Wayne State University
4201 St. Antoine, 5 E-UHC
Detroit, MI 48201
|Number of Fellowships: 0|
Duration (in years) / Type: one year or two years / Combined clinical and research
Faculty: S. Naweed Raza, MD, FRCSC, – Head & Neck and Microvascular Surgeon;
George H. Yoo, MD, Surgeon – Head & Neck Surgeon;
Ho-Sheng Lin, MD, Surgeon – Head & Neck Surgeon;
Michael Carron, MD, Surgeon – Facial Plastics & Reconstructive Surgeon;
Jeffrey Hotaling, MD, Surgeon – Head & Neck and Microvascular Surgeon;
Adam Folbe, MD, Surgeon – Minimally Invasive Endoscopic Skull Base Surgeon;
Sandeep Mittal, MD, FRCSC, FACS – Neurosurgery;
|Christopher Cheyer, MD – Oculoplastics;|
Julie Samantray, MD – Endocrinology;Ammar Sukari, MD – Hematology Oncology;
Amy Weise, DO – Hematology Oncology;
Harold Kim, MD – Radiation Oncology;
Wael A Sakr, MD – Pathology;
Fulvio Lonardo, MD – Pathology;
Natasha Robinette, MD – Radiology;
Alit Amit-Yousif, MD – Radiology;
Hussein Aoun, MD – Radiology;
Lynne Moseley, DDS – Dental Oncology;
Mark Marunick, DDS, MS – Prosthodontics;
Mark Simpson, PhD – Speech Language Pathology;
Andrew Fribley, PhD – Research
Overview: The Head and Neck Fellowship at Wayne State University was established in 1994. Although the program prefers a 2 year applicant, a 1 year experience is also offered. The program is clinically based at the Karmanos Cancer Institute. This is one of the first designated comprehensive centers in the National Cancer Institute program. It was so designated comprehensive in 1978. The institute supports over 200 physician scientists, 300 researchers, 4 research programs and 9 core facilities. Thirteen oncology multidisciplinary medical teams treat more than 6,000 new patients annually, of which roughly 400-500 are head and neck cancer patients. The Karmanos Cancer Institute operates as a free-standing cancer-only inpatient hospital with 123 beds. This is the only free-standing cancer hospital in the State of Michigan. Roughly 4,000 patients a year are placed in clinical trials.
Objectives: Goals are to provide advanced training in head and neck oncology and microvascular reconstructive surgery. This includes not only patient management, but also appreciation of the research foundation upon which the specialty exists. The surgical experience will include exposure to all current techniques including microvascular and endoscopic skull base resection, trans oral robotic/microlaryngeal surgery, and endocrine surgery. Familiarity with medical oncology, radiation therapy, and rehabilitation techniques will also be provided.
This program is directed toward the development of future academic leaders in the field. In addition to instruction in the latest techniques in the management of the head and neck cancer patient, an appreciation of the research foundation upon which future developments depend will be established.
Strengths: There are strong interdisciplinary clinical activities between members of Radiation Oncology, Medical Oncology, Thoracic Surgery, Neurological Surgery, Endocrinology and Dermatology. The fellow will have an opportunity to be trained in all aspects of head and neck cancer management including endoscopic skull base resections, minimally invasive surgical procedures, robotic surgery, craniofacial reconstruction, and a diverse array of microvascular reconstructive techniques. In addition, the fellow will have exposure to all aspects of drug development from phase I to phase III trials. There is a long-standing interest in rehabilitation of the head and neck cancer patient with funded research for the interested fellow to participate in. Clinical time with Medical Oncology and Radiation Oncology is also offered.
The fellow will play an important role in teaching and training residents in the management of head and neck cancer patients both clinically and surgically. The fellow will serve as an Associate Director to Courses in Advanced Surgical Dissection in Head & Neck Oncology and Craniofacial Reconstruction, which involve fresh cadaveric dissections several times throughout the year.
Eligibility: The fellow must be board-certified or board eligible in Otolaryngology, General Surgery or Plastic Surgery. International applications are welcomed. Competitive international applicants are usually already serving as junior faculty at their academic institutions.
There is one fellowship position available per year. At the time of selection the applicant will indicate whether they wish a one-year (PGY-6) or two-year (PGY-7) experience. Two-year applicants generally have an interest and background training consistent with conducting a basic science project(s). Occasionally they may desire a more intense clinical exposure to head and neck oncology rather than block research time. All fellows are anticipated to publish either a clinical research or basic science research depending upon their particular background and desires.
Surgical: You will be required to participate in all major head and neck oncologic surgeries and microvascular reconstructive cases. If you have interest in getting credentialed in transoral robotic surgery, you will be required to participate in a large number of cases here also.
You are encouraged to work with all of the head and neck surgeons on faculty. There are also opportunities to work with one of the anterior skull base surgeons should there be a desire to do so, as well as some of our other reconstructive surgeons.
Inpatient Activities: You will be responsible to round on inpatients and will serve as a resource to the residents for our head and neck cancer patients.
Outpatient Activities: You will not be responsible for your own outpatient office. Instead, you will participate in the existing outpatient clinics with the faculty.
External Rotations: Rotation experience will be provided in medical oncology, radiation oncology and endocrinology as desired. There is no time spent at the VA Hospital.
Research Opportunities: It is anticipated that the fellow will develop and publish clinical manuscripts. For those fellows who are interested and have the appropriate background in the basic sciences, opportunities are available in a wide variety of fields. Block time is available dependent upon the interests and type of project selected. There is an opportunity for mentorship outside of the department, once again depending upon the fellow’s interests and background. It is anticipated that the fellow will present at the annual department research day held in the spring of each year. All past fellows have presented their work nationally and internationally in addition. The fellow will also participate in the quarterly research protocol meetings. At these meetings the status of ongoing trials are reviewed, and new potential trials are presented for approval and prioritization by the group.
In the past one successful graduate of the program actually published 8 manuscripts over two years. That individual now is a department chairman in his home country.
Supervision, Teaching & Call: Supervision: The participant is evaluated every 6 months following completion of forms by the program faculty. The participant meets with the program director for a one-on-one conference. During this conference the participant is given an opportunity to critique the program. Current performance as judged by the program faculty is reviewed with the participant. Goals for the next 6 month time period are then set. Every twelve months there is a blinded evaluation submitted by the participant to The American Joint Council.
Teaching: The fellow will function as a junior faculty member in this role. There will be active interaction with the medical students and residents. He/she will have a major role in the Wednesday morning combined modality clinic. In addition to case presentations, the fellow will participate by presenting didactic material during this and other departmental conferences. It is anticipated that the fellow in the operating room will function as a junior attending “taking” a resident through the case where appropriate.
The fellow will also be appointed as the Associate Director for fresh cadaveric courses in Advanced Head and Neck and Craniofacial Surgical Techniques. These courses occur periodically during the year and are organized by Dr. Raza and include free flap harvest techniques.
Call: The fellow does not participate on the call schedule with the house staff. It is, however, anticipated that he/she will be available for emergency procedures in the head and neck cancer population.
Ileana Showalter, MD; 2002-2004
Ozlem E. Tulunay-Ugur, MD; 2004-2006
Lucio Pereira, MD; 2006-2008
Shamit Chopra, MD; 2008-2010
Ozan Ozgursoy, MD; 2010-2011
Antoine Melkane MD, MSc; 2011-2013
Mrinal Supriya, MD; 2013-2014
Madana Jeevanandam, MD; 2014-2015
Ibrahim Bawab, MD; 2015-2017