The Department of Otolaryngology-Head and Neck Surgery at the Medical University of South Carolina established a one-year fellowship in Neurotology in 2012 under the direction of Ted A. Meyer, M.D., Ph.D., and Paul R. Lambert, M.D., The fellowship provides a comprehensive experience in the following areas of otology and neurotology: audiological testing, management of patients with hearing loss, vestibular testing, management of patients with vestibular disorders, facial nerve disorders, tumors of the cerebellopontine angle and other lateral skull base tumors, temporal bone malignancies, and the management of CSF otorrhea, among others. Salary and benefits are commensurate with a PGY-6 level position. Senior level residents perform the otological surgical cases, and the fellow is expected to assist the faculty in instruction of all levels of residents in appropriate cases in order to maximize resident education and hands on experience. The fellow is expected to be involved with instructing medical students. For complicated and advanced skull base procedures, attending supervision decreases with increasing fellow responsibility as experience and technical skill level and familiarity with the procedures dictates. The fellow is expected to be prepared to undertake the clinical, outpatient, inpatient, and surgical care of patients with complicated neurotological disorders including those requiring surgery of the posterior or middle fossa. This is not an ACGME accredited fellowship position.
Fellows will spend approximately 2 days per week in the OR, 1 day per week in the clinic with Dr. Meyer, and 1 day per week with Dr. Lambert. Experience in audiological and vestibular testing is available through the division of Audiology. The surgical approach to the skull base will be the focus of the first 6 months of the fellowship, and tumor removal with an emphasis on cranial nerve preservation will be the focus of the second 6 months.
One day per week is reserved for research. A wide variety of otologic basic science research opportunities are available to the fellow. Additional material is available for clinical research. Fellows are expected to write 3 manuscripts and give national/regional presentations of their research during the year.
The fellow is expected to attend Temporal Bone Laboratory sessions (3 multi-session blocks per year) and assist with resident instruction. The fellow is expected to attend all Otology and Neurotology resident lectures. The fellow is expected to prepare and present one resident lecture in Otology-Neurotology each semester. In addition, the fellow will serve as a faculty member for the Semi-Annual MUSC Temporal Bone Courses. An eleven station Temporal Bone Laboratory is fully outfitted with video equipment, powered instrumentation, and temporal bone specimens for self-paced dissection, research, and resident education.