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 the NASBS office at [email protected].
| Title of Fellowship | Rhinology, Skull Base and Head & Neck Oncology Fellowship |
|---|---|
| Contact Name for Applications | Eric Monteiro & Allan Vescan |
| Fellowship Type |
|
| Location | Toronto, Ontario, Canada |
| Date Fellowship Established | 07/01/1999 |
| Fellowship Director | Eric Monteiro and Allan Vescan |
| Participating Faculty | Joel Davies |
Fellowship Information | |
| Duration | One year |
| Required Prior Training Program |
|
| Required Prior Training Program Other | Successful completion of an otolaryngology - head & neck surgery residency program |
| Accept Foreign Medical Graduates (outside US & Canada) | Yes |
| Foreign Medical Graduates Eligibility Requirements | All clinical fellows require licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in Ontario. A key requirement for the licensure of clinical fellows by the CPSO is that the candidate must be recognized as a medical specialist in the jurisdiction where the candidate has been practicing medicine prior to the clinical fellowship. Detailed information about basic application requirements for clinical fellows is accessible through the Post MD Education Office website at http://pg.postmd.utoronto.ca |
| Residency Training in US/Canada Required | No |
| USMLE |
|
| Percentage of Fellow Workload that is Skull Base | 30% |
| Number of Fellows Accepted Per Year | One |
| Salaried Position | Yes- contact Program Director for more information |
| Night and Weekend Call | Yes |
| Estimated Nights Per Month | 7 nights every 5 weeks |
| Clinical Work | |
| Average Operative Skull Base Cases Per Year | Approximately 200-250 endoscopic sinus surgery procedures/year including endoscopic and open skull base resections for benign and malignant disease. There is significant exposure to complex revision endoscopic sinus surgery, repair of CSF leaks and removal of sinonasal neoplasms. In addition, there is considerable exposure to head and neck oncologic surgery including mucosal, endocrine and salivary disease. |
| Open Cranial Base | |
| Anterior | Data not available |
| Anterolateral/Infratemporal | Data not available |
| Lateral (temporal bone) | Data not availanle |
| Posterior | Data not available |
| Endonasal Cranial Base | |
| Pituitary/Sella | Data not available |
| Sagittal Plane (excluding pituitary) | Data not available |
| Transpterygoid/ Coronal Plane | Data not available |
| Temporal Bone | |
| Transtemporal/ Transcochlear | Data not available |
| Middle fossa | Data not available |
| Retrosigmoid | Data not available |
| Craniofacial Anomalies/ Reconstructive | |
| Craniofacial Anomalies/ Reconstructive | Data not available |
| Trauma | |
| Craniocervical | |
| Transcervical | Data not available |
| Transoral | Data not available |
| Endonasal | Data not available |
| Reconstruction | |
| Cranioplasty | Data not available |
| Regional, Pedicled Flap Repair | Data not available |
| Free Flap Repair | Data not available |
| Stereotactic Radiosurgery | |
| Gammaknife | Data not available |
| Cyberknife | Data not available |
| Cerebral Vascular Surgery | |
| Cyberknife | Data not available |
| Transcranial | Data not available |
| Endovascular | Data not available |
| Anatomical Dissection Laboratory | Yes there is a Surgical Skills Centre at Mt. Sinai Hospital where cadaveric dissection and simulation can be performed. Fellows participate in a yearly sinus course for residents. |
| Laboratory Research Opportunities | Yes available depending on the interest and background of the fellow. |
| Application Deadline | 04/15/2025 |
| Decision Deadline | 05/01/2025 |
| Fellowship Institution Website | utoronto.ca |
| Previous Fellows | 2023-2024 Dr. Alexander Dickie (Canada) - Clinical |
| Additional Features of the Fellowship | The Department of Otolaryngology-Head & Neck Surgery at Sinai Health, sees a wide variety of complex nasal and sinus problems and head and neck oncologic cases. The fellowship experience includes advanced rhinology, endoscopic and open anterior skull base surgery, head and neck oncologic surgery and microvascular reconstructions. Most operations take place at Mt. Sinai Hospital (part of Sinai Health System) and most endoscopic and open skull base surgeries take place at Toronto Western Hospital (part of the University Health Network). Fellows attend a multidisciplinary head & neck oncology clinic at Princess Margaret Cancer Centre and participate in Tumour Board Case Conferences and Head & Neck Oncology Rounds. A broad range of open and endoscopic sinus operations are performed including significant exposure to endoscopic revision surgery for chronic rhinosinusitis, benign tumors (e.g. inverted papilloma, angiofibroma) and CSF leak/meningoencephalocele repairs. Experience in endoscopic resection of skull base benign and malignant neoplasms is gained (e.g., esthesioneuroblastoma, meningioma, chordoma). The fellow has significant exposure to endocrine, salivary, ablative mucosal head & neck surgery, robotic surgery and microvascular reconstructions. 1. To gain advanced training and expertise in the diagnosis and management of: common and rare nasal and sinus diseases, anterior skull base neoplasms, endocrine, salivary and mucosal neoplastic diseases of the head and neck. 2. To learn and conduct advanced endoscopic and open sinus surgeries. 3. To gain experience in endoscopic and open anterior skull base resections. 4. To gain experience in endocrine, salivary and mucosal surgery of the head and neck using open and endoscopic / robotic techniques. 5. To gain experience in microvascular reconstructions of the head and neck. 6. To complete 1 or 2 clinical research projects to be agreed upon at the start of the fellowship and presented at a national or international scientific meeting. 7. To be actively involved in the teaching and academic development of medical students and residents rotating through Sinai Health. Fellows attend monthly Head & Neck Fellow’s Rounds, monthly Skull Base Rounds, monthly Thyroid Tumour Boards, weekly Head & Neck Tumour Boards, weekly Sinai Health Resident Rounds and weekly University of Toronto Grand Rounds. Fellows have many opportunities to teach medical students and residents in clinics and the operating room. Fellows also help teach in an annual resident sinus dissection course and have the opportunity to teach in other hands-on courses. The University Department has numerous visiting professor lectures and continuing professional development courses each year that fellows are encouraged to participate in. In special circumstances, a purely research fellow has been accepted with no hands-on clinical component. As a condition of their medical educational licensure, clinical fellows must register with the University’s Post MD Education Office. Orientation resources including an Orientation Handbook are available at https://pgme.utoronto.ca/current-trainees/before-starting-a-new-training-session/resources-for-new-trainees/. The Handbook contains useful information for new fellows, including a timeline for the registration process. |
| Committee on Advanced Subspecialty Training (CAST) Accredited | No |
| How to apply | Send a letter of interest, updated curriculum vitae and the names and contact information including email addresses of three references to Dr. Eric Monteiro and Dr. Allan Vescan at the email addresses below. Personal interviews are recommended as this is a highly competitive fellowship. Postgraduate training agreements are currently in place between the University of Toronto Faculty of Medicine and sponsoring agencies from a number of countries, including Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and UAE. Applications for fellowship training from citizens of these countries must reach the Post MD Education Office directly from the sponsoring agency. For details, please consult the Post MD Education Office website at : http://pg.postmd.utoronto.ca/applicants/apply-for-fellowship-training/ If you have also applied to the U.S match through the National Residency Matching Program (NRMP), please be advised that the University of Toronto is a participating institution and adheres to the match policy. The policy states that "Applicants who have matched to a program or have accepted a position during the Supplemental Offer and Acceptance Program (SOAP), shall not apply for, discuss, interview for, or accept a concurrent year position in another program prior to the NRMP granting the requested waiver." More information is accessible at https://www.nrmp.org/wp-content/uploads/2022/03/2022-MPA-Institutions-1.pdf. |