American Head & Neck Society

Advancing Education, Research, and Quality of Care for the Head and Neck oncology patient.

American Head & Neck Society | AHNS


The mission of the AHNS is to advance Education, Research, and Quality of Care for the head and neck oncology patient.

  • About
    • Mission Statement and Purpose
    • History
      • Society Background
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      • Past Presidents
      • In Memory
    • Strategic Plan
    • Professionalism & Ethics
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  • Heads Up!
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  • For Patients
  • For Trainees
    • Fellows’ Virtual Tumor Boards
    • Accredited Fellowships
      • Fellowship Match
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      • Fellowship Curriculum
      • Certificate of Completion Request
      • Recent Graduates
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      • For Current AHNS Fellows
  • Divisions
    • Education
      • Scientific Program/Resident Courses
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      • Journals
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      • Awards
        • Margaret F. Butler Award
    • Patient Care
      • Cancer Survivorship
        • Patient Education on Post-Treatment Care
        • Interviews with Cancer Survivors
      • Cancer Prevention
        • SLIDE DECK: HPV-Related Oropharyngeal Cancer
      • Guidelines/Position Statements
      • Find-A-Physician
    • Research
      • Grant Information
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      • Tissue Banks
    • Administrative Divison
      • Development Service Process for Evaluating Projects Requiring Funding
  • Sections
    • Endocrine Surgery
    • Skull Base Surgery
    • Reconstructive Head & Neck Surgery
    • Mucosal Malignancy
    • Salivary Gland
    • Cutaneous Cancer
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AHNS Fellowship Program Evaluation Form

This form is to be completed by the graduating fellow. This is a prerequisite to receiving your Certificate of Completion, and this information will be kept strictly confidential.

ATC - Fellowship Program Evaluation

  • Not ApplicableStrongly AgreeAgreeUndecidedDisagreeStrongly Disagree
    The program is well-rounded
    Patient material is adequate in numbers
    Patient material is mixed and diversified
    Curriculum is approprirate
    Conferences and didactic presentations are appropriate
    Instruction on decision-making is adequate
    Operating room experience is adequate
    Availability of staff is adequate/sufficient in number
    Supervision by faculty is enough
    There is enough freedom for independent clinical decision-making
    Clinical research exposure is available
    Basic science instruction (theoretical, classroom) is adequate
    Basic science training is appropriate
    Overall, this is a good training program in head & neck oncologic surgery
  • Not Applicablestrongly AgreeAgreeUndecidedDisagreeStrongly Disagree
    Basic Science Research Training
    Oncological judgment
    Surgical judgment
    Teaching
    Scholarship and academics
    A sound head & neck oncologic surgeon
  • Not ApplicableStrongly AgreeAgreeUndecidedDisagreeStrongly Disagree
    is committed to excellent patient care
    participates actively to trainee (fellow/resident) education
    is available for consultation
    gives positive feedback on performance at regular intervals
    mentors/supervises the trainee in scholastic pursuits
  • Not ApplicableStrongly AgreeAgreeUndecidedDisagreeStrongly Disagree
    Fellows/Residents
    Nurses
    Physician extenders
    Other colleagues

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Contact Us

AHNS, 11300 W. Olympic Blvd, Suite 600
Los Angeles, CA 90064
ph: (310) 437-0559 / fx: (310) 437-0585
admin@ahns.info

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