City/ University University of Texas, M.D. Anderson Cancer Center Houston, Texas Duration of the Fellowship & Funding 1 year 2 positions total (one position from general surgery background training, another from ENT background training)benefits Program Director and Contact Person (including e-mail address) Fellowship Program Director: Nancy D. Perrier, MD, FACS Department of Surgical Oncology, Unit 444, 1400 Holcombe Blvd, FC 12.3000 UTMD Anderson Cancer Center, PO Box 301402 Houston, TX 77230-1402 Telephone: (713) 794-1345 Fax: (713) 745-1462 Email: nperrier@mdanderson.org Match Director: Douglas B. Evans, MD, FACS Department of Surgical Oncology, Unit 444, 1400 Holcombe Blvd, FC 12.3000 UTMD Anderson Cancer Center, PO Box 301402 Houston, TX 77230-1402 Objectives of the Program Understand evaluation, operative approach, follow-up and genetics of endocrine tumors and endocrine disorders. Particular attention will be placed on parathyroid, adrenal, thyroid and neuroendocrine pancreas trials and protocols. Finishing fellows will understand and possess competence in both minimally invasive (videoscopic, laparoscopic) and open endocrine surgical operative techniques.. Highlights of the Fellowship (including number of cases and a description of the overall program) Broad exposure to multiple endocrine neoplasias. Participatione in weekly multidisciplinary conferences, including Ggeneral eEndocrine tTumors conferences, pParathyroid dDisease conferences and gGenetics conferences. The Fellowship is designed to provide a solid foundation for a career in academic endocrine surgery, and is a collaborative program with the Department of Head and Neck Surgery at M.D. Anderson. The Endocrine Surgery Fellowship includes one position per year from the Department of Surgical Oncology (for surgeons with General Surgery training) paired with one position per year from the Department of Head and Neck Surgery (for surgeons with ENT training). At this time applications for the General Surgery trained track are limited to internal candidates who are part of the MDACC Surgical Oncology fellowship. These fellows will complete two years of Surgical Oncology training and then will add an additional year completely dedicated to surgical endocrinology. Because of the current priority to accept internal candidates the match process will not be part of the formal AAES match. Priority for the Department of Surgical Oncology position will be given to for those with Surgical Oncology training. Candidates who are part of the MD Anderson Surgical Oncology Program will be considered first. Candidates with a Surgical Oncology background and General Surgery training will be considered next. Each Department (Surgical Oncology and Head and Neck Surgery) will have the option (but not the obligation) to rank an individual from its own specialty. ENT-trained Fellows entering through the Head and Neck Surgery track will not participate in management of abdominal endocrine patients. Applications will be reviewed. The Surgical Endocrinology program director will include the by the Surgical Oncology Fellowship Director and the Head and Neck Fellowship Director in the process. These unique Endocrine Surgery fellowship positions are distinctly separate from both the standard General Surgical Oncology as well as the Head and Neck Surgery Fellowship programs. Fifty percent of the fellows clinical experience will be surgical. Eighty percent of the surgical experience for the Fellows with a General Surgery-Surgical Oncology background will be with the three dedicated endocrine surgeons within the Department of Surgical Oncology. Twenty percent of the surgical experience of the fFellows with General Surgery-Surgical Oncology training will be with Department of Head and Neck Surgery staff., The majority of cases performed with the Head and Neck staff will be neck dissections, advanced thyroid tumors, and reoperative cervical procedures for thyroid or parathyroid disease. The General Surgery-Surgical Oncology Fellow will also interact directly with the General Surgical Oncology Fellows and share responsibility for General Surgical Oncology call. The remaining fifty percent of the Fellow’s clinical experience will be in non-surgical departments and specialty groups, including Endocrine Tumors and Hormonal Disorders, Pathology and Laboratory Medicine, and Genetic Counseling. Number of Cases: It is anticipated that more than 100 cases will be performed. The majority of the practice will consist of surgical management of thyroid, parathyroid and adrenal disease. Exposure to neuroendocrine pancreas will also be included; however adenocarcinoma of the pancreas will not be p art of the Fellowship experience. The Endocrine Center will serve as the major model for high volume multidisciplinary patient care. In depth pre and post operative management will be emphasized. Rotations with faculty members in other departments dedicated to endocrine disease will provide a well rounded educational perspective. The Fellow will be exposed to working with the surgical endocrine research data analysts and research nurses specifically knowledgeable to endocrine research and clinical trials. The emphasis will be on training future leaders in endocrine surgery. Prior Fellows have all been committed to research. There have been no prior clinical Fellows. Highlights of the Fellowship (including number of cases and a brief description of the overall program Advanced surgical techniques, particularly in adrenalectomy will be included. The remaining fifty percent of the Fellow’s clinical experience will be in non-surgical departments and specialty groups, including Endocrine Tumors and Hormonal Disorders, Pathology and Laboratory Medicine, Gastrointestinal Medical Oncology ( concentrated on neuroendocrine tumors) and Genetic Counseling. Number of Cases: It is anticipated that more than 100 cases will be performed during the fellowship. The majority of the practice will consist of surgical management of thyroid, parathyroid and adrenal disease. Exposure to neuroendocrine pancreas will also be included; however, adenocarcinoma of the pancreas will not be p art of the Fellowship experience. The Endocrine Center will serve as the major model for high volume multidisciplinary patient care. In depth pre- and post- operative management will be emphasized. Rotations with faculty members in other departments dedicated tofocused on endocrine diseases will provide a well- rounded educational perspective. The option for additional time in basic science research is available. List of Previous Fellows from this Program The Fellow will be exposed to working with the surgical endocrine research data analysts and research nurses specifically knowledgeable to endocrine research and clinical trials. The emphasis will be on training future leaders in endocrine surgery. Prior Fellows have all been committed to research. There have been no prior clinical Fellows.