Neurotology Fellowship
Mission & Vision
Committed to excellence and proud of the diversity of our University of Miami/Jackson Health System family, we strive to develop future national and international leaders in neurotology. Our mission is to educate and nurture medical students, residents and fellows; create diverse knowledge-based learning opportunities and provide service to our community and beyond. As one of the busiest neurotology programs in the country, we seek to accomplish this by providing the fundamental training necessary to empower our graduating fellows to pursue their desired professional careers.
Mission & Vision
Committed to excellence and proud of the diversity of our University of Miami/Jackson Health System family, we strive to develop future national and international leaders in neurotology. Our mission is to educate and nurture medical students, residents and fellows; create diverse knowledge-based learning opportunities and provide service to our community and beyond. As one of the busiest neurotology programs in the country, we seek to accomplish this by providing the fundamental training necessary to empower our graduating fellows to pursue their desired professional careers.
Program Director’s Welcome
The University of Miami/Jackson Health System Neurotology Fellowship Program and Department of Otolaryngology-Head and Neck Surgery provides advanced education in the diagnosis and management of disorders of the ear, skull base, temporal bone and related anatomical structures. As a two-year endeavor, our program ensures that concentrated time is available for fellows to develop advanced diagnostic expertise and advanced medical and surgical management skills for the care of diseases and disorders of cranial nerves (disorders of the acoustic and vestibular nerves, facial nerve); inner, middle and outer ear; mastoid, petrous apex and adjacent skull base.
Program Director’s Welcome
The University of Miami/Jackson Health System Neurotology Fellowship Program and Department of Otolaryngology-Head and Neck Surgery provides advanced education in the diagnosis and management of disorders of the ear, skull base, temporal bone and related anatomical structures. As a two-year endeavor, our program ensures that concentrated time is available for fellows to develop advanced diagnostic expertise and advanced medical and surgical management skills for the care of diseases and disorders of cranial nerves (disorders of the acoustic and vestibular nerves, facial nerve); inner, middle and outer ear; mastoid, petrous apex and adjacent skull base.
Our fellows perform numerous cases annually covering a wide range of temporal bone and lateral skull base conditions. Neurotology fellows have the opportunity to collaborate closely with faculty, residents and fellows from multiple related specialties including audiology; biomedical engineering; diagnostic radiology; genetics; head and neck surgery; neurosurgery; plastics and reconstructive surgery and radiation oncology, among others. Many of our faculty have joint appointments in neurosurgery and other departments, facilitating interdisciplinary collaborations.
We have an active international educational program and fellows have the opportunity to interact with professionals from around the world.
Fellows have unlimited access to our state-of-the-art microsurgical training facility to perform cadaveric dissections, demo new surgical products and participate in ongoing training courses as attendants and proctors. Our graduates count themselves amongst the most, well-trained neurotologists in the country, and express that they feel aptly prepared and confident entering the workforce with the skills and expertise acquired over the course of our program.
Jackson Memorial Hospital is a large, university-affiliated county hospital and is the perfect sponsor for your fellowship training. We are also associated with several other clinics and hospitals to broaden your training experience.
The surroundings in which you train are an important aspect of selecting a fellowship program and Miami is a wonderful place both to live and work. Situated in one of the world’s premier destinations, we invite you to come see for yourself why patients, faculty and students from across the country and world are drawn to Miami and the Jackson Health System.
We appreciate your interest in our program and look forward to showing you what makes us so proud of the University of Miami/Jackson Health System Neurotology Fellowship Program.
-Simon I. Angeli, MD
Description
We have an active international educational program and fellows have the opportunity to interact with professionals from around the world.
Fellows have unlimited access to our state-of-the-art microsurgical training facility to perform cadaveric dissections, demo new surgical products and participate in ongoing training courses as attendants and proctors. Our graduates count themselves amongst the most, well-trained neurotologists in the country, and express that they feel aptly prepared and confident entering the workforce with the skills and expertise acquired over the course of our program.
Jackson Memorial Hospital is a large, university-affiliated county hospital and is the perfect sponsor for your fellowship training. We are also associated with several other clinics and hospitals to broaden your training experience.
The surroundings in which you train are an important aspect of selecting a fellowship program and Miami is a wonderful place both to live and work. Situated in one of the world’s premier destinations, we invite you to come see for yourself why patients, faculty and students from across the country and world are drawn to Miami and the Jackson Health System.
We appreciate your interest in our program and look forward to showing you what makes us so proud of the University of Miami/Jackson Health System Neurotology Fellowship Program.
-Simon I. Angeli, MD
Fast Facts
Accreditation
Accreditation Council for Graduate Medical Education
Number of Fellows per Year?
1
(every other year)
Duration of Fellowship?
2 years
Clinical Experience
Overview
Fellow education is a clear priority for the University of Miami/Jackson Health System Neurotology Fellowship Program. Each fellow has protected study and research time one day per week. The journal club schedule is planned for the year and will cover level-appropriate discussions regarding all aspects of neurotology. The fellow should coordinate weekly journal club conferences, including choosing the theme and the articles for discussion. In addition, faculty provides smaller group didactic sessions which occur on a daily-weekly basis depending on the rotation and specialty. Daily one-on-one intraoperative teaching is also stressed. Frequent use of the fully equipped microsurgery and simulation lab is one of the best education tools our program offers.
The department enjoys a very active visiting professor lecture program, with many prominent speakers featured throughout the year. Grand rounds and case conferences occur weekly.
Fellows are expected to engage in hypothesis-driven research in either basic sciences or clinical research, present at national and international conferences, and submit at least one to two papers for publication, per year.
The fellow should be proficient in the medical and surgical management of Meniere’s disease and other peripheral vestibular disorders, including analyzing the clinical data; differential diagnosis and formulating a treatment plan; prescribing medical therapy; recommending surgery when indicated and referrals to vestibular rehabilitation.
In addition to our department’s clinical and research programs in genetic hearing losses, fellows are encouraged to attend the cranial facial conferences at the Nicklaus Children’s Hospital during which many genetic disorders related to the temporal bone are discussed.
In a graduated fashion, the fellow is allowed to perform more of each surgical procedure in patient care. By the end of the first year, the fellow should have a general understanding of all the educational goals and objectives and should be well on their way to mastering these. The fellow should demonstrate a growing level of independence in clinical patient care, general otology cases and the approaches to skull base tumors.
Year 2
Procedural goals and objectives of the second year, include, but are not limited to:
Neurotology Procedures:
Acoustic neuroma tumor dissection; approaches to the lateral skull base including to the jugular foramen, petroclivus; closure of CSF leak and dural repair; collaborating with neurosurgery and microvascular surgeons on free flap reconstruction of defects; facial nerve anastomosis and repair procedures; reconstruction of temporal bone defects and vestibular nerve section.
Otology Procedures:
Canal wall up and canal wall down mastoidectomy; cochlear implantation (complex obliterative cases, congenital malformations), ear canal reconstruction in atresia of ear canal; meatoplasty and subtotal petrosectomy.
Diagnostic Oriented Learning:
Fellows will continue their understanding of advanced and investigational diagnostic modalities, including central auditory testing, functional MRI, MR angiogram/venogram and newer vestibular function testing paradigms.
Diagnostic Characteristics of Unusual Temporal Bone and Skull Base Neoplasms:
Cancer of the ear canal; chondrosarcoma; chordomas; endolymphatic sac tumors; hemangioma; neoplasms of the middle ear and tumors of the lower cranial nerves.
Neurologic Disorders Affecting the Temporal Bone and Related Structures:
Cerebrovascular (arterial stenosis, microvascular compression, vascular malformations, venous occlusion); migraine and multiple sclerosis.
Your Faculty
Simon I. Angeli, MD
Director, Neurotology Fellowship Program
Professor
Adrien Eshraghi, MD
Professor
Michael Hoffer, MD
Professor
Fred Telischi, MD, FACS
Chairman, Department of Otolaryngology
Christine Dinh, MD
Assistant Professor
Notable Alumni
Kevin D. Brown, MD, PHD
2009
Associate Professor and Chief, Division of Otology/Neurotology, University of North Carolina School of Medicine
Daniel Jethanamest, MD
2013
Assistant Professor and Director, Otology, Neurotology and Skull Base Surgery, NYU Langone Medical Center
Kevin D. Brown, MD, PHD
2009
Associate Professor and Chief, Division of Otology/Neurotology, University of North Carolina School of Medicine
Daniel Jethanamest, MD
2013
Assistant Professor and Director, Otology, Neurotology and Skull Base Surgery, NYU Langone Medical Center