Teaching Conference Schedule

Type of Conference Frequency Role of Fellow
Grand Rounds Qweek Attend/Present Biannual
Tumor Board Qweek Attend/Present
Working Tumor Board Qweek Attend/Present
Microvascular Lab Q2weeks Micro Techniques
Clinical Rounds Qdaily Attend (Faculty Supervised)
Head/Neck Journal Club Q6weeks Attend/Present (Faculty Supervised)
10 week HN Anat. Course Annual Attend/Teach (Faculty Supervised)
Clinical Trials Meeting Q2weeks Attend (Trial Design/Execution)
Basic Science Meeting Qmonth Attend (Trial Design/Execution)

The head and neck fellow has the following teaching responsibilities:

  1. Participates in AM daily clinical rounds with the faculty, residents and rotation medical students. Responsible for inpatient management decisions and resident teaching on the head and neck service.
  2. Acts as teaching faculty for head and neck surgical cases, with resident supervision, under the supervision/discretion of the head and neck faculty.
  3. Resident teaching for clinical consultations for the head and neck service.
  4. Participates in the annual maxillofacial reconstruction/plating course, which includes hands on application of hardware and cadaver dissections.
  5. Participates in 10 week head and neck anatomy course for the residents, which includes lectures, and surgically focused anatomical cadaver dissections.
  6. Participates in monthly microvascular lab, which includes resident teaching on basic microvascular, microneural suturing techniques.
  7. Annual Grand Rounds presentation on topics related to head and neck oncology given to the Department of Otolaryngology/Head and Neck Surgery.
  8. Annual Grand Rounds presentation on the diagnosis and management of oral cavity malignancy to the Division of Oral/Maxillofacial Surgery and Dental Service.
  9. Primary supervising faculty for two journal clubs, within the departmental journal club series, reviewing current literature related to head and neck oncology.
  10. Assistant during head and neck cadaver dissections undergraduate Gross Anatomy course for Icahn School of Medicine.

Service Rotations

One month Medical Oncology clinical experience (2 clinics per week)
Focus: Chemotherapy planning/administration for head and neck cancer (shadow Dr. Posner in the Multidisciplinary Head and Neck Center)

Two weeks Radiation Oncology rotation (2-3 sessions per week)
Focus: Treatment planning/execution for head and neck malignancy IMRT planning, stereotactic planning, etc. (Shadow Dr. Gupta In Multidisciplinary Head and Neck Center)

Two weeks Oral/Maxillofacial Surgery/Dental rotation
Focus: Evaluation/Management HN cancer patients prior to adjuvant therapy Clinical experience in osseointegrated dental implant reconstruction (Shadow Dr. Greg Chotkowski in OMFS clinic/OR) Maxillofacial prosthesis construction/maintenance.

One week head and neck radiology
Focus: Interpretation of head and neck radiological studies. Panoramic/Cone Beam, CT, MRI, PET/CT, angiography (Shadow Dr. Som during radiology interpretation/conferences related to head and neck)

One week head and neck pathology
Focus: Preparation/Interpretation of HE/Frozen specimens related to head and neck, will also shadow cytopathologist for US/FNA training/interpretation.

Service Interaction

The Head and Neck Fellow and Head and Neck Service at Mount Sinai interacts with several surgical specialties utilizing at team approach for appropriate cases:

  1. Neurosurgery/Rhinology/Skullbase - Surgical management of skull base malignancies is performed in conjunction with neurosurgical consultation and all cases are performed with a combined team approach with neurosurgical/head and neck surgery/rhinology and sinus services performing respective aspects of the procedure.
  2. General Surgery/Thoracic – Team approach in cases requiring gastric pull-up, omental free tissue transfer, jejunal free tissue transfer, and other issues such as complex repair of extensive abdominal defects after flap harvest, if required. This team also manages advanced esophageal malignancies. In addition thoracic approaches for metastectomy, when indicated are performed by the Thoracic service.
  3. Vascular Surgery - Consulted in all cases of carotid involvement including pre-operative assessment of perfusion, treatment planning, and in cases of intraoperative vascular involvement/injury.
  4. Occuloplastic Surgery/Facial Plastic Reconstructive Surgery – Team approach for complex reconstruction of Mohs defects/malignancies involving aesthetic facial structures.
  5. Plastic/Reconstructive Surgery – Available on a consultation basis for reconstructive/wound healing issues.
  6. Dermatology/Mohs Surgery – Available on a consultation basis for appropriate cutaneous malignancies.
  7. Oral/Maxillofacial Surgery – In addition to being part of the Head and Neck Service, available for reconstructive consultation.

Research

A variety of research opportunities are available to the Head and Neck fellow at Mount Sinai. Both clinical and basic research projects are available to the fellow and he/she may select the area of interest for research. The fellow is expected to prepare a minimum of two research projects for publication per annum. In addition participation in other departmental research activities such as tissue procurement/banking, research consent procedures, and IRB/research meetings are mandatory. The fellow is encouraged (and financial resources are provided) to present research projects at nationally recognized meetings.

For more information about the Head and Neck Oncology/Microvascular Reconstructive Surgery Fellowship, please contact Heather Joseph at 212-241-2258 or heather.joseph@mssm.edu.