Jefferson Rhinology and Skull Base Fellowship

Institution & address
Jefferson University Medical College
925 Chestnut Street
Philadelphia, PA 19107

sf match program id#

fellowship director
Marc R. Rosen MD
925 Chestnut St. 6th floor
Philadelphia, PA 19107
Tel: 215-955- 6056
Fax: 215-503-3736

fellowship co-director
Gurston Nyquist, MD

departmental mission statement
It is the goal of the Department of Otolaryngology to provide our patients with the highest level of medical care and to serve as a national role model in the field of Otolaryngology. To that end we believe the pursuit of high quality scientific research by all department faculty is critical. We are dedicated to training residents and fellows to disseminate the best possible otolarygological care to our community. Our goal is to produce well-rounded rhinologists who will go on to successful careers in rhinology and skullbase surgery.

overview of fellowship
The Rhinology/Skullbase fellowship at Thomas Jefferson University is a one-year fellowship designed to offer advanced training in complicated sinus and skullbase disease. Fellows will receive surgical training in endoscopic skullbase surgery (transsphenoidal and extended approaches), revision sinus surgery, orbital surgery (including orbital decompression and DCR), balloon sinuplasty and complex frontal sinus surgery.

fellowship description
Clinical Rotations: Fellows will operate 3 days a week, see patients in the office one day a week, and have one day reserved for academic pursuits. Fellows operate directly under the supervision of Drs. Rosen and Nyquist along with associated faculty for appropriate cases.

Research Responsibilities: Besides advanced surgical training for the acquisition of surgical skills, the fellowship emphasizes academic mentorship. Fellows are provided with one day each week for protected academic time in which to perform research, prepare manuscripts and apply for grants.. Fellows will be expected to participate in research and manuscript preparation. The fellow will work in concert with the research nurse coordinator to prepare and collect data. Our close collaboration with the Monell Chemosensory Center provides opportunities for research in the area of olfaction in addition to investigations of clinical and surgical outcomes. Fellows will be expected to participate in regional and national meetings with full funding from the department.

Diversity of Cases: The diverse range of sinus and skull base diseases varies from benign to malignant and encompasses a wide range of pathologies. Jefferson offers a high-volume tertiary clinical experience at both Thomas Jefferson University Hospital and Jefferson Hospital for Neuroscience. The number of skullbase cases performed by the endoscopic skullbase team averages around 150/yr and includes sinonasal malignancy, anterior skull base lesions, sellar and para-sellar surgery, and extended cases along the clivus and infra-temporal fossa. There is a robust number of inflammatory sinus surgeries to choose from with over 800 cases performed annually by faculty at Jefferson . We also have an active orbital practice in conjunction with the Wills Eye Institute performing an average of 30 endoscopic decompressions for graves disease per year along with over 120 of endoscopic DCRs. This clinical volume provides an outstanding educational opportunity.
Call Schedule: The fellow will be expected to take 5 weeks of attending call per year.

Additional Information:
Anatomy Lab: The fellow will have 24 hour access to our skull base anatomy lab for dissection. This lab is equipped with an image guided system as well a complete complement of endoscopic instruments. Cadavers are continuously available.
Residency Program: Jefferson has an active residency program with 5 residents per year. The fellow will be expected to mentor the residents, be involved in their didactic sessions, and perform clinical teaching.

Faculty Profile: Dr. Marc Rosen is a board certified Otolaryngologist and Clinical Vice Chair of the Department of Otolaryngology. Dr. Rosen and Dr. James J. Evans serve as Co-Directors of the Jefferson Center for Minimally Invasive Cranial Base Surgery and Endoscopic Neurosurgery. The Center boasts a newly completed endoscopic suite with state of the art high definition cameras and monitors, integrating state of the art neuronavigation with image fusion, and the latest in endoscopic skull base instrumentation. Dr. Rosen's scope of practice includes the management of complex tumors of the sinus and skull base using minimally invasive techniques. The Jefferson Center for Minimally invasive Cranial Base Surgery is one of only a handful of centers nationwide offering the pure endoscopic approach to complicated skull base disorders. Dr. Rosen also has extensive experience with minimally invasive balloon sinuplasty, frontal sinus drug eluting stents, and complicated and revision endoscopic frontal sinus surgery.

Dr. Nyquist is an Associate Professor in Otolaryngology and Neurological Surgery. He completed a Rhinology fellowship at the Weill Cornell Medical College in New York City. He was the chair of the Rhinology and Skull Base Division in a large otolaryngology group in New York before moving to Thomas Jefferson. He has a tertiary care rhinology and skull base practice that includes Allergy.

current and past fellows
Mindy Rabinowitz 2015 -2016 – Current Fellow
Alexander Farag 2014 – 2015 – Ohio State University
Jaymarc Iloreta 2013- 2014 – Mount Sinai, New York
Mark Friedel 2012-2013 – Private Practice, New Jersey
David Beahm 2011-2012 – University of Kansas

requirements for appointment
Applicants must be board eligible/board certified in Otolaryngology and satisfy requirements for Pennsylvania medical licensure.

application information
Application is through the SF Match.

application deadline
February 1

contact information
Marc R. Rosen MD
925 Chestnut St. 6th floor
Philadelphia, PA 19107
Tel: 215-955- 6056
Fax: 215-503-3736


Revised 11/19/2015