Skull Base Fellowship Registry

• Rhinology/Endonasal

Timothy Smith, MD, MPH
Mathew Geltzeiler, MD
Kara Detwiller, MD

• Otolaryngology

Must have completed a US residency and be a BC/BE Otolaryngologist to obtain an Oregon medical license.

OHSU has an active cadaveric laboratory program with a full endoscopy suite. Three courses are undertaken during the year (1- advanced rhinology, 2-endoscopic skull base with otolaryngology and neurosurgery, 3- carotid artery injury model with otolaryngology, neurosurgery and anesthesia). Additionally, neurosurgery has 3 open skull base courses which are available to the fellow.

Anatomy lab research is available to all interested fellows.
Dr. Smith has established an internationally recognized clinical outcomes research program.

See our website: https://www.ohsu.edu/xd/health/services/ent/training/fellowship-training/sinus_fellowship.cfm

Please see our fellowship website: https://www.ohsu.edu/xd/health/services/ent/training/fellowship-training/sinus_fellowship.cfm

Mission Statement
The Oregon Sinus Center is committed to compassionate, state-of-the-art patient care and the advancement of clinical knowledge of rhinology, sinus and skull base surgery through research and the development of future leaders in our specialty. The Oregon Sinus Center seeks to be an international standard in clinical care, academic development, training, and research in rhinology, sinus and skull base surgery.

Core Values

Patient Care We offer a compassionate and effective approach to patient care through our expert team of professionals

Education We take a collaborative approach to training and mentoring future leaders in the specialty

Research We value the future of rhinology, sinus and skull base surgery, and this inspires internationally recognized research

Collaboration and Teamwork Our team includes a dedicated Rhinology Physician Assistant, full time Clinical Research Coordinator and Biostatistician, Medical Assistant, and clinic and surgery scheduling specialists who collaborate to set the standard for patient satisfaction.
Overview of Fellowship

This one year Fellowship provides comprehensive training in medical and surgical rhinology, sinus and skull base surgery in the setting of a tertiary academic practice. Fellows receive comprehensive surgical training in advanced techniques, including revision sinus surgery, frontal sinus surgery, orbital surgery, surgery for sinonasal malignancies and both endosopic and open skull base surgery. Multidisciplinary surgical collaboration involving neurosurgery, oculoplastic surgery, and facial plastic surgery is emphasized. Fellows receive a faculty appointment at the instructor level and are actively engaged in all aspects of the department’s teaching program, including resident education, grand rounds, and teaching in the clinic and operating room. Fellows carry an independent rhinology-specific clinic and surgical caseload with increasing autonomy as the year progresses. One-on-one mentoring is highly emphasized and mentored research, writing, and presentation are highlighted.

Fellows will have the opportunity to participate in over 100 endoscopic skull base cases per year plus an addition 30-50 open skull base cases. Endoscopic cases involve the full spectrum of saggital and coronal planes plus orbital surgery. Open cases involve approaches to intracranial tumors, advanced sinonasal malignancies, complex sinus surgery and regional skull base reconstruction.

The primary faculty includes Drs. Smith, Detwiller, and Geltzeiler. Dr. Smith has a broad clinical practice and oversees clinical research. Dr. Detwiller has a broad clinical practice that includes the VA and she has special interest in office based rhinology and otolaryngic allergy programs which she oversees. Dr. Geltzeiler completed fellowship training in both advanced cranial base surgery and advanced head & neck oncologic surgery. He therefore focuses on that aspect of our program.

Opportunities to participate in funded clinical research and basic science/translational research programs are unparalleled and plentiful research time and resources will be provided. The Fellowship includes salary/benefit package with medical and retirement benefits.

Clinical Rotations:
The Fellowship is sub-specialty specific so that the Fellow is involved with all clinical sites where Rhinology, Sinus and Skull Base Surgery is performed.

Weekly Schedule:
The Fellow will be involved in patient care in clinic and OR with the Rhinology faculty. The Fellow will run an independent one-half day clinic, where independent surgical cases will be booked.

Research Responsibilities:
The fellow will have broad opportunity to participate in funded research programs (clinical and basic/translational), and will be encouraged to present research at national meetings. Travel and meetings are sponsored by the Department of Otolaryngology with Fellowship Director approval. Research goals are tailored to the individual Fellow’s interests and goals.

Diversity of Cases:
The fellow will gain experience through a broad variety of surgical cases with an emphasis on multidisciplinary cases. Fellows will typically finish with over 350 cases. Surgical training goals are tailored to the individual Fellow’s interests and goals.

Call Schedule:
Fellow will participate in mentored Faculty call with the Fellowship Director approximately 4 weeks per year.

Additional Information:
This fellowship offers salary/benefit package with faculty-level medical and retirement benefits.

Requirements for Appointment

Applicants must be board-eligible/board-certified and satisfy requirements for
Oregon Medical Licensure.

Applicants must have strong interpersonal, verbal, and written communication skills. Applicants must also excel working as a part of a collaborative and dynamic team. Additionally, strong presentation and leadership skills are preferred.

Application Information

Please submit required materials through SF Match.
Interviews will be conducted in February-May in accordance with the Rhinology SF Match Program.

Deadline for Application

Per Rhinology SF Match Program requirements.

About Portland, Oregon:

Portland offers a wide variety of activities, ranging from downtown cultural entertainment to sporting events, and public markets to beautiful hiking opportunities. Portland is also near several popular skiing & camping destinations. The city is clean and has a nationally-recognized public transportation system, which makes for great livability. Portland also boasts a low cost of living and plentiful activities for families.

For more information on Portland, please visit the following websites:
• http://www.travelportland.com/
• http://www.traveloregon.com/Explore%20Oregon/Portland%20Metro/Outdoor%20Recreation.aspx
• http://www.portlandneighborhood.com/moving-to-portland-oregon.html
• http://www.portlandonline.com/

• American Rhinologic Society

Applications are through the SF Match. https://sfmatch.org/SpecialtyInsideAll.aspx?id=4&typ=1&name=Rhinology

For additional questions, please reach out the fellowship director Dr. Timothy Smith.

[email protected]