Overview
A one-year fellowship in otology is offered in response to the need in otolaryngology for increased clinical competence in otology at the graduating resident level. Most residents feel their clinical skills in surgical and medical otology are limited and, while they do not have aspirations to practice neurotology, they do not feel adequately prepared to confidently offer surgical treatment of chronic ear disease, otosclerosis or feel prepared to establish adult or pediatric cochlear implant programs in their future communities of practice. Most graduating residents also feel under-prepared to manage patients with complaints of vertigo. These concerns can be fully addressed with one additional year of training in a busy otologic practice with a preceptor who has proven teaching ability and is dedicated to creating a rich otologic training experience.
The goal of this one-year fellowship experience is to establish a knowledge base and level of clinical and surgical ability to allow the graduating Fellow to address the above-mentioned problems in independent clinical practice. Specific surgical exposure will focus on the management of chronic ear disease with the use of cartilage tympanoplasty, canal wall down techniques with primary reconstruction and obliterative reconstruction of open cavities. Although there will be some exposure to neurotology and skull base surgical procedures, this is not an accredited Fellowship for those services.
Educational Program
Clinical Components
The Otology fellow will participate in the following clinical activities under supervision:
- Preoperative evaluation/ counseling of surgical patients
- Postoperative care of surgical patients
- Assisting with evaluation and treatment of all clinic patients at both the University of Arkansas for Medical Sciences and Arkansas Children’s Hospital
- Inpatient consultations at the University of Arkansas for Medical Sciences
- Surgical care of patients at all surgical sites
Research Components
- Produce at least one manuscript during training
Participants Supervisory Responsibilities
- Supervise residents in training
Didactic Components
The Otology fellow will attend and present regularly at:
- Weekly M&M , Interesting Cases, Grand Rounds
- Monthly cochlear implant and hearing impairment case conference
- Monthly hearing loss genetics clinic
- Supervise and instruct at the local resident Temporal Bone Dissection Session held monthly
- Participate in the Mid-South Resident Middle Ear & Mastoid Surgery Course
- Organize regular research meeting and cochlear implant journal club
Additional Required Courses
- Institution IRB Training Course
- EPIC training
Primary Curriculum Materials
- Tos M — Cartilage Tympanoplasty
- Dornhoffer J, Gluth M — The Chronic Ear
- Dornhoffer J — A Practical Guide to the Eustachian Tube
- Fisch U, Mattox D. — Microsurgery of the Skull Base
- Brackmann, Shelton — Otologic Surgery
- Niparko J. — Cochlear Implants in Adults and Children
Call: No ER or Clinical Call
Vacation: 15 hours per month
Salary: PGY-6 level
Diploma: Yes
Current Otology Fellow
Apply
Interested candidates must provide the following information:
- One page Personal Statement, describing your interest in the Otology Fellowship and your plans after fellowship
- Three Letters of Recommendation (one letter from Program Director preferred)
- Current CV
- Current Photo
E-mail to Sanderstonij@uams.edu or send by mail to:
Toni Sanders
4301 West Markham Slot 543
Little Rock, AR, 72205
Program Director
David D. Walker, M.D.
Assistant Professor
DDWalker@uams.edu
Program Coordinator
Toni Sanders
sanderstonij@uams.edu
501-686-5017
Department Chairman
John L. Dornhoffer, M.D.
Professor