KASIER PERMANENTE ORANGE COUNTRY (KPOC) NEURORHINOLOGY FELLOWSHIP
INSTITUTION & ADDRESSKaiser Permanente Orange County - Anaheim Medical Center Kaiser Permanente Orange County - Irvine Medical Center SF MATCH PROGRAM ID#4598 FELLOWSHIP DIRECTORRohit Garg, MD MBA FELLOWSHIP CO-DIRECTORSFrederick Yoo, MD ADJUNCT FACULTYVijay Patel, MD – Rady Children’s Hospital, San Diego (Pediatric Skull Base) DEPARTMENTAL MISSION STATEMENTThe mission of the Section of Neurorhinology/Skull Base Surgery is to provide excellence in service and quality in the care of our membership, using evidence-based medicine in an environment of high integrity, trust, and collegiality. OVERVIEW OF FELLOWSHIPThe Kaiser Permanente Orange County NeuroRhinology Fellowship was developed to provide an education platform for graduates of an accredited Otolaryngology/Head and Neck Surgery Residency who desire advanced training in NeuroRhinology. The intent is to provide a broad-based exposure to both clinical rhinologic practice and basic and advanced rhinologic surgery. The Fellow will be primarily focused on Rhinology but will also be given the opportunity to gain experience with clinicians in affiliated specialties, such as Skull base surgery/Neurosurgery, Oculoplastics, H&N Oncology, Facial Plastics, Allergy, and Rheumatology. At the completion of the program, the Fellow will be expected to have competency in the medical and surgical care of basic and advanced sinonasal and skull base conditions. Finally, the Fellow should have an appreciation for a patient-oriented practice that focuses on service and evidence-based medicine. FELLOWSHIP DESCRIPTIONClinical Rotations:In the operating room, the Fellow will be exposed to the full range of endoscopic surgeries, including primary and revision surgeries for inflammatory disease with image guided surgery, endoscopic removal of benign/malignant sinonasal tumors, CSF leak repair and skull base reconstruction, eustachian tube balloon dilation and others. The Fellow will also participate in complex skull base cases with our flagship skull base team. The Fellow will also be given the opportunity to spend time at nearby hospitals with selected prominent rhinologists to provide the greatest breadth of surgical experience and technique in advanced endoscopic skull base cases. Finally, the Fellow will be exposed to orbital surgery through a collaborative relationship with our oculoplastic surgeons – including endoscopic DCR (approximately 40+/year), orbital decompressions, and removal of orbital tumors. The Fellow will also be given supervised but independent clinic/OR time to schedule and perform surgeries for their own patients. Conservatively, we expect the Fellow to be primary surgeon on 375+ cases/year. In the office, the Fellow will initially shadow Drs. Garg, Yoo and Keschner, but will shortly be provided with independent but supervised clinic time, in which the Fellow will be expected to work up and manage rhinology patients. This includes managing the patient non-operatively as well as scheduling appropriate cases in the Faculty’s OR time or in the Fellow’s own OR time. Over the course of the year, the Fellow will be given the opportunity to learn how to manage patients end-to-end, both routine basic and complex patients. The Fellow will also have the opportunity to rotate with our Clinical Allergy partners to gain further exposure to Allergy/Immunology if desired. In addition, the Fellow will lead the Multidisciplinary Orange County Skull Base conference which occurs monthly. Weekly Schedule:Weekly schedule can vary based on faculty schedule and it is flexible to optimize educational experience for the fellow. On an average week, the Fellow will be in the operating room 3-4 days. The remaining days are spent in clinic. There will be some half days in month for academic/research time and preparation of skull base conference. Additionally, the Fellow will be responsible for his/her own clinics and OR days at the end of first quarter of fellowship, both under the supervision of Fellowship faculty, but with a high degree of independence as well. The Fellow will have the opportunity to work with HNS Residents through our affiliation with UC Irvine to work on teaching surgical skills. Research Responsibilities:Although primarily focused on clinical aspects, the Fellowship also strongly encourages clinical or outcomes-based research. Our association with Dr. Edward Kuan from the University of California Irvine will provide ample opportunity for collaborative clinical research projects. The Fellow will be expected to present at least once at a major meeting during the course of the year. Diversity of Cases:Orange County Kaiser Permanente currently has almost 600,000 members in its immediate catchment area. In addition, it serves as a tertiary referral center for skull base and advanced sinus disease for the 5+ million KP members in Southern California with our multi-disciplinary skull base team. Over the course of the 12-month program, the Fellow should have a significant exposure to basic and advanced sinus conditions, skull base disorders, orbital disease, and other related conditions. The Fellow will be exposed to up-to-date equipment and procedures in the surgery centers, main operating rooms and both clinical offices. Call Schedule/Salary/Benefits:
CURRENT AND PAST FELLOWS
REQUIREMENTS FOR APPOINTMENTApplicants must:
APPLICATION INFORMATIONApplications are processed through the SF match, and should be submitted through www.sfmatch.org. Interviews will be conducted in winter-spring in accordance with match guidelines. CONTACT INFORMATIONFor additional information, please contact us by email or phone: Rohit Garg, MD |