SPRING 2020 | VOL. 17, ISSUE 1 HeadsUp! News from the UCSF Department of Otolaryngology – Head and Neck Surgery

Non-urgent clinic visits have been converted to the telehealth format. OHNS Responds to COVID-19 s the coronavirus, also known as SARS CoV-2 or COVID-19, was becoming a pandemic in the early months of 2020, the Department of Otolaryngology – A Head and Neck Surgery was monitoring the effects of the virus and evaluating the measures the department would take to combat the disease. On March 16, Department Chair Andrew H. Murr, MD, notified providers to hold all elective cases and indicated that non-urgent clinic visits were to be converted to a telehealth format. By March 18, all faculty and residents were Also in This Issue reassigned to a specific site and team. Each hospital had two cohorts covering all inpatient care and surgeries along with outpatient clinics. The cohort 2 Message from the Chair design was intended to prevent the interactions of teams and minimize the risk of 2 Berkeley Outpatient Center Plans cross contaminating the entire specialty field of OHNS within the UCSF Health Allergy and Cancer Treatment System. At the time, information regarding prevalence and the rate of infection in 3 Treatment of Eustachian Tube the City and County of was rudimentary at best. Problems “We had to alter our approach to patient care with attention to the balance of 5 Single Port Robotics Enhances ensuring patient and provider safety, providing ethical and compassionate patient Cancer Surgery care, and understanding ongoing medical resource limitations for personal protective 5 Dr. Kristina Rosbe Assumes equipment and testing abilities,” said Dr. Murr, who was joined by Vice Chair Andrew Two New Leadership Positions N. Goldberg, MD, in designing the department transition plan with input from international colleagues. 6 New Faculty and Residents

7 Two Innovations in the New OHNS Policies in Response to Pandemic Residency Training Program Among the changes OHNS instituted as part of the COVID-19 response: 8 Upcoming Events ■■ The department made a swift and thorough conversion to telehealth to manage urgent patient evaluations. Telehealth visits continued for patients with urgent needs. Continued on page 4

Inspired by our patients, driven by our passion, energized by innovation Message from the Chair Meeting the Challenge of COVID-19 s I write this message, we are headed toward June 2020. The effects of the COVID-19 A pandemic have dramatically created a once-in-a-century alteration in our ability to provide medical care. The BOPC team spends time between the Berkeley and San Francisco The onslaught confronting our society has practices, ensuring that our East Bay patients are connected with all the been profound. The power of nature has humbled resources of the main UCSF campuses. our best efforts to engineer health care controls into Excellence in Otolaryngology Care for East Bay Patients society. The unprecedented economic havoc wrought by Berkeley Outpatient Center Plans the virus has yet to be appropriately managed. Allergy and Cancer Treatment I consider ourselves here in he Berkeley Outpatient Center (BOPC), which opened in the San Francisco to be incredibly heart of Berkeley, in 2018, continues to grow and fortunate. The awesome T expand. intellectual power and “Initially, we did not have plans to establish an allergy clinic, but ingenuity of UCSF and the once we started to see patients, it became clear that there was Bay Area community have significant unmet need for allergy services,” says Anna Butrymowicz, been in turbocharged function MD, the lead otolaryngologist at the BOPC. Andrew H. Murr, MD for the past three months as Dr. Butrymowicz anticipates the allergy clinic opening in the first we have concentrated on half of 2021 at the existing location, 3100 San Pablo Avenue. flattening the epidemic curve in our region. “We will be seeing patients with allergic rhinitis, allergic asthma, We have certainly been spared the worst of the chronic sinusitis, and atopic dermatitis. Staff will perform diagnostic pandemic largely due to measures implemented early allergy testing and provide a step-wise approach to treatment, which on by our state and local governments. UCSF has includes avoidance measures, medical management, systemic been in a tireless and coordinated frenzy to develop immunotherapy, and surgery for those who fail the above. We also personal protective gear policy, virus testing, logistical hope to advance the field by contributing to clinical research supply lines, economic mitigation, and scientific questions and by training our residents in the practice of allergy,” information dissemination at a compressed rate not says Dr. Butrymowicz. previously imaginable, with several new clinical trials in progress. Additional Expansion In reflecting on comparisons to UCSF’s leadership In addition, the center’s radiology suite will expand to include role in the HIV epidemic during the 1980s, I see the CT and MRI, and there will soon be a cancer center with onsite same courage displayed both times. However, what infusion suites and radiation therapy as part of its medical is different about the current situation is the oncology, surgical oncology, and radiation oncology services. emphasis on speed and rapid prototyping that is “Ultimately we will be building an ambulatory surgery center being wrought by the highly acute nature of the so that surgeries can be performed locally as well,” notes infection along with its increased transmissibility. In Dr. Butrymowicz. Her BOPC team includes two head and neck any case, the scientific and clinical power of UCSF endocrine surgeons, Jonathan George, MD, MPH, and Marika has been quite something to behold. Russell, MD; a rhinologist, Patricia Loftus, MD; a facial plastics and I am so proud of our team in OHNS, which has reconstructive surgeon, Andrea Park, MD; and a sleep and been indefatigable in its collaboration and ingenuity sialoendoscopy expert, Jolie Chang, MD. to care for our community and region. I hope to tell “We also have the support of audiologists and speech and you more of the story in person the next time we language pathologists,” says Dr. Butrymowicz, who resides in the are able to meet – maintaining safe social distance vicinity of the center after relocating from New York, where she was of course! an attending physician in the Jacobi Medical Center in the Bronx. Warmly, “Individually we are very specialized, but overall we are able to provide comprehensive care for our otolaryngology patients. We all Andrew H. Murr, MD, FACS continue to see patients in San Francisco. Sharing time between Professor and Chair the Berkeley and San Francisco practices allows us to ensure that UCSF Department of Otolaryngology – our East Bay patients are connected with all the resources of the Head and Neck Surgery main UCSF campuses. Our day-to-day practice consists of seeing new or follow-up patients and performing in-office procedures, as need dictates,” Dr. Butrymowicz says. n

2 HeadsUp! Spring 2020 Aaron Tward, MD, PhD Treatment of Eustachian Tube Problems novel treatment for ear infections allow the air to equilibrate or let the fluid has garnered the attention of come out. A Aaron Tward, MD, PhD. “However, the eardrum is Dr. Tward, an associate professor in unbelievably regenerative, and that hole The Eustachian tube is a canal that connects the the Department of Otolaryngology – will go away and you will no longer have middle ear to the nasopharynx, which consists of Head and Neck Surgery, has particular the functionality of that extra egress for the upper throat and the back of the nasal cavity. clinical interests the air,” Dr. Tward says. in cochlear To solve that problem, ear specialists some work with Dr. Poe back then. Once implantation, developed one of the most common the balloon treatment was approved by Excellence in Otolaryngology Care for East Bay Patients management of surgical procedures performed in the the FDA, I immediately brought it to benign and United States – the placement of a tube UCSF and got it approved here. We have Berkeley Outpatient Center Plans malignant tumors in the eardrum, which prevents the been doing this procedure on a regular of the skull Eustachian tube from closing and allows basis ever since,” he points out. Allergy and Cancer Treatment base including pressure to equalize in the middle ear. This treatment is currently approved acoustic neuroma But there is an exciting new for adults over age 22. While there has (vestibular procedure involving a small balloon recently been some adjustment, with Aaron Tward, MD, PhD schwannoma), that can greatly eliminate pressure and approvals being granted for patients a surgery for restore the condition of the middle little younger in age, Dr. Tward says that chronic otitis media, stapedectomy, ear. The procedure, using the Aera for a variety of reasons, among them superior semi-circular canal dehiscence Eustachian Tube Balloon Dilation that Eustachian tube problems in repair, and endoscopic surgery of the System, was approved in the United children may resolve as they grow, most ear and skull base. States about four years ago. physicians are hesitant to perform the But his clinical work has also been “Now we can take a special catheter procedure on children. focused on the Eustachian tube, a with a small balloon attached and major source of problems leading to non-invasively insert the catheter Research ear infections. through the nose into the Eustachian While his Eustachian tube work is tube. We then inflate the balloon, which primarily clinical, Dr. Tward did compile Ear Pressure Problems and stretches the tissue and dilates the an interim analysis to see if data he’s Treatment Eustachian tube – just like is done in been compiling is consistent with the “Ear infections and related troubles angioplasty. The balloon is then deflated little amount of published data there is commonly occur if the Eustachian tube and is immediately removed, so nothing regarding durability of response. does not open quickly enough. The is actually left in the patient. The “We are going to write that up and space behind the ear drum is supposed procedure permits the walls of the publish it. The short version is that our to be filled with air, and in particular, it is Eustachian tube to be stretched, which data agrees with the best published supposed to be filled with air that is the in principal enables the tube be more data on balloon dilation for Eustachian same pressure as that which exists out open. The procedure should be able tubes that exists,” he asserts. in the atmosphere,” Dr. Tward explains. to resolve many people’s Eustachian In addition to his clinical work, Dr. The Eustachian tube, which opens tube troubles,” Dr. Tward explains. Tward’s research interests include tumor into this air-filled space in the middle ear, biology, the genetics and genomics of is closed most of the time. While it Historical Background disorders of the head and neck, the should open every time a person yawns “We have been doing this procedure development and physiology of the or swallows – many hundreds of times a from the very beginning, when it organs of hearing, and clinical outcomes day – if it does not open frequently was approved by the FDA in 2016. of surgery of the ear and skull base. enough, then the air in that space The conditions to develop the “Half of my lab works on cancer, and behind the ear can get reabsorbed. procedure were worked out over the other half works on the auditory That creates a vacuum that can cause the arc of approximately 10 years system, in particular the ear drum and hearing loss or discomfort. Furthermore, before the balloons were approved,” the cochlea. The ear drum has been an if fluid should build up in that space, says Dr. Tward. understudied organ historically. then that part of the middle ear can He notes that one of his former “Also, although we don’t yet have become infected, which happens often mentors, Dennis Poe, MD, PhD, who data back, something else we have in children. works both at Boston Children’s Hospital been experimenting with is combining Dr. Tward explains that for the past and in Finland, was really the pioneer the balloon procedure with recon- century the usual approach when who drove this treatment forward. structive and other forms of surgery. The Eustachian tubes would not open “I was doing some surgery on objective is to see if the combination will frequently enough was to intentionally Eustachian tubes while the procedure make those surgical procedures more poke a hole in the eardrum. That would was in development and had done successful,” Dr. Tward says. n

HeadsUp! Spring 2020 3 COVID-19 response and airway care at the Mission Bay “It was pleasantly surprising to see Cancer Center, and discussing how to how rapidly we could help develop Continued from page 1 manage personal protective equipment excellent curricula on short notice and ■■ A policy was developed for how best resources for physicians in all situations. disseminate educational platforms to protect providers when performing Close interdisciplinary partnership nationally and internationally,” said laryngoscopies and tracheotomies was required to develop novel and Dr. Murr. and other aerosol-generating appropriate policies surrounding personal Finally, although formal laboratory procedures. The policy was shared protective equipment access for high-risk research was curtailed to support social with other institutions around the procedures, appropriate preoperative distancing, many faculty members and nation. To reduce infection risk, the patient screening and testing for COVID-19, residents produced interesting research department changed its standard and thoughtful use of limited resources. projects related to the COVID-19 examination procedures and obtained In addition, multiple faculty have pandemic during the early months of disposable nasopharyngoscopes for disseminated strategies for resident the cohort strategy. One scientist, use at its hospital sites. protection, surgical policies for skull base Matthew Spitzer, PhD, was even able to surgeries, and guidelines for performing obtain additional grant funding to ■■ Because OHNS performs some of the tracheotomy. Also a project involving support a COVID-19 related project. highest risk procedures in the upper smell and taste changes associated with Nevertheless, the department’s robust airway and nasal airways, the COVID-19 infections was accepted for research efforts were stunted by the department quickly developed and publication, and a project on residency need to shelter in place – although rapid implemented strategies to protect responses and resident concerns during recovery is being planned. patients and providers during those the pandemic period is in press. “As of May, with the worst of the procedures. “This pandemic has been like no pandemic likely behind us, we were ■■ Matthew Russell, MD, spearheaded other. Its highly infectious nature has using testing, standardized protective developing new policies regarding critically affected many roles within our gear, and professionalism and expertise tracheotomy, which were published in department. We have taken to new roles to let our patients know that it was safe Head and Neck. for inpatient, emergency, and urgent to seek care for medical problems at care. Some faculty are volunteering in UCSF. Nevertheless, we will not let our ■■ The Helen Diller Comprehensive respiratory screening clinics, and many guard down. We stand ready to deal Cancer Center, under the depart- are participating in research efforts,” with the potential for flare ups even as mental leadership of Patrick Ha, MD, Dr. Goldberg said. we put enhanced protections in place continued to take care of our cancer Additionally, educational efforts were for our patients,” said Dr. Murr. patients, both new and old, to allow rapidly transformed. The faculty of the Certainly this pandemic is a once in a expeditious treatment despite the OHNS department at UCSF thoroughly century experience. To cope with the pandemic. participated in online education formats problem, there is no doubt that the Other actions included redefining developed by a consortium of programs UCSF community pulled together to inpatient care at the Parnassus campus in California and by professional provide the most sophisticated and Zuckerberg San Francisco General organizations such as the American deployment of medical technology that Hospital, supporting urgent cancer Rhinologic Society and the AONA. our state and region has ever seen. n

UCSF OHNS Contributions to COVID-19 Pandemic Literature Cai Y, Jiam NT, Wai KC, Shuman EA, Roland LT, Chang JL. Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic. The Laryngoscope. In press. DOI:10.1002/lary.28733 David AP, Jiam NT, Reither JM, Gurrola JG, Aghi M, El-Sayed IH. Endoscopic Skull Base and Transoral Surgery During the COVID-19 Pandemic: Minimizing Droplet Spread with a Negative- Pressure Otolaryngology Viral Isolation Drape (NOVID). Authorea. April 27, 2020. DOI: 10.22541/ au.158802359.90283151 David AP, Russell MD, El-Sayed IH, Russell MR. Tracheostomy guidelines developed at a large academic medical center during the COVID-19 pandemic. Authorea. April 09, 2020. DOI: 10.22541/ au.158646511.19689044 Park JS, El-Sayed IH, Young VN, Pletcher SD. Development of clinical care guidelines for faculty and residents in the era of COVID-19. Authorea. April 21, 2020. DOI: 10.22541/au.158750393.37230102 Rameau A, Young VN, Amin MR, Sulica L. Flexible Laryngoscopy and COVID-19. Otolaryngol Head Neck Surg. 2020 Apr 21. DOI:10.1177/0194599820921395. [Epub ahead of print] PMID: 32312166 Roland LT, Gurrola JG, Loftus PA, Cheung SW, Chang JL. Smell and Taste Symptom-Based Predictive Model for COVID-19 Diagnosis. International Forum of Allergy & Rhinology. In press.

4 HeadsUp! Spring 2020 Kristina Rosbe, MD Assumes Two New Leadership Positions ristina Rosbe, MD, FAAP, has been named the new Chairperson of the Surgical K Advisory Panel (SAP) of the American Academy of Pediatrics (AAP). She has also been selected to be a member of the UCSF Benioff Children’s Hospital Perioperative Leadership Team, also known as The Triad. As chair of the SAP, Dr. Rosbe will be able to help advocate at the federal level for pediatric surgical needs such as for pediatric surgical devices, insurance coverage, and verification of children’s as well as contribute to education of pediatricians on pediatric surgical issues and clinical practice guidelines. The AAP is a national organization of 67,000 pediatricians and pediatric subspecialists. The Triad includes representatives from surgery, anesthesia, and nursing administration and is designed to Patrick Ha, MD (seated, front), and contribute to improving quality, his team now use the da Vinci Single efficiency, and safety for the Port surgicical system (inset at right). UCSF Benioff Children’s Hospital operating room environments. Single Port Robotics Enhances As a member of The Triad, Dr. Rosbe will work closely with Cancer Surgery Surgeon-in-Chief Hanmin Lee, MD; Chief Operating Officer ropharyngeal cancer patients are being treated by UCSF Jamie Phillips; Chief of Pediatric surgeons using a new robotic model designed to facilitate Anesthesia Maurice Zwass, single-incision surgeries. O MD; and Chief Medical Officer The new robot-assisted surgery device, the da Vinci SP, allows Stephen Wilson, MD. surgeons to use a thin cannula to operate in the tissues of the Kristina Rosbe, MD oropharynx, which is near the back of the throat. Dr. Rosbe is a clinical “The new robot’s strength is its flexible arms, which allow for a professor of Pediatric Otolaryngology – Head and greater degree of visualization and mobility of the working arms to Neck Surgery and Pediatrics allow surgeons to reach places that were previously difficult to get at UCSF. She is chief of the Division of Pediatric to,” according to Patrick Ha, MD, professor and the chief of Head and Otolaryngology and co-director of the Neck Oncologic Surgery, who is overseeing the use of the new robot. Aerodigestive Clinic. She is also part of the “The smaller the instrumentation, the deeper within the throat we multidisciplinary team caring for children in UCSF’s can go to operate on more confined tumors,” says Dr. Ha. “There are Birthmark and Vascular Anomalies Clinic and always new technologies coming out, but we felt this model Craniofacial Clinic. represented the cutting-edge of robotics, with a specific design for A graduate of the CORO single orifice surgery.” Leadership Collaborative training program and a Dr. Ha explains that previous robotic instruments were designed for graduate of the UCSF Teaching Scholars Program, laparoscopic surgery, where the arms are used in separate quadrants. Dr. Rosbe was the inaugural chief of the Division of “The new technology puts all the arms through a single channel, Pediatric Otolaryngology – Head and Neck hence single port, which is perfect for what we do,” he says. Surgery at UCSF. She has been instrumental in the The new robot is being used to perform very technical surgeries division’s growth to its current nine faculty who such as radical tonsillectomy and tongue base resection. serve at both the San Francisco and Oakland “The robot can extend to the supraglottis, an area of the throat that locations of UCSF Benioff Children’s Hospital. Dr. is above the vocal cords, and cancers in this area can be difficult to Rosbe has a robust clinical practice and has been reach. This technology makes it easier to access this area for surgery,” active in pioneering salivary endoscopy in children, says Dr. Ha. which was the subject of her thesis for the He points out that OHNS was one of the first specialties to get FDA Triological Society. n approval to use the da Vinci SP. n

HeadsUp! Spring 2020 5 Welcome to the Department RESIDENCY CLASS OF 2025 New Faculty and Residents The Department welcomes the following physicians who will begin Taha Jan, MD The new faculty member has their residencies in June 2020. Taha Jan, MD, will authored 21 publications and three join the Department book chapters. Along the way he Jacqueline D. Callander, MD of Otolaryngology – secured several small grants to Dr. Callandar received her Head and Neck support his work. medical degree in 2020 Surgery at UCSF in Dr. Jan was recruited to the from the UCSF School of July 2020. Dr. Jan department following a search Medicine. While attending will be an assistant that was led by Charles Limb, MD, UCSF, she was named professor in the Division of Otology/ Francis A. Sooy, MD Professor the Alpha Omega Alpha Neurotology and will contribute as of Otolaryngology – Head and Carolyn L. Kuckein Student both a surgeon and a scientist to the Neck Surgery. Research Fellow in 2019. Dr. Callandar also received the UCSF School of Medicine department community. Yue Ma, MD Dr. Jan’s main laboratory presence Dean’s Summer Research Fellowship in The UCSF Voice and will be at the Mount Zion Research 2017. She volunteered at the UCSF Institute Swallowing Center Building, and he will be active in the for Human Genetics as an Education has a new ambulatory clinical practice at Mount Committee member, and she also laryngology specialist, Zion. His surgical practice will be volunteered at the UCSF Muriel Steele Yue Ma, MD, who at Mount Zion and the Parnassus Society and on the UCSF OBGYN OR & came to UCSF in campus for neurotology cases. Labor Environment Task Force. Dr. Callandar January from UCLA, Previously, Dr. Jan performed worked for three years as a student where she completed a laryngology research in the stem cell laboratories researcher with Jennifer Grandis, MD, and fellowship in June 2019. of Alan Cheng and Stefan Heller at Daniel Johnson, PhD, in UCSF’s Department “Yue will bring a research focus on Stanford University, where he used of Otolaryngology – Head and Neck swallowing disorders to the single cell RNA sequencing to study Surgery. In that capacity she worked at Department of Otolaryngology – utricular sensory epithelium responses characterizing the effect of STAT3 inhibition Head and Neck Surgery in the to injury in a mouse model. via cyclic decoy on expression of Division of Laryngology. She will also “That line of study can also be immunomodulatory genes in murine oral be working on outcomes and used to investigate inner ear immune cancer lines. She has also been investigating assessment research as part of her responses which are at play in hearing the immune impact of targeted inhibition of academic interest,” said Department loss caused by cytomegalovirus STAT3 in head and neck squamous cell Chair Andrew Murr, MD, in announcing infection,” noted Department Chair carcinoma-bearing immunocompetent the appointment. Andrew Murr, MD, in announcing murine models. Dr. Ma earned a BS degree in Dr. Jan’s appointment. Physiology with a Minor in Economics Danielle M. Gillard, MD “Taha has been recognized for his at the University of Arizona, where she Dr. Gillard received her teaching prowess. He has also been achieved summa cum laude honors. medical degree from the a generous and consistent mentor She stayed at the University of Arizona University of California, to many individuals in the research for medical school and received a San Diego (UCSD) in 2020. laboratories in which he has worked,” Gold Humanism Society Award and While in medical school, Dr. Murr added. was elected to Alpha Omega Alpha in Dr. Gillard received both a Dr. Jan attended Vanderbilt her junior year. Her otolaryngology- Master of Advanced Studies University, where he graduated summa head and neck surgery residency Clinical Research TL1 Grant and a Medical cum laude and Phi Beta Kappa with a training was at Mount Sinai Hospital in Student Training in Aging Research Grant. BA in molecular and cellular biology. New York, where she was an Epic She was a founding member of the UCSD He then earned an MD degree from System Quality Improvement Team division of Scrubs Addressing the Firearm Stanford University School of Medicine member and also assisted as an editor Epidemic (SAFE). Dr. Gillard also set up a in 2012. While at Stanford, Dr. Jan for the Otolaryngology Case Reports Phase 2b industry-sponsored clinical trial spent a year as a Howard Hughes journal. Dr. Ma published 11 papers as for Meniere’s Disease while at UCSD. Research Fellow. He pursued a resident and fellow. She was recently She presented her research in genetic otolaryngology-head and neck surgery awarded the American Laryngological susceptibility-induced hearing loss as a training in the Harvard Combined Association Young Practitioner award poster at the 2019 Association for Research Program at Massachusetts Eye and for her scientific submission to the in Otolaryngology conference and as an Ear Infirmary and was awarded the ALA annual meeting. oral presentation at the 2019 Rat Genomics Chief Resident Teaching Award at Sarah Schneider, MS, CCC-SLP, and Complex Traits Meeting. Harvard in 2017. That was followed by VyVy Young, MD, Jose Gurrola, MD, a return to Stanford for a two-year Shayan Fakurnejad, MD Eric Seeley, MD, and Marika Russell, fellowship in otology/neurotology, Dr. Fakurnejad obtained his medical degree MD, were members of a search which included a T32 research in 2020 from Stanford University School of committee that recruited Dr. Ma. fellowship during his second year. Medicine, where he was a Stanford Medical Scholars Research Fellow. As a graduate student researcher, Dr. Fakurnejad assisted

6 HeadsUp! Spring 2020 in clinical trials involving intraoperative molecular Two Innovations in the Residency imaging for cancer surgeries, including head Training Program and neck surgery. He also wo new programs – a surgical skills assessment program and a wellness, developed novel techniques leadership and communication program – demonstrate innovation in the for applying fluorescence T OHNS Residency Program. imaging for detection of dysplasia and margin assessment of surgical specimens. Modernizing Resident Feedback In addition, he served as a research In February of this year the Residency Program assistant in neuro-oncology at both joined a multi-institutional study evaluating the Northwestern University and UCSF under efficacy of SIMPL™, a surgical skills assessment Andrew Parsa, MD, PhD, from 2010–2015. application that provides powerful feedback to Michael M. Lindeborg, MD residents through a user-friendly mobile platform. In 2020, Dr. Lindeborg SIMPL, which stands for System for Improving received his medical degree and Measuring Procedural Learning, is a from Harvard Medical smartphone-based system that prompts faculty School. While at Harvard, to conveniently complete a simple evaluation Dr. Lindeborg received the shortly after a surgical procedure. Charles Janeway Prize for By answering three easy questions International Research/ The SIMPL app assists faculty in and recording unstructured comments Service in 2019, the Harvard Medical School providing feedback to residents. in close temporal proximity to the Center for Global Health Delivery-Dubai Medical Student Research Award in 2018, procedure, faculty are able to give valuable feedback to residents after and the Elks Foundation Gunther and Lee each surgical case in near real-time without obtrusive disruptions to Weigel Medical School Scholarship in 2016. the faculty or resident’s work flow. He was a volunteer in the Program for “Feedback takes many forms – from spontaneous and occasionally Global Surgery and Social Change in raw comments in the operating room to formal written assessment. Steven Boston, and he was also a member of the Providing feedback that allows trainees to improve performance is a Pletcher, MD Education Committee Working Group for critical aspect of the department’s mission,” said Steven Pletcher, MD, the Harvard Office for Diversity and director of the residency training program. “Based on resident surveys across Inclusion. In addition, Dr. Lindeborg served specialties and throughout the nation, we know that residents want more as vice president of Boston’s Otolaryngology feedback,” he said. Interest Group, for which he helped co-coordinate head and neck screening Stimulating Personal Reflection and Growth clinics for local underserved communities VyVy Young, MD, FACS, and Anna Meyer, during 2018 and 2019. MD, FACS, have developed a program Spenser S. Souza, MD, MS promoting wellness, leadership, and Dr. Souza obtained his communication for residents in medical degree from the Otolaryngology – Head and Neck Surgery. Tulane University School of Through a book club-style format to facilitate growth and reflection, the group has Medicine in New Orleans in VyVy Young, MD Anna Meyer, MD 2020. There, he was a been meeting quarterly for discussions DeBakey Scholar from 2016 surrounding five themes including mental health and wellbeing; equity, inclusion to 2020 and was a Tulane and diversity; bias; communication; and development of leadership ability. Department of Orthopedics Summer Discussion topics covered include such areas as personal growth, self- Research Fellow in 2017. Dr. Souza worked awareness, professionalism, burnout, and teamwork. n for the New Orleans Public Defender as a medical intern and inmate healthcare advocate. That role required that he take the medical history of newly incarcerated persons and write medical reports, review medical records, and advocate for each inmate’s medical needs. In New Orleans Dr. Souza founded both the Central City Dream Academy for the Knowledge Is Power Program and HIIT Tuesdays, which Initial book selections included In Shock: My Journey from Death to Recovery and the focused on fitness and medicine at the Redemptive Power of Hope; Autobiography of a Face; Attending: Medicine, Tulane University School of Medicine. Mindfulness, and Humanity; Communication Rx: Transforming Healthcare Through Prior to medical school, Dr. Souza earned Relationship-Centered Communication; and Small Great Things. an MS degree in Human Nutrition from Columbia University. n

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The Annual Faculty Symposium for Resident Research Opportunities HeadsUp! September 2020 SPRING 2020 | VOL. 17, ISSUE 1 UCSF Department Chair, Editor-in-Chief: Andrew H. Murr, MD UCSF Audiology Update XIV Event and Communications Manager: October 16–17, 2020 Katherine Murphy Hilton, Financial District, San Francisco Web and Media Specialist: Clinton Louie Design: Laura Myers Design Multidisciplinary Management of Head and Neck Cancer – Maximizing Photography: Clinton Louie, Marco Sanchez Voice and Swallowing Outcomes © 2020 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA November 5, 2020 San Francisco Contact Us Current and Advanced Techniques in Sialendoscopy and Salivary General Otolaryngology Pediatric Otolaryngology – HNS Duct Surgery Otology, Neurotology and Skull Base Surgery November 5, 2020 Rhinology and Sinus Surgery, Sleep Surgery Grand Hyatt, San Francisco 415/353-2757 Cochlear Implant Center 415/353-2464 Management Strategies in Early and Late Stage Head and Neck Cancer Facial Plastic and Aesthetic Surgery Practice November 6–7, 2020 UCSF Medical Center Grand Hyatt, San Francisco 415/353-9500 HNS – Facial Plastic and Post-Oncologic Robert A. Schindler, MD Endowed Lecture in Otology Reconstructive Surgery, UCSF Helen Diller December 2020 Family Comprehensive Cancer Center UCSF 415/885-7528 Head and Neck Surgery and Oncology NOTE: The COVID-19 outbreak has caused significant travel disruptions Head and Neck Endocrine Surgery Salivary Gland Center to national and international conferences. The health and safety of 415/885-7528 our meeting attendees is of utmost importance to us, and we base all Balance and Falls Center 415/353-2101 decisions as to whether to hold a meeting or CME conference on Voice and Swallowing Center 415/885-7700 information from UCSF and national health officials. Audiology 415/353-2101 Berkeley Outpatient Center 510/985-2000

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