With three fellowship-trained rhinologists on faculty, the rhinology fellowship at Loma Linda is designed to provide advanced training in medical and surgical management of diseases of the nose and paranasal sinuses, as well as otolaryngic allergy techniques. The fellow will develop competence in tertiary-level computer-assisted endoscopic surgery for chronic rhinosinusitis, anterior skull base disease and nasal obstruction. Mastery of medical management of sinonasal disease including allergy skin testing and immunotherapy will be emphasized. The fellow will also be introduced to rhinology practice management skills including including rhinology coding and organization of an otolaryngic allergy practice.
The goals for the fellow are to be able to proficiently perform preoperative evaluation and postoperative care. Surgically, the fellow must be able to perform and understand the different endoscopic and open sinus and nasal procedures presenting to a tertiary rhinology center, including frontal and sphenoid dissection, endoscopic resection of skull base tumors, and nasal obstruction surgery. The fellow should complete an estimated 200+ procedures with the faculty and on their own. The fellow should demonstrate mastery of the concepts of otolaryngic allergy through completion of skin testing and initialization of immunotherapy of an estimated 50+ patients in coordination with the otolaryngic allergy staff. The fellow will also demonstrate understanding of emerging rhinologic concepts through clinical research and preparation of manuscripts in cooperation with staff.
The fellow will divide his time between assisting the 3 attending staff in clinic and in the operating room (4 days per week) and in his own clinic and OR time (1 day per week). While in clinic the fellow will become competent in office procedures and medical management techniques including nasal endoscopy and allergy testing. In the operating room, the fellow will function as a first assistant in cases with the attending, sharing the case with any resident assigned to the service. The fellow will assist in resident and medical student education through lectures (approx 3-4/year) and clinical teaching. The fellow will be encouraged to attend the spring and fall meetings of the American Rhinologic Society and attend the basic course of the American Academy of Otolaryngic Allergy. The attending staff will provide the fellow with at least 1 hour per week of fellowship-level didactic training.
Residents interested the fellowship should register at www.sfmatch.org.