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North American Skull Base Society

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Skull Base Fellowship Registry

The membership of the North American Skull Base Society (NASBS) is a tremendous resource for the training of fellows, who are the future of the development of our specialty. The society has developed a registry of skull base fellowships that are offered by the society membership.

The society recognizes that we are a diverse and multidisciplinary group comprised of several different specialties, all of whom have significant interest and focus in the management of skull base neoplasia. Likewise, the nature and character of the various fellowships will represent and reflect their differences. In addition, we recognize that there will be variation between individual fellowship experiences resulting from the differences in the preceptor’s approaches and practices.

To post a Fellowship, please go to the Fellowship Registry Entry Form. You must be a member of NASBS to add a Fellowship to the Registry.
To edit an entry, please log in under the Member credentials used to add the entry to the registry and make edits to the listing.

To apply for Fellowship training, please contact the program directly.
If you need assistance or have questions, please contact NASBS Executive Director, Paula Claborn, at [email protected].

Return to List

Title of FellowshipHouse Clinic Clinical Fellowship in Skull Base Surgery
Contact Name for ApplicationsGregory P. Lekovic MD, PhD
Fellowship Type
  • Neurosurgical
LocationSanta Monica, CA
Date Fellowship Established06/30/2018
Fellowship DirectorGregory P. Lekovic MD, PhD
Participating Faculty

Gregory P. Lekovic MD, PhD (neurosurgery)
Gautam Mehta MD (neurosurgery)
Derald Brackmann MD (neuro-otology)
John House MD (neuro-otology)
William Slattery MD (neuro-otology)
Eric Wilkinson MD (neuro-otology)
Kevin Peng MD (neuro-otology)
MIa Miller MD (neuro-otology)


Fellowship Information

DurationOne year
Required Prior Training Program
  • Neurosurgery
Required Prior Training Program Othern/a
Accept Foreign Medical Graduates (outside US & Canada)Yes
Foreign Medical Graduates Eligibility Requirements

Must be graduate of US training program

Residency Training in US/Canada RequiredYes
Percentage of Fellow Workload that is Skull Base80
Number of Fellows Accepted Per Year1
Salaried PositionYes- contact Program Director for more information
Night and Weekend CallYes
Estimated Nights Per MonthNo in-house call.
Clinical Work
Average Operative Skull Base Cases Per Year155
Open Cranial Base
Anterior35
Anterolateral/InfratemporalOther
Lateral (temporal bone)120
Endonasal Cranial Base
Pituitary/Sella20
Sagittal Plane (excluding pituitary)10
Transpterygoid/ Coronal Plane5
Temporal Bone
Transtemporal/ Transcochlear60
Middle fossa40
Retrosigmoid20
Craniofacial Anomalies/ Reconstructive
Craniofacial Anomalies/ ReconstructiveData not available
Trauma
Craniocervical
TranscervicalData not available
TransoralData not available
EndonasalData not available
Reconstruction
CranioplastyData not available
Regional, Pedicled Flap RepairData not available
Free Flap RepairData not available
Stereotactic Radiosurgery
Cyberknife30
Cerebral Vascular Surgery
Cyberknife5
Transcranial10
Anatomical Dissection Laboratory

Skull base laboratory dissection
The House Ear Institute skull base dissection laboratory will provide ample occasion for the fellow to learn key skull base approaches described above. Both temporal bones and whole cadaver heads will be provided. Opportunities for structured, didactic temporal bone drilling will be provided by House Clinic neurotology staff and/or fellows. Additional laboratory exposure is available at the Providence Neuroscience Institute Skull Base Laboratory in Santa Monica, CA.

Skull base laboratory dissection resources:
1. Lateral Skull Base Surgery: The House Clinic Atlas
2. House Ear Institute Temporal Bone Dissection Manual

Laboratory Research Opportunities

Laboratory research may be conducted at partner institutions if desired.

Application Deadline12/03/2019
Decision Deadline03/03/2020
Previous Fellows

2018-2019 Zachary Barnard MD

Additional Features of the Fellowship

Goals of fellowship:

The goals of this one-year fellowship are to gain a broad experience in the diagnosis and management of skull base pathologies with particular emphasis on lateral skull base.

Multiple learning opportunities will be provided, including

" clinical instruction
" laboratory dissection
" didactic learning
" independent research.

Anticipated fellow schedule/ weekly curriculum:

" 3 days a week operative experiences
" 1 day a week skull base dissection lab
" 1 day a week academic activities and/ or outpatient clinic
" Cover call for operative patients

Clinical Instruction
The clinical exposure of the fellow will include the diagnosis, surgical, medical, and radiosurgical management of patients with acoustic neuroma, meningioma, glomus tumor, and related skull base pathologies.

The anticipated operative exposure will consist of surgical assisting or observation of approximately 150 skull base cases over the course of the year. In addition to the standard translabyrinthine, middle fossa, and retrosigmoid approaches for acoustic neuroma, the fellow will gain clinical and/ or laboratory dissection experience in less commonly skull base approaches/ procedures including, but not limited to:

" Auditory brainstem implantation
" retrolabyrinthine approach
" trans-otic and trans-cochlear approaches
" extended middle fossa (ie Kawase)
" combined petrosal approaches;
" Fisch A, B and C/ transjugular approaches to the infratemporal fossa
" far lateral/ transcondylar apoproach and modifications
" anterior skull base approaches, including orbitozygomatic and endoscopic trasnsphenoidal and transtubercular approaches

Thus, the fellow is expected to develop a "360 degree" understanding of approaches to the skull base. The fellow is also invited to participate in radiosurgery cases that are performed at the Pasadena Cyberknife center, with a typical volume of 2-4 cases per month.

Responsibilities include surgical assisting in surgery and routine post-operative care. The resident fellow will also be expected to participate in the care of general neurosurgery patients on our service, including weekend rounding etc.

Committee on Advanced Subspecialty Training (CAST) AccreditedNo
How to apply

To apply, please send CV and letter of interest to:
Gregory P. Lekovic MD,PhD
Chief, Division of Neurosurgery
email: [email protected]
House Clinic
2100 West Third Street, Ste. 111
Los Angeles, CA 90057

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