Rhinology & Skull Base Surgery Fellowship

RHINOLOGY, SKULL BASE AND HEAD & NECK ONCOLOGY FELLOWSHIP
UNIVERSITY OF TORONTO

Fellowship Name

Rhinology, Skull Base and Head & Neck Oncology Fellowship

General Description

The Department of Otolaryngology-Head & Neck Surgery at Sinai Health System, 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 Sinai Health System, 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.

Fellowship Type
(Clinical %, Research %)

80% Clinical, 20% Research

Fellowship Director(s)

Dr. Ian Witterick

Participating Faculty

Dr. Ian Witterick, Dr. Eric Monteiro, Dr. Allan Vescan

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.

Year Fellowship Established

1999

Principal Locations

Sinai Health System

St. Joseph’s Health Centre

University Health Network (Toronto Western Hospital and Princess Margaret Cancer Centre)

Duration of 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).

Number of Fellows Accepted Per Year

One

Required Prior Residency Training

Otolaryngology - Head & Neck Surgery

Accept Foreign Medical Graduates
(Yes/No)

Yes

Foreign Graduate 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.

Annual Stipend/Salary

$60,000 (Can) per annum

Additional Benefits (e.g. meetings, housing)

Support to attend academic meetings and courses as arranged with Dr. Witterick.

On Call Responsibilities

Fellows take first call at St. Joseph’s Health Centre approximately one week in five with a staff otolaryngologist (usually Dr. Witterick) as second call.

Case Mix

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.

Typical Weekly Timetable

 

Monday

Tuesday

Wednesday

Thursday

Friday

Morning

OR (SHS)
Witterick
Clinic (SHS)
Witterick
OR (SJHC)
Witterick
Clinic (SHS)
Witterick or
OR (TWH)
Vescan

Fellow’s Clinic (SHS)
or Clinical Research
or Skull Base Surgery (TWH)

Afternoon

OR (SHS)
Witterick
Clinic (SHS)
Witterick
OR (SJHC)
Witterick
Clinic - PMCC
Witterick or
OR - TWH
Vescan
Fellow’s Clinic (SHS)
or Clinical Research
or Skull Base Surgery (TWH)

SHS = Sinai Health System
PMCC = Princess Margaret Cancer Centre Multidisciplinary Head & Neck Oncology Clinic with Radiation Oncology
SJHC = Saint Joseph’s Health Centre
TWH = Toronto Western Hospital

Application Deadline

May of the preceding year.

Decision Deadline

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

Additional Features of the Fellowship

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), SHS 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.

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 PGME Office. An Orientation Handbook can be downloaded from the homepage of the PGME Office’s website at http://www.pgme.utoronto.ca/. The Handbook contains useful information for new fellows, including a timeline for the registration process.

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 for Applicants

Dr. Ian Witterick
Otolaryngologist-in-Chief
Department of Otolaryngology-Head & Neck Surgery
Sinai Health System
413-600 University Avenue
Toronto, ON, Canada, M5G 1X5
Email:  ian.witterick@sinaihealthsystem.ca
Tel: 416-586-4800 x8313
Fax: 416-586-8583

Previous Fellows

2015-16    Dr. Christopher Chin (Canada).  Clinical Fellow.
                  Dr. Elhamy Samak (Egypt).  Research Fellow.
2014-15    Dr. Eric Monteiro (Canada). Clinical Fellow.
                  Dr. Yazeed Alghonaim (Saudi Arabia). Clinical Fellow.  
2013-14    Dr. Cassiana Burtet Abreu (Brazil). Research Fellow.
2012-13    Dr. Rataphol Chris Dhepnorrarat (Australia). Clinical Fellow.
2011-12    Dr. Kristian Macdonald (Canada) Clinical Fellow.
2010-12    Dr. Marcela Fandino (Columbia). Clinical and Research Fellow.
2010-11    Dr. Victor Manuel Orostegui (Columbia). Research Fellow.
2009-10    Dr. Eng Ooi (Australia). Clinical Fellow.
                    Dr. Majid Baniata (Jordan). Clinical Fellow.
2008-09    Dr. Iman Naseri (United States).
2007-08    Dr. Arif Janjua (Canada). Clinical Fellow.
2006-07    Dr. Ali Moshaver (Canada). Clinical Fellow.
2005-06    Dr. Denny Lin (Canada). Clinical Fellow.
2004-05    Dr. Luis Velázquez-Villaseñor (Mexico). Clinical Fellow.
2003-04    Dr. Raanan Cohen-Kerem (Israel). Clinical Fellow.
2002-03    Dr. Miguel Bravo (Philippines). Clinical Fellow.
2001-02    Dr. Jack Kolenda (Canada). Clinical Fellow.
2001-02    Dr. Tariq Tatwani (Saudi Arabia). Clinical Fellow.
2000-01    Dr. Vinita Bindlish (Canada). Clinical Fellow.
1999-00    Dr. Richard Gall (Canada). Clinical Fellow.

   
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