Duke University DUMC 3805 Durham, NC  27710 Liana Puscas, MD – Fellowship Director (919) 812-5079 Lori Allsbrook – Coordinator (919) 681-6588   Program Website

Number of Fellowships: 1 Duration (in years) / Type: 1 year / Clinical Faculty: Ramon M. Esclamado, MD, FACS Richard H Chaney, Sr Professor Head and Neck Surgery/Endocrine Surgery David M. Brizel, MD Leonard Prosnitz Professor of Radiation Oncology Neal E. Ready, Md, PhD Professor of Medicine, Medical Oncology Liana Puscas, MD, MHS Associate Professor, Head and Neck Surgery/Microvascular Reconstructive Surgery Walter T. Lee, MD, MHS Associate Professor, Head and Neck Surgery Jenny Hoang, MBBS Associate Professor of Radiology and Radiation Oncology (Neuroradiology) David B. Powers, MD, DMD Associate Professor of Surgery, Oral Surgery David S. Yoo, MD, PhD Assistant Professor of Radiation Oncology Daniel J. Rocke, MD, JD Assistant Professor, Head and Neck Surgery Russel Roy Kahmke, MD Assistant Professor, Head and Neck Surgery/Microvascular Reconstructive Surgery Gina Vess, SLP, Clinical Director Voice Care Center

PROGRAM DESCRIPTION

Overview: The clinical responsibilities of the fellow will be directed toward maximizing the opportunity to enhance clinical knowledge and skill for advanced tertiary level surgical care of head and neck cancer patients, while also developing the teaching skills necessary for an academic surgeon. The fellow will receive the academic title of Clinical Associate. The fellow will assist the head and neck surgical faculty in the operating rooms on major tertiary level head and neck cases at Duke University Hospital and Duke Raleigh Hospital . For those basic head and neck cases, and with greater experience and expertise with advanced cases, the fellow will serve as an instructor and teaching surgeon for the chief and junior residents. The fellow will also have the opportunity to pursue head and neck microvascular reconstructive training if interested. The fellow will be expected to round and provide oversight for care of hospitalized patients on the head and neck service along with the chief resident on a daily basis. The fellow will coordinate the evaluation and disposition of new head and neck tumor patients seen in the clinic, and do the same for previously treated patients requiring further management.

Objectives: The fellow will develop and enhance clinical skills in the evaluation, multidisciplinary medical and surgical management, and care of patients in the entire spectrum of benign and malignant head and neck tumors. This experience will prepare the fellow for a career in academic medicine. The fellow will be expected to:

1. Evaluate new and return tumor patients independently and with Head and Neck Faculty
2. Attendance at multidisciplinary Head and Neck Clinic with Radiation and Medical Oncology assessing new and return patients requiring management.
3. Attendance at multidisciplinary Endocrine clinic assessing new and return thyroid cancer patients requiring management.
4. Opportunity for clinical research and microvascular training is available.

Strengths:

1. Breadth and depth of pathology, including high volume endocrine surgery, cutaneous malignancies, sarcoma, in addition to multidisciplinary head and neck oncology tumor board in a premiere academic medical center.
2. Microvascular training is available.
3. Clinical research training in evidence based outcomes is a strength with opportunity for additional training (second year) in T32 funded position.
4. Collegial faculty committed to training future leaders in academic medicine. Formal leadership training is also available.

Eligibility:

1. Successful completion of ACGME approved Otolaryngology Head and Neck Surgery Training Program
2. ABOto Board Eligible or Board Certified
3. General Surgery or Oral Surgery Trained applicants will be considered on a case by case basis
4. International applications will be considered on a case by case basis.

Fellows’ Duties/Responsibilities:

1. Please see Objectives above.
2. The fellow will serve as an instructor and teaching surgeon for the chief and junior residents for basic head and neck cases.
3. The fellow will be expected to round and provide oversight for care of hospitalized patients on the head and neck service along with the chief resident on a daily basis.
4. The fellow will coordinate the evaluation and disposition of new head and neck tumor patients seen in the clinic, and do the same for previously treated patients requiring further management.
5. The fellow will see patients independently one half day a week.

Research Opportunities:  The Fellow is strongly encourage to pursue clinical research during this year. The divisional Research Committee has oversight over all of the research efforts and provides mentorship of the fellow as needed to ensure that the research question is scientifically sound, methodology is valid and can be completed in the year fellowship, and assistance with statistical analysis. Seed money is available for approved projects through the division research fund. The fellow can pursue other research opportunities across disciplines as Duke University with oversight of the research committee.

Supervision, Teaching & Call:

1. The Fellow will be supervised by faculty for complex head and neck cases, with progressive responsibility and independence as expertise develops.
2. The Fellow will supervise and teach residents as appropriate
3. The fellow will share faculty call on a rotating weekly basis, averaging 1 week/9-12 weeks