University of Wisconsin Head and Neck Oncology and Microvascular Reconstructive Surgery Fellowship
University Hospital and Clinics
600 Highland Avenue
Madison, Wisconsin 53792
|Number of Fellowships: 1|
Duration (in years): 1 year
Faculty: Dr. Gregory Hartig, Professor, Otolaryngology-Head & Neck Surgery
Dr. Timothy McCulloch, Professor, Otolaryngology-Head & Neck Surgery
Dr. Aaron Wieland, Assistant Professor, Otolaryngology-Head & Neck Surgery
Dr. Tiffany Glazer, Assistant Professor, Otolaryngology-Head & Neck Surgery
Dr. Paul Harari, Professor, Human Oncology
Dr. Randall Kimple, Assistant Professor, Radiation Oncology
Dr. Matthew Witek, Assistant Professor, Radiation Oncology
Dr. Michael Bassetti, Assistant Professor, Radiation Oncology
Dr. Justine Bruce, Assistant Professor, Medical Oncology
Dr. Ticiana Leal, Assistant Professor, Medical Oncology
Dr. James Cleary, Associate Professor, Medical Oncology
Dr. Gregory Avey, Assistant Professor, Radiology
Dr. Tabassum Kennedy, Associate Professor, Radiology
Dr. Ricardo Lloyd, Professor, Pathology
Dr. Rong Hu, Assistant Professor, Pathology
Dr. Ian Koszewski, Assistant Professor, Otolaryngology – Head and Neck Surgery
Nadine Connor, PhD, Professor, Otolaryngology – Head and Neck Surgery
The mission of the head and neck oncology and microvascular surgery fellowship at the University of Wisconsin is to provide comprehensive and multidisciplinary training such that the graduating fellows may lead head and neck oncology programs in academic training centers or other venues while providing the highest quality of care.
This fellowship with stress the multidisciplinary management of head and neck malignancies with a primary clinical experience focused on head and neck oncologic resection and microvascular reconstruction. The fellow will also gain experience with transoral laser and robotic resection, transnasal endoscopic paranasal sinus and skull base resections, maxillofacial trauma surgery and open anterior skull base surgery. Our head and neck fellow will work with four experiences head and neck oncologic and microvascular surgeons with a typical free flap experience of greater than 100 flaps per year. The experience will offer both mentored and independent clinical responsibilities in both the operating room and outpatient clinic setting.
Our core team consists of 4 head and neck surgical oncologists, 3 head and neck radiation oncologists, and 2 head and neck medical oncologists. We routinely incorporate evaluations with other specialties, including speech and swallowing therapy, health psychiatry, addiction services, physical therapy, nutrition and social work.
In addition to their work at the University Hospital, fellows will also play an integral role in the management of head and neck cancer patients at the William S. Middleton Veterans Affairs Hospital. This will include a half-day of clinic two to three times per month, as well as serving as the staff surgeon for operative cases. The fellow will work closely with the speech and swallowing therapists at the VA hospital addressing the needs of head and neck patients, and they will learn to perform tracheoesophageal punches, laryngeal biopsies, and transnasal esophagoscopy in the clinic.
The fellowship experience will be expanding to allow the fellows to participate in a one-week rotation with the radiation oncology team, one-week rotation with the medical oncology team, one-week rotation with the neuroradiology team, and one-week rotation with the pathology team. This will only enhance the fellows’ experience and interactions with the providers who currently participate in the Multi-Disciplinary Head & Neck Tumor Board.
Objectives: The mission of the head and neck oncology and microvascular fellowship at the University of Wisconsin is to provide comprehensive and multidisciplinary training such that the graduating fellows may lead head and neck oncology programs in academic training centers or other venues while providing the highest quality of care.
Strengths: We serve as the tertiary care referral center for much of the state of Wisconsin, and we have established relationships with many otolaryngologists in the northeast, southeast, central, south-central, and southwest portions of our state. Outside of Wisconsin, we serve the western Upper Peninsula of Michigan, and northern Illinois. Our head and neck oncology team has remained consistent for more than 20 years, allowing for the cultivation of mature relationships with referring physicians.
In August 2016, the University of Wisconsin Department of Human Oncology and the UW Carbone Cancer Center were awarded Wisconsin’s first NIH-funded Specialized Program of Research Excellence (SPORE). This SPORE, which awarded $14 million over 5 years, focuses on translational research of head and neck cancer, and provides over $400,000 annually in funding for pilot research projects in head and neck cancer. Additionally, the University of Wisconsin Hospital and Clinics is a Lead site for PCORI head and neck outcomes research.
We hold a weekly multidisciplinary head and neck tumor board, which also includes head and neck neuro-radiologists and surgical pathologist. The tumor board case list contains all patients with new or recurrent malignancies, and on average, 12-20 patients are presented each week. In addition to the weekly tumor board, we provide regular didactics and journal club discussions with a head and neck focus for our residents and fellows. The UW Hospital and Clinics is also home to Facial Nerve and Facial Reanimation Clinic, which offers a multidisciplinary approach to the diagnosis and treatment of facial paralysis.
Eligibility: Candidates of this position must be eligible/board certified by the American Board of Otolaryngology. Candidates must be able to secure a Wisconsin Medical License.
Fellows’ Duties/Responsibilities: The head and neck fellow helps manage the head and neck cancer patient population at the University Hospital under the supervision of Drs. Hartig, McCulloch, Glazer, and Wieland. This includes rounding on and managing head and neck patients in a post-operative period alongside the residency training program. The fellow also provides general support of resident patient management in a teaching environment.
In addition to responsibilities at the University Hospital, the fellow is also given clinical responsibilities at the William S. Middleton Memorial Veterans Hospital. The fellow will operate at the VA hospital in both outpatient and inpatient settings, round daily with residents and staff. They will typically staff a half-day clinic at the VA once every other week, supporting cancer care for the patients there. Fellows may also attend staff outreach clinics in a similar capacity as they do clinics at the University and VA Hospitals.
Research Opportunities: This one-year fellowship has a strong clinical focus with numerous opportunities for clinical research projects. Fellows are encouraged to submit two manuscripts for publication during their year here at UW. The fellowship offers one half day per week for administrative, educational, and research activities. Historically, our head and neck fellows have not had the time to engage in basic science research, though we do have active labs and an array of resources available. The fellows also have access to the Ebling Library, the biomedical and health sciences library of the University of Wisconsin School of Medicine and Public Health.
We have a robust head and neck tumor database with more than 20 years of comprehensive entries, which is an IRB-approved prospective research database of patients treated for HNC at the University of Wisconsin Hospital and Clinics (UWHC). It includes almost 3,000 adult patients treated with radiation therapy, surgery, and/or drug therapy since 1990. The HNC database captures approximately 150 data collection items on each participant, including demographic information, alcohol and tobacco use history, diagnosis, pathology, treatment and outcomes of primary site and neck, side effects of treatment, complications of treatment, and follow-up status.
Supervision, Teaching & Call: All fellows are given the position of Clinical Instructor within the Department of Surgery. In this role, the fellow is expected to provide an appropriate level of training and guidance to Otolaryngology residents and medical students. Additionally, the fellow will take call, staff independent outreach clinics and VA clinics, maintain an independent surgical schedule, and fill an important role on the head and neck surgical team.
During this same interval, the fellow participates directly as surgeon with mentor guidance in both ablative and reconstructive procedures. Once the fellow has demonstrated proficiency, they function as junior faculty, taking residents through cases of increasing complexity as their skills and experience increase.
The fellow is expected to attend the weekly multi-disciplinary tumor board, and to assist with staff call for general otolaryngology in rotation with the attending doctors. The Head and Neck fellow does not participate in Pediatric or Facial Trauma call.
- Aaron Wieland, MD (2010-2011) – Assistant Professor of Head and Neck Surgery at the University of Wisconsin, Director of the UW Multidisciplinary Facial Nerve and Facial Reanimation Clinic, and Chief of Otolaryngology at the W. Middleton VAMC.
- Brad Mons, DO (2012-2013) – Head and Neck surgeon at Cancer Treatment Centers of America (CTCA) in Tulsa, Oklahoma, and founder and director of the microvascular program within the CTCA.
- Jonathan Cohen, MD (2013-2014) – Palm Harbor, FL.
- Cheryl Nocon, MD (2015-2016) – NorthShore University HealthSystem in Evanston, Illinois (an affiliate of the University of Chicago).
- Jamal Ahmed, MD (2018-2019) – Current Fellow