Jefferson Rhinology and Skull Base Fellowship

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

sf match program id#
4565

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

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), 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 Evans as well as with the departmental and Wills Eye Hospital faculty for appropriate cases.

Research Responsibilities: Besides advanced surgical training for the acquisition of surgical skills, the fellowship emphasizes academic mentorship. Fellows will be given one day a week protected academic time in which to perform research, prepare manuscripts and apply for grants. This fellowship is designed to allow adequate time for the fellow to pursue his/her research interests. 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 sinus cases average around 500/yr. We also have an active orbital practice in conjunction with the Wills Eye Institute performing an average of 20-30 endoscopic decompressions for graves disease per year. 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.

Facilities: Facilities include both the Thomas Jefferson University Hospital, The Jefferson Hospital for Neuroscience, and The Wills Eye Institute. Founded in 1825 The Thomas Jefferson University Hospital is a 1000 bed facility with a dedicated Neurosurgical ICU. There are currently 3 dedicated minimally invasive skullbase operating rooms with state of the art equipment. Jefferson Hospital for Neuroscience is the only hospital in the region dedicated solely to neuroscience. This is a 100-bed facility. We have recently completed 2 state of the art minimally invasive skull base operating rooms. The Wills Eye Institute is a dedicated ophthalmologic hospital with 40 inpatient beds.

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 is an associate professor at Thomas Jefferson University. His 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 and Evans are innovators in this evolving field and have lectured and written extensively on the subject both nationally and internationally.

Dr. Rosen also has extensive experience with minimally invasive balloon sinuplasty, frontal sinus drug eluting stents, and complicated and revision endoscopic frontal sinus surgery.

current and past fellows
Mark Friedel 2012-2013
David Beahm 2011-2012

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
Email: marc.rosen@jefferson.edu
Tel: 215-955- 6056
Fax: 215-503-3736