Pediatric Otolaryngology Fellowship

Pediatric Otolaryngology Fellowship
The Children’s Hospital of Philadelphia
The Children’s Hospital of philadelphia
Highlights…
After visiting the Great Ormond Street Hospital for Sick Children in London, Francis West Lewis, MD,
decided to create a hospital in the United States dedicated to finding cures and treating illnesses and injuries
specific to children. He persuaded two friends, T. Hewson Bache, MD, and R.A.F. Penrose, MD, to join him
in the venture. In the Hospital's first year, it had 12 beds and a dispensary, and the physicians served 67
inpatients and 306 clinic patients.
T. Hewson Bache, M.D.
Francis Lewis, M.D.
Since its start in 1855 as the nation's first hospital devoted exclusively to caring for children, The Children's
Hospital of Philadelphia has been the birthplace for many dramatic firsts in pediatric medicine. The Hospital
has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless
children's lives. Over 150 years of innovation and service to our patients, their families and our community,
reflect an ongoing commitment to exceptional patient care.
The Children's Hospital of Philadelphia shares the No. 1 spot on U.S. News & World Report's Honor Roll of
the nation's Best Children's Hospitals. CHOP also ranked first in the nation for neonatology, pulmonology,
and diabetes and endocrinology, and in the top 4 for seven other pediatric specialties ranked by the U.S. News
survey. CHOP was one of only three children's hospitals in the nation to be recognized in the top 4 of all 10
pediatric specialty areas. It is the only hospital in the region to be named to the prestigious U.S. News Honor
Roll.
To create the 2011-12 rankings, U.S. News & World Report surveyed nearly 180 children's hospitals to obtain
clinical data and asked 1,500 doctors in 10 pediatric specialties where they would send the sickest children.
CHOP earned high marks for the quality of its treatment, survival rates, research and other factors. The
hospital was also recognized for its “very strong” reputation with specialists and “superior” nurse-patient
ratios.
R.A.F. Penrose, M.D.
Parents magazine has ranked The Children's Hospital of Philadelphia the best pediatric hospital in the United
States, based on a comprehensive data-based survey. In addition to the overall ranking, Parents magazine
also ranked CHOP's emergency medicine, neonatology and pulmonology divisions No. 1 in the nation. The
Cardiac Center, Cancer Center and orthopaedics division ranked second.
◗ First hospital in the nation devoted exclusively to pediatric medicine, established in 1855.
◗ First formal medical training for pediatric doctors.
◗ First pediatric day surgery unit in the U.S.A.
◗ First to perform neonatal surgery and to establish a pediatric intensive care unit in the U.S.A.
◗ First multidisciplinary homecare program in the U.S.A. for children
who need medical ventilators.
◗ First designated Level I Pediatric Regional Resource Trauma Center
in Eastern Pennsylvania.
◗ First follow-up program from long-term survivors of childhood cancer.
◗ First clinic in the nation for the treatment of childhood speech defects.
◗ First to develop the closed incubator for neonates.
◗ First to develop the balloon catheter for the treatment of certain heart defects.
◗ First to discover the cause of infectious mononucleosis.
◗ First to develop vaccines for mumps, whooping cough and influenza.
◗ First to author a book about Hypoplastic Left Heart Syndrome.
◗ First to develop a unique acute insulin response test to diagnose patients with focal
lesions of congenital hyperinsulinism that can be cured by surgical intervention.
◗ First to develop a Family Faculty Program in which adult family members
teach physicians and staff about the experience of illness.
◗ First to offer subspecialty training in Pediatric Emergency Medicine.
The Children’s Hospital
of Philadelphia’s
Ambulatory Network
Division of Otolaryngology
Our reputation as one of the leading
pediatric otolaryngology centers in the
U.S. attracts families from across the country
and around the world. In FY11, we treated
patients in more than 36,578 office visits and
performed 9,494 surgeries, including a large
group of children who required surgery for
chronic airway disorders and chronic ear
disease and the largest population of patients
with congenital cholesteatoma in the reported
world literature.
Along with our colleagues in the Departments of
Audiology and Speech Therapy in the Center
for Childhood Communication, we evaluate and
treat children with hearing loss and have active
cochlear implant and BAHA™ programs. We
provide care for children and teenagers at our six
satellite specialty care centers in Pennsylvania at
Exton, King of Prussia and Bucks County
(Chalfont) and in New Jersey at Mays Landing
(Atlantic City), Princeton and Voorhees, as well
as at the Main Campus of The Children’s
Hospital of Philadelphia in University City.
Programs and Services:
Center for Pediatric Airway Disorders.
Co-directed by Drs. Ian Jacobs and Karen Zur,
our Airway Program offers a comprehensive
evaluation in a single visit for children with
complex airway problems, such as subglottic
stenosis and chronic tracheotomy. Our team of
airway
surgeons,
nurse
practitioners,
pulmonologists, respiratory therapists, and
feeding and speech pathologists provide special
needs patients with the highest quality of care
and service.
Cochlear Implant Program/Audiology.
In addition to participation in the cochlear
implant procedures in the operating room, the
fellows are afforded an opportunity during one
month of the first year and throughout the
second year to observe the methods of
evaluation of the steps in management of
hearing loss through the Audiology Department.
The Pediatric Voice Program, under the
directorship of Dr. Karen B. Zur, provides
comprehensive evaluation and excellent voice
care for children with pathology of the larynx
and trachea affecting voice production; to
advance the understanding of causes, treatment
and prevention of voice disorders; and to
promote optimal therapeutic paradigms to aid
in vocal rehabilitation of voice-impaired
children. A myriad of conditions leading to
pediatric voice disorders are diagnosed
and managed by this team of
professionals, including: vocal fold
LEHIGH
paralysis, benign lesions of the
larynx, dysphonia following
surgical airway reconstruction
BERKS
and vocal fold dysfunction (VCD).
The Complex Head-andNeck/Skull-Base Lesion
Clinic, under the directorship of
Ken Kazahaya, MD, MBA,
provides new and follow-up
patients
with
complex
pathology a comprehensive
evaluation and treatment
strategy. Conditions managed
include head and neck tumors, temporal
bone and skull-base lesions, and
cerebrospinal fluid leaks.
We’re the nation’s first children’s hospital and the
nation’s largest comprehensive pediatric healthcare
network, with facilities throughout Southeastern
Pennsylvania, New Jersey and Delaware.
NORTHAMPTON
WARREN
HUNTERDON
SOMERSET
Princeton
Bucks County/Chalfont
MIDDLESEX
MERCER
MONTGOMERY
BUCKS
King of Prussia
MONMOUTH
(Children’s Hospital Home Care)
CHESTER
Exton
PHILA.
OCEAN
DELAWARE
BURLINGTON
GLOUCESTER
Voorhees
CAMDEN
NEW CASTLE
SALEM
ATLANTIC
Atlantic County
Atlantic City/Mays Landing
CUMBERLAND
Craniofacial Clinic. Held in
conjunction with the Division of Plastic
and Reconstructive Surgery, this CHOP clinic
meets on a monthly basis and is attended by the
second-year fellow who participates according
to the patients’ otolaryngologic issues.
CAPE MAY
Group Practice Clinic. This clinic is staffed
by Dr. William P. Potsic, an additional attending
on a rotating basis, two nurse-practitioners, two
first-year fellows, one resident and the
occasional medical students. This weekly clinic
is based upon graduated responsibility; it is
designed to allow the fellows to see the
attendings’ clinical management styles and then
develop their own care routines while taking
responsibility for the patients they see and
remain within the safety of the regulations set
forth by the ACGME.
A broad network.
Travel Distances:
To King of Prussia ..................................19 Miles
To Exton ....................................................32 Miles
To Bucks County/Chalfont....................36 Miles
To Voorhees ................................................18 Miles
To Princeton ..............................................47 Miles
To Atlantic City/Mays Landing ........48 Miles
The CHOP Program Highlights
The CHOP Program Highlights
Two fellowship tracks are offered each year — a one-year and a two-year position.
The first year of fellowship is accredited by the ACGME. Candidates must meet the following
requirements for eligibility:
1. Have successfully completed a residency in otolaryngology in either the United States
or Canada and be eligible to sit for either the American Board of Otolaryngology
examination or the certifying examination of the Royal College of Surgeons (Canada)
2. Have obtained a license to practice medicine in the Commonwealth of Pennsylvania
The Fellowship Tracks
Academic Roles. First-year fellows participate
in 11 months of on-service time and one month
of off-service time for outpatient satellite
clinic care, an audiology rotation and
preparation for the national board exams. The
fellows give an introductory lecture on pediatric
otolaryngology to the third-year medical
students one or twice monthly. The fellows also
assist the residents with inpatient service
management and provide operative teaching.
Room, board and tuition are provided for
first-year fellows to attend a four-day temporal
bone course (at either House Ear Institute in Los
Angeles or at the Michigan Ear Institute in
Detroit). Expenses are also paid for first-year
fellows to attend a three-day endoscopic sinus
surgery course or a visiting mini-fellowship
in endoscopic sinus surgery at the University
of Pennsylvania.
Second-year fellows participate in a maximum of
five months of dedicated research time, two
months of on-service time and five months of
elective time. Second-year fellows also attend a
tuition-paid, two-week management course at the
University of Pennsylvania’s Wharton School of
Business. This year is purposely flexible to allow
the fellow to pursue and develop his academic
and/or clinical interests and to take maximum
advantage of the rich clinical and research
opportunities at CHOP.
All fellows are encouraged to participate in
clinical or basic science research with the goal of
poster or podium presentation at any of the four
major annual meetings: the American Academy
of Otolaryngology — Head and Neck Surgery
(AAO-HNS) meeting in the fall; the Society for
Ear, Nose and Throat Advancements in
Children (SENTAC) in the winter; the
American Society of Pediatric Otolaryngology
(ASPO) in the spring; and the Pennsylvania
Academy of Otolaryngology – Head and Neck
Surgery (PAO-HNS) in the summer.
room and board for meetings in which the
fellow is an active participant, as approved by the
division chief. If the fellow is not presenting, one
meeting per year is allowed.
Professional Liability Insurance. Children’s
Hospital, which is self-insured, provides full
malpractice coverage throughout the duration of
the fellowship.
Call Responsibilities & Duty Hours.
The on-service (generally first-year) fellows take
secondary at-home call every other night and
every other weekend, with support from the
University of Pennsylvania general otolaryngology
residents. With the exception of extraordinary
circumstances, such as during the resident
in-service examination, fellows do not take any
in-house call. As per ACGME requirements, the
work week is limited to 80 hours of clinical and
academic duties, as averaged over four weeks.
Fellows have at least one day a week off from all
duties, as averaged over four weeks. Qualified
faculty members must supervise all patient care.
Salary & Benefits. Medical, dental and
malpractice insurance benefits are provided
through CHOP. The salary for FY12 is $67,870 for
first-year fellows, and second-year fellows receive a
3 percent to 5 percent increase, determined
annually, according to cost-of-living increases. Four
weeks of vacation time are permitted per year;
additional time is allotted for job interviews.
Conference Travel & Allowance. The
division pays for room, board and tuition for the
courses fellows attend. The division also pays for
Your role with us.
Medical & Dental Insurance. Multiple
insurance programs are available to incoming
fellows, allowing them to tailor coverage benefits
to suit their individual circumstances.
Housing. There is a wide range of affordable
housing options throughout the city and suburbs,
all with convenient access to the Hospital
through public transportation. Some helpful sites
on the Internet for housing resources include:
http://www.business-services.upenn.edu/offcampusliving
http://www.upenn.edu/offcampusservices
http://www.philadelphiaweekly.com/classifieds_online
http://www.philadelphiaweekly.com/classifieds_online
FACULTY & STAFF
Ralph F. Wetmore, MD
Chief
Residency: University of Pennsylvania School of
Medicine, 1978–81
Interests: Sleep-disordered breathing
William P. Potsic, MD, MMM
Vice Chairman for Clinical Affairs
Director of Ambulatory Surgical Services,
Department of Surgery
Residency:
Otolaryngology, University of Chicago, 1970–74
Interests: Pediatric ear disorders and education
Steven D. Handler, MD, MBE
Endowed Chair and Senior Surgeon
Residency: UCLA School of Medicine, 1972-77
Interests: Computerized medical record-keeping and
medical ethics
Karen B. Zur, MD
Director, Pediatric Voice Program
Associate Director
The Center for Pediatric Airway Disorders
Residency: Mt. Sinai Medical Center, 1999–2003
Fellowship: Cincinnati Children’s Hospital Medical
Center, Pediatric Otolaryngology, 2003–05
Interests: Pediatric voice and airway disorders, surgical
reconstruction and voicing issues, LTR pathology research
Brian P. Dunham, MD
Residency:
Johns Hopkins Hospital/School of Medicine, 1998–2005
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 2005–07
Interests: Otology/Skull-Base surgery, cochlear
implantation, medical illustration
Mark D. Rizzi, MD
Residency: Cleveland Clinic, 2002-07
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 2007–08
Interests: Medical and surgical management of pediatric
sinonasal disorders
Lawrence W. C. Tom, MD
Luv R. Javia, MD
Residency: University of Pennsylvania School of
Medicine, 1977–80
Fellowship: University of Illinois (with Eugene Tardy,
MD) Facial Plastic Surgery, 1981
Interests: Pediatric sinonasal disorders
Residency:
University of Pennsylvania School of Medicine, 2004-08
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 2008–10
Interests: Pediatric airway disease and reconstructive
surgery, cochlear implantation and otology/neurotology
Ian N. Jacobs, MD
Director, The Center for Pediatric Airway
Disorders
Steven E. Sobol, MD, MSc, FRCS(C)
Fellowship Program Director
Residency: Mt. Sinai Medical Center, 1987–91
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 1991–92
Interests: Pediatric airway disorders and reconstructive
surgery
Residency: McGill University, 1997-2002
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 2002-04
Interests: Pediatric airway disease and reconstructive
surgery
Lisa M. Elden, MSc, MD, FRCS(C)
Surgical Director, Pediatric Sleep Disorders
E. Bryan Crenshaw, PhD
Director of Basic Science Research
Residency: University of Toronto, 1990–94
Fellowship: Children’s National Medical Center,
Pediatric Otolaryngology, 1994–95
Interests: Ear disease
PhD, University of California, San Diego, 1989
BS, Massachusetts Institute of Technology, 1982
Ken Kazahaya, MD, MBA
Associate Division Director
Director, Skull-Base Surgery Program
Medical Director, Cochlear Implant Program
Director, ORL Resident Education
Linda Miller Calandra, MSN, CRNP, CORLN
Division Manager
Nurse Practitioner Manager
MSN, .CPNP, University of Pennsylvania, 1984-86
BSN, University of Delaware, 1975-79
Residency: University of Pennsylvania School of
Medicine, 1994–98
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 1998–2000
Interests: Otology, skull-base surgery, cochlear
implantation, facial and plastic reconstructive surgery
John A. Germiller, MD, PhD
Director, Pediatric Otolaryngology Clinical
Research
Residency: University of Michigan, 1999 – 2003
Fellowship: The Children’s Hospital of Philadelphia,
Pediatric Otolaryngology, 2003 – 05
Interests: Childhood deafness, congenital anomalies of
the head and neck
Beth Ann McCullough
Academic/Faculty Coordinator
BA, Holy Family University, 1997
Philadelphia Living
Philadelphia Living
NURSE PRACTITIONERS
Linda Miller Calandra, MSN, CRNP, CORLN
Manager
Jennifer Spellman, MSN, CRNP, CORLN
Terri Giordano, MSN, CRNP, CORLN
Anne L. DeLeo, MSN, CRNP, CORLN
Kathy Wieliczko, MSN, CPNP
Kim Giordano, MSN, CRNP, CORLN
Betsey Kim, MSN, CPNP, CORLN
Grace G. Hyun, MSN, CRNP, CORLN
De'Shon Toner, MSN, CRNP
Nadine Nardello, MSN, CRNP, CORLN
Jacqueline Liberati Barquet, MSN, CRNP, CORLN
Julie R. Chiappa, MSN, CRNP, CORLN
Komal P. Patel, MSN, CRNP, CORLN
Jennifer p. Yakupcin, MSN, CPNP
Kellye O. Jones-Ho, MSN, CRNP
Anita Romero, MSN, CRNP
Joanne Stow, MSN, CRNP, CORLN
Bonnie Choi, MSN, CRNP
Peggy M. Dezzi, MSN, CRNP
Jana L. Bradley, MSN, CRNP
Katherine Hanlon, MSN, CRNP
Abagail K. Vanaskie, MSN, CPNP
Kate Ammon, MSN, CRNP
Rosemary Patel, MSN, CRNP
PHYSICIAN ASSISTANT
Katie Tokarsky, MMS, PA-C
TRIAGE NURSES
Christine Heller-Prout, RN, CORLN
Amy McGinley, RN
RESEARCH STAFF
E. Bryan Crenshaw, III, PhD
John A. Germiller, MD, PhD
The Philadelphia area provides a wide range of housing options, from modern apartments
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It offers great programs for children, as does the Please Touch Museum.
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Useful Philadelphia Visitor Websites:
At the heart of it all.
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Beth Ann McCullough, Academic Coordinator
The Children’s Hospital of Philadelphia
Richard D. Wood Center, First Floor
34th Street and Civic Center Boulevard | Philadelphia, PA 19104
Office: 215-590-1582 | Fax: 215-590-3986
[email protected]