School of Medicine

Wayne State University School of Medicine

Program Experience

The curriculum consists both of didactic and one-on-one supervision in the clinical arena. The program participant will have an active role in clinical care of the head and neck cancer patient.  Rotations will be established both in medical oncology and in radiation therapy to improve the participant’s background. At the conclusion of the training period the participant should be comfortable in all of the advanced surgical procedures currently performed for the head and neck cancer patient. In addition the participant will have more than superficial understanding of the basic principles of medical oncology and radiation therapy. 

For those participants spending more than 1 year there will be a significant research exposure. The type of research will depend upon the applicant’s interests and abilities. This can extend from additional clinical papers to basic science papers. The program has a long history of successful mentoring of research studies. The didactic components of the program are integrated into the conference schedule of the otolaryngology residency at Wayne State University.

The fellow is anticipated to add to rather than detract from the existing residency program experience. This requires that the fellow be prepared to act more as an instructor as opposed to solely being a student.

Teaching: The fellow will function as a junior faculty member in this role. There will be active interaction with the medical students and residents.  He/she will have a majorole in the Wednesday morning combined modality clinic. In addition to case presentations, the fellow will participate by presenting didactic material during this and other departmental conferences. It is anticipated that the fellow in the operating room will function as a junior attending “taking” a resident through the case where appropriate.

Surgery: The fellow will be exposed to advanced surgical techniques both at the skull base and into the thorax. Microvascular exposure and training is available depending upon the interest of the fellow.

Outpatient Activities: The fellow will not be responsible for his/her own office. He/she will participate in the existing outpatient clinics along with the residents and faculty. The fellow will round in conjunction with the residents on all head and neck patients at Karmanos Cancer Institute. An active teaching role model is anticipated from the fellow.

Outside Rotations: Rotation experience will be provided both in medical oncology and radiation therapy. The medical oncology rotation will consist of four weeks on service. It is anticipated that the fellow will become familiar with currently utilized drugs in the head and neck cancer population and their associated toxicities. The rotation in radiation therapy will be integrated into the surgical aspects of the program. The rationale is to allow the fellow to observe during the different stages of radiation therapy. This will allow the fellow to observe the entire course of therapy. There will be a ten day introductory period to familiarize the fellow with the Department of Radiation Oncology. The fellow then will observe the progress of ten cases. Also during the12 month period, the fellow will attend follow-up clinics on Tuesday afternoon in the Radiation Oncology Center.

Benefits: The fellow will be provided the benefit package associated with the applicable post-graduate year of training.

Evaluations: The participant is evaluated every 6 months following completion of forms by the program faculty.  The participant meets with the program director for a one-on-one conference. During this conference the participant is given an opportunity to critique the program. Current performance as judged by the program faculty is reviewed with the participant. Goals for the next 6 month time period are then set. In addition there is a blinded evaluation submitted by the participant to The American Joint Council. This occurs every 12 months.