Pediatric Otolaryngology Fellowship at Arkansas Children’s Hospital

Arkansas Children’s Hospital is the sixth largest children’s hospital in the United States and accommodates approximately 70,000 inpatients and over 200,000 outpatients per year. The hospital offers primary through tertiary care services in all aspects of pediatric medicine and pediatric subspecialties. ACH is a major teaching affiliate of the University of Arkansas for Medical Sciences. The hospital has expanded rapidly over the past ten years with dramatic growth anticipated in the near future.

The Pediatric Otolaryngology Section at ACH performs over 2,000 operative cases annually. Over 10,000 patients are treated each year in the outpatient ENT Clinic.

This two-year fellowship, established in 1994, is designed to provide the fellow with a broad experience in all areas of pediatric otolaryngology. The unique features of this fellowship include the ability to gain considerable hands-on experience in the repair of cleft lips and palates. Over 100 primary and secondary cleft operations are performed annually at ACH. A large number of pediatric endoscopy cases are also performed for both acute and chronic airway problems. Experience with both laser and open repair of laryngotracheal stenosis may be obtained. Endoscopic sinus surgery for chronic sinusitis in infants and children is performed on a regular basis. Head and neck masses, including lymphatic malformations, branchial cleft cysts, and other benign and malignant tumors, are commonly managed. The fellow will gain experience staffing residents through general ear cases and perform specialized ear procedures such as atresia repair. Experience may also be gained in cleft rhinoplasty, rhinoplasty, aesthetic facial plastic surgery and laser management of cutaneous vascular lesions.

The fellow will be provided the opportunity to operate under the direct guidance of all our staff and will be expected to oversee residents. The fellow will assist in clinic and will have one half-day per week available for administrative and research purposes. The fellow will be provided the opportunity to attend at least one major meeting during the fellowship.

For further information on the fellowship or to obtain an application, please contact:

Dr. Larry Hartzell
Arkansas Children’s Hospital
800 Marshall Street, Little Rock, AR, 72201
(501) 364-7546,  fax (501) 364-4790
email:  Dr. Larry Hartzell

Otology Fellowship at University of Arkansas for Medical Sciences

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 (see examples below)

Clinical Components: The Otology fellow will participate in the following clinical activities under supervision:

  1. Preoperative evaluation/ counseling of surgical patients
  2. Postoperative care of surgical patients
  3. Assisting with evaluation and treatment of all clinic patients at both University of Arkansas for Medical Sciences and Arkansas Children’s Hospital
  4. Inpatient consultations at University of Arkansas for Medical Sciences
  5. Surgical care of patients at all surgical sites

Research Components:

  1. Produce at least one manuscript during training

Participants Supervisory Responsibilities:

  1. Supervise residents in training

Didactic Components: The Otology fellow will attend and present regularly at:

  1.  Weekly M&M , Interesting Cases, Grand Rounds
  2.  Monthly cochlear implant and hearing impairment case conference
  3.  Monthly hearing loss genetics clinic
  4.  Supervise and instruct at the local resident Temporal Bone Dissection Session held monthly
  5.  Participate in the Mid-South Resident Middle Ear & Mastoid Surgery Course
  6.  Organize regular research meeting and cochlear implant journal club

Additional Required Courses:

Institution IRB Training Course
EPIC training

Primary Curriculum Materials:

  1. Tos M – Cartilage Tympanoplasty
  2. Dornhoffer J, Gluth M – The Chronic Ear
  3. Dornhoffer J – A Practicle Guide to the Eustachian Tube
  4. Fisch U, Mattox D. Microsurgery of the Skull Base
  5. Brackmann, Shelton- Otologic Surgery
  6. Niparko J. Cochlear Implants in Adults and Children


Call:
 No ER or Clinical Call
Vacation: 15 hours per month
Salary: PGY6 level
Diploma: Yes

Department Website: http://www.uamshealth.com

Contact: John Dornhoffer, M.D., Professor and Chairman
DornhofferJohnL@uams.edu

Correspondence address:   

John Dornhoffer, M.D.
Hearing and Balance Center
4301 W. Markham St., #543
Little Rock, AR 72205

Phone : 501-686-5140
Fax : 501-686-8029
Email : DornhofferJohnL@uams.edu