Department of Otolaryngology Rhinology Fellowship


Department of Otolaryngology
Rhinology Fellowship

sinus center

Rhinology Fellowship Program Director:
Stilianos E. Kountakis, M.D., PhD., F.A.C.S

History

The Medical College of Georgia (MCG) Department of Otolaryngology has a great history and tradition in Rhinology. Under the direction of Dr. Frederick Kuhn in the early 1990s, the Rhinology fellowship achieved national and international recognition. It was during this time that the diagnostic criteria for Allergic Fungal Sinusitis were formulated and published. Since its inception in 1992 and until Dr. Kuhn left MCG for private practice in 1996, 4 fellows were trained in the program. One of them, Dr. Michael Sillers, is currently an associate professor and director of Rhinology at the University of Alabama Birmingham. Another, Dr. Martin Cidarti, is the chairman at UT-Houston.

The program became quiescent after Dr. Kuhn's departure until Dr. Stil Kountakis was recruited in 2003 to revive the division of Rhinology and the Rhinology Fellowship. Dr. Kountakis was an associate professor and director of Rhinology at the University of Virginia in Charlottesville, Virginia. With his arrival as a Professor, and Vice Chair of the Department of Otolaryngology and the Director of Rhinology at MCG, the Rhinology division and fellowship program were revived.

Since 2003, the Division of Rhinology has continued to grow, and continues to offer an ever improving surgical experience to our fellows that is second to none. This is accomplished in an ideal atmosphere with primary fellow involvement under faculty supervision. In 2011, the Medical College of Georgia was renamed Augusta University, with the medical school retaining the MCG name. The great Rhinology tradition at Augusta University and the Medical College of Georgia continues to thrive.

Description and Prerequisites

The Rhinology fellowship is a one year fellowship with a tentative start date of July 1st each year.

Applicants with one of the following qualifications are eligible for appointment to the Georgia Regents Rhinology Fellowship:

  1. Board eligible/Board certified Otolaryngologists in the United States.
  2. Graduates of Otolaryngology Residency Programs outside the United States and Canada who meet the following qualification: Have received a current valid certificate from the Educational Commission for Foreign Medical Graduates.

Fellows will be selected based on their ability and knowledge within the field of Otolaryngology and Rhinology. There is specifically no discrimination on the basis of age, sex, ethnic background, religious beliefs, or sexual orientation. Recognizing the superb academic opportunities available within the department, and the institution at large, Augusta University particularly encourages applications from individuals with an interest and a proven track record of excellence in scholarly pursuits. All applications received by Augusta University are independently reviewed by at least two faculty members, and decisions regarding interviews are made by consensus.

Interested applicants should contact:

Stil Kountakis, MD, PhD
Professor and Chairman Department of Otolaryngology-Head and Neck Surgery
Augusta University
1120 Fifteenth Street
Augusta, Georgia 30912-4060
Phone: 706-721-6100
Fax: 706-721-0112

Goals and Objectives

The objective of this one-year fellowship is to provide a broad experience in the clinical and basic science aspects of Rhinology to interested and qualified applicants. Through our fellowship training we will help establish leaders in the field who will help to improve current standards of patient care, educate others, and perform research. This program is to be carried out in such a way so as not to adversely affect the current resident training experience. The fellowship is designed to provide excellent training in chronic rhinosinusitis, functional endoscopic sinus surgery, revision endoscopic sinus surgery, frontal sinus surgery including the endoscopic modified Lothrop procedure, image guided sinus surgery, allergic fungal rhinosinusitis and endoscopic management of anterior skull base defects and tumors.

Program Certifications

This Rhinology Fellowship is a non-accredited program affiliated with the Department of Otolaryngology at Augusta University and its accredited residency program. As of today, there are no ACGME accredited Rhinology fellowship programs in the United States.

Resources

Teaching staff:

Stil Kountakis, MD, PhD,
Director, Division of Rhinology and Rhinology fellowship
Professor and Chairman, Department of Otolaryngology
Medical College of Georgia.

Bill Dolen, MD
Professor of Medicine and Pediatrics
Director of Allergy and Immunology
Augusta University.

Facilities

The fellow spends time in three hospitals:

As the teaching hospital of Georgia Health Sciences University and the Medical College of Georgia, the MCGHealth Hospitals and Clinics include a 520-bed hospital, Medical Office Building with over 80 outpatient clinics in one convenient setting, Specialized Care Center housing a 13-county regional trauma center, Comprehensive Cancer Program, Emergency and Express Care Services.

The Children's Medical Center has 149-beds, including one of five Neonatal Intensive Care Units in the state. Please see the CMC Orientation for Surgeons at:

The Charlie Norwood Augusta VAMC primary service area includes 17 counties in Georgia and seven counties in South Carolina; but as a member of the Atlanta Veterans Integrated Service Network (VISN7), veterans who live as far away as Alabama may be cared for in the Augusta VAMC. The Downtown Division adjacent to Augusta University has 155 beds (52 medicine, 37 surgery, six neurology, and 60 spinal cord injury).

Educational Programs

Clinical

The fellow participates “hands on” in all rhinology clinics and in the operating room. The Fellow's clinical schedule mirrors that of Dr. Kountakis. Specifically, the fellow receives clinical training during 4 rhinology half-day clinics per week and in the operating room twice per week. Additional clinical teaching takes place during hospital rounds on rhinology patients and during the care of emergency rhinology cases. The fellow is clinically involved in call from home in the rotation of Dr. Kountakis taking call (approximately 1 week in 7).

Research

The fellowship provides numerous opportunities for clinical and basic science research in the areas of allergic fungal rhinosinusitis, hyperplastic sinusitis-nasal polyposis, microbiology of sinus infections and clinical/surgical outcomes. Fellows are encouraged to develop research proposals under the direction of the fellowship director with full Department funding available to support travel to present work at the major meetings of the American Rhinologic Society, the American Academy of Otolaryngology-Head and Neck Surgery and the Triologic Society.

Fellow Supervision and Patient Care Responsibilities

Fellows are closely supervised during the first quarter of the Fellowship. As the fellow matures, patient care independence is allowed, still under the supervision of the fellowship director. At the completion of fellowship, the fellow is able to evaluate and manage all medical disease related to the nasal cavity and paranasal sinuses.

Fellow Patient Care Responsibilities:

    • See and evaluate rhinology patients in the rhinology clinics.
    • Supervise the preparation process for patients requiring rhinologic surgery.
    • Participate in rhinology cases in the operating room.
    • Round on in-hospital rhinology patients twice daily.
    • Supervise otolaryngology residents on the rhinology rotation.
    • Participate in the care of emergency rhinology patients.
    • Procedural Requirements

The following procedures are performed during the fellowship:

Endoscopic ethmoidectomies: 100
Endoscopic middle meatal antrostomies: 100
Frontal sinusotomies: 50
Sphenoidotomies: 50
Nasal polypectomies: 25
Benign tumors of the anterior skull base: 5
Cerebrospinal fluid rhinorrhea repair: at least 3
Image guided sinus surgery: 25
Other endoscopic procedures

Didactic Components

    • Attend all department conference(s) pertaining to Rhinology.
    • Assist in implementation of annual CME program.
    • Give 2 department otolaryngology resident lectures/year. Lecture topics include: Allergic Fungal Sinusitis, Nasal polyposis, Frontal Sinus disease and Chronic Sinusitis: Evaluation, Management and Treatment Outcomes.
    • Serve as a peer reviewer of a minimum of 4 journal articles per year.
    • Attend otolaryngology journal club every month and proctor rhinology papers being discussed.
    • Supervise all use of Rhinology laboratory dissection materials
    • Attend all otolaryngology grand rounds.
    • Attend all tumor board conferences where lesions of the nose sinuses and anterior skullbase are presented

Evaluations

Fellow Evaluation

The fellow will be evaluated on the follow items using a scale from 1 to 5, 1 being the lowest or very poor performance and 5 being the highest or excellent performance:

    • Patient care - compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
    • Practice-based learning and improvement - involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care
    • Interpersonal and communication skills - that result in effective information exchange and teaming with patients, their families, and other health professionals
    • Professionalism - as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
    • Systems-based practice - as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value

Faculty Evaluation

The fellow provides verbal and/or written meaningful feedback to the director of fellowship regarding ways of improving the quality and effectiveness of the fellowship.