University of Cincinnati Medical Center
University of Cincinnati Academic Health Center
P.O. Box 670528
Cincinnati, OH 45267-0528
|Number of Fellowships: 1
Duration (in years) / Type: 1 year / Clinical
David L. Steward, MD, FACS
Yash J. Patil, MD;
Chad Zender, MD
David L. Steward, MD
Alice Tang, MD
Brian Cervenka, MD
Overview: Fellowship training in Head and Neck Oncology and Microvascular Reconstruction, accredited by the Advanced Training Council for Approval of Training in Head and Neck Oncologic Surgery, is sponsored by the American Head & Neck Society.
The program, in existence since 1969, has achieved national and international prominence with almost all graduates being placed in academic medical programs.
Objectives: The one-year program, under the direction of Chad A. Zender, MD, FACS, Professor of Otolaryngology, emphasizes five specific areas within the field of head and neck surgery:
- The fellow will be familiarized with the surgical and non-surgical therapy of head and neck tumors. Emphasis will be placed on ablative head and neck oncologic surgery, including organ preservation laryngeal surgery.
- With the development of the anterior endoscopic skull base surgery program, in collaboration with the Department of Neurosurgery, the fellow will be integrated into the clinical and research activities and be expected to demonstrate a high level of proficiency in these surgical techniques.
- Surgical management and work up of thyroid and parathyroid diseases will be emphasized during the fellowship including office-based ultrasonography, ultrasound-guided fine needle aspiration and minimally invasive surgical approaches.
- Microvascular reconstruction of the head and neck allows for better cosmetic and functional results. Our fellow is expected to become skillful in free flap reconstruction as well as pedicled rotational flap reconstruction.
- Our adult airway reconstruction program is a one-of a kind program and an extension of our internationally renowned pediatric airway program. Our fellow should be capable of performing airway evaluation and complex reconstructive procedures and understand when to intervene.
Strengths: Diversity of Cases: Our program is fortunate to have multiple fellowship-trained surgeons that specialize in complex ablative and free flap reconstruction surgery. On average, our fellow will perform over 500 cases including 180 free flaps. Cases include a wide range of regional and free tissue transfer surgeries upon graduation. The spectrum includes common flaps like radial forearm, fibula, and latissimus free flaps but also regional flaps like submental and supraclavicular flaps. There was also exposure and experience with less common free flaps (lateral arm, ulnar, DIEP gracilis etc.).
Our program focuses on our fellow being competent with the surgical and non-surgical therapies for head and neck tumors with an emphasis on ablative head and neck oncologic surgery which includes organ preservation laryngeal surgery.
Our program works in collaboration with other specialties in the Department of Otolaryngology and the Department of Neurosurgery for our anterior endoscopic skull base program and lateral skull base program.
Surgical management of thyroid and parathyroid disease including office-based ultrasonography and minimally invasive surgical approaches.
Eligibility: AHNS Advanced Training Council fellowships are available to all candidates who have completed ACGME accredited Otolaryngology, General Surgery or Plastic Surgery residency programs and whom are currently board eligible in those specialties. The applications and appointments for fellowship are processed through a central matching program.
Fellows’ Duties/Responsibilities: Clinical responsibilities include the overseeing of care of all head and neck surgery patients at the University of Cincinnati Medical Center and serving as a leader to the oncology teams overseeing care of all patients both inpatient and outpatient. The fellow is required to participate in the operating room with a majority of the head and neck oncology cases, providing oversight to the senior residents in a supervisory capacity and active participation as primary surgeon on more complicated oncologic surgical cases.
In the outpatient setting, the fellow has his own small clinic and parallels other head and neck providers in clinic for real time learning in the clinic environment. The fellow attends approximately 4-8 hours of clinic/week.
The fellow is responsible for coordinating presentations of our head and neck patients at tumor board conference. This is a multidisciplinary conference that involves radiation oncologists, medical oncologists, pathologist and radiologists. The fellow and the on-service residents work with our nurse navigators on case presentations.
Research Opportunities: The fellow is encouraged to devote a significant period of time to clinical research. It is expected that all fellows will be involved in clinical research projects and participate in the presentation/publication of the results. The fellow will support medical student and resident projects helping with IRB review/development, data collection and manuscript development. Dedicated time for laboratory research can be discussed if that is desired. The fellow will also gain exposure, experience and understanding of ongoing and pipeline clinical trials.
The Department collaborates with the departments of pathology and molecular genetics, biochemistry & microbiology. Their facilities are available to the fellow for ongoing research projects. Laboratory animal medicine is on the lower level of the College and has fully licensed animal facilities.
Supervision, Teaching & Call: Fellows take an active role in resident education. The fellowship is not considered “observational” as fellows must possess the appropriate surgical skills and judgment to function as the primary surgeon under the supervision of fellowship faculty. With a large and diverse patient population, the department offers in-depth exposure to the full range of otolaryngologic disorders and surgical procedures. The fellow will have opportunity to take call as a “clinical instructor” and have sufficient back up for questions or assistance as needed. The amount of call is consistent to other attending faculty with 3-4 weeks of call per year.
Arvind Badhey – Assistant Professor – UMass Memorial Medical Center
David Choi, MD, FRCSC Assistant Professor – McMaster University
Rachad Mhawej – Head & Neck Oncologic Surgery Fellowship-Univ. of Oklahoma Med. Ctr
Hafiz S. Patwa, MD, PharmD – Assistant Professor – Wake Forest University
Jonathan R. Mark, MD – Presently – Assistant Professor – Eastern Virginia Medical School; Formerly – Assistant Professor – University of Cincinnati College of Medicine
Eric J. Thorpe, MD – Assistant Professor – Loyola University Stritch School of Medicine
Julie Goddard, MD – Presently – Assistant Professor – University of Colorado; Formerly – Assistant Professor – University of California, Irvine
Nidhi Gupta, MD – Presently – Assistant Professor – University of Maryland; Formerly – Assistant Professor – Albert Einstein College of Medicine – Jacobi Medical Center
Rizwan Aslam, DO – Associate Professor – Tulane School of Medicine
Eyad Khabbaz, MD – Presently – Group Practice – Punxsutawney, PA; Formerly – Associate Professor – University of Pittsburgh Medical Center
Mikhail Vaysberg, DO – Presently – Private Practice – Orlando, FL; Formerly – Assistant Professor – University of Florida Health Cancer Center
Alexander Senchenkov, MD – Presently – Private Practice – Sarasota, FL; Formerly – Associate Professor – University of Tennessee Health Sciences Center
Michael J. Wolfe, MD – Pacific Medical Centers, Seattle, Washington
Tapan A. Padhya, MD – Professor – USF Morsani College of Medicine
Judith M. Czaja-McCaffrey, MD – Assistant Professor – USF Morsani College of Medicine
Michael K. Farrell – Private Practice – Kogarah/Liverpool, Australia
Lyon L Gleich – Presently – Vice President of Medical Affairs, Oncology – Medpace; Previously – Faculty – University of Cincinnati
Paul D. Righi – Private Practice – Dartmouth-Hitchcock Medical Center
Louis G. Portugal – Professor – University of Chicago
Markus Gapany – Associate Professor – University of Minnesota
Robert P. Zitsch – Professor and Chair – University of Missouri – Ellis Fischel Cancer Center
Loren W. Savory – ENT Consultants – St. John’s, Newfoundland
Robert J. Stegmoyer – Private Practice – Cleveland Heights, Ohio
Mark C. Weissler – Professor – University of North Carolina
Kevin A. Shumrick – Tri-Health Physicians – Group Health Associates – Cincinnati, OH
Jeffrey F. Morgan – Private Practice – Warren, PA
Frederick M. Silver – Associate Professor – University of South Alabama
Jagdev Singh – Private Practice – Fresno, CA
Melvin Wiederkehr – Private Practice – Brooklyn, NY
Ivor A. Emanuel – Presently – Private Practice – San Francisco, CA; Formerly – Assistant Professor, University of California, SF and Clinical Faculty, Stanford University
Robin T. Cotton – Professor – University of Cincinnati College of Medicine & Cincinnati Children’s Hospital
Howard A. Tobin – Associate Professor – University of Texas Southwestern Medical Center
Aviv Heiman – Private Practice – Granite City, IL