Department of Otolaryngology-Head & Neck Surgery

College of Medicine
King Saud University
Riyadh, Saudi Arabia

FELLOWSHIP IN HEAD & NECK, ONCOLOGY

RECONSTRUCTION & SKULL BASE SURGERY
(TWO-YEAR PROGRAM)

1 2-year H&N Surgery Fellowship

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 King Saud University
College of Medicine
ORL-Head & Neck Surgery Department

Introduction:

Combined King Saud University and King Fahad Medical City Fellowship in
Head and Neck Oncology Reconstruction and Skull Base Surgery with 2years
program.

Through strong Government support and many highly-qualified professionals

and administrators, the King Saud University has supplied the Saudi society
with invaluable services and served as a constant and generous source for
skilled professionals and academics needed to meet the nation’s growing
demands in all fields of life including medicine, engineering, agriculture,
science, development etc.

The role of King Saud University is not limited to teaching and research, but it
extends its practical and vital academic functions to the development of Saudi
health care including meeting the needs of the private sector. The developments
of such services are essential components of King Saud University’s
comprehensive development plans.

The KSU offers free health services, vital to any society, via King Abdulaziz
University Hospital (KAUH) and King Khalid University Hospital (KKUH).
The KAUH has been serving the public for over 40 years and KKUH for more
than 25 years. Having served more than two million patients, the two hospitals
provide highly skilled internationally acclaimed specialists who offer services of
high quality and expertise; and provide the Saudi community with a locally
accessible high standard service as an alternative to the previously common
practice of going abroad for seeking treatment.

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Name of the Program

2-year Combined King Saud University and King Fahad Medical City
Fellowship in Head and Neck Oncology Reconstruction and Skull Base
Surgery

GOALS AND OBJECTIVES OF THE TRAINING PROGRAM

General Guidelines

1. The duration of this sub-specialty training program is full time 2 years.

st
2. The start date of the fellowship program is the 1 working day of January
each year.
th
3. The application deadline is on 15 of August

General Objectives:
The 2-year Combined King Saud University and King Fahad Medical City
Fellowship in Head and Neck Oncology, Reconstruction and Skull Base
Surgery is designed to provide advanced training in head and neck surgery for
the interested individuals particularly to those who have a special interest in
head and neck oncology surgery and reconstruction and skull base. The trainee
will be exposed to full range of the clinical problems encountered in a tertiary
head and neck oncology practice and learn a comprehensive multidisciplinary
approach in their management.

Upon completion of a two-year fellowship, the surgeon will possess the

following characteristics:
a) Expertise in the multidisciplinary management of patients with head and
neck cancer.
b) Knowledge and skills in skull base surgery, reconstruction and skull Base
c) Expertise in conservation surgical procedures
d) Judgment and ability to perform complex tumor resections and an
understanding of the technical limitations of the procedures.
e) Knowledge and skills in microvascular free flap reconstruction,
f) Broad-based knowledge and comprehension of principles of: radiation
oncology, medical oncology, maxillofacial prosthetics, oncologic
nutrition, head and neck pathology, diagnostic radiology, nuclear
medicine and rehabilitation of speech and swallowing.

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 g) Comprehension of head and neck cancer biology.
h) Appreciation of scientific methodology, study design, clinical trials and
data analysis.
i) Ability to practice effectively in an academic, tertiary care setting and to
participate in medical education and research.

Resources and Facilities

The two years training will be conducted at King Abdulaziz University Hospital
(KAUH), the official and prime teaching Institution of the University’s sub-
specialty Fellowship and the King Fahad Medical City (KFMC),

The KAUH is the location of the Head and Neck Oncology Section of the
Department of Otolaryngology-Head and Neck Surgery of the Medical Collage
of KSU and manages more than 2,000 outpatient visits each year.

This comprises the vast majority of head and neck oncology patients referred to
Riyadh from all regions of the Kingdom. The section is currently staffed by two
full time University teaching staff /consultant in addition to more than 15
teaching staff of other otolaryngology subspecialty. The integrated head and
neck treatment team consists of head and neck surgeons, plastic and
reconstructive surgeons, neurosurgeons, medical oncologists, radiation
oncologists, maxillofacial prosthodontists, pathologists, radiologists, speech and
voice therapists, audiologists, and nursing staffs.

The other hospital that will participate in the training is King Fahad Medical
City. It has 2 full time head and neck Consultants and 2 part time from KAUH
and one maxillofacial surgeon. The affiliated team includes consultants from
Radiation Oncology, Oncology, Dental, Neurosurgery and Plastic departments.
The hospital also has a full time head and neck pathologist and one full time
head and neck radiologist.

The Fellow will be exposed to and participate in the care of newly referred
patients. The Fellow participates with the senior staff in all decisions related to
the planed treatment. Operative responsibility is assigned commensurate with
ability. Otolaryngology Residents, Interns and Medical Students are also
assigned to the team giving the head and neck Fellow extensive opportunities to
teach.

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Participation in a project or more, either in clinical or bench-type research, is
required from the fellow. A manuscript accepted for publication in a peer-
reviewed journal is a must prior to the issuance of the certificate from the King
Saud University.

Throughout the whole 2 years the Fellows will be responsible for preoperative
and postoperative patient care, and are involved in surgical operations under the
direction of the attending surgeons. The Fellow is expected to perform 100 to
150 ablative & around 30 reconstructive micro vascular procedures during his
training.

1. Training Committee and the Program Director:

The Fellowship Training Committee is comprised of all the faculty Head and
Neck Surgery staff and includes other consultants participating in the
training. It is chaired by Director of Fellowship Program. The members and
the director are appointed by the Department Board of Otolaryngology Head
and Neck surgery Department of the Medical College.

The Committee ensures implementation of the program objectives. The

Committee ensures that the trainee in the fellowship program is provided
adequate opportunities to fulfill the goals of the program. All aspects of the
program are regularly reviewed. Any problems with the fellow performance
or grievance procedures are managed through the committee.

The Program Director is responsible for general administration of the

program. He is responsible for developing and implementing the program
policies that are compatible with accreditation and institutional requirements
and policies. The Program Director is to ensure that the fellow is
appropriately supervised and supported in the carrying out of his or her
patient care responsibilities according to the institutional and program
policies and procedures.

2) Equipments:

The KAUH is a highly equipped center with all the modern, innovative and
up to date facilities and equipment in the outpatients department, operating
rooms as well as the radiology, pathology and audiovisual departments.

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 The scientific/academic computer center located in King Khalid University
Hospital (KKUH) aids fellows, staff, and faculty in the scientific computing,
including statistical analysis, data acquisition, analysis techniques, research
methodology, and mathematical/analytical methods.
The King Fahad Medical City collaborates by offering their resources and
equipments in the field of Radiation Oncology, Oncology, Dental surgery,
Neurosurgery and Plastic surgery.

3) Surgery:

Surgery includes a wide array of office procedure, routine Head and Neck
surgery as well as advanced head and neck oncologic procedures and skull
base surgery that usually required multispecialty surgical team.

4) Capacity:

The acceptance to the Head and Neck surgery fellowship program is very
competitive. The program accepts only ONE candidate per academic year.

5) Teaching Staff / Attending Trainers

At present, the Physicians Staff consists of two committed full time Head and
Neck faculty staff/ consultant with massive experience in teaching and
training in the Head and Neck surgery subspecialty at KAUH.

In addition, there are two full time Consultants in the collaborating Hospital
(King Fahad Medical City) as well as a maxillofacial surgeon and the
Affiliated Team from Radiation Oncology, Oncology, Dental Surgery,
Neurosurgery and Plastic Surgery departments with a full time head and neck
pathologist and one full time head and neck radiologist.

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No Staff / Doctor Academic Title / Positon
Associate Professor / Consultant
Medical Director – KAUH
Otolaryngology Consultant,
1 Dr. Khalid Al Qahtani Advance Head & Neck Oncology
(Program Director) Microvascular Reconstructive, Endocrine & Skull
Base Surgeon
Canada

Assistant Professor / Consultant

Chairman, ORL Dept – KAUH
2 Dr. Saleh Al Dhahri Head and Neck Surgical Oncology, Microvascular
and Skull Base Surgery University of California,
Davis Medical Center, USA
Consultant
3 Dr. Mohammed Al Essa
ORL Department - KAUH
Consultant
4 DR. Abdullah Al Amro Radiation Oncology

Consultant
5 Dr.Hussain Al Hussaini Radiation Oncology

Consultant
6 Dr. Hulayel Al Harbi Head and Neck Medical Oncology

Consultant
7 Dr. Huda Abdulkareem Head and Neck Medical Oncology

Consultant
8 Dr. Sven Larson Head and Neck Radiologist

Consultant
9 Dr. Hanadi Fatani Head and Neck Pathologist

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Similarity between the suggested Fellowship and the other
Fellowship in developed countries

The objective and purpose of the 2-year Combined King Saud University and
King Fahad Medical City Fellowship in Head and Neck Oncology,
Reconstruction and Skull Base Surgery is the same and/or similar to the
existing Fellowship programs in the developed countries, American Head and
Neck Surgery (http://www.ahns.info/residentfellow/programs.php)/Canadian
Society of Otolaryngology Head and Neck Surgery (http://ear-
lab.medicine.dal.ca/pages/positions/htm) wherein to extend an intensive
trainings and exposures, innovative and the latest information and development
in the field of Head and Neck Surgery.
To share and instill all the code of conduct in this field not to mention some
techniques and advises and personal and/or respective inputs, knowledge and
expertise of the respective Teaching Staff to the would-be Fellows in theoretical
and clinical or practical aspects or skills at par excellence.

Similarities between the suggested Fellowship with other local

programs

The 2-year Combined King Saud University and King Fahad Medical City
Fellowship in Head and Neck Oncology Reconstruction and Skull Base
Surgery is first of its kind and considered a neophyte proposed program in the
Middle East and in the Saudi Commission for Health Specialties. There is no
existing program to compare with, thus, we cannot indicate it’s similarity.

Though, the King Saud University has the very first recognized and accredited
2-year King Saud University Fellowship in Oto-Neurotology sub-specialty
program that has been approved and accredited as well in the Saudi Commission
for Health Specialties; Link:
http://faculty.ksu.edu.sa/drhagr/Advance%20Otology/Otology%20Fellowship.p
df

Apparently, 2-year Combined King Saud University and King Fahad Medical
City Fellowship in Head and Neck Oncology Reconstruction and Skull Base
Surgery as mentioned and stipulate above that it intent to extend an intensive
and rigid exposures, training and technical knowhow in the field of Head and
Neck Surgery to its would-be Fellow(s).

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Evaluations
1. Performance Evaluation – A quarterly and/or may be bi-annual assessment
for the Fellow’s overall performance in the Fellowship training.

The fellow will be evaluated on the following items using postgraduate

evaluation scale from 1 to 5, 1 being the lowest or very poor performance
and 5 being the highest or outstanding performance (1=unsatisfactory
performance; 2=Below Average; 3=Average; 4=Above Average;
5=Outstanding)

1. Patient care – compassionate, appropriate and effective for the treatment

of health problems and the promotion of health in Saudi Arabia.
2. Medical knowledge – established and evolving biomedical, clinical and
cognate (epidemiological and social behavioral) sciences and the
application of this knowledge to patient care.

3. 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.

4. Interpersonal and communication skills – that result in effective

information exchange and teaming with patients, their families and other
health professionals.

5. Professionalism – as manifested through a commitment to carrying out

professional responsibilities, adherence to ethical principles and sensitivity
to a diverse patient population.

6. System 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.

7. Research – the importance, the vital, prevalence of the cases and the
degree of importance of the selected research project and consider the
breakthrough in the clinical practice and benefits as well as contribute in
the field of head and neck surgery. The procedure, the process and the
overall input on how the Fellow conduct/conducted the project and the
assessment on the project itself.

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2) Assessment

a) Promotion Examinations

There is one in-house training exam that is held after finishing the first year
of the training. The Exam consists of a written part (MCQ and short answer
questions) and an oral part. Each carries 50% of the total marks.

To be eligible for setting the exam the fellow must accomplish and/or
present to the Committee his/her 1st complete research project as well as
garnering a satisfactorily evaluation and other incidental requirements in
his/her fellowship program

b) Final Examinations

The Final Exam will be at the end of the second year. The exam includes
Written (50%) and oral (50%).

The same provision that to be eligible for setting the exam, the fellow must
accomplish and/or present to the Committee his/her full and complete
research projects for the entire fellowship program as well as garnering a
satisfactorily evaluation and other incidental requirements

Both examinations observed the 70% passing mark

STRUCTURE AND CONTENT OF THE PROGRAM

1. Training Structure/ Time Table

Year one

On the first year, the Fellow will have extensive exposure to thyroid and
parathyroid diseases as well as wide array of diverse head and neck diseases.
Also, the Fellow will have a good exposure to sinus surgery that will be the
basis for his/her later endoscopic skull base surgery. The Fellow will have
excellent exposure to the basic technique in neck surgery in preparation for
more advance training in year two.
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 First three months:

The weekly schedule will include:

One day: Head and Neck Cadaver dissection in the Anatomy

Department, College of Medicine K.S. U.
One day as a Research day in collaboration of research center,
College of Medicine K. S. U
One day in the out-patients clinic
Two days in the operation room

Second six months:

The weekly schedule will includes:

One day research

One day Head and Neck clinic
Two days operation room
One day pre & post operation round

Last three months:

The weekly schedule will include

Three day and/or greater than Threes: Clinic

One day or less than Two: OR
One day: lecture/group activity
One day research

Year Two

First nine months:

Mucosal Head and Neck, Skull Base and free flap rotation at King
Fahad Medical City
Two days clinic
Two days Operation

a. One day research

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Last three months:
At King Abdulaziz University Hospital or International Fellowship
One day clinic
One day pre & post operation round
One day OR
Two days research

Elective period

The program allows the fellow to do elective clinical training or courses in

order to gain more experience in a high caliber recognized center worldwide.
The elective rotation will be arranged by the University Department or by the
fellow himself (after the approval of the training Committee). The elective
rotation should be for minimum of 2 weeks and maximum of 12 weeks. It
should be during the second year of the training program.

2. Clinical and Research Components

a. Outpatients Clinic

The Fellow will participate “hands on” in all Head and Neck Clinics and
in the Operating Rooms. The Fellow’s clinical schedule mirrors that of the
Head and Neck Consultant. The Fellow is expected to receive clinical
training during the head and neck clinics, two per week in King Abdulaziz
University Hospital (KAU) and King Fahad Medical City (KFMC) and
the surgical training in the operation room two per week in KAUH and 2
per week in KFMC. Additional clinical teaching takes place during
hospital rounds on head and neck patients

The fellows are required to cover the on-call duty as Senior Registrar in
KAUH and associate Consultant in KFMC

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b. Clinical Rounds

The Fellow participates in the pr-operative and post-operative rounds in

accordance with number of the OR sessions. The rounds are designed
with heavy fellow input as to the operative management of the patients.

c. Grand Rounds

The grand round activity is every Tuesdays from 1:00 to 2:00 pm. Most
presentations are made by the attending staff and residents in the teaching
program. However, presentations are occasionally reserved to visiting
professors with international reputations from all over the world; or
invited clinicians from the KKUH. T he meetings allow the fellows to
critically review the literature pertaining to a specific case or small series
of cases; and present that literature to their peers and staff in the
department of otolaryngology head and neck surgery. Attendance for
these meetings is mandatory.

d. Academic half day

The academic half day represents three hours of teaching time for the
Fellow every Tuesday from 2:00 to 5:00 p.m. The Fellows will be
excused from their clinic duties at this time to attend this activity. This
day is structured with heavy Fellow input and includes didactic and
interactive teaching sessions covering all of the major areas of general
otolaryngology including head and neck subspecialties. It is also a forum
for teaching the competencies, ethics, medical legal issues, and subjects in
fields as well as to use for their research activities.

e. Journals and/or ENT Club Meeting

Journal clubs are arranged by the Saudi ORL Society and held monthly.
Interesting cases are presented and are followed by a update on the topic
presented. The papers are presented in a PowerPoint format with the
presenting Resident/Fellow/Invited Guest speakers highlighting key
points.

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 The attendances are then critically reviewing the paper. The fellows are
required to participate in this meeting and present their scientific work
and any other relevant interesting educational material.

Guest speakers for the activities (Grand Rounds/ENT Club

meetings)

Guest speakers are scheduled on a regular basis throughout the academic

year. Speakers are usually asked to give a pre-selected lecture on a
Tuesday afternoon. The guests are invited well in advance, and the entire
Department is notified through ENT bulletin boards at each respective
hospital. Verbal announcements are also made at University rounds
concerning guest speakers.

f. Research

The Fellowship program provides numerous opportunities for clinical and

basic scientific research in the field of head and neck at the course of the
2-year Fellow’s training period. The fellows have to develop research
proposals under the direction of one of the consultants with full
department support to present the work in the scientific meetings in Saudi
Arabia or abroad.

The Fellow is also required to conduct at least two research experiments

during his/her training (1 per year) and this research part will be included
in evaluation at the end of first year and in the final evaluation.

Note that the Fellow must complete the 1st year (F1) research project for
this is considered as a pre-requisite in entering the Promotion
Examination and the same manner to complete the 2nd year (F2) project to
be able to sit in the final examination of the Fellowship programme.

At the end of the Fellowship, the Fellow must have at least two published
(or accepted for publication) research articles.

3. Responsibilities of the Fellow(s)

During the first 6 months of the Fellows’ training, he/she will be closely
supervised by the attending trainer. As he/or she matures, the fellow will gain
an independence in taking care of the patients but still be under the guidance
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and supervision of the Consultant. At the completion of the program the
Fellow should be able to evaluate and manage most of the diseases related to
the head and neck surgery.

a. Patient care’ responsibilities

1. Examines and evaluates patients in the head and neck surgery clinics
and to prepare a full initial assessment and evaluation dictated note.
2. Supervises the preparation process for patients requiring head and
neck surgery
3. Takes care of head and neck surgery in-patients.
4. Supervises head and neck surgery residents on their head and neck
surgery rotation.
5. Participates in the care of emergency head and neck surgery patients.
6. Be involved in any head and neck surgery emergency patients even
belongs to general otolaryngology.
7. Be the primary physician of all head and neck surgery cases referred
within the Department and from other specialties.
8. Prepares and organizes and presents the weekly tumor board.
9. Ensures the completeness of work up for all patients referred to the
tumor board

10. Up-dates the tumor board registry weekly with documentation of the
tumor board discussion

b. Procedural Requirements

Fellow and Fellowship Supervisors should be aware that the University

Hospital is a residency training hospital and Fellows should not compete
with the residents for their cases. The residents have the priority to any
case that is classified as a "resident" case and the Fellow should observe,
train, and provide help as needed for the residents handling these cases.

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 The following procedures are performed during the fellowship:

Operations Surgeon Supervisor

1
Ear & Mastoid (Excision of ENT Tumors) 3
1
Ear & Mastoid Temporal Bone Resection 3
1
Ear & Mastoid Excision of auricle &/or neck dissection 3
3
Nose & Maxilla (Lateral rhinotomy) 5
Nose & Maxilla (Maxillectomy:total, partial, or radical with
3
orbital exenteration 5
Nose & Maxilla (Excision of nasopharyngeal tumors via
3
transethmoid, transantral or transpalatal routes) 5
8
Salivary Glands (Submaxillary gland excision) 15
Salivary Glands (Parotidectomy with or without facial nerve
8
dissection or nerve graft 15
1
Lips (Wedge Resection of lips) 3
1
Lips (shave) 3
1
Lips (Abbe-Estander Flaps) 3
5
Oral Cavity (Partial glossectomy) 10
3
Oral Cavity (Partial Mandibulectomy) 5
Oral Cavity (Composite Resection – primary and/or
3
metastatic tumor with radical neck dissection 5
1
Oral Cavity (condylectomy) 3
1
Oral Cavity (Temperomandibular joint exploration) 3
3
Neck (I&D of neck and/or retropharyngeal lesions) 5
1
Neck (Exploration for complications of trauma) 3
8
Neck ( Node biopsy and excision, benign lesions) 20
3
Neck (Radical neck dissection) 5
Neck (Radical neck dissection combined with trans-sternal
5
mediaastinal dissection) 10
1
Neck (Diverticulectomy) 3
3
Neck Laryngectomy (subtotal wide field) 5
3
Neck (Post-laryngeectomy vocal rehabilitation 5
1
Neck (exploration and repair of laryngeal fractures) 3
1
Neck (laryngofissure) 3

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 1
Neck (Arytenoidectomy or arytenoidopexy) 3
10
Neck (Thyroidectomy) 25
1
Neck (Laryngeal re-innervation) 3
3
Neck (Parathyroidectomy) 5
Neck Cervical esophagectomy (with laryngectomy and/or
1
neck dissection with reconstruction) 3
Neck (Tracheal resection with repair, tracheoplasty,
1
laryngoplasty) 3
1
Neck (Repair of tracheosophageal fistula) 3
5
Neck (Tracheostomy) 10
3
Neck (Epiglottiectomy) 5
3
Neck (Excision laryngocele) 5
1
Neck (Major vessel ligation and grafting) 3
1
Neck (Arterial infusion Procedures) 3
Neck: Excision congenital cysts (Bronchial, Dermoids,
5
Teratomas, Thyroglossal) 10

c. Didactic Components
1. Attends all Department conference pertaining to head and neck
surgery.
2. Assists in implementation of annual head and neck surgery CME
program
3. Presents at least one updated head and neck surgery research in the
Department clinical presentation/year
4. Gives lectures to otolaryngology head and neck surgery residents.
5. Reviews a minimum of 4 journal articles per year.
6. Attends the otolaryngology journal club every month and proctor
head and neck surgery papers being discussed.
7. Supervises resident cadaver training dissection.
8. Supervises the usage of head and neck surgery laboratory dissection
materials.
9. Attends all otolaryngology head and neck surgery clinical meetings.
10. Attend all tumor board conferences
11. Provides one resident’s seminar every 1 month, whereby the
residents select the topic and he/she supervise the discussion. Exam
type discussion is encouraged.

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d. Scientific responsibilities

1. Attends a minimum of one faculty development program held at

postgraduate Department in the College Medicine KSU.
2. Completes basic and advanced head and neck surgery courses.
3. Participates in preparation of all the head and neck surgery division
courses and is considered as a member in all head and neck surgery
Committees.
4. Attends at least one conference (national or international) related to
head and neck surgery per year.
5. Prepares at least two peer review publications.

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 Fellow Job Description

Title: Fellow of the 2-year Combined King Saud University and

King Fahad Medical City Fellowship in Head and Neck
Oncology Reconstruction and Skull Base Surgery

Department: Department of ORL H & N Surgery

King Saud University and King Fahad Medical City

Terms of Employment:

1. KAUH, KFMC - Riyadh

2. ORL H & N Department, KSU, KFMC -, Head and Neck Surgery Division
3. Collaboration with KSU - ORL Department Head and Neck Department at
King Fahad Medical City

Functions:

a) General:

For supporting ORL administrative patient care polices and protocols.

For ensuring exemplary head and neck surgery patient care is provided to
those Patient under his / her care, Working cooperatively with all the other
staff to ensure exemplary patient care

Attends rounds promptly

b) Specific:

To help (with the resident) in looking after critically ill patients

Review, prepare and complete all the medical records of the head and neck
surgery patients

c) Evaluation:

Assist in the evaluation of medical students, interns and residents

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d) Teaching:

Participate in the teaching of medical students, residents, interns.

f) Others:

Assume responsibilities for the development and maintenance of own

professional competency.

g) At the end of his/her training, the fellow must:

Demonstrate competency of head and neck surgery procedures with the use
of modern facilities/equipment or technology.

Demonstrate the ability to assess the head and neck surgery patient by

i. Appropriate patient’s history documentation and physical examination

ii. Selecting appropriate investigations
iii. Interpreting investigations
iv. Make management plan for all head and neck surgery problems
v. Demonstrate effective communication skills
vi. Demonstrate academic qualities pertaining to head and neck surgery
vii. Demonstrate effective teaching of the residents
viii. Participate in research work of the department
ix. Understand the relevant aspects of staff management and
administration pertaining to high intensity of work

Certificate

At completion of two years program and passing all the exams and evaluation,
the 2-year Combined King Saud University and King Fahad Medical City
Fellowship in Head and Neck Oncology Reconstruction and Skull Base
Surgery will be awarded to the Candidate from Postgraduate of Medicine in
K.S.U.

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 GENERAL RULES AND REGULATION:
In accordance to the rules and regulations of KSU

1) Admission Processing

The Postgraduate Medical Education (PGME), Medical Education Center will

accept and perform the preliminary review of applicants and forward
applications to the program director. The Departmental Residency Committee
will then conduct the interview and or selection exam and recommends
candidates for acceptance using the special form for selection of candidates
(Appendix IIIA of the KSU Policies and Procedures). Results will be forwarded
to the Director of the Postgraduate Training Programs, who will forward the
results to the Vice Dean of Postgraduate and Continuing Medical Education and
the Dean of the College of Medicine. Upon approval of the results the PGME
will write acceptance letters to the accepted candidates.
The deadline for the submission of application will be 15th of August. The
training will commence on the first working day of October each The accepted
Candidates will be registered with the Deanship of Admissions and
Registrations.

2) Rotations

Two years including head and neck surgery endocrine surgery, skull base
surgery, free flap reconstruction, medical oncology and radiation oncology

3) Teaching commitments must be protected

4) Number of on call duties

The candidate will be assigned a shadow on-call with the fellowship staff for
head and neck surgery cases (no more than 1 in 3).

5) Withdrawal

A valid reason for withdrawal must be given in writing to the head and neck
surgery Program Director. Submission of withdrawal should be made 3 months
before the end of the training year to the Fellowship Training Committee which
will refer the request to the Postgraduate Training Board (PGTB) with its
recommendations. The final decision will be made by the PGTB who will give
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their final reasons in writing. In case the withdrawal was rejected by the PGTB
and the resident left the program without permission, he / she will not be
allowed to join any other programs for two year.

6) Disciplinary actions

Disciplinary actions will be in accordance with the KSU Residency Training

Programs Policies and Procedures. Any Fellow exhibiting poor performance or
misconduct will be thoroughly discussed in the Fellowship Training Committee
and the policies and procedures will be applied. In case of dismissal from the
program, the committee will discuss the matter and refers its recommendation to
the Department Board and then to the PGTB for appropriate decision. The
PGTB will then forward the matter to the Vice Dean of the Postgraduate and
Continuing Medical Education.

7) Vacation

Must be according to the postgraduate guidelines, please refer to the KSU

Residency Training Programs Policies and Procedures.

The fellow is entitled to a four weeks vacation per year and should be approved
by the Program Director of Fellowship Training Committee and in accordance
with the Department protocols.

The Fellow should have off duty in one of the Eid leave.

Justified absence from the program such as sick and maternity/paternity leave
should be compensated if more than 1 week/year.

Educational leave will be granted to attend one hands-on course a year and one
international conference a year. If the candidate is presenting his / her research,
he /she can attend any additional number of meetings to present his / her work
with a two-week study leave.

The elective training period for mini fellowships are not to be part of the
educational leaves.

22 2-year H&N Surgery Fellowship

1433-1434 (2012-2013)
Suggested Readings

It is highly recommended that each Fellow read the following:

1. Surgical Anatomy of the Head & Neck

Parviz Janfaza

2. Head & Neck Surgery‐Otolaryngology

Byron J. Bailey

3. Otolayngology,Head & Neck Surgery

Charles W. Cummings6‐Operative Head & Neck Surgery
H.H.Naumann

4. Cancer of the Head & Neck

Eugene N. Myers

5. Head & Neck Surgery and Oncology

Jatin Shah

6. Surgery of the Skull Base

Paul J. Donald

7 An Atlas of Skull Base Surgery

D.M.Long

ORL Journals

1. The Laryngoscope

2. Archieve of ORL

3. ORL‐H&N

3. American Journal of ORL

23 2-year H&N Surgery Fellowship

1433-1434 (2012-2013)