UNIVERSITY OF NORTH CAROLINA NEURORHINOLOGY - ADVANCED RHINOLOGY AND SKULL BASE SURGERY FELLOWSHIP

INSTITUTION & ADDRESS

University of North Carolina
Department of Otolaryngology/ Head and Neck Surgery
170 Manning Drive, CB # 7070
Physicians Office Building/G117
Chapel Hill, NC 27599

SF MATCH PROGRAM ID#

4411

FELLOWSHIP DIRECTOR

Charles S. Ebert, Jr. MD, MPH

FELLOWSHIP FACULTY

  • Charles S. Ebert, Jr.,MD, MPH, FACS, FAAOA, FARS, Associate Professor, Fellowship Director.
  • Brent A. Senior, MD, FACS, FARS, Professor, Chief of the Division of Rhinology, Allergy, and Endoscopic Skull Base Surgery. Vice-Chair of Academics & Outreach
  • Adam M. Zanation, MD, FACS, Professor, Executive Vice-Chair of Department of Otolaryngology Head and Neck Surgery.
  • Brian D. Thorp, MD, Assistant Professor, FACS, Associate Fellowship Director.
  • Adam Kimple, MD, PhD, Assistant Professor, Director of Fellowship Research.

DEPARTMENTAL MISSION STATEMENT

"The mission of the Department of Otolaryngology/Head and Neck Surgery at the University of North Carolina is to improve health care by enhancing the field of otolaryngology/head and neck surgery and by advancing its clinical application. To fulfill this mission, our objectives are the following:

  • To provide excellent otolaryngologic/head and neck surgical patient care that can serve as a national model.
  • To provide outstanding undergraduate and postgraduate education that disseminates otolaryngology/head and neck surgery knowledge and facilitates more contributions to the knowledge base.
  • To carry out basic science, clinical, and health services research that advance the field of otolaryngology/head and neck surgery.

OVERVIEW OF FELLOWSHIP

This one-year fellowship program provides comprehensive training in the medical and surgical management of sinonasal inflammatory disease, anterior and central skull base lesions (utilizing both endoscopic and/or open management), allergic disease, and orbital pathology. 

During the NeuroRhinology-Advanced Rhinology and Skull Base Surgery fellowship, the fellow is expected to further refine an existing knowledge base by continued reading and by taking an active role in the education of other learners. Assigned readings are provided on a weekly basis from “Rhinology – Diseases of the Nose, Sinuses and Skull Base” edited by Kennedy and Hwang.

The fellows actively participate in a wide array of surgical procedures. The operative experience includes primary and revision endoscopic sinus surgery, endoscopic and open frontal sinus surgery, endoscopic septoplasty, orbital decompression, as well as endoscopic CSF leak and encephalocele repair. The fellows also participate in expanded endoscopic cases of midline and the anterior skull base, including surgery of the pituitary, suprasellar cistern, olfactory groove, clivus/upper spine and infratemporal fossa. In addition, the fellows have an opportunity to perform open approaches for tumor pathology of the skull base.

Fellows are provided feedback on a daily basis after cases and clinic visits. Formal evaluations are performed biannually of the fellowship-training program, fellowship faculty, as well as of the fellows. Fellows are also required to self-evaluate on a biannual basis. Case logs are monitored and reviewed twice a year.

The NeuroRhinology fellows at UNC interact in a very collaborative manner. They rotate between 2 distinct services and do not compete for any cases or clinic coverage.  We have a strong commitment to team with excellent camaraderie, which requires helping each other take care of necessary add on cases that arise during the week.

FELLOWSHIP DESCRIPTION

Clinical Rotations:

NeuroRhinology fellows rotate with each of the five faculty members in a rotation model. The fellows are rotated monthly: one fellow on the Rhinology (Senior/Ebert/Kimple) service and the other on Skull Base (Zanation/Thorp) service. Elective time is also provided to allow fellows to focus on specific skills of areas of interest as well as for research.

Weekly Schedule:

Weekly schedules vary with each service. However, the fellows will have their own clinic one half day per week as well as time to schedule cases from their clinic. Weekly rhinology service conferences are held discussing the current literature and interesting cases.

Research Responsibilities:

NeuroRhinology fellows are participate in research during the fellowship. There are numerous opportunities in basic science, translational, and clinical research. Fellows are provided administrative time as well as elective time to complete their research goals. Fellows are expected to produce at least 2 manuscripts during their training. Travel expenses are also provided for presentations at national meetings.

Diversity of Cases:

The fellow will actively participate in a wide array of surgical procedures.  Previous fellows have averaged 245 cases each year over the last two years. The operative experience includes primary and revision endoscopic sinus surgery, endoscopic and open frontal sinus surgery, endoscopic septoplasty, orbital decompression, as well as endoscopic CSF leak and encephalocele repair. The fellow also participate in expanded endoscopic cases of midline and the anterior skull base, including surgery of the pituitary, suprasellar cistern, olfactory groove, clivus and infratemporal fossa. The fellow also have an opportunity to perform open approaches for tumor pathology of the skull base.

Case Numbers:

The following are cases performed by our fellows over the past 12 months. This does not represent the entirety of cases that would have been available for the fellows. At least approximately 10% of cases in each category were performed without fellows.

Case Category Number of Cases

APPROACHES FOR SKULL BASE SURGERY

  • Endoscopic trans-sphenoidal approach
  • Endoscopic trans-planar approach
  • Endoscopic trans-cribriform approach
  • Endoscopic trans-clival approach
 129

 RESECTION OF SINONASAL TUMORS

  • Benign tumor resection
    • Endoscopic or external resection
  • Malignant tumor resection
    • Endoscopic or external resection
 130

 SKULL BASE RECONSTRUCTION

  • CSF leak/Encephalocele
  • Skull base reconstruction after resection of neuro-rhinologic tumors
 108

 ADVANCED RHINOLOGIC SURGERY

  • Extended Frontal Approaches
  • Osteoplastic Flap Approach
  • Endoscopic DCR
  • Endoscopic Orbital Decompression
  • Endoscopic Intraorbital procedures
  • Endoscopic medial maxillectomy
  • Choanal atresia repair
  • Endoscopic Mega-antrostomy
  • Sphenoid nasalization
  • Other
 125
 STANDARD ESS  213

 

Call Schedule:

3 days per month and one holiday per year as faculty member with assigned faculty back-up

Additional Information:

  • Position of Clinical Fellow
  • Salary commensurate with PGY-7 level
  • Standard medical, disability, and malpractice
  • 15 days of vacation
  • Availability and support to present research at national meetings
  • Educational fund

CURRENT AND PAST FELLOWS

  1. Mitchell R. Gore, MD, PhD. 2011-2012. University Hospital SUNY Health Science Center, Syracuse, NY.
  2. Kenneth Rodriguez, MD 2012-2013. Chief of Rhinology at Case-Western Reserve, Cleveland, OH.
  3. Stan W. McClurg, MD 2013-2014. Rhinologist at ENT Associates of Greater Kansas City, KS 
  4. Anthony Del Signore, MD 2014-2015. Rhinology-Skull Base Surgery at Mt Sinai, NY. 
  5. Brian D. Thorp, MD 2014-2015. Rhinology-Skull Base Surgery at UNC Chapel Hill, NC.
  6. Patrick Colley, MD 2015-2016. Rhinology-Skull Base Surgery at Mt Sinai, NY.
  7. Kibwei McKinney, MD 2015-2016. Rhinology-Skull Base Surgery at University of Oklahoma, OK.
  8. Christine Klatt-Cromwell, MD  2016-2017. Rhinology- Skull Base Surgery at Washington University, St. Louis, MO.
  9. Theodore Schuman, MD  2016-2017. Rhinology- Skull Base Surgery at Virginia Commonwealth University, Richmond, VA.
  10. Adam Kimple, MD, PhD  2017-2018. Rhinology-Skull Base Surgery at University of North Carolina, Chapel Hill, NC.
  11. Gregory Capra, MD  2017-2018. Rhinology- Skull Base Surgery at Portsmouth Naval Medical Center, Portsmouth, VA.
  12. Stephen Hernandez, MD  2018-2019. Rhinology and Endoscopic Skull Base surgery at LSU. Baston Rouge, LA.
  13. Griffin Santarelli, MD  2018-2019. Rhinology and Endoscopic Skull Base Surgery at the Barrow Institute, Phoenix, AZ.

REQUIREMENTS FOR APPOINTMENT

  • Applicants must be American Board of Otolaryngology-Head and Neck Surgery eligible/certified.
  • Valid North Carolina State Medical License
  • Ability to begin July 1st.

APPLICATION INFORMATION

Applications are reviewed during first 2 weeks of February and interviews are typically offered by the end of February. Two interview dates are generally available between March and May.

APPLICATION DEADLINE

Applications are processed through SFMatch. Deadlines are available on their website here.

CONTACT INFORMATION

Fellowship coordinator: Kathy Bogie: 919.966.3344 | Fax: 919.966.7941
Department of Otolaryngology-Head and Neck Surgery
170 Manning Drive, CB# 7070
Physicians Office Building, G190C
Chapel Hill, NC 27599-7070

Or via email to: [email protected] please also cc [email protected]