The Maryland Nose and Sinus Center


INSTITUTION & ADDRESS
The Maryland Nose and Sinus Center
200 East 33rd Street
Suite 631
Baltimore, Maryland 21218
Tel. 410-554 4455 

SF MATCH PROGRAM ID#
2873
 
FELLOWSHIP DIRECTOR
Alan H. Shikani MD, FACS
200 East 33rd Street
Suite 631
Baltimore, Maryland 21218
 
departmental mission statement
The aim of the fellowship is to offer a high-quality one-year subspecialty training program in Rhinology. The fellowship experience will include exposure to all aspects of medical and surgical rhinology and related disciplines, in adults and children, including endoscopic sinus surgery, treatment of olfactory disorders, functional nasal surgery & treatment of nasal obstruction, cosmetic nasal surgery, approaches to the pituitary, and removal of paranasal sinus neoplasms. The fellowship may also provide opportunities for clinical research in Rhinology. At the present time, our research program is focused topical therapy for chronic rhinosinusitis (Gel-Rhinotopic therapy), balloon sinuplasty and chitosan treatment for recalcitrant epistaxis.
 
OVERVIEW OF FELLOWSHIP
  • One fellow per year for one year, with a tentative start date of July 1 of each year.
  • Applicants must have completed residency training in otolaryngology (US or international)
  • Responsible teaching faculty: Alan H. Shikani MD, FACS, Chief, Otolaryngology-Head and Neck Surgery, Union Memorial Hospital, Sinai Hospital and Good Samaritan Hospital in Baltimore.
  • The fellow’s training will be focused on symptoms or diseases referable to the nose and paranasal sinuses, although there will also be the opportunity for exposure to a broad variety of ENT diseases.
  • The fellow will share the call schedule with one of the supervising attending physicians. He/she will be in the operating room at least two half days per week and in the clinic the remaining days. The fellow will have a chance to participate in supervision and teaching of residents and medical students at the Union Memorial Hospital and Sinai Hospital. These teaching institutions have a residency program in General surgery and in Internal Medicine. There are no otolaryngology residents at these hospitals who could potentially compete for ENT cases with the fellow.
  • The fellow will share attending call in the rotation of the staff and will participate in supervision and teaching of residents and medical students at the Union Memorial Hospital, Good Samaritan Hospital and Sinai Hospital. These hospitals are teaching institutions with a residency program in general surgery and internal medicine. There are no ENT residents in these hospitals.
  • The fellow’s training will be focused on symptoms or diseases referable to the nose and paranasal sinuses, although there will also be the opportunity for exposure to a broad variety of ENT diseases and surgeries.
  • The fellow will be in the operating room at least two half days per week and in the clinic the remaining days. Our ENT clinic is set up as an office-base surgery center and the fellow will have a chance to assist and/or perform different office based procedures (including in-office balloon sinuplasty, minimally invasive endoscopic sinus surgery, endoscopic septoplasty, coblation procedures, etc.)
  • There will be two weeks’ vacation per year and one additional week for an educational meeting.
  • Salary and benefits will be commensurate with the number of years of prior training in otolaryngology.
  • The fellow will have the opportunity and will be encouraged and to:
    • Attend local rhinology conferences and grand rounds at the Johns Hopkins, and Greater Baltimore Medical Center departments of Otolaryngology-Head and Neck Surgery, when possible.
    • Attend one national meeting or rhinology course during his/ her training year, when possible
    • Submit one abstract to a major national meeting, if possible
    • Submit one paper to a major journal on research generated during his/her training, if possible.
  • Applications are accepted any time within the Academic year that precedes the beginning of the fellowship on July 1 of the subsequent year. Interviews and recommendations are required and may be arranged during a visit to Baltimore, during the fall American Rhinologic Society Meeting or if travel is not possible a Skype interview may be arranged. Deadline for interviews are the last week of May within the Academic year that precedes the beginning of the fellowship on July 1 of the subsequent year.
For further information about the fellowship and faculty, please visit the website http://www.marylandent.com/
 
FELLOWSHIP DESCRIPTION
Clinical Rotations: The fellow’s rotations will cover two large MedStar institutions in Baltimore (Union Memorial Hospital and the Good Samaritan Hospital) and one large LifeBridge institution (Sinai Hospital).
 
Weekly Schedule: The fellow’s responsibility is to attend the ENT clinic at least three days per week, where he/she will do, under the supervision of the ENT attending staff, thorough evaluation and complete examination of patients, perform ENT and rhinology office procedures under local anesthesia (including in-office sinuplasty, minor endoscopic sinus surgery, coblation of inferior turbinates, nasal endoscopy, laryngoscopy, endoscopic nasal biopsy, etc.), provide treatment and appropriate follow up, as indicated and under supervision of the attending physician. The fellow will also scrub in the OR with the attending physician two half- days a week.
 
Research Responsibilities: The fellowship will also provide opportunities for clinical research in Rhinology, covering different aspects of nasal/sinus/airway diseases. Our current clinical research program revolves around novel techniques in sinus surgery (such as balloon sinuplasty), topical therapy for chronic rhinosinusitis.

Faculty
Alan H Shikani MD, FACS: Dr Shikani completed his residency and fellowship at the Johns Hopkins Hospital, the top-ranked ENT program for the last 20 years. Dr Shikani is currently Chief of Otolaryngology at Union Memorial Hospital, Chief of Otolaryngology at Good Samaritan Hospital and Chief of Otolaryngology at Sinai Hospital. He is also the Director of the Maryland Nose and Sinus Rhinology Fellowship Program at Union Memorial Hospital. Dr. Shikani is also an active member of many distinguished societies including the Alpha Omega Honor Medical Society, American Academy of Facial Plastic Reconstructive Surgery, American College of Surgeons, American Academy of Otolaryngology, and the American Rhinological Society. Dr. Shikani has published numerous articles and book chapters in the field of Otolaryngology-Head & Neck surgery and is the recipient of the prestigious Maurice H. Cottle Award presented by the American Rhinological Society. He holds twenty one patents in his name either individually or as a co-inventor, and has made multiple ENT inventions and brought several devices to market. 

Hosai N.Todd Hesham, MD: Dr. Todd Hesham completed her residency at Georgetown University Hospital in Washington DC. After residency she went on to work as an Otolaryngologist Head and Neck surgeon at the Washington DC Veterans Affairs Medical Center. Within two years at the Washington DC VA, she was promoted to the position of ENT Section Chief where she led the ENT section and was closely involved in daily medical student and resident education. She served another 3 years as the Section Chief, prior to relocating to the Baltimore region and joining Maryland Ear Nose and Throat. Dr. Todd Hesham is a versatile surgeon with experience and knowledge in head and neck cancer, sinus surgery, sleep apnea treatment, salivary gland tumors, thyroid and parathyroid disease, and pediatric ENT. She has presented and published multiple research projects on topics such as: airway stenosis, resident education, timeliness of head and neck cancer treatment, and narrative medicine. She is also involved in multiple charitable organizations that focus on international medical assistance.
 
Diversity of Cases: The fellow surgical duties will include accompanying the attending physician in the operating room at least two days per week, and performing surgery & /or assisting in surgical procedures as indicated, and under supervision of the attending physician. By graduation, the fellow should have knowledge and proficiency in most of the following nasal surgical procedures:
                                                               
The fellow is required to keep an operating room log of his cases in the form of a spreadsheet with condensed summary of cases/ CPT codes. There is an opportunity for the UMH and Sinai                    Surgical residents and medical students to assist with interesting ENT cases and an opportunity for the rhinology fellow to teach them.
  
Call Schedule: The Rhinology fellow takes call covering Union Memorial, Good Samaritan and Sinai emergency room and floor consultations. The call’s duration is one week at a time, and rotates every other week (always in tandem with one ENT attending physician).

Additional Responsibilities: Rhinology fellows, in accordance with the Institutional vacation policy, receive a maximum of three weeks off work per year.  Two weeks are a guaranteed vacation time and the other week is to be used for meetings and conferences. All vacation time must be logged/tracked by both the fellow and the department; approval must be given by the Program Director or his designee prior to the start of the vacation.
 
current and past fellows
Damien Sequeira MD 2014-2015
Rabia Shihada, MD 2013-2014
Rahul Mehta , MD 2012-2013
Ziad Rohayem , MD 2011-2012
Konstantinos Kourelis MD, PhD 2010-2011
Mohammad Alqudah MD 2009-2010
Karim Chahine MD 2008-2009
Rony Aouad MD 2007-2008
Walid Dagher, MD 2006-2008
 
requirements for appointment
Five years of Otolaryngology residency in the US or abroad, USMLE 1, 2 and 3
 
application information
On site visit is encouraged, however a Skype interview can be arranged. Interview deadline: last week of May 30 of each academic year.

application deadline
March 1 of each academic year
 
contact information
Alan Shikani MD, FACS
Tel 410- 554 4455
e-mail: ashikani@aol.com
 
Revised: 10/05/2015