Thomas Jefferson University
925 Chestnut Street
Philadelphia, PA 19107
|Number of Fellowships: 1
Duration (in years) / Type: 1 year / 1 yr Clinical
David M. Cognetti, MD
Joseph M. Curry, MD
Adam Luginbuhl, MD
Richard A. Goldman, MD
William M. Keane, MD
Elizabeth Cottrill, MD
Christopher Fundakowski, MD
Howard Krein, MD, PhD
Ryan Heffelfinger, MD
Voichita BarAd, MD
Rita Axelrod, MD
Jennifer Johnson, MD
Ralph Zinner, MD
Overview: Thomas Jefferson University’s Department of Otolaryngology-Head and Neck Surgery is a high volume, highly specialized department with a robust head and neck surgery division. The head and neck team consists of 5 ablative surgeons and 5 surgeons who perform microvascular reconstruction (3 surgeons perform both.) We have strong multidisciplinary ties with our collaborating departments within the Sidney Kimmel Cancer Center and we treat approximately 500 new patients with head and neck cancer per year. The vast majority of these patients initially present to the head and neck surgery team, and surgery is considered an important component of our treatment algorithm.
Objectives: Our fellow will graduate with comprehensive, specialized training for benign and malignant tumors of the head and neck. Advanced techniques, such as microvascular reconstruction and transoral robotic surgery, will be emphasized including attention to development of perioperative treatment protocols. Multidisciplinary collaboration and clinical trials are underscored as well.
Strengths: Our department offers a high volume of transoral robotic surgery, microvascular free flap reconstruction, endoscopic skull base surgery and minimally invasive thyroid and parathyroid surgery. Recent fellows have finished with > 60 TORS and > 90 free flaps. We support research as well as travel for AHNS meeting and educational courses. Additionally, we invite our fellow to participate in a surgical mission trip to Haiti. Finally, perhaps our biggest strength is a supportive and collegial departmental culture, which allows an optimal learning environment for our trainees. We value and emphasize mentorship during and after completion of the fellowship.
Eligibility: To be considered for the position, the candidate for the head and neck fellowship must have completed an ACGME accredited residency in Otolaryngology and must be qualified to sit for the ABOTO written and oral exams. The candidate must be able to secure a Pennsylvania Medical License.
Operative: The operative experience consists of 3-4 days per week. The fellow would be expected to obtain a rounded experience including open ablative upper aerodigestive malignancy, endocrine and salivary gland surgery, as well as endoscopic and robotic experience. The department has robotic block time and performs TORS on a weekly basis. The fellowship also has a microvascular reconstructive component. Such cases are performed on 3 days per week regularly. The fellow will participate in any case they are available and desire to participate.
Office hours: The fellow is expected to attend office hours for one session weekly with one of the head and neck faculty. This will include full interview and examination of new patients, and participation in their workup and management.
Inpatient responsibility: The fellow will have Clinical Instructor privileges, which allows the fellow to participate in relevant inpatient consultations. No explicit inpatient duty is assigned to the fellow (i.e. such as rounding at resident level, writing notes etc.) but the fellow is expected to be available to the residents for guidance and they are encouraged to round regularly on patients on whom they have operated.
Research Opportunities: It is expected that the fellow produce at least one relevant project for presentation at a meeting and publication during the fellowship. Attendance is financially supported to any meeting at which a departmental project is accepted. Assistance through our departmental research coordinator will be available for establishing the necessary IRB or other paperwork prior to the fellow’s arrival, should they wish to initiate a new project; however, numerous clinical and translational projects are currently in progress.
Supervision, Teaching & Call:
Supervision: Our high clinical volume and large residency program facilitate an appropriate balance of fellow autonomy and fellow oversight, which are both important to the optimal development of surgical skills.
Teaching: In addition to the clinical responsibilities, fellow will be responsible for teaching of residents and medical students and will be provided the title of Clinical Instructor as a member of the faculty of the Department of Otolaryngology-Head and Neck Surgery. The Fellow is expected to participate in teaching of the residents, medical students, as well as the staff. The fellow is to present grand rounds once during the year. Additionally, regular teaching is expected on rounds and in the operating room on a daily basis in an informal format. Formal resident and student teaching responsibility includes providing at least three hours of lecture time during the course of the year during resident education hours, as well as participating in teaching during weekly pre-operative radiology and planning conferences.
Call: Clinical instructor privileges would allow for the fellow to perform attending level call for approximately six weeks in the 12-month period.
All previous fellows are in Academic positions
2014 Richard Goldman, MD – Thomas Jefferson University
2015 Brian Boyce, MD – University of Florida
2016 Jeffrey Hotaling, MD – Wayne State University
2017 John Gleysteen, MD – University of Tennessee Health Science Center
2018 Larissa Sweeny, MD – Louisiana State University
2019 Dylan Roden, MD—fellow in training