Duke University

INSTITUTION & ADDRESS
Duke University
40 Duke Medicine Circle
Durham, NC, 27710
Tel (919) 613-6407
Fax (919) 681 6881

SF MATCH PROGRAM ID#
5310

FELLOWSHIP DIRECTORS
David Jang, MD
Ralph Abi Hachem, MD

Additional Faculty
Matthew Ellison, MD FACS FAAOA

DEPARTMENTAL MISSION STATEMENT
Duke Head and Neck Surgery & Communication Sciences is committed to excellence in meeting the health care needs of the people we serve, improving community health, and fostering the best medical education and research.

OVERVIEW OF FELLOWSHIP
The Duke University Rhinology and Endoscopic Skull Base Surgery fellowship is a one year program designed for those planning to pursue a career in academics or private practice. It provides comprehensive training in basic and advanced rhinology, endoscopic skull base surgery, and sinonasal oncology.

Our program is currently composed of two fellowship trained rhinologist/skull base surgeons, as well as an otolaryngic allergist. The fellow will be exposed to a busy tertiary rhinology practice with local, regional, and national referrals, and will participate in 300-350 operative cases throughout the course of a year. These will include primary and revision sinus surgery, endoscopic skull base and orbital surgery, and office-based procedures.

Our program’s strengths lie in our clinical and research collaborations with the Robert Tisch Brain Tumor Center, the Duke Asthma, Allergy, and Airway Center, and the Duke Lung Transplant program. In addition, the Division of Head and Neck Surgery & Communication Sciences has a world-class clinical research program, which will provide research opportunities and training for fellows who are interested.

FELLOWSHIP DESCRIPTION
Clinical Rotations: On average, the fellow will spend two days a week in the OR, two days a week in the clinic, and one day a week for research. The schedule is adjusted on a weekly basis in order to optimize the fellow's surgical experience. The fellow’s experience will include an independent clinic with OR block time. For those interested, there is an option to rotate through our allergy department.

Weekly Schedule: 
  Monday    Tuesday    Wednesday    Thursday    Friday    
AM Academic  Clinic/OR Clinic OR OR
PM Academic Clinic Clinic OR OR

Diversity of Cases: The fellow will participate in 300 to 350 cases throughout the year. These include nasal airway surgery, primary and revision sinus surgery, endoscopic orbital surgery and endoscopic skull base surgery. Endoscopic skull base cases include anterior skull base, sellar, parasellar, clival, middle cranial fossa and other extended approaches for neoplastic and non-neoplastic conditions. Inflammatory cases include recurrent polyposis, allergic fungal sinusitis, aspirin-exacerbated respiratory disease, and cystic fibrosis. Orbital cases include mainly endoscopic DCR, endoscopic orbital and optic nerve decompression.

Research Responsibilities: The rhinology fellow is encouraged to participate in basic science, translational, or clinical research projects available within the division and throughout the university. Clinical research opportunities are available through the CHEER network, the Surgical Center for Outcomes Research (SCORES) and industry funding. There is also an option to complete an NIH T32 training program upon completion of the fellowship or enroll in didactic courses offered through the Duke Clinical Research Training Program. Other research opportunities include work in computational fluid dynamics and olfactory physiology.

A nasal endoscopic cadaver dissection laboratory is available, offering the fellow the opportunity to participate in anatomic studies and to fine tune surgical skills. The fellowship is designed to provide adequate time for academic pursuits, and fellows are strongly encouraged to present at national meetings. Research goals are tailored to the individual’s interests and plans. 

Call Schedule: The fellow is expected to cover 3-4 weeks of attending call throughout the academic year (no pediatric or trauma call).

Resident Education:
Fellows are expected to actively participate in resident education in the clinic and operating room and through formal didactics. The fellow will also participate in our monthly rhinology case conferences and annual cadaveric dissection course. Fellows will be responsible for one formal grand rounds presentation during the year.

Additional Information: Fellows will be appointed as a clinical instructor with full admitting and operating privileges at Duke University Hospital. Salary and benefits will be provided at the PGY-6 level. In addition, fellows will be provided a discretionary fund to assist with travel expenses to national meetings.

International applicants who meet eligibility requirements are encouraged to apply.

Current and Past Fellows
Kevin Choi, MD: 2017-2018

REQUIREMENTS FOR APPOINTMENT
  • Residency in Otolaryngology-Head and Neck Surgery.
  • Valid North Carolina license.
  • International graduates are required to have completed USMLE step 1; 2; 2CS and 3 and be ECFMG certified.
Application Information
Applications are processed through the San Francisco match website, and should be submitted through www.sfmatch.org.  Interviews will be conducted in winter-spring in accordance with SF match guidelines. Feel free to contact the program directors if you have any additional questions.

APPLICATION DEADLINE

February 1st

CONTACT INFORMATION
Ralph Abi Hachem, MD
Assistant Professor of Surgery and Neurosurgery
Rhinology and Skull Base Surgery
Division of Head and Neck Surgery & Communication Sciences
40 Duke Medicine Circle, Rm 3532b
Durham, NC, 27705
Email: ralph.abi.hachem@duke.edu
Tel (919) 613-6407
Fax (919) 681-6881

Revised 9/27/2017