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North American Skull Base Society

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University of Toronto Rhinology, Skull Base and Head & Neck Oncology Fellowship

Title of Fellowship University of Toronto Rhinology, Skull Base and Head & Neck Oncology Fellowship
Contact Name for Applications Dr. Ian Witterick
Fellowship Type Head and Neck Oncology, Rhinology/Endonasal
Location University of Toronto
Year Fellowship Established 1999
Fellowship Director Dr. Ian Witterick
Duration 12 months
Encounter Year Fellowship The clinical fellowship is for a period of one-year preferably starting on July 1st unless appropriate licensing cannot be obtained prior to that time. The fellowship ends on June 30th of the following year regardless of when the fellow started (unless special arrangements are made).
Required Prior Training Program Otolaryngology
Accept Foreign Medical Graduates Yes
Foreign Medical Graduates Eligibility Requirements Because they have patient contact, 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 PGME Office website at http://www.pgme.utoronto.ca/content/fellowship-training.

Percentage of Fellow Workload that is Skull Base 30%
Number of Fellows Accepted Per Year One
Annual Stipend $60,000 + support to attend academic meetings and courses as arranged with the Fellowship Director
Night and Weekend Call Yes
Estimated Nights Per Month 1 week of call every 5 weeks
Estimated Weekends Per Month 1 week of call every 5 weeks
Total potential operative skull base cases per year Approximately 200-250 endoscopic sinus surgery procedures/year plus significant exposure to head and neck oncology cases including endoscopic and open skull base resections for benign and malignant disease.
Anatomical Dissection Laboratory Yes, Surgical Skills Centre, Mount Sinai Hospital
Laboratory Research Opportunities Yes, depending on interest
Prerequisite Training Required Otolaryngology-Head & Neck Surgery residency program, preference given to graduates within 1-2 years of finishing residency
US Residency Required: No
Application Deadline May 15, 2017
Decision Deadline June 15, 2017
Fellowship Institution Web Site http://www.otolaryngology.utoronto.ca/postgrad/fellowship/rhinology.htm
Previous Fellows See website
Participating Faculty Dr. Ian Witterick
Dr. Allan Vescan
Dr. Eric Monteiro
Additional Features of the Fellowship General Description
The Department of Otolaryngology-Head & Neck Surgery at Mount Sinai Hospital sees a wide variety of complex nasal and sinus problems and head and neck oncologic cases. Dr. Witterick’s and Dr. Vescan’s practices include advanced rhinology, endoscopic and open anterior skull base surgery and head and neck oncologic surgery. Fellows operate at Mt. Sinai Hospital, St. Joseph’s Health Centre and the University Health Network. Dr. Witterick does the majority of his endoscopic sinus surgery at St. Joseph’s Health Centre. Head and neck oncologic surgeries are performed at Mt. Sinai Hospital and endoscopic and open skull base resections are performed at the University Health Network (Toronto Western Site) in conjunction with Neurosurgery. Fellows attend a multidisciplinary head & neck oncology clinic at the 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 tumours (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, and ablative mucosal head & neck surgery.

Objectives:
1. To gain advanced training and expertise in the diagnosis and management of:
a) common and rare nasal and sinus diseases
b) anterior skull base neoplasms
c) endocrine, salivary and mucosal neoplastic diseases of the head and neck
2. To learn and carry out advanced endoscopic and open sinus surgeries
3. To gain experience in endoscopic and open skull base resections
4. To gain expertise in endocrine, salivary and mucosal surgery of the head and neck
5. 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
6. To be actively involved in the teaching and academic development of University of
Toronto otolaryngology-head & neck surgery residents

Principal Locations
1. Mount Sinai Hospital
2. St. Joseph’s Health Centre
3. University Health Network (Toronto Western Hospital and Princess Margaret Cancer
Centre sites)

Application Deadline
May of the preceding year (e.g. May 2016 for July 1, 2017)

Decision
The decision regarding the July 1st fellowship is usually made by May/June of the preceding year (i.e. 12-14 months in advance).

Rounds and Teaching
Fellows attend Head & Neck Oncology Rounds (Mondays 5:30-6:30 pm), Head & Neck Fellow’s Rounds (monthly, Mondays 6:30-7:30 pm), Tumour Board Case Conferences (Tuesdays 8-9 am), MSH Resident Rounds (Tuesdays 4:30-5:15 pm) and University Grand Rounds (Fridays 7:30-8:30 am).

Fellows have ample opportunity 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.

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. Witterick at the email address 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 PGME Office directly from the sponsoring agency. For details, please consult the PGME Office website at http://www.pgme.utoronto.ca/content/fellowship-training-international-applicants.

Contact Information
Dr. Ian Witterick
Otolaryngologist-in-Chief
Department of Otolaryngology-Head & Neck Surgery
Mt. Sinai Hospital
413-600 University Avenue
Toronto, ON, Canada, M5G 1X5
Email: [email protected]
Tel: 416-586-4800 x8313
Fax: 416-586-8583

 

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