Fellowship | Facial Plastic & Reconstructive Surgery

Mailing address:

Gregory H. Branham, MD,
Facial Plastic Surgery Center
1020 N. Mason Rd. Suite 205
St. Louis, MO 63141

Program address:

1020 N. Mason Rd. Suite 205
St. Louis, MO 63141
Phone: (314) 996-3880
Fax: (314) 996-8610

Program e-mail:

branhamg@ent.wustl.edu

Duration of the program:

This is a one-year program, July 1 to June 30.


Prerequisite Training/Selection Criteria

The following are required for applicants to be eligible to start full duties on July 1:

  • A medical degree from an accredited institution
  • A physician’s license from the Missouri State Board of Healing Arts, BNDD, and DEA.
  • Attain hospital privileges at Barnes-Jewish Hospital, Barnes-Jewish West County Hospital, John Cochran VA Medial Center, and St. Louis Eye and Laser Center.
  • Attain Medicare and Medicaid provider numbers.
  • Graduation from a US ACGME-accredited otolaryngology residency program or plastic surgery residency training program,
  • Three letters of reference — at least two from faculty members of the training program of origin, one of whom is the program chair — provided to the preceptors of the fellowship
  • A visit to the program site, and interview.
  • Participation in the AAFPRS centralized application process and match.

Goals and Objectives for Training

The broad educational purpose of this fellowship program is to graduate Facial Plastic surgeons who have superior proficiency in facial cosmetic and reconstructive surgery.

The fellow will be seeing patients in the Facial Plastic Surgery Center along with the Program Director and Dr. John Chi. The fellow will be responsible for evaluating patients and presenting them to the Program Director with a proposed treatment plan. The fellow will learn the art of the preoperative evaluation of the cosmetic patient and the postoperative care that is necessary for these patients. There will be a concentration on the elective cosmetic patient and the management of these patients. Fellow will learn specific skills such as photo documentation, computer imaging, informed consent, practice management. The fellow will participate primarily as first assistant on cases performed in the office under local anesthesia only. No IV sedation is administered in the office setting. Fellow will treat patients for laser rejuvenation, both ablative and non-ablative under the supervision of the Program Director. This experience will allow the fellow to see patients postoperatively and follow their progress and learn the skills necessary to manage postoperative patients. The fellow will be to assist the resident’s with their facial plastic surgery cases and to see patients on their own half day of clinic. These cases will be primarily functional nasal cases. The fellow will primarily serve as a junior faculty member to staff resident facial plastic surgery cases from the two resident clinics. The fellow will gain experience in management of traumatic facial injuries by staffing selected trauma cases. The fellow will be primarily responsible for management of the Facial Plastic Surgery service at the John Cochran VA Medical Center.


Teaching staff

Gregory H. Branham, Professor and Chief of the Division of Facial Plastic and Reconstructive Surgery, graduated from the University of South Carolina School of Medicine, completed Otolaryngology-HNS residency at St. Louis University, and completed his fellowship program at Washington University School of Medicine. Dr. Branham will be responsible for the daily observation and mentoring of the fellow’s skill and competency as the fellow operates or is in clinic with Dr. Branham. Dr. Branham will ensure that appropriate progress is being made in skill acquisition, advising the fellow on what aspects may need strengthening. Dr. Branham also tracks the number of procedures performed with or by the fellow to ensure he/she gains adequate experience.

John J. Chi, Assistant Professor is an integral part of the fellowship training program. He graduated from State University of New York Downstate School of Medicine. Otolaryngology Residency was completed at University of Pennsylvania and Facial Plastic Surgery Fellowship at Cleveland Clinic Foundation. Dr. Chi provides additional expertise in microvascular tissue transfer reconstruction.


Facilities

Training occurs at the Facial Plastic Surgery Center, Barnes-Jewish Hospital, Barnes-Jewish West County Hospital and the John Cochran VA Medical Center.


Educational Program/Basic Curriculum/Clinical and Research Components

The fellow will see patients in the office pre and postoperatively with Dr. Branham and Dr. Chi.. Dr. Branham’s practice consists of 50% primary and revision rhinoplasty, 40% aging face, and 10% MOHs reconstruction and trauma. The fellow will operate with Dr. Branham and Dr. Chi on their surgical cases. The operative experience is a graduated experience with opportunities for primary responsibility for surgical cases at the beginning of the fellowship. The fellow will staff rhinoplasty and trauma cases at Barnes Jewish Hospital with Dr. Branham. The fellow will also staff rhinoplasty, MOHS reconstruction and other facial plastic surgical procedures at the John Cochran VA Medical Center every Friday. The fellow will have the opportunity to generate cases of their own through referral from the Otolaryngology residents and faculty.

Fellows are encouraged to spend time with MOHs surgeons, cosmetic dermatologists, oculoplastic surgeons and plastic surgeons in the community (multiple established opportunities exist at the university and with private practice physicians) whenever Dr. Branham or Dr. Chi is out of town or upon approval. Exposure to hair restoration is available to interested candidates.

The fellow will complete a research project as a part of the fellowship program. There are a number of research laboratories available to the fellow as well as opportunities for outcomes research and clinical research projects. The research activities will culminate in a peer reviewed publication.

The fellow will be responsible for primary call for Dr. Branham’s and Dr.Chi’s patients. Fellow will take one week of call per month at the VA medical center. All calls will be from home.


Didactic Components

The fellow will be responsible for one Grand Round presentation during the year. They will share responsibility for presentation at trauma conferences, M&M, and Facial Plastic Surgery conferences. The fellow will be responsible for clinical teaching as they staff cases with the Otolaryngology residents. The fellow will also be involved with multiple cosmetic surgery cadaver courses at the practical anatomy skills lab.


Evaluation

Fellows are evaluated informally on an ongoing basis with regular feedback. Residents are formally evaluated at 6 months and at the completion of the fellowship.