University of Miami International Rhinology Clinical Fellowship Program


Institution & address
University of Miami Miller School of Medicine
Department of Otolaryngology
1120 NW 14th Street, 5th Floor
Miami, Florida 33136
Phone: (305) 243-4756
FAX: (305) 243-2009
 
fellowship director
Roy R.Casiano, M.D., F.A.C.S
Professor and Vice Chairman
1120 NW 14th Street, 5th Floor
Miami, Florida 33136
Phone: (305) 243-4756
FAX: (305) 243-2009
rcasiano@med.miami.edu
 
departmental mission statement
To 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 fellowship
The University of Miami/Jackson Memorial Medical Center International Rhinology Fellowship is a 24 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 rhinology and related disorders. The 2 year program assumes minimal to no prior training in basic endoscopic sinonasal surgical techniques and rhinology. It also requires completion of all 3 steps of the USMLE and TOEFL exams (ECFMG certification required). Exceptions can be made if the candidate receives his/her first year of rhinology in a US or Canadian residency program, with known basic rhinology training (i.e., mentors that are fellowship trained rhinologists), equivalent to our first year curriculum below. In the latter situation, the candidate may be only required to do 1 year of training (i.e., second year of advanced rhinology) at the University of Miami. This may include a 4-5 month pre-fellowship research and cadaver lab rotation, in preparation for their clinical fellowship year. Additionally, the candidate may choose to do 1 year of research fellowship (description provided on a separate form), with the anticipation of completing their USMLE and TOEFL. However, a position in the clinical fellowship cannot be granted without having passed the USMLE exam.

two year curriculum and weekly schedule
First Year (basic rhinologic surgery): basic rhinologic history and physical; maximal medical management of acute and chronic rhinosinusitis; endonasal exam and in-office diagnostic procedures; postoperative management and endoscopic debridements; turbinate reduction; septoplasty; ethmoidectomy; Draf I and IIa frontal sinusotomy; sphenoid sinusotomy; maxillary sinusotomy; simple cerebrospinal fluid leak repair; simple transphenoidal pituitary surgical exposures with neurosurgery.

Second year (advanced rhinology and endoscopic skull base surgery): extended frontal, sphenoid, and maxillary sinusotomies,(including medial maxillectomy and Lothrop or Draf II & III procedures); combined procedure with external exposure for advanced neoplasm work; management of extensive benign skull base lesion such as meningoencephaloceles; anterior skull base resection, middle and posterior cranial fossa approaches for clival and petrous apex neoplasms; craniocervical approaches for odontoid resection; nasopharyngectomy; approaches to Meckel’s Cave and the trigeminal nerve roots; complicated revision pituitary surgery; advanced large skull base repairs with local-regional flaps or grafts.
 
fellowship description
Goals and Objectives for Training:
  • To further develop the fellow’s surgical skills, required for the performance of advanced endoscopic surgical procedures in the nose and adjacent paranasal sinuses, orbit, and skull base, in children and adults.
  • To develop the fellow’s expertise in the multidisciplinary treatment of common ailments afflicting the upper and lower respiratory system (asthma, chronic rhinosinusitis, allergies, sleep disorders, and other common airway disorders), with an emphasis on chronic inflammatory diseases of the nose and paranasal sinuses.
  • To develop the fellow’s expertise in the diagnosis and management of allergies and immunologic disorders affecting the upper airway.
  • To enhance the fellow understands about the appropriate workup, indications and potential adverse side-affects of pharmacotherapy versus immunotherapy, for patients with allergies.

Faculty:
  •  
  • Dr. Roy R. Casiano (rhinologist with special interest in advanced sinonasal procedures and endoscopic skull base surgery)
  • Dr. Corinna Levine (rhinologist with special interest in advanced sinonasal procedures and endoscopic skull base surgery)
  • Dr. Zoukaa Sargi (Head and Neck Surgery/microvascular reconstruction, endoscopic skull base surgery)
  • Dr. Jacques J. Morcos (neurosurgeon with special interest in endoscopic skull base surgery)
  • Dr Ricardo Komatar (neurosurgeon with special interest in endoscopic skull base surgery)
  • Dr Bradley Goldstein (olfactory stem cell researcher and general otolaryngologist)
Hospital and Clinic Facilities:
  • Clinical Research Building (CRB): main outpatient clinic facility for UM rhinology, neurosurgery, on the medical center campus
  • University of Miami Hospital and Clinics/Sylvester Comprehensive Cancer Center (UMHC/SCCC)
  • University of Miami Hospital (UMH)
  • Jackson Memorial Hospital (JMH)
  • UHealth Plantation Outpatient Facility, Plantation Florida
  • Lennar Outpatient Facility in Coral Gables, Florida

 
Clinical Rotations: Rotations in the operating room are primarily with Dr’s Roy R. Casiano, Corinna Levine, Zoukaa Sargi, Ricardo Komatar and Jacques J. Morcos (see weekly schedule). Clinic rotations are primarily with Dr ‘s Casiano and Levine (at CRB and Lennar). The Lennar facility in Coral Gables is approximately 20 minutes south of Downtown Miami and connected to the medical center by train (metrorail).

Weekly Schedule:
 
  Monday Tuesday Wednesday Thursday Friday
AM OR UMH Skull Base Cases
(Dr Sargi)
CRB Rhinology Clinic (Dr. Casiano) SCCC or Lennar OR (Casiano or Levine)
or
Cadaver Lab/Research
Grand Rounds at 7:00 am
UMH OR Rhinology and Endo Skull Base Cases
(Dr Casiano or Levine)
Lennar Rhinology Clinic (Levine)
or
Cadaver Lab/Research
PM OR UMH Skull Base Cases (Dr. Sargi) CRB Rhinology Clinic
(Dr Casiano)

Multidisciplinary Endoscopic Skull Base Conference at 5:30 PM 
 
SCCC or Lennar OR (Casiano or Levine)
or
Cadaver Lab/Research
UMH OR Rhinology and Endo Skull Base Cases
(Dr Casiano or Levine)
Lennar Rhinology Clinic (Levine)
or
Cadaver Lab/Research
 

Research Responsibilities: Research projects, appropriate for presentation at one of several national otolaryngologic meetings and suitable for publication in peer reviewed journals, are mandatory. A variety of anatomic, clinical, and basic science research projects are available under faculty supervision. There will be a yearly travel stipend to meetings, where the fellow is presenting a qualified manuscript, if no outside funding is available. A minimum of 4 clinical research projects during his/her fellowship training, suitable for publication in one of the Otolaryngology peer review journals is the goal. Opportunities for publication in book chapters, monographs, and other forms of media, will also be available. The first 4 month of his/her clinical fellowship will be devoted to research along with assigned cadaveric dissection.

Diversity of Cases: Advanced endoscopic rhinologic cases are the focus of this fellowship. This includes, but is not limited to, the care of complicated revision rhinologic cases. The latter includes: extended sinusotomies (frontal, sphenoid, or maxillary), sphenopalatine and internal maxillary artery cauterizations/ligations for the control of epistaxis, orbital and/or optic nerve decompression, meningoencephalocele resection and/or CSF leak repair, and resection of sellar and suprasellar lesions (craniopharyngiomas, adenomas, rathke’s cysts), endoscopic skull base surgery, and other endoscopic sinonasal procedures as determined by the faculty, depending on the surgical skill level of the fellow. In addition, the fellow will gain experience in the diagnosis, management and surgical treatment of sleep disorders and snoring, within our multidisciplinary sleep disorders team. The fellow is also actively involved in resident supervision and teaching. He/she helps the faculty in assisting the residents on a number of common general otolaryngologic procedures.

Surgical Case Load: Every year the fellow is expected to perform as surgeon of record a minimum of 150 patients. All efforts will be made to monitor the fellow’s case mix, so that they get adequate training in all the surgical procedures in rhinology (basic and advanced).

Supervisory and Patient Care Responsibilities: The degree of faculty supervision is dependent on the fellow’s surgical experience. To this end, the fellow is required to assist the faculty in the training of residents on basic sinus cases. Patient care is restricted to the hospitals and outpatient clinics listed above. The fellow will assist the faculty on their private rhinology cases.

Didactics 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. He/she participates as faculty in our annual UM Endoscopic Sinonasal and Skull Base Anatomy Course (national meeting held in South Florida in the winter), as well as our annual “ All-Florida Endoscopic Surgical Anatomy Course” for the residents and fellows in the summer. In addition, he/she practices advanced procedures, and helps teach our international “minifellows”, in our state-of-the-art endoscopic sinus surgery lab at the medical examiner’s office on campus. The fellow also has access to the latest endoscopic skull base equipment in our microsurgical lab at the medical school on campus. It is here where the fellows practice their skull base drilling technique for middle cranial fossa/clival/infratemporal fossa resections on formalin-fixed specimens, further refining their understanding of the complex skull base anatomy.

Salary and Fringe Benefits:This program is self-funded. That means, the applicant must provide proof of funding, which includes salary, fringe benefits, and tuition payment to the department of otolaryngology. This is required by the department of otolaryngology prior to starting their fellowship.
 
CURRENT AND PAST FELLOWS
Name Residency Fellowship Employer
Abdullah Albader McGill University, Montreal Canada 2016-2017 Current Fellow
Jarrett Walsh University of Iowa 2016-2017 Current Fellow
Ghassam Alokby Saudi Arabia 2015-2016 Assistant Professor, Prince Sultan Military Medical City, Riyadd, Saudi Arabia
Corinna Levine University of Washington, Seattle, Washington 2015-2016 Assistant Professor, University of Miami School of Medicine
Zeina Korban American University, Beirut, Lebanon 2015-2016 Current international fellow
Shawn Allen University of Tennessee, Memphis, TN 2014-2015 Otolaryngology Associates, Houston, TX
Arjuran Kuperan Rutgers University, Newark, NJ 2013-2014 Otolaryngology Associates, Houston, TX
Seth M. Lieberman NYU 2012-2013 Assistant Professor, New York University
Mohammed Al-Bar Saudi Arabia 2012-2014 Assistant Professor, Dammam University, S.A.
Deya N. Jourdy Columbia-Cornell 2011-2012  Assistant Professor, Rhinology & Endoscopic Skull Base Surgery, New York Medical College, ENT Faculty Practice, NY
Lori Lemonnier Temple University 2010-2011 Assistant Professor, Louisiana State University, Shreveport, LA
Amy Anstead Univ Illinois 2009-2010 Assistant Professor, Virginia Mason Medical Center, Seattle, WA
Belachew Tessema NYEEI 2008-2009 ProHealth Physicians at the Connecticut Sinus Institute; Assistant Professor, Univ Conn; Connecticut Sinus Institute
Anderson Eloy Mt Sinai 2007-2008 Professor, Univ New Jersey Medical School, Newark, NJ
Adam Folbe Wayne State 2006-2007 Associate Professor, Wayne State University School of Medicine, Department of Otolaryngology, Detroit, MI
Zoukaa Sargi St Joseph Univ, Lebanon 2005-2006 Associate Professor, Univ Miami
Carlos Duque Univ Tontifidia Boliveriana, Colombia 2004-2005 Professor, Univ Antioquia, Department of Surgery, Medellin, Colombia
Wish Banhiran Siriraj Hospital, Mahidol Univ 2003-2004 Professor, Bangkok Hospital, Department of Otolaryngology, Bangkok, Thailand
William Collins Univ Miami 2002-2003 Associate Professor, Univ Florida College of Medicine, Department of Otolaryngology, Gainesville, FL
 
requirements for appointment
ECFMG requirements (includes passing USMLE and TOEFL). Interest in rhinology and rhinologic research, as demonstrated by prior experience.
 
application information
Applications 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.The interview is a 2 day commitment. Phone interviews are also available.
 
application deadline
Fellowship starts November 1. Therefore, applications (curriculum vitae and 2 letters of references) need to be due by November of the preceding year of the fellowship start date.
 
contact information
Fellowship Program Administrator
Ivis Perez
Phone: (305) 243-1870
Fax: (305) 243-2009
iperez3@med.miami.edu

 
Revised 02/15/2017