Duke University
40 Duke Medicine Circle
Durham, NC, 27710
Tel (919) 613-6407
Fax (919) 681 6881




David Jang, MD
Ralph Abi Hachem, MD


Bradley Goldstein, MD, PhD, FACS
Matthew Ellison, MD FACS FAAOA


Duke Head and Neck Surgery & Communication Sciences is committed to excellence in meeting the health care needs of the people we serve, improving community health, and fostering the best medical education and research.


The Duke University Rhinology and Endoscopic Skull Base Surgery fellowship is a one year program designed for those planning to pursue a career in academics or private practice. It provides comprehensive training in basic and advanced rhinology, endoscopic skull base surgery, and sinonasal oncology and opportunities to participate in clinical and NIH-funded translational research.

Our program is currently composed of two fellowship trained rhinologist/skull base surgeons, one physician scientist, as well as an otolaryngic allergist. The fellow will be exposed to a busy tertiary rhinology practice with local, regional, and national referrals, and will participate in 300-350 operative cases throughout the course of a year. These will include primary and revision sinus surgery, endoscopic skull base and orbital surgery, and office-based procedures.

Our program’s strengths lie in our clinical and research collaborations with the Robert Tisch Brain Tumor Center, the Duke Asthma, Allergy, and Airway Center, and the Duke Cystic Fibrosis and Lung Transplant Centers. In addition, the Department of Head and Neck Surgery & Communication Sciences has a world-class clinical research program, which will provide research opportunities and training for fellows who are interested.


Clinical Rotations:

On average, the fellow will spend two days a week in the OR, two days a week in the clinic, and one day a week for research and administrative duties. The schedule is adjusted on a weekly basis in order to optimize the fellow's surgical experience. Eligible fellows will have an independent half-day clinic each week. For those interested, there is an option to rotate through our allergy department.

Weekly Schedule:

  Monday    Tuesday    Wednesday    Thursday    Friday    
AM Academic  Clinic/OR Clinic OR OR
PM Academic Clinic Clinic OR OR

Research Responsibilities:

The rhinology fellow is encouraged to participate in basic science, translational, or clinical research projects available within the department and throughout the university. Clinical research opportunities are available with support from the Duke Clinical Research Institute, Biostatistics Core, the Surgical Center for Outcomes Research (SCORES), and industry funding. There is also an option to enroll in didactic courses offered through the Duke Clinical Research Training Program. Other research opportunities include work in computational fluid dynamics through an NIH funded laboratory headed by Dr. Dennis Frank-Ito. A nasal endoscopic cadaver dissection laboratory is available, offering the fellow the opportunity to participate in anatomic studies and to fine tune surgical skills.

Basic science and translational research opportunities are available within the olfactory research program run by Dr. Brad Goldstein. Dr. Goldstein’s NIH-funded laboratory uses mouse models, cell cultures, and human nasal tissue specimens to identify mechanisms regulating adult basal stem and progenitor cells in the olfactory epithelium, as well as olfactory tissue maintenance and renewal. The goal is to understand the cellular and molecular mechanisms causing acquired human olfactory disorders, to facilitate the development of new treatments.

The fellowship is designed to provide adequate time for academic pursuits, and fellows are strongly encouraged to present at national meetings. Research goals are tailored to the individual’s interests and plans.

Diversity of Cases:

The fellow will participate in 300 to 350 cases throughout the year. These include nasal airway surgery, primary and revision sinus surgery, endoscopic orbital surgery and endoscopic skull base surgery. Endoscopic skull base cases include anterior skull base, sellar, parasellar, clival, middle cranial fossa and other extended approaches for neoplastic and non-neoplastic conditions. Inflammatory cases include recurrent polyposis, allergic fungal sinusitis, aspirin-exacerbated respiratory disease, and cystic fibrosis. Orbital cases include mainly endoscopic DCR, endoscopic orbital and optic nerve decompression and orbital tumors.

2021-2022 Fellow's Case Log

Call Schedule:

The fellow is expected to cover 6 weeks of attending call throughout the academic year (no pediatric or trauma call).

Resident Education:

Fellows are expected to actively participate in resident education in the clinic and operating room and through formal didactics. The fellow will also participate in our monthly rhinology case conferences and annual cadaveric dissection course. Fellows will be responsible for one formal grand rounds presentation during the year.

Additional Information:

Fellows will be appointed as a clinical instructor with full admitting and operating privileges at Duke University Hospital. Salary and benefits will be provided at the PGY-6 level.

International applicants who meet eligibility requirements are encouraged to apply.


  • Feras Ackall, MD: 2020-2021
  • Jordan Teitelbaum, DO: 2019- 2020: ENT specialists of Illinois, Chicago, IL, USA
  • Lyndon Chan, MBBS: 2018-2019: University of Wollongong, Australia
  • Kevin Choi, MD: 2017-2018: private practice in Los Angeles, USA


Applicants must be:

  1. Enrolled in or have completed an approved North American OHNS residency,
  2. BE/BC
  3. eligible for a North Carolina medical license

* International graduates are required to have completed USMLE step 1; 2; 2CS and 3 and be ECFMG certified.


Applications are processed through the San Francisco match website, and should be submitted through www.sfmatch.org.  Interviews will be conducted in winter-spring in accordance with SF match guidelines. Feel free to contact the program directors if you have any additional questions.


Lori Allsbrook
Department of Head and Neck Surgery & Communication Sciences
Duke University Medical Center
40 Duke Medicine Circle
4082A Yellow Zone
DUMC 2824
Durham, NC 27710
919-681-6588 (v)
919-668-3103 (f)


For additional information, please contact us by email or phone:

Ralph Abi Hachem, MD, MSc
Assistant Professor
Rhinology and Skull Base Surgery
Division of Head and Neck Surgery & Communication Sciences

40 Duke Medicine Circle, Rm 3532b
Durham, NC, 27705
Email: [email protected]
Tel (919) 613-6407
Fax (919) 681-6881