University of Pennsylvania


institution & address
University of Pennsylvania
Department of Otorhinolaryngology – Head and Neck Surgery
Division of Rhinology
5 Ravdin, 3400 Spruce Street
Philadelphia, PA 19104

SF Match program ID#
2880
 
Fellowship Director:
James N. Palmer, M.D.
Professor, Director of Division of Rhinology
 
fellowship Co-Directors:
Nithin Adappa, MD
Assistant Professor, Division of Rhinology

Noam A. Cohen, MD., Ph.D.
Associate Professor, Director of Rhinology Research Laboratory

David W. Kennedy, M.D.
Professor, Division of Rhinology

Bert O’Malley, Jr, M.D.
Chairman, Dept of Otorhinolaryngology-Head and Neck Surgery
 
DEPARTMENTAL MISSION STATEMENT
The Department of Otorhinolaryngology: Head and Neck Surgery is committed to outstanding clinical care, the education of future leaders in our specialty and to advancing knowledge through basic and clinical research. Leading edge clinical care will be provided in a compassionate, patient friendly environment in which the patient always has priority. The Department is resolved to provide a broad based clinical experience to enable residents to become leading clinicians, research opportunities for the development of future clinician/scientists, and medical student courses which both provide basic knowledge in the specialty and kindle the quest for future knowledge of the field. The Department recognizes that the future of otolaryngology is based upon the continued development of innovative research. The Faculty has a special obligation to be a major national and international force in the development and implementation of advances in our specialty and to both avail itself of, and augment, the research resources available at the medical center. Recruitment and retention of outstanding faculty through maintenance of a collegial, stimulating and progressive academic milieu is critical to our mission.
 
Overview
The Rhinology and Skull Base Surgery Fellowship at the University of Pennsylvania has had a long storied tradition of producing leaders in our specialty. Originally started at Penn in 1992 under the leadership of David Kennedy, the Division of Rhinology has grown to encompass five clinical rhinologists, two nurse practitioners, a clinical research nurse, an allergy center and a dedicated Rhinology research laboratory of over ten investigators.
 
Our goal is to provide the highest level of dedicated rhinologic subspecialty training available to qualified applicants. The training is aimed towards providing an extensive clinical subspecialty experience, as well as opportunities to participate in leading translational research, with the ultimate goal to produce future academic leaders within the specialty. The extensive national and international referral patterns for the Rhinology service at Penn ensure a wide spectrum and high volume of tertiary rhinologic and skull base cases. Fellowship surgical experience benefits from the busy practices of five rhinologic and skull base surgeons, and is geared primarily towards the more challenging skull base, orbital, intracranial and revision surgical management issues. The Division of Rhinology performs greater than 600 endoscopic surgeries/year and 200 skull base cases/year, and case mix comprises mainly of complex frontal sinus surgery, revision FESS, benign and malignant sinonasal tumors, anterior skull base lesions, pituitary resections, CSF leaks and encephaloceles.
 
Fellowship Description
Clinical Rotations: Clinical rotations are provided on the clinical services of Drs. David Kennedy, James Palmer, Nithin Adappa and Bert O’Malley. The weekly schedule alternates every 3 months between the 2 fellows, as displayed below.
 
Weekly Schedule: Each fellow is on a separate rotation at The University of Pennsylvania. One fellow will spend at least 3 days in the OR, 1 day of clinic and 1 day of research or  in the OR. The second fellow will have at least 2 days of OR, 2 days of clinic and 1 day of research or or in the OR. The research time can be divided into either clinical or basic science research and, in addition, can be used for academic study such as board preparation. Every 3 months the fellows will alternate schedules so both fellows get an equal amount of time with all faculty members. Throughout the year, both fellows will have academic time on Fridays with both adult and pediatric skull base cases mixed in.

Fellow #1
Monday Tuesday Wednesday Thursday Friday
Palmer Inf OR Palmer Clinic O'Malley SB OR Palmer Inf/SB OR Academic or SB OR

Fellow #2
Monday Tuesday Wednesday Thursday Friday
Kennedy
Clinic
Kennedy/Adappa
Inf OR
Adappa
Clinic
Adappa Inf/SB OR Acad or Peds
SB OR or SB OR
*Inf—Inflammatory, SB- Skull Base,. Peds SB- Pediatric Skull Base Cases at CHOP, Acad-Academic time

Research Responsibilities: The Rhinology Research Laboratory is headed by Noam Cohen, M.D., Ph.D. Protected time is provided for research and extensive opportunities are available in this well-funded and supported laboratory. Current research projects involve the investigation of biofilm rhinosinusitis, ciliary physiology of the paranasal sinuses, and novel topical treatments for recalcitrant chronic rhinosinusitis. Past fellows have also been involved with multiple clinical projects that have resulted in publications and national presentations, and have had many opportunities to collaborate in book chapters and review articles. There are additional research opportunities in the internationally renowned University of Pennsylvania Smell and Taste Center, led by Richard Doty, Ph.D. The fellowship encourages and provides the opportunity to present research work at national meetings. Funding is provided for oral presentations.

Diversity of Cases: The extensive national and international referral patterns for the rhinologic service at Penn ensure a wide spectrum and high volume of tertiary rhinologic cases. Fellowship surgical experience is geared primarily towards the more challenging skull base, orbital, intracranial and revision surgical management issues. Combining the caseloads of the three surgeons, there are greater than 600 endoscopic surgeries/year and 200 skull base cases/year, which includes benign and malignant sinonasal tumors, anterior skull base lesions, pituitary resections, CSF leaks and encephaloceles.
 
Call Schedule: Fellows participate on an equal basis in attending call schedule (2-3 nights/month) and participate in resident supervision and teaching. 
 
Additional Information: The Otolaryngic Allergy Center, led by Dr. John Bosso offers inhalational allergen testing, immunologic work up, immunotherapy, and aspirin exacerbated respiratory disease (AERD) management. Fellows may elect to spend time on the basics of otolaryngic allergy and how to manage an allergy clinic if they have an interest.

Fellows are paid at University PGY-6 level ($63,897 for FY13) in addition to full University health benefits. Fellows participate in the instruction of visiting fellows, mini-fellowship participants and as a faculty member in the internationally acclaimed Penn International Rhinology/Skull Base Course. 
Fellows present Grand Rounds at the University of Pennsylvania Department Of Otorhinolaryngology: Head and Neck Surgery approximately once per year.
 
Fellows participate in Rhinology/Otology teaching conference on a weekly basis.
 
Current and Past Rhinology Fellows
  • Arjun Parasher- Assistant Professor, University of South Florida
  • Jordan Glicksman- Private Practice, Boston, Ma area
  • Bobby Tajudeen – Assistant Professor, Rush University
  • Joseph Schwartz – Assistant Professor, McGill University
  • John Craig – Assistant Professor. Henry Ford
  • Sammy Khalili – Private Practice, Aurora Health System
  • Raewyn Campbell - University of South Wales, Australia
  • Dana Crosby  - Assistant Professor - Southern Illinois University
  • Gregg Goldstein - Christiana Care Hospital, Wilmington, DE
  • Ameet Kamat - Clinical Instructor and Assistant Professor, New York Medical College/Westchester Medical Center, Ardsley
  • Robert Adelson  - Private practice, Albany ENT and Allergy
  • Calvin Wei - Private practice, St. Luke's -- Roosevelt Hospital, NY
  • Nithin Adappa - Assistant Professor, University of Pennsylvania
  • Jeremy Reed - Carl R. Darnall Medical Center, Ft. Hood
  • Jeffery Suh - Associate Professor, UCLA School of Medicine
  • Vijay Ramakrishnan – Associate Professor, University of Colorado, Denver
  • John Lee – Associate Professor, University of Toronto
  • Jayakar Nayak – Assistant Professor, Stanford University
  • Kevin Welch - Associate Professor, Northwestern University Feinberg School of Medicine, Chicago, IL
  • Brad Woodworth – Associate Professor, University of Alabama-Birmingham
  • Satish Govindaraj – Associate Professor, Mt. Sinai University
  • Alexis Jackman– Private Practice - New York City area
  • Jivianne Lee – Associate Professor, UCLA
  • Noam Cohen – Associate Professor, University of Pennsylvania
  • Rakesh Chandra – Associate Professor, Northwestern University
  • Rodney Schlosser – Professor, Medical University of South Carolina
  • Andrew Lane – Professor, Johns Hopkins University
  • Stephanie Joe – Associate Professsor, University of Illinois-Chicago
  • Erin Wright – Professor, St. Joseph’s Health Care London, Canada
  • Peter Hwang – Professor, Stanford University
  • Richard Orlandi – Professor, University of Utah
  • Brent Senior – Professor, UNC-Chapel Hill
  • Eugenia Vining – Assistant Clinical Professor, Yale University
  • Jordan Josephson – Private Practice, New York City
  • Donald Lanza – Private Practice, Sinus & Nasal Institute of Florida
REQUIREMENTS FOR APPOINTMENT
Board eligible/Board certified Otolaryngologist with valid Pennsylvania state license. Applications are taken in the winter and spring for a position beginning July 1 of the subsequent year. Interest in subspecialty Rhinology and Rhinologic research.
 
Application information
There are 2 fellowship positions offered. The Fellowship is currently a 1 year clinical/research experience. The University of Pennsylvania is participating in the Rhinology match. Applications should be filed through www.SFmatch.org. Applications will be reviewed on an individual basis and interviews will be offered in March and April.

application deadline
February 1

contact information 
Nithin Adappa, M.D.
Department of ORL-HNS
Division of Rhinology
Hospital of the University of Pennsylvania
3400 Spruce Street, 5 Ravdin
Philadelphia, PA 19104
nithin.adappa@uphs.upenn.edu
Phone: (215) 662-2360
Fax: (215) 614-0071
 
Or
 
Judith Glass (Administrative Assistant)
Email: Judith.Glass@uphs.upenn.edu
Phone: 215-662-2360