Fellowship Registry

• Neurosurgical

Gregory P. Lekovic, MD, PhD (Neurosurgery)

• Neurosurgery

Must be graduate of US training program

Laboratory research may be conducted at partner institutions if desired.

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.

To apply, please submit application the NASBS Neurosurgery Skull Base Fellowship Match.