Fellowship

The Division’s fellowship program aims to provide the necessary diagnostic, therapeutic, and surgical skills in all aspects of pediatric otolaryngology. This will enable the successful graduate to attain a position in a tertiary-care pediatric institution, managing the full spectrum of pediatric otolaryngologic cases. Fellows will have close interaction with the pediatric ICU and neonatal ICU personnel, as well as experience with our pediatric trauma center.

Fellows are responsible for the ongoing care of hospitalized patients, as well as those seen in their clinic sessions. Attending staff back-up is available for on-call responsibilities as well as emergency surgical cases. The didactic program involves a weekly rotating conference schedule consisting of radiology, pathology, and interdisciplinary group meetings to include a difficult case conference as well as a physician-assistant conference to review otolaryngology topics.

Along with weekly case review and walk rounds with the attending staff, fellows have quarterly dinners at a faculty member’s home to discuss various topics.

Presentation at a national level meeting is expected. Time may be spent with any pediatric, medical or surgical subspecialty service throughout the year to pursue individual interests.

Surgery Experience

The fellows will be exposed to the full complement of procedures performed by pediatric otolaryngologists:

  • Otologic surgery, including cochlear implantation, tympanomastoidectomy for cholesteatoma, tympanoplasty, myringoplasty, ossicular chain reconstruction, and BAHA.
  • Facial plastic surgery, including rhinoplasty, septoplasty for nasal obstruction and nasal deformity, otoplasty, cleft palate repairs, and speech surgery for VPI including pharyngeal flap, sphincter pharyngoplasty, and furlow palatoplasty.
  • Rhinologic surgery, including endoscopic sinus surgery for acute and chronic sinusitis and cystic fibrosis, resection of juvenile nasopharyngeal angiofibroma, choanal atresia repair, piriform aperture stenosis repair.
  • Pediatric head and neck surgery, including thyroidectomy parotidectomy, congenital abnormalities including thyroglossal duct cyst excision and branchial cleft cyst excision, submandibular gland excision, ranula excision, lymph node excision for atypical TB, TB, and lymphoma, and maxillectomy and mandibulectomy for pediatric neoplasms.
  • Laryngologic surgery, including respiratory papilloma experience, excision of congenital anomalies, supraglottoplasty for laryngomalacia, laryngeal cleft injection and repair.
  • Bronchoesophagology, including airway and esophageal foreign body removal, direct laryngoscopy and bronchoscopy.
  • Reconstructive airway surgery, including endoscopic airway repair, endoscopic airway dilatation, laryngeal tracheal reconstructions with anterior and posterior grafts, cricotracheal resections, and slide tracheoplasties.
  • Pediatric sleep surgery, including sleep endoscopy, expansion sphincter pharyngoplasty, tongue base reduction, epiglottopexy, and UPPP.
  • Pediatric skull base surgery, including transphenoidal pituitary resections, endoscopic encephalocele repair, endoscopic resection of sinonasal tumors, and CSF leak repairs.
  • Routine procedures, including adenotonsillectomy and bilateral myringotomy and tube placement
  • Vascular lesion surgery, including sclerotherapy and excision of lesions.

Responsibilities

  • Clinic: ½ day twice a week
  • Monthly involvement with subspecialty clinics for hearing, speech endoscopy, cleft lip and palate, down syndrome, craniofacial and vascular anomalies
  • Monthly multidisciplinary meetings including Pediatric Airway/Aerodigestive team and Cochlear Implant team
  • Research: ½ day per week
  • Resident Supervision: Yes
  • Call Responsibilities: Yes
  • Case Load: Complete pediatric otolaryngology experience

Application/Requirements/Salary & Benefits

  • Application deadline: January 30; Start date: July 1
  • Fellowship duration: 1 year
  • Number of fellows per year: 2
  • University affiliation: University of California, San Diego School of Medicine
  • Licensing requirement: California Medical License
  • Benefits: Medical and liability insurance, hospital dues, meeting travel stipend, medical reimbursement for uncovered expenses, eligibility for university housing on case by case basis, and post graduate course in CREST. (clinical research, ethics, and statistics training)
  • Salary: Commensurate for PGY-6 level

Contact Us

  • Division of Pediatric Otolaryngology
    Co-Director: Shelby Leuin, M.D.
    Email: sleuin@rchsd.org
    Co-Director: Matthew Brigger, M.D.
    Email: mbrigger@rchsd.org
    3030 Children’s Way, Suite 402
    San Diego, CA 92123
    Phone: 858-309-7701
  • Administrative Contact: Rose Chavez
    Phone: 858-576-1700, ext. 6168
    Email: rchavez@rchsd.org