In-Practice Endocrine Surgery Fellowship: A Novel Training Model

Area of Science:

• Otolaryngology
• Endocrine Surgery
• Surgical Education

Background:

• Endocrine surgery is a rapidly expanding subspecialty within otolaryngology.
• There is a need for advanced training models to enhance expertise in endocrine surgery.
• Current fellowship models may not adequately serve practicing otolaryngologists seeking specialized endocrine surgery skills.

Purpose of the Study:

• To evaluate a novel endocrine surgery fellowship model.
• To determine if in-practice otolaryngologists can achieve expert-level endocrine surgery training through this model.
• To assess the feasibility and outcomes of a senior surgeon-led fellowship for practicing physicians.

Main Methods:

• A qualitative clinical study involving a chart review of endocrine surgery cases.
• Two board-certified otolaryngologists received intensive surgical training from a senior endocrine surgeon over 21 months.
• Collaboration with endocrinology for patient care coordination and referrals.

Main Results:

• A total of 235 endocrine surgeries were performed, including 198 thyroid procedures and 37 parathyroid explorations.
• Outcomes included a low rate of temporary hypoparathyroidism (5.5%) and no permanent cases.
• High success rate for parathyroid explorations (94.5% biochemical resolution) with manageable complication rates (seroma, hematoma, temporary dysphonia).

Conclusions:

• This study describes a unique fellowship paradigm where a senior surgeon trains attending surgeons already in practice.
• The model demonstrates potential for developing expert-level endocrine surgery skills in practicing otolaryngologists.
• This innovative training approach can contribute to the growth and advancement of endocrine surgery.