having the fellow run an independent otolaryngology clinic 2 days/month with opportunity to perform independent surgeries.  The fellow will also help supervise residents in otologic surgery at the VA hospital associated with DUMC.  The fellow will gain competence in performing cochlear implant surgery for all three devices.  They will have opportunity to shadow the cochlear implant audiologists with the goal of learning basics for running a cochlear implant program.  The fellowship will also provide extensive training in the evaluation of the dizzy patient including work up and management of migraine associated vertigo, Meniere’s disease, vestibular neuronitis and superior canal dehiscence syndrome.  Fellows will also learn surgical management for appropriately selected vestibular patients including middle fossa and transmastoid repair of SSCD, and surgery for Meniere’s disease.   

RESOURCES:

Medical Director:     David Kaylie, M.D.

            Professor and Vice Char

            Department of Head and Neck Surgery & Communication Sciences

            Duke University Medical Center (DUMC)

            Durham, NC

 

Preceptors/ Responsibilities:  

Howard Francis, M.D.

                 Preceptor at DUMC

                 Surgical evaluator.

                 Inpatient and outpatient service evaluations

                                                

Steven Eliades, MD

Preceptor at DUMC

                 Surgical evaluator.

                 Inpatient and outpatient service evaluations

            

        Cal Cunningham III, MD

                 Preceptor at Duke Raleigh

                 Surgical evaluator.

                 Inpatient and outpatient service evaluations

 

Training Sites: Surgery:

            Duke University Medical Center, Durham NC

            Duke Raleigh, Raleigh NC

          Clinic:

            Duke South 1F Clinic, Durham NC

            Duke South Durham, Durham NC

            Duke Raleigh, Raleigh NC

          Laboratory:

            Steve Eliades Lab, Duke University Medical Center

        

EDUCATIONAL PROGRAM:

 

Clinical Components:     The Otology Fellow will participate in the following clinical activities under supervision:

1. Preoperative evaluation/ counseling of surgical patients

  1. ?Postoperative care of surgical patients
  2. Assisting with evaluation and treatment of all clinic patients
  3. Participate in initial evaluation and treatment of patients at the Duke Vestibular Lab at Duke 1F, Duke South Durham, and Duke Raleigh clinics
  4. Surgical care of patients at all surgical sites
  5. Assisting with daily hospital rounds

 

Research Components: 

  1. Expect fellow to complete 2 research projects with submission for publication
  2. Expect fellow to submit research project to 2 meetings (COSM, Academy meeting, etc)

 

Participants Supervisory Responsibilities:

  1. Supervise residents at VA for otologic surgery 3 Wednesdays per month
  2. Supervise residents on rounding for skull base patients

 

Didactic Components: The Otology fellow will attend and present regularly including

  1.  Monthly resident otology conference
  2.  Quarterly Otology journal club
  3.  Temporal bone lab for junior residents when starting otology rotation
  4. Temporal bone lab for yearly course

 

Additional Required Courses: Institution IRB Training Course

 

Primary Curriculum Materials:

  1. Fisch U, Mattox D. Microsurgery of the Skull Base
  2. Jackler R, Brackmann D. Neurotology
  3. Buchholz, D. Heal Your Headache: the 1-2-3 Program
  4. Jenkins H, Coker N. Otologic Surgery
  5. Niparko J. Cochlear Implants in Adults and Children

 

Goals of Educational Program:

  • Become proficient in skull base surgical approaches including translabyrinthine, middle fossa, and suboccipital approaches
  • Become proficient in the diagnosis and medical and surgical management of balance disorders, including the proper interpretation and use of diagnostic tests.
  • Become proficient in medical and surgical management of chronic ear disease, including tympanoplasty, ossiculoplasty, tympanomastoidectomy, mastoid obliteration, and canalplasty. 
  • Become proficient in medical and surgical management of conductive hearing loss, including otosclerosis surgery and bone implanted hearing device surgery.
  • Become proficient in medical and surgical management of sensorineural hearing loss, including adult and pediatric cochlear implantation, hearing aid counseling, and management of sudden hearing loss.
  • Become proficient in the management of neoplasia of the temporal bone and midline skull base, including temporal bone resection and standard infratemporal fossa approaches.
  • Become proficient in the diagnosis and management of facial nerve dysfunction.
  • Become proficient in the effective management of patients with tinnitus.
  • Become proficient in the effective management of patients with migraine.
  • Maintain skills in general otolaryngology that support otologic medicine by running an independent clinic 2 days/month.  
  • Take faculty call in the adult otolaryngology call pool at DUMC and Duke Regional hospital
  • Become proficient in group presentation skills that support teaching

 

EVALUATION:

Participant assessment:

Educational performance is evaluated continually by the primary preceptor Dr. Kaylie through constant close interaction in the clinic, operating room and in research collaboration. 

 

A formal technical proficiency review is performed at the onset of the fellowship for Mastoid surgery and Tympanoplasty using standard assessment instruments, and repeated in January, then again in June prior to exit.

 

A formal review of fellowship goals is performed at entry, is repeated in January to mark progress, and is repeated as an exit review.

 

Faculty Assessment:

Exiting fellows are asked to provide suggestions for program development to enhance the experience of future participants.

 

Exit Evaluation through department administrative offices

 

ADMINISTRATIVE  DETAILS:

Salary: PGY-6 salary requirement, Duke University Medical Center 

Malpractice Insurance: Covered through Duke Graduate Medical Education office

Health Insurance: Covered through Duke Graduate Medical Education office    

ER Call: Covered as part of general adult call

Clinical Call: In general otolaryngology adult call approximately 4 weeks/year

Credentialing: Duke Graduate Medical Education Office, 200 Trent Drive, Durham NC (919) 684-3491

Orientation:  number of days to orient, when to arrive in relation to fellowship start day or if needed beforehand

Pager: Will be provided by hospital

Cell Phone: Required but not provided. 

Vacation: 3 weeks plus one week paid meeting

Diploma: Yes

CITI Training: required

Openings for our Fellowship

Year Status
2023 Open
2022 Filled
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