UNIVERSITY OF MIAMI INTERNATIONAL RHINOLOGY CLINICAL FELLOWSHIP PROGRAM

Miami

INSTITUTION & ADDRESS

University of Miami Miller School of Medicine
Department of Otolaryngology
1120 NW 14th Street, 5th Floor
Miami, Florida 33136
Phone: (305) 243-4756
FAX: (305) 243-2009

FELLOWSHIP DIRECTOR

Roy R. Casiano, M.D., F.A.C.S
Professor and Vice Chairman
1120 NW 14th Street, 5th Floor
Miami, Florida 33136
Phone: (305) 243-4756
FAX: (305) 243-2009
[email protected]

DEPARTMENTAL MISSION STATEMENT

To 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 FELLOWSHIP

The University of Miami/Jackson Memorial Medical Center International Rhinology Fellowship is a 24 month training program. It is designed for international otololaryngologists that have completed their residency, and desire to advance their fund of knowledge and surgical skills in the otolaryngology subspecialty area of rhinology and related disorders. The 2 year program assumes minimal to no prior training in basic endoscopic sinonasal surgical techniques and rhinology. It also requires completion of all 3 steps of the USMLE and TOEFL exams (ECFMG certification required).  Exceptions can be made if the candidate receives his/her first year of rhinology in a residency program (US or international), with known basic rhinology training (i.e., mentors that are fellowship trained rhinologists), equivalent to our first year curriculum below. In the latter situation, the candidate may just take 1 year of training (i.e., second year or advanced rhinology curriculum below) at the University of Miami. However, this may still include a 2-3 month pre-fellowship C.A.N.E.S microsurgical lab rotation (see below), in preparation for their hands-on clinical fellowship year. Additionally, the candidate may choose to do a 1 year of research fellowship (description provided on a separate form), with the anticipation of completing their USMLE and TOEFL. However, a position in the clinical fellowship cannot be granted without having passed all three parts of the USMLE exam.

FELLOWSHIP DESCRIPTION

Fellowship Duration: 1-2 Years (see overview)

Fellowship Term: November 1 through October 31 every year

Goals and Objectives for Training:

  • To further develop the fellow’s surgical skills, required for the performance of advanced endoscopic surgical procedures in the nose and adjacent paranasal sinuses, orbit, and skull base, in children and adults.
  • To develop the fellow’s expertise in the multidisciplinary treatment of common ailments afflicting the upper and lower respiratory system (asthma, chronic rhinosinusitis, allergies, sleep disorders, and other common airway disorders), with an emphasis on chronic inflammatory diseases of the nose and paranasal sinuses.
  • To develop the fellow’s expertise in the diagnosis and management of allergies and immunologic disorders affecting the upper airway.
  • To enhance the fellow understands about the appropriate workup, indications and potential adverse side-affects of pharmacotherapy versus immunotherapy, for patients with allergies.

Faculty:

  • Dr. Roy R. Casiano (rhinologist with special interest in advanced sinonasal procedures and endoscopic skull base surgery)
  • Dr. Corinna Levine (rhinologist with special interest in advanced sinonasal procedures and endoscopic skull base surgery)
  • Dr. Zoukaa Sargi (Head and Neck Surgery/microvascular reconstruction, endoscopic skull base surgery)
  • Dr. Jacques J. Morcos (neurosurgeon with special interest in endoscopic skull base surgery)
  • Dr Ricardo Komotar (neurosurgeon with special interest in endoscopic skull base surgery)
  • Dr Michael E. Ivan (neurosurgeon with special interest in 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
  • University of Miami Hospital and Clinics/Sylvester Comprehensive Cancer Center (UMHC/SCCC)
  • UHealth Tower (UHT; University Hospital)
  • Jackson Memorial Hospital (JMH)
  • UHealth Plantation Outpatient Facility, Plantation Florida
  • Lennar Outpatient Facility in Coral Gables, Florida

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).

Our UHealth facility is in Plantation, Florida, in Broward County, approximately 30 minutes north from the main medical campus by downtown Miami. The Lennar facility is in Coral Gables and is approximately 20 minutes south of Downtown Miami and connected to the medical center by train (Metrorail).

Two year curriculum and weekly schedule:

First Year (basic rhinologic surgery): basic rhinologic history and physical; maximal medical management of acute and chronic rhinosinusitis; endonasal exam and in-office diagnostic procedures; postoperative management and endoscopic debridements; turbinate reduction; septoplasty; ethmoidectomy; Draf I and IIa frontal sinusotomy; sphenoid sinusotomy; maxillary sinusotomy; simple cerebrospinal fluid leak repair; simple transphenoidal pituitary surgical exposures with neurosurgery.

Second year (advanced rhinology and endoscopic skull base surgery): extended frontal, sphenoid, and maxillary sinusotomies,(including medial maxillectomy and Lothrop or Draf II & III procedures); combined procedure with external exposure for advanced neoplasm work; management of extensive benign skull base lesion such as meningoencephaloceles; anterior skull base resection, middle and posterior cranial fossa approaches for clival and petrous apex neoplasms; craniocervical approaches for odontoid resection; nasopharyngectomy; approaches to Meckel’s Cave and the trigeminal nerve roots; complicated revision pituitary surgery; advanced large skull base repairs with local-regional flaps or grafts.

Weekly Schedule

  Monday Tuesday Wednesday Thursday Friday
AM UHT OR
Endoscopic Skull Base Surgery
(Sargi/Komotar)

or 

Research Time
CRB Clinic (Casiano)

SCCC OR
(Casiano or Levine)

or

UHT OR
Endoscopic Skull Base Surgery
(Sargi/Komotar)

 

UHT/JMH
Endoscopic Skull Base Cases
(Casiano/ Morcos, or Levine/Ivan)

Lennar Clinic (Levine every other week)

or

Research time

PM

UHT OR
Endoscopic Skull Base Surgery
(Sargi/Komotar)

or

Research time

 

Residents' Virtual Rhinology Conference
6-7 PM (2nd and 4th)

CRB Clinic (Dr Casiano)
Weekly Endoscopic Skull Base Conference 5:00-7:00 PM

 

 

 

Weekly Endoscopic Skull Base Virtual Conference
5-7 PM (every week)

SCCC OR
(Casiano or Levine)

or

UHT OR
Endoscopic Skull Base Surgery
(Sargi/Komotar)

UHT/JMH
Endoscopic Skull Base Cases
(Drs Casiano/ Morcos, or Levine/Ivan)

 

 

H&N Tumor Virtual Conference
5-7 PM (every week)

Lennar Clinic (Levine every other week)

or

Research time

 

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.

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 cases, and 20% are sinonasal and/or skull base neoplasms (excluding pituitaries). 

Supervisory and Patient Care Responsibilities:

The degree of faculty supervision is dependent on the fellow’s surgical experience. To this end, the fellow is required to assist the faculty in the training of residents on basic sinus cases. Patient care is restricted to the hospitals and outpatient clinics listed above. The fellow will assist the faculty on their private rhinology cases.

Didactics 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).  Also, the fellow will be responsible for presentation of future surgical skull base cases at our weekly Tuesday skull base multidisciplinary skull base 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 lab at the medical school on 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 specimens, further refining  their understanding of the complex skull base anatomy. 

Salary and Fringe Benefits:

This program is self-funded. That means, the applicant must provide proof of funding, which includes salary, fringe benefits, and an annual tuition payment to the Department of Otolaryngology. This is required by the Department of Otolaryngology prior to starting their fellowship year. Failure to meet these financial obligations may result in suspension from the program. 

CURRENT AND PAST FELLOWS

Name Residency Fellowship Employer
Erin Reilly Thomas Jefferson University 2020-2021 Current Fellow (Domestic)
Samer Abou Rasik* American University of Beirut, Lebanon 2020-2021 Current Fellow (International)
Rodolfo Prestinary* University of Costa Rica 2019-2020 University of Costa Rica, San Jose, Costa Rica
Jolie Crespo* University of Panama 2019-2020 University of Panama, Panama City, Panama
Saurin Sanghvi Rutgers New Jersey Medical School 2018-2019 Cooper's University, New Jersey
Elie Alam* American University of Beirut 2017-2018 Assistant Professor, American University of Beirut, Lebanon
Nivedita Sahu University of Pittsburgh 2017-2018 Rochester Regional Health, Rochestor, NY
Abdullah Albader* McGill University, Montreal Canada 2016-2017 Assistant Professor, Jaber Al-Ahmad Hospital, Kuwait City, Kuwait
Jarrett Walsh University of Iowa 2016-2017 Assistant Professor, University of Iowa, Department of Otolaryngology
Ghassan Alokby* Saudi Arabia 2015-2016 Assistant Professor, King Faisal Specialist Hospital and Research Center,, Riyadh, Saudi Arabia
Corinna Levine University of Washington, Seattle, Washington 2015-2016 Assistant Professor, University of Miami School of Medicine
Zeina Korban* American University, Beirut, Lebanon 2015-2016 Assistant Professor, American University of Beirut
Shawn Allen University of Tennessee, Memphis, TN 2014-2015 Allergy & ENT Associates, Houston, Texas
Arjuran Kuperan Rutgers University, Newark, NJ 2013-2014 Rhinology & Skull Base Surgery
Houston Plastic Craniofacial & Sinus Surgery, Houston, Texas
Seth M. Lieberman NYU 2012-2013 Assistant Professor, New York University
Mohammed Al-Bar* Saudi Arabia 2012-2014 Assistant Professor, Dammam University, Dammam, Saudi Arabia
Deya N. Jourdy Columbia-Cornell 2011-2012  Assistant Professor, Rhinology & Endoscopic Skull Base Surgery, New York Medical College, ENT Faculty Practice, NY
Lori Lemonnier Temple University 2010-2011 Rhinology and Endoscopic Skull Base Surgery, Munson Medical Center, Traverse City, Michigan
Amy Anstead Univ Illinois 2009-2010 Puget Sound ENT, Seattle, Washington
Belachew Tessema NYEEI 2008-2009 ProHealth Physicians at the Connecticut Sinus Institute; Assistant Professor, Univ Conn; Connecticut Sinus Institute
Anderson Eloy Mt Sinai 2007-2008 Professor and Vice Chairman, Rutgers - New Jersey Medical School, Newark, NJ
Adam Folbe Wayne State 2006-2007 Vice Chair, Department of Otolaryngology Head and Neck surgery
Director, Rhinology and skull base surgery
William Beaumont Hospital
Detroit, Michigan
Zoukaa Sargi St Joseph Univ, Lebanon 2005-2006 Associate Professor, Univ Miami
Carlos Duque* Univ Tontifidia Boliveriana, Colombia 2004-2005 Professor, Univ Antioquia, Department of Surgery, Medellin, Colombia
Wish Banhiran* Siriraj Hospital, Mahidol Univ 2003-2004 Professor, Bangkok Hospital, Department of Otolaryngology, Bangkok, Thailand
William Collins Univ Miami 2002-2003 Associate Professor, Univ Florida College of Medicine, Department of Otolaryngology, Gainesville, FL


*International fellows on November 1st thru October 31st schedule

REQUIREMENTS FOR APPOINTMENT

ECFMG requirements (includes passing USMLE and TOEFL). Interest in rhinology and rhinologic research, as demonstrated by prior experience.

APPLICATION INFORMATION

Applications are reviewed year around for a position generally beginning November 1 of the new cycle. Start dates are flexible depending on the applicant’s specific situation. Selected applicants may be invited to travel to Miami for an individual interview with the faculty, and spend time with our current fellow, observing his/her surgical skills and interactions with the faculty, staff, and residents. However, phone interviews are also available.

APPLICATION DEADLINE

Fellowship starts November 1. Therefore, applications (curriculum vitae and 2 letters of references) need to be due by November of the preceding year of the fellowship start date.

CONTACT INFORMATION

Fellowship Program Administrator
Ivis Perez
Phone: (305) 243-1870
Fax: (305) 243-2009
[email protected]