The Fellowship is intended to train an individual as a future Academic OMS. Academic Surgeons have four main areas in which they must develop expertise i.e., clinical, research, teaching and administrative. All academic surgeons will decide how much of their time to allocate to each of these pursuits depending on their interests, training and needs of their particular program. The Maryland Maxillofacial Oncology Fellowship professional activity plan has incorporated all four of these facets into its program. ClinicalThis Oncologic Fellowship is heavily weighted towards clinical activity, with the major thrust being to produce a surgeon who will be able to be credentialed in a major teaching hospital to undertake Head and Neck Cancer Surgery. The current program is a two-year training equivalent to the two-year Head and Neck Surgery Fellowships currently available to ENT, Plastic and General Surgeons following their residency training. Dr. Salama is director of micro-surgery and has increased the Fellow's exposure to current reconstructive techniques. In addition, Dr. Salama will provide additional oncology/trauma microvascular training and Fellows will rotate to Dr. Engroff in Pennsylvania. The clinical activity plan is that the first Fellowship year will mostly teach principles of oncologic surgery and ablation. The second year will concentrate on teaching reconstructive surgery particularly microvascular free flap reconstruction. Monday and Thursdays are always in the O.R., and O.R. time is frequently also utilized on Tuesday and Friday. Surgical data from 98 - 99 to the present are enclosed. These show a rise in new patients from 179 to 220 approx (18.5%). We project that this increase in surgical activity will continue and there will be a similar increase in free flap reconstruction. (see future directions) O.P. office time is spent evaluating and working up new referrals and following up established patients. The Fellow is also involved with post-operative in-patient patient management. ResearchClinical Research is encouraged, and the Fellow is expected to publish and present abstracts at major scientific meetings. There is an established funded microvascular laboratory for rat microvascular dissections. Although this is primarily for the Fellows and interested Residents to practice the techniques of microvascular and mirconeural surgery with Dr. Salama a number of animal studies are planned. Dr. Salama will be the laboratory director. There is the opportunity to undertake basic science research in Professor Sauk's (Oral Pathology) laboratories, in the field of tumor molecular biology. Previous Fellows have published papers, books chapters, presented posters and abstracts at OMS and Head and Neck Surgery Meetings. (see attached records of previous Fellow’s academic productions.) Teaching DidaticsWednesday mornings 8-11:30 am is set aside for resident/fellow didactic teaching, case presentations and a monthly morbidity/mortality conference. Tuesday 3:30-5:00 pm are didactic pathology/histopathology conferences and Friday pm 2-3 is the Multidisciplinary Tumor Board at which the Fellow presents the new cancer cases. In addition didactic teaching is undertaken by Drs. Ord and Salama on ward rounds, in the clinic and in the cadaver laboratory. We are fortunate to have liberal access to fresh cadavers to teach practical aspects of anatomy and dissective techniques. There is no great teaching load for the Fellow, however, as part of his training for future academia the Fellow is expected to teach. There are 1 or 2 formal undergraduate lectures, presentations and group teaching for the residents. The Fellows are heavily involved in the Physical Diagnosis course given to the first year Oral Surgeons, Pedodontics, and Periodontial residents. Dr. Salama will also support the monthly Oncology Journal Review. AdminstrationThe Fellow runs the Maxillofacial Oncology Service. This involves a great deal of work in patient care, liasing with radiation therapy, medical oncology etc. assembling data, and generally ensuring that every day runs smoothly. Most of our Fellow's have felt that they had more administrative responsibility than during their Chief Resident year. All prospective candidates must submit the following documents to be considered for the fellowship program: 650 W. Baltimore St. Rm. 1209 Baltimore, MD 21201 410.706.7060 phone 410.406.0891 fax asalama@umm.edu | 
