UNIVERSITY AFFILIATION: Johns Hopkins University School of Medicine

LICENSING REQUIREMENT: Maryland state medical license

APPOINTMENT LEVEL:

• Instructor – University Academic appointment
• Full-time medical staff – hospital appointment

OPERATING PRIVILEGES: Hospital full-time staff privileges

OPERATIVE EXPERIENCE: The fellowship at Johns Hopkins University School of Medicine is designed to prepare the surgeon for an academic career in facial plastic and reconstructive surgery.  Cosmetic and reconstructive surgery are emphasized equally. The training is focused on achieving competency and advanced skills across seven domains of the field:

• Rhinoplasty including revision rhinoplasty
• Aging face surgery, as well as minimally invasive treatments
• Head and neck reconstruction including free tissue transfer
• Mohs reconstruction
• Facial reanimation
• Trauma
• Congenital surgery (cleft lip and palate, microtia etc)

In addition, we encourage our fellow to gain experience in hair restoration, anterior cranial base approaches, vascular malformation surgery, melanoma/skin cancer surgery, and to participate in clinical faculty of the Johns Hopkins Face Transplant Team.  The Division of Facial Plastic and Reconstructive Surgery (FPRS) is comprised of three full-time and three clinical faculty members.  There are also opportunities to train under oculoplastic surgery, oral and maxillofacial surgery, cosmetic dermatology, and Moh’s surgeons.  The fellowship primarily incorporates four integrated but distinct settings: a university based reconstructive practice, two offsite academic cosmetic practices, and private practice facial plastic surgicenter. These locations are all within Baltimore/Washington DC metropolitan area, within 15-60 minutes of each other (depending on traffic).

Johns Hopkins Hospital and Outpatient Center – The fellow functions as an integral member of a busy reconstructive practice acting as primary surgeon on most cases.  The facial reanimation, free tissue transfer, and Mohs reconstructions are each very busy services, with Drs. Boahene and Desai each staffing cases almost daily.  Functional rhinoplasty, trauma, anterior skull base, facial reanimation, microvascular reconstruction, microtia repair, vascular malformations, melanoma/skin cancer surgery, and a large volume of Mohs reconstruction cases are performed in a graduated “hands on” manner by the fellow with the attending staff. Fellows interested in gaining expertise in microsurgical techniques are offered training opportunities in the microsurgical lab and ultimately perform as primary surgeon on microvascular free-flap reconstruction cases as interest and skills dictate.  A dedicated microvascular curriculum using landmark articles in head and neck reconstruction is followed with didactics for the fellow and residents by Dr. Desai on a monthly basis. The fellow also participates fully in all aspects of the Johns Hopkins Face Transplant program, for which Dr. Boahene serves as a Co-Director.

The Johns Hopkins Center for Facial Plastic Surgery at Green Spring Station – clinic and ASC located in a mixed medical retail space in an affluent Baltimore suburb, 15 minutes from the hospital.  The fellow sees primarily cosmetic surgery patients and performs cases weekly with Dr. Boahene, Desai and Dr. Ishii. The fellow also has her/his own facial plastic surgery clinic at this site.

The Johns Hopkins Center for Facial Plastic Surgery at Bethesda – clinic and ASC located in a single building in Bethesda, MD, an affluent suburb of Washington D.C, next to the National Institutes of Health. The fellow sees primarily cosmetic surgery and outpatient reconstructive patients and performs cases as the schedule tolerates with Dr. Desai.

The Facial Plastic Surgicenter – The fellow will spend one to two days per week seeing patients and first assisting on cases at this private facility in Owings Mills under the direction of Drs. Papel and Kontis.  A large volume of primary and secondary rhinoplasty surgery is performed at the surgicenter, as well as facial cosmetic surgery (facelift, blepharoplasty, brow lift, mentoplasty, etc.) and reconstruction after Mohs surgery.  A large volume of minimally invasive procedures such as facial fillers, neurotoxin use, and laser treatments are also provided.'

Greater Baltimore Medical Center – Dr. Desai serves as the Facial Plastic Surgeon for the GBMC Cleft Lip and Palate Team.  The fellow attends the team multi-disciplinary clinics monthly and scrubs on cleft lip and palate cases.  The fellow is encouraged to participate in one of the overseas mission trips that the faculty members volunteer on annually.

RESEARCH: A research project producing a manuscript suitable for publication and presentation at a national meeting is required.  Johns Hopkins offers innumerable opportunities for collaborative research, both clinical and basic science.

TEACHING RESPONSIBILITIES: The fellow is an instructor in the Department of OTO-HNS at Johns Hopkins and is expected to participate in regular teaching conferences as well as supervising residents during reconstructive cases. The fellow will be assigned occasional lectures to give at resident teaching conferences, and one grand round to be presented to the department.  In addition, the fellow will be invited to participate in the monthly Facial Plastic Surgery journal club and lecture series.

CASE LOAD: The fellow will dictate the cases for which he/she is primary surgeon.

CALL RESPONSIBILITIES: The fellow covers attending level home call for facial plastic trauma approximately 2 out of 5 weeks.  There is no general otolaryngology call.

BENEFITS:

• Health: Full health coverage, dental, life, disability  
• Stipend: $69,839
• Malpractice: Unlimited aggregate - $6 million per claim
• Tail Coverage: Yes - unlimited
• Other: Two weeks vacation per year; access to professional photography suite; lab coats provided; and office space with computer.

ADDITIONAL INFORMATION: If applicants desire additional information, please contact the fellowship director.  Previous fellows of the Johns Hopkins fellowship program are available to discuss their experience.