UNIVERSITY OF MIAMI INTERNATIONAL RHINOLOGY CLINICAL FELLOWSHIP PROGRAM
INSTITUTION & ADDRESSUniversity of Miami Miller School of Medicine FELLOWSHIP DIRECTORRoy R. Casiano, M.D., F.A.C.S DEPARTMENTAL MISSION STATEMENTTo educate and nurture medical students, residents and fellows, to create knowledge, and to provide service to our community and beyond. Committed to excellence and proud of the diversity of our University family, we strive to develop future leaders of our nation and the world. OVERVIEW OF FELLOWSHIPThe University of Miami/Jackson Memorial Hospital Medical Center International Advanced Rhinology Fellowship is a 12 month training program. It is designed for international otololaryngologists that have completed their residency, and desire to advance their fund of knowledge and surgical skills in the otolaryngology subspecialty area of advanced rhinology and related disorders. It requires completion of the first 2 steps of the USMLE and TOEFL exams (ECFMG certification required). FELLOWSHIP DESCRIPTIONFellowship Duration: 1 Year Fellowship Term: November 1 through October 31 every year(start times flexible November through April) Goals and Objectives for Training:
Faculty:
Hospital and Clinic Facilities:
Our UHealth facility is in Plantation, Florida, in Broward County, approximately 30 minutes north from the main medical campus by downtown Miami. The Lennar facility is in Coral Gables and is approximately 20 minutes south of Downtown Miami and connected to the medical center by train (Metrorail). Clinical/Surgical Rotations:Rotations in the operating room are primarily with Dr’s Casiano, Levine, Sargi, Komatar, Morcos, and Ivan (see weekly schedule). Clinic rotations are primarily with Dr ‘s Casiano and Levine (at CRB and Lennar) CURRICULUMDidactics and Teaching Responsibilities:The fellow will actively participate with the residents and faculty in the department’s weekly departmental grand rounds and pertinent monthly journal clubs. They will be provided Dr Casiano's Advanced Rhinology Dissection Textbook along with a series of lectures provided by the rhinology faculty. He/she will participate as faculty in the department's annual University of Miami International Endoscopic Sinonasal and Skull Base Anatomy Course (meeting held in South Florida every winter), as well as our annual residents' and fellows' course (All-Florida Residents/Fellows Endoscopic Surgical Anatomy Course in the Summer). Also, the fellow will be responsible for presentation of future designated surgical skull base cases at our weekly Tuesday skull base multidisciplinary skull base conference for discussion amongst the skull base team to determine the best surgical and/or nonsurgical treatment strategies for the patient. In addition, he/she practices advanced procedures, and helps teach our international “minifellows”, in our state-of-the-art endoscopic sinus surgery cadaveric lab at the medical examiner’s office on campus. The fellow also has access to the latest endoscopic skull base equipment in our C.A.N.E.S microsurgical lab at the medical school on campus to practice advanced endoscopic skull base surgical techniques on cadaveric specimens. It is here where the fellows practice their skull base drilling technique on formalin-fixed specimens, further refining their understanding of the complex skull base anatomy. Supervisory and Patient Care Responsibilities:The fellows will personally be mentored and supervised in the operating room and clinics by UM rhinology faculty, as required for American Rhinologic Society rhinology program certification, as well as to assure patient safety. The degree of faculty supervision is dependent on the fellow’s surgical experience and surgical skills. To this end, the fellow is required to assist the faculty in the training of residents on basic sinus cases as part of their teaching responsibilities. Patient care is restricted to the hospitals and outpatient clinics listed above. The fellow will assist the faculty on their private rhinology cases in University of Miami (UHealth) operating rooms and clinic facilities and establish long-term continuity of care and follow-up on all patients preoperatively, operatively, and postoperatively. Fellows will be trained on the use of EPIC and CERNER electronic health records. Surgical Case Load and Diversity of Cases:Every year the fellow is expected to perform, as surgeon of record, a minimum of 150-200 patients (300-400 sinonasal surgical procedures). Approximately 60% of these are advanced revision cases, and 20% are sinonasal and/or skull base neoplasms (excluding pituitaries). Specific advanced endoscopic surgical procedures performed include extended frontal, sphenoid, and maxillary sinusotomies; management of benign and malignant sinonasal and skull base neoplasms; repair of skull base defects with local/regional flaps and/or grafts; endoscopic removal of pituitary neoplasms or lesions; and endoscopic approaches to the anterior, middle, and posterior cranial fossa. Research Responsibilities:Research projects, appropriate for presentation at one of several national otolaryngology meetings and suitable for publication in peer-reviewed journals, are mandated. A variety of anatomic, clinical, and basic science research projects are available under faculty supervision. Historically, the fellow has completed a minimum of 2 clinical research projects during his/her 12-month rotation, suitable for publication in one of the Otolaryngology peer review journals. Opportunities for publication of book chapters, monographs, and other forms of media, will also be available. All fellows are required to take appropriate IRB mandated online courses including CITI, in order to participate in human research projects. Weekly Schedule
CURRENT AND PAST FELLOWS
SALARY AND FRINGE BENEFITSThis program is self-funded. That means, the applicant must provide proof of funding, which includes salary, fringe benefits, and an annual tuition payment to the Department of Otolaryngology. This is required by the Department of Otolaryngology prior to starting their fellowship year. Failure to meet these financial obligations may result in suspension from the program. REQUIREMENTS FOR APPOINTMENTECFMG requirements (includes passing USMLE and TOEFL). Interest in rhinology and rhinologic research, as demonstrated by prior experience. APPLICATION INFORMATIONApplications are reviewed year around for a position generally beginning November 1 of the new cycle. Start dates are flexible depending on the applicant’s specific situation. Selected applicants may be invited to travel to Miami for an individual interview with the faculty, and spend time with our current fellow, observing his/her surgical skills and interactions with the faculty, staff, and residents. However, phone interviews are also available. APPLICATION DEADLINEFellowship ideally starts November 1. However, start dates are flexible November through April. Applications (curriculum vitae and 2 letters of references) must be submitted at least 12 months prior to the anticipated start of the fellowship. CONTACT INFORMATIONFellowship Program Administrator |
