UNIVERSITY OF MIAMI RHINOLOGY AND ENDOSCOPIC SKULL BASE SURGERY
INSTITUTION & ADDRESSUniversity of Miami Miller School of Medicine SF MATCH PROGRAM ID#2864 FELLOWSHIP DIRECTORRoy R.Casiano, M.D., F.A.C.S DEPARTMENTAL MISSION STATEMENTTo 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 FELLOWSHIPThe University of Miami/Jackson Memorial Medical Center Rhinology and Endoscopic Skull Base Surgery Fellowship is a 12 month training program. It is designed for otolaryngologists that have completed their residency and desire to advance their fund of knowledge and surgical skills in the otolaryngology subspecialty area of rhinology and endoscopic skull base surgery. FELLOWSHIP DESCRIPTIONFellowship Duration1 Year Fellowship TermJuly 1 through May 31 each year Goals and Objectives for Training:
Faculty:Dr. Roy R. Casiano (rhinologist with special interest in advanced sinonasal procedures and endoscopic skull base surgery) Hospital and Clinic Facilities:Clinical Research Building (CRB): main outpatient clinic facility for UM rhinology, neurosurgery, on the medical center campus
Clinical/Surgical Rotations:Rotations in the operating room are primarily with Dr’s Casiano, Levine, Sargi, Komatar, Morcos, and Ivan (see weekly schedule). Clinic rotations are primarily with Dr ‘s Casiano and Levine (at CRB, UHealth Plantation, and Lennar). Allergy rotations with Dr Acosta at the Sethi Center next to the CRB bldg.
Our UHealth facility in Plantation, Florida, is in Broward County, approximately 30 minutes north from the main medical campus by downtown Miami. The Lennar facility is in Coral Gables is approximately 20 minutes south of Downtown Miami and connected to the medical center by train (Metrorail). Weekly Schedule:
CURRICULUMDidactics 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 University of Miami International Endoscopic Sinonasal and Skull Base Anatomy Course (meeting held in South Florida in the winter), as well as our annual endoscopic surgical anatomy course for the residents and fellows in the summer (All-Florida Residents/Fellows Endoscopic Surgical Anatomy Course with University of South Florida and University of Florida Residents and Fellows). Also, the fellow will be responsible for weekly presentation of future surgical skull base cases at Tuesday's Multidisciplinary Skull Base Conference and/or Thursday's H&N Tumor Conference, for discussion of the best surgical and/or nonsurgical treatment strategies. 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 C.A.N.E.S microsurgical cadaveric simulation lab at the medical school on the medical center campus to practice advanced endoscopic skull base surgical techniques on cadaveric specimens. It is here where the fellows practice their skull base drilling technique for middle cranial fossa/clival/infratemporal fossa resections on formalin-fixed or fresh specimens, further refining their understanding of the complex skull base anatomy. Supervisory and Patient Care Responsibilities:The degree of faculty supervision is dependent on the fellow’s previous surgical experience as a resident and skill level. It is expected that the fellow has completed the minimal requirements for practicing Otolaryngology in the U.S. This includes having a fundamental grasp of basic endoscopic surgical skills to perform uncomplicated endoscopic ethmoidectomies, maxillary, sphenoid, and frontal sinusotomies. To this end, the fellow is required to assist the faculty in the training of residents on basic sinus cases. He/she will attend for the resident rhinology cases twice monthly at our public hospital on campus (JMH). Patient care is restricted to the hospitals and outpatient clinics listed above. As part of the rhinology and skull base team, the fellow will assist the rhinology and neurosurgery faculty on their private rhinology, endoscopic skull base, as well as pituitary cases. Fellows will be trained on the use of EPIC and CERNER electronic health records. Diversity of Cases:Advanced endoscopic rhinologic and orbital/skull base cases are the focus of this fellowship. This includes, but is not limited to, the care of complicated rhinologic cases and performing advanced endoscopic sinus procedures. 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, resection of sellar and suprasellar lesions (craniopharyngiomas, adenomas, rathke’s cysts, etc.), resection of benign and malignant sinonasal neoplasms of the skull base (clival chordomas, petrous apex cholesterol granulomas, anterior skull base resection), and other endoscopic skull base procedures. 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. This helps maintain the fellow’s surgical skills or proficiency in these commonly performed procedures over the course of the year. Surgical Case Load:Every year the fellow is expected to perform as surgeon of record a minimum of 150-200 patients (300-400 sinonasal surgical procedures). Approximately 60% of these are advanced revision inflammatory cases, and 20% are sinonasal and/or skull base neoplasms (excluding pituitaries). South Florida is endemic for destructive advanced CRS polyps cases (AERD and AFS) in over 60% of the cases. This provides the fellow ample opportunity to perform advanced procedures (extended sinusotomies, etc.) even on primary chronic inflammatory surgical cases. Research Responsibilities:Research projects, appropriate for presentation at one of several national otolaryngologic meetings and suitable for publication in peer-reviewed journals, are mandated. 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. Historically, the fellow has completed a minimum of 2 clinical research projects during his/her 12-month rotation, suitable for publication in one of the Otolaryngology peer review journals. Opportunities for publication of book chapters, monographs, and other forms of media, will also be available. All fellows are required to take appropriate IRB mandated online courses including CITI, in order to participate in human research projects.
*International fellows on November 1st thru October 31st schedule Salary and Fringe Benefits:The fellow’s salary and benefits commensurate with the University of Miami/Jackson Memorial Medical Center PGY-6 level. They must obtain a Florida license and meet all requirements for hospital privileging and credentialing as an adjunct faculty member of the University of Miami Medical Group. Fellows are allowed 4 weeks of vacation per year. Housing and transportation are not provided. REQUIREMENTS FOR APPOINTMENT
APPLICATION INFORMATIONAll applications are coordinated through the San Francisco Match. Please refer to their website for online application instructions. Applications are reviewed in the winter/spring for a position beginning July 1 of the subsequent year. Selected applicants are invited to travel to Miami for an individual interview with the faculty, and spend time with our current fellow, observing his/her surgical skills, reviewing the fellow’s case log, and interactions with the faculty, staff, and residents. The interview is a 2-day commitment. There will be ample time to address all questions the applicant may have, one on one, with the fellow and faculty. There are options for virtual interviews as well CONTACT INFORMATIONFellowship Program Administrator |
