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Fellowship in Head and Neck Oncology

Department of Otolaryngology
Johns Hopkins Outpatient Center
601 N. Caroline Street, 6th floor
Baltimore, MD  21287

Phone:  (410) 955-6420
Fax:  (410)  955-8510

Faculty involved with the Head and Neck Surgical Oncology Fellowship:

A=Ablative, M=Microvascular, R=Research

David Eisele, M.D. (A)
Wayne M. Koch, M.D. (A) 
Christine Gourin, M.D. (A)
David Sidransky, M.D. (R)
Joseph Califano, M.D. (A,R)
Ray Blanco, M.D. (A)
Patrick Byrne, M.D. (M)
Kofi Boahene, M.D. (M)
Ralph Tufano, M.D. (A)
Patrick Ha, M.D. (A,R)
Nishant Agrawal, M.D. (A,R)
Carole Fakhry, M.D. (A, R)

Medical Oncology:
Christine Chung, MD
Hyusueng Kang, MD

Radiation Oncology:
Harry Quon, MD
Ana Keiss, MD

Speech Language Pathology:
Kim Webster, CCC-SLP
Marissa Simpson, CCC-SLP
Rina Abrams, CCC-SLP

Total number of positions available per year: Two (one year) positions available, usually one ablative and one micro/ablative. There is an option of an additional research year which must be partially/wholly funded.

Director of Research: Nishant Agrawal, M.D.

Other parallel fellowships: Pediatrics, Otology/Neuro-otology, Facial Plastic and Reconstructive Surgery, Rhinology, Laryngology, Head and Neck Endocrine

Program Description

Objectives:

The objective of the Head and Neck Surgical Oncology Fellowship at Johns Hopkins is to promote and develop leaders in the field of Academic Head and Neck Oncology. Emphasis is on broad clinical training including all aspects of head and neck surgical oncology. Fellows will have a faculty appointment at the Instructor level that includes a mentored experience focused on a transition to independence. In particular fellows develop skills in clinical teaching within the context of our residency program. During the clinical year, fellows will participate in clinical and surgical care of patients within the faculty practices, but will also have an individual, mentored clinical surgical practice. Fellows completing the program will have finely honed skills in surgical diagnosis and treatment of tumors of the head and neck. Training will cover the entire gamut of head and neck surgery including endocrine, robotic, skull base, and minimally-invasive approaches.

Interested fellows may choose to do an additional year of research. We offer a rich environment of translational research bridging surgical oncology and molecular biology pertaining to head and neck cancer. The research training may serve as the basis to seek grant funding in order to facilitate the initiation of an academic career and is particularly attractive to those candidates seeking a career as a clinician-scientist. Fellows may set up an individualized research training experience in consultation with the fellowship director. Often fellows will perform research in molecular biology of head and neck cancer. Other studied areas have included bioinformatics and a variety of opportunities are available throughout Johns Hopkins University.

History:

The Head and Neck Oncology Fellowships at Johns Hopkins began in 1986. It received approval of the American Head and Neck Society in 1993.

Requirements:

Board eligibility in Otolaryngology, General Surgery or Plastic Surgery.

All interested applicants are to apply through the American Head and Neck Society website.  The administrative barriers to accepting a fellowship candidate who has not completed a residency in the United States are considerable and we currently are only accepting applicants through the American Head and Neck Society.

Description of Medical Center:

The Johns Hopkins Medical Institutions are world renowned for leadership in clinical medicine, public health and basic biomedical research. Johns Hopkins is a busy regional referral medical center encompassing the full range of clinical medicine with training programs for medical students, residents, and fellows in all major fields. The Head and Neck Oncology Service performs more than half of all major head and neck resections in the state of Maryland as well as drawing from four state regions. Over 500 new cases of HNSCC are managed each year at Johns Hopkins Hospital. The fellowship also supports Johns Hopkins Head and Neck Surgery at GBMC, a regional medical center with a well- developed head and neck center that sees approximately 250 new cases of head and neck cancer for all sites annually.

Fellowship Caseload:

The following is a list of all cases available to the head and neck fellow for the fellowship period. During the year, the fellow performed approximately 400 cases, of which 300 were major procedures. Approximately 20% of all cases are performed by the fellow as primary attending with mentorship support provided by a faculty mentor. Available cases include:

Salivary gland surgery: 143
Nose and paranasal sinus and skull base surgery: 89 Lip surgery: 14
Oral cavity surgery: 144
Neck surgery: 336
Larynx and pharynx surgery: 333
Thyroid and parathyroid surgery: 234
Tracheal surgery: 82
Ear and temporal bone surgery: 15 Regional/myocutaneous flaps: 45
Microvascular Reconstruction 107

Strengths:

We offer one of the largest head and neck oncology teams in the country with a very busy clinical service. The fellow will develop increasing comfort in managing complex head and neck oncology patients within a multi-disciplinary framework. Dedicated clinical faculty provides mentorship to help develop skills and knowledge needed for an academic career. The academic milieu includes one of the finest Otolaryngology residency programs in the country, with excellence in every aspect of the field. The tumor biology research program of the Johns Hopkins Department of Otolaryngology is world renowned as a leader in clinical translational research pertaining to HNSCC. Trainees have been highly successful in launching clinical translational academic careers.