"I can come by here and have a couple of polyps lasered off my vocal cords and then go straight to work."
— Daryl Collins, age 53

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Academic Voice Programs

The Emory Voice Center Experience

The Emory Voice Center consists of a multidisciplinary team of 3 fellowship trained laryngologists, voice therapists, singing specialists and dysphagia therapists. The entire spectrum of voice and swallow related pathologies are addressed, utilizing state-of-the-art equipment and techniques. Approximately 2000 videostroboscopic voice examinations over 500 voice-related procedures are performed yearly. The Emory Voice Center provides the fellows with an excellent exposure to the full spectrum of voice and swallowing disorders, and their medical and surgical management. Through bimonthly “Voice Rounds,” clinic-based teaching and progressive responsibility in the operating room based on individual ability, the fellows receive a well-balanced, academic experience. Fellows will be mentored by 3 laryngologists (Drs. Michael Johns III, Adam Klein and Melissa Statham) and will work with a team of therapists (led by Dr. Edie Hapner, CCC-SLP) conducting voice, singing and swallowing therapy.

Fellowship Goals and Objectives

The laryngology fellowship experience at The Emory Voice Center is geared towards the development of competency in the diagnosis and treatment of voice and swallowing disorders, and exposure to their multidisciplinary medical and surgical treatments. Fellows are expected to participate in the evaluation of patients in the outpatient setting for the purpose of learning the history taking and physical examination skills as they pertain to vocal disorders, and develop skills with videostobolaryngoscopy techniques and interpretation. Diagnostic skills are further challenged through monthly “Voice Rounds,” where the fellow will be responsible for presenting difficult voice cases from previous weeks, and expected to understand and convey all of the issues as they pertain to the diagnosis and treatment of the patients. Fellows also work in close conjunction with on-site speech language pathologists and singing specialists to improve their understanding of the role of nonsurgical treatment and physical rehabilitation of the voice.

Fellows will perform numerous office-based procedures, including videostrobolaryngoscopy, transnasal esophagoscopy, laryngeal BOTOX injections, awake injection medialization laryngoplasties, laryngeal electromyography, and awake endolaryngeal laser procedures.

The operating experience will expose the fellow to endolaryngeal procedures (such as direct laryngoscopies, microsuspension laryngoscopies, phonomicrosurgery for benign and malignant lesions, and treatment of laryngeal and airway stenosis), laryngeal framework procedures, and major airway reconstruction. Fellows will learn the physiological and technical issues regarding these surgeries. In order to hone a surgical skill set to treat disorders of the voice, the fellows will have access to a state-of-the-art laryngeal surgical dissection lab (on the premises), which is equipped with surgical trainers to allow for laryngeal framework procedures and endolaryngeal phonomicrosurgery on cadaveric specimens.

Following Completion of the Laryngology Fellowship at the Emory Voice Center, Fellows Will:

  • have comprehensive knowledge of voice, airway and swallowing disorders;
  • be competent in the evaluation and treatment of patients with voice, airway and swallowing disorders;
  • be able to perform the full array of office-based procedures for voice disorders;
  • be skilled in endoscopic and open laryngeal, pharyngeal and airway surgical procedures in the operating room setting.

Fellow Responsibilities

  • Team Participation and Autonomy

    The laryngology fellow at the Emory Voice Center is expected to function as part of the team of physicians and speech pathologists in the outpatient setting at the Emory Voice Center at Emory University Hospital Midtown. In this way, they will participate in patient workups and office-based procedures. The fellow will also have their own clinic for voice, airway and swallowing disorders 1 day per week. The fellow will also participate in surgical procedures in the operating room with all cases. Since they will be performing the more complex aspects of the surgeries in a progressive fashion, they are expected to develop a solid skill set in phonomicrosurgical and laryngeal framework procedures in the surgical training laboratory. Time will be allotted weekly for this purpose, as needed. Fellows will also develop more autonomy by rotating once per month at Grady Memorial Hospital, where they will staff laryngology-related cases and clinics, as well as general otolaryngology cases when possible.

  • Call Schedule

    Fellows will rotate in the attending call schedule in the Department of Otolaryngology.

  • Research

    Fellows are expected to participate in new or ongoing research efforts. Research time is provided in the schedule (see “Schedule” section). Currently, the Emory Voice Center faculty is involved in many ongoing research projects, both clinical and laboratory based. Several of these projects are translational research in conjunction with scientists at The Georgia Institute of Technology. Fellows are expected to submit at least one abstract to a national meeting for oral presentation and one manuscript to a peer-reviewed journal.

  • Didactics and Teaching

    Fellows are expected to participate in the training and teaching of medical students and residents in the laryngology rotation. They will help coordinate “Voice Rounds” and will give one Departmental Grand Rounds lecture during the year.

Conferences

Fellows have the option of attending all educational conferences sponsored by the Emory Voice Center and the Department of Otolaryngology, Head and Neck Surgery at Emory. This includes the weekly grand rounds and didactic lectures. An effort will be made to sponsor the fellow at a regional or national conference if they have an accepted presentation.

Housing

Although the Emory Voice Center and Emory Department of Otolaryngology cannot offer room or board to the visiting fellows, efforts will be made to assist in the coordination of these issues.

Length of Fellowship

A 12 month fellowship will be offered to applicants who have successfully completed an otolaryngology residency and passed all 3 stages of the USMLE.

Schedule

Monday:
8am-9am Voice Rounds (once a month)
8am-12pm Voice/Swallowing/General Clinic (Fellow)
7am-5pm Surgery/Procedures (Dr. Statham)
1pm-5pm Voice Clinic (Dr. Johns)

Tuesday:
7am-5pm Surgery/Procedures (Dr. Johns)
8am-5pm Voice Clinic (Dr. Klein)
2nd Tues/mo Grady Memorial Hospital staffing

Wednesday:
8am-12pm Voice Clinic (Dr. Johns)
8am-12pm Awake laryngeal procedures (Dr. Klein)
1pm-5pm Voice Clinic (Dr. Klein)

Thursday:
7am-8am Departmental Grand Rounds
7am-5pm Surgery/Procedures (Dr. Klein)
9am-12pm Voice Clinic (Dr. Johns)
1pm-5pm Voice Clinic (Dr. Statham)
1pm-5pm BOTOX Clinic (Dr. Johns)

Friday:
8am-12pm Voice Clinic (Dr. Klein)
1pm-5pm BOTOX Clinic (Dr. Klein)
1pm-5pm Voice/Swallowing/General Clinic (Fellow)

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