Northwestern University, Head and Neck Oncological and Reconstructive Surgery Fellowship
|Number of Fellowships: 1
Duration (in years) / Type: 1 year / Clinical
Overview: Overall Goals and Objectives: The goals of the Advanced Training Council Fellowships from the American Head and Neck Society are to provide the training foundation for those individuals dedicated to careers in head and neck surgical oncology through training in the areas of interdisciplinary management, complex head and neck oncologic surgery and research. This additional expertise emphasizes scholarship, critical analysis of clinical problems and development of additional skills in the performance of techniques required for the practice of the subspecialty, including consultation skills and multidisciplinary treatment planning, with emphasis on scholarship and knowledge or experience in basic and clinical research methodologies.
This training will include the evaluation, treatment planning, surgical management, and post-operative decision-making that is needed to manage complex head and neck patients. Fellows will receive training in all aspects of surgical care including initial consultation, multi-disciplinary tumor board treatment planning, pre-operative evaluation, surgical treatment, reconstructive surgery, and long-term cancer surveillance.
Eligibility: The Department of Otolaryngology–Head and Neck Surgery at Northwestern University is seeking to recruit one Head and Neck Oncological and Reconstructive surgery fellow. The selected fellow will receive training in all aspects of surgical care including initial consultation, multi-disciplinary tumor board treatment planning, pre-operative evaluation, surgical treatment, reconstructive surgery, and long-term cancer surveillance. All candidates are required to be ABO board-eligible graduates of an ACGME-accredited Otolaryngology residency training program and able to obtain a permanent Illinois medical license. McGaw Medical Center of Northwestern University does not discriminate with regard to sex, race, age, religion, color, national origin, disability, or veteran status.
Fellows’ Duties/Responsibilities: Curriculum: The curriculum is designed to include formal education in a variety of non-surgical disciplines. This includes medical oncology, radiation oncology, radiology, speech therapy, and pathology, and endocrinology. During November and December, the fellow spends dedicated time in these other disciplines and operative time will be diminished for several weeks during these blocks. This is designed to give structured education in these non-surgical areas that are paramount to comprehensive care of the head and neck cancer patient.
Research Opportunities: At the beginning of the fellowship, there is a dedicated meeting between the fellow and the program director to discuss ongoing projects within the department and particular research interests of the fellow. These will be explored and a follow-up meeting will be planned before the end of July by which time the fellow will have developed 1-2 clinical projects. Attention will be paid to the pertinence of the clinical question being addressed, the feasibility of the project, and emphasis on completion of projects during the fellow’s 1 year tenure in the program. The expectation is that such projects would result in presentation at a national/international meeting and ultimately publication. There will be regular meetings to discuss progress on research projects, and this progress will also be part of the fellow evaluation process. Retrospective studies can be facilitated by our tumor registry and data warehouse that can both be queried for case-finding. Prospective studies can also be considered, provided there is high likelihood that such a study can be completed with the 1 year timeframe. We also have resources in health care delivery with a good track record using NSQIP and SEER to study head and neck cancer care on a larger scale. The fellow will be encouraged to use these resources, if that fits with research interests.
Supervision, Teaching & Call:
- Teaching Responsibilities: The fellow is expected to serve in a teaching role in several different arenas. In the operating room, the fellow will be teaching residents and medical students during procedures in which the fellow is already proficient. As clinical expertise grows over the course of the training year, we expect the number of variety of such procedures to grow. The fellow will be involved in in-patient rounds where the fellow will be learning from the attending staff, but also teaching/instructing the housestaff and students. The fellow will lead a head/neck journal club and will be expected to moderate discussion and educate housestaff and student on relevant topics that will be decided upon by the fellow in conjunction with the attending staff.
- Clinical Responsibilities/Operating Room: The fellow will be actively involved in surgical cases in the main operating room several days each week. The fellow’s role will vary between primary surgeon, first assist for the attending surgeon, and first assist for residents under supervision. The main operative focus will be cancer ablation, including open surgery, TLM, and TORS. The fellow will also be expected to participate in the reconstructive aspects of surgery and post-operative care. This includes regional and free flap reconstruction.
- Clinical Responsibilities/Rounds: The fellow will direct and participate in in-patient rounds for patients for whom the fellow has served as surgeon or co-surgeon.
- Clinical Responsibilities/Call: The fellow will take home back-up call for patients that the fellow operated on, with primary call handled by the residents. The fellow will be expected to participate in any return to the OR on such patients.
- Clinical Responsibilities/Tumor Conference: The fellow will assemble case presentations for weekly tumor conference. This will alternate weekly between the fellow and the chief resident on the Head and Neck Service.
- Clinical Responsibilities/Outpatient: The fellow will have primary responsibility in the outpatient clinic every week. This will be done in conjunction with the attending surgeon clinics rather than as independent fellow clinics. Here, the fellow will be evaluating both new, return, and post-operative patients as part of a comprehensive outpatient experience. This will include FNA, U/S-guided FNA, transnasal laryngeal biopsy, and other small office procedures as indicated. The fellow will be involved in patient counseling and education regarding proposed surgery.