Icahn School of Medicine at Mount Sinai 1 Gustave Levy Place Box 1189 New York, NY  10029   Eric Genden, MD – Fellowship Director (212) 241-3943 Mark Urken, MD – Fellowship Co-Director (212) 241-3943 Kerry Feeney – Coordinator Amanda Mercado – Coordinator  (212) 241-3943

Number of Fellowships: 2 Duration (in years) / Type: 1 year / Clinical Department Chair:  Eric Genden, MD Faculty:  Michael H. Berger, MD Raymond Chai, MD Nazir Khan, MD Scott A. Roof, MD Marita Teng, MD Marshall Posner, MD Bruce Culliney, MD Jerry Liu, MD William H. Westra, MD Margaret Brandwein-Weber, MD Maaike van Gerwen, MD, PhD Ya-Wen Chen, PhD Alison May, PhD Program Website

 PROGRAM DESCRIPTION

Overview:
The Head and Neck Oncology-Microvascular Reconstructive Surgery Fellowship Program at The Mount Sinai Health System offers a 12-month comprehensive experience in the management and reconstruction of patients with malignant and advanced benign disease. This concentrated experience covers all aspects of surgical care including diagnosis, treatment planning, ablative and reconstructive surgery and post-operative surveillance. In addition, the faculty offer fellows exposure to active programs in tracheal and parathyroid transplantation, as well as transoral robotic microvascular free flap reconstruction. The surgical faculty provide a wide range of experience in ablative and reconstructive surgery. In addition, the program offers active programs in tracheal and parathyroid transplantation as well as trans- oral robotic microvascular free flap reconstruction.

Strengths: 
The Head and Neck Fellow participates in all major head and neck surgical cases, including head and neck ablative surgery, microvascular reconstruction, transoral oral robotic surgery, endocrine surgery, skull base surgery, and airway surgery.

The fellowship experience is divided between two sites. Fellow spend 6 months at The Mount Sinai Hospital and 6 months at Mount Sinai West. At both sites, fellows staff the Multidisciplinary Head and Neck Oncology Clinic one half day per week where they evaluate and manage head and neck oncology patients. Operative cases generated from the clinic are performed by the fellow with supervision from division faculty.

The Scope of Surgical Experience:
Full scope ablative head and neck oncologic surgery including mucosal disease, paranasal-skull base surgery, salivary tumors, sialendoscopy, and cutaneous malignancies

Reconstructive surgery including local, regional, and free tissue transfer for complex ablative defects of the head and neck

Transoral robotic and laser surgery for head and neck malignancies including oropharyngeal, tongue, and larynx

Extensive endocrine experience including management of thyroid and parathyroid malignancies

Management of advanced benign lesions of the head and neck including salivary and neurogenic tumors

Comprehensive surgical management for functional enhancement of the head and neck oncology patient, including airway reconstruction, voice restoration, and facial nerve reanimation

Eligibility:
To be considered for a position, the candidate for the head and neck fellowship must have completed a residency program in Otolaryngology, General Surgery or Plastic Surgery. Candidates must be ABOTO board eligible for New York State Medical Licensure. Candidates applications will be reviewed and interviews offered prior to the AHNS Match. Final selections are made at the time of the AHNS Match.

All interested US applicants must be registered with the Match Program of the Advanced Training Council for Approval of Training in Head and Neck Oncology Surgery (sponsored by The American Head and Neck Society) to be considered or a position.

We are currently unable to accept international fellows (including Canadian) for the fellowship training program at Mount Sinai. All qualified applications will receive consideration without regard to race, color, religion, sex, national origin, age, or handicap that does not prevent performing the duties expected of the position.

Fellows’ Duties/Responsibilities:
Fellows participate in and present at a variety of conferences including the multidisciplinary tumor board, Grand Rounds, educational rounds, and research conferences. They are rotate into the medical and radiation oncology divisions to gain an appreciation for multidisciplinary care.

Call responsibilities include 1 day per week of daytime consult coverage at Mount Sinai Hospital or Mount Sinai West and 4-5 weeks of weekday evening and weekend call at Elmhurst Hospital Center per year.

Research Opportunities: 
Ya-Wen Chen, PhD lab: Black Family Stem Cell Institute and Institute for Airway Science

Eric Genden’s Airway Immunology and Transplantation Program

Alison May, PhD’s lab: Causative mechanisms of upper airway disease, including Cystic Fibrosis and Chronic Rhinosinusitis, through defining alterations in the structure and function of epithelial tissues

Maaike Vangerwen, MD.’, PhD’s lab: Thyroid Cancer Environmental Research Program

Mark Urken, MD’s lab: Functional Outcomes Research

Supervision, Teaching & Call:
The clinical/surgical responsibilities of the fellows and resident are shared experiences at the discretion of he head and neck faculty. Major ablative head and neck surgery and microvascular reconstruction cases are performed by attending staff, the head and neck fellow, and the residents in a graded, experience based approach. In general, fellow will have the opportunity to select the cases most appropriate to his training goals if multiple major head and neck cases are going on simultaneously. The fellow will also be responsible for resident supervision and surgical training in a capacity commensurate with the ability of the fellow.