Cedars-Sinai Medical Center

Los Angeles, California

Training Program Director: Armando E. Giuliano, MD, FACS, FRCSEd
Associate Director: Alice P. Chung, MD, FACS

Cedars-Sinai Medical Center is a nonprofit academic medical center with approximately 900 licensed beds. The medical center serves Los Angeles and the surrounding area as a major tertiary and quaternary referral center for California and is one of the largest medical centers in the United States. Cedars-Sinai's facilities are among the most advanced in the world with state-of-the-art equipment and application of new technologies. Cedars-Sinai ranked among the nation’s best in the U.S. News & World Report 2016-17 “America’s Best Hospitals” issue.


About the Program

Cedars-Sinai Medical Center offers a one-year SSO-approved clinical breast oncology fellowship to two (2) candidates who have completed a general surgery residency and who are Board-eligible or Board-certified. The Breast Fellowship program is an integrated multidisciplinary program that encompasses the study of benign and malignant diseases, clinical research, epidemiology, risk factors, prevention, genetics, early detection, staging, treatment, continuity of care, survivorship, psycho-oncology, and quality of life. Major emphasis is placed on surgical oncology training, multidisciplinary care, and clinical research. There are 35 faculty members involved in the care of patients and teaching of fellows.  The breast oncology trainee will participate fully in the management of complex breast problems, evaluate patients with both benign and malignant breast conditions, and coordinate care with multidisciplinary specialists. The trainee will participate in the recruitment of patients for clinical and translational research studies and will attend didactic lectures and multidisciplinary clinical conferences. Interested candidates will be considered for an additional year of research.

Rotations

The fellowship program includes dedicated core rotations in breast surgery, medical oncology, pathology, radiation oncology, plastic and reconstructive surgery, and breast imaging. Of the one-year fellowship, seven to eight months are dedicated to the surgical management of benign and malignant breast conditions. During this time, the fellow works closely with the seven breast oncology surgical faculty members of the Saul and Joyce Brandman Breast Center – A Project of Women’s Guild. The fellow will receive intensive training in surgical procedures including sentinel lymph node biopsy techniques, various types of tumor resections, nipple-sparing mastectomy, oncoplastic surgery, reconstructive procedures, image-guided procedures, and minimally invasive diagnostic and therapeutic procedures. The remaining core rotations allow for dedicated time to learn both the foundation and nuances of multidisciplinary oncologic care and allow the fellow to work with multiple faculty members in each discipline.  Additional rotations offer experience in genetics, psycho-oncology, survivorship and rehabilitation, and research. The core curriculum includes didactic sessions, clinical specialty research seminars, and breast journal club.

Teaching, Research, Presentations, and Publications

Fellows will present new patients at Multidisciplinary Breast Tumor Board where slides and images are reviewed with multiple attending physicians and multidisciplinary care is discussed.  Additionally fellows will mentor first- and second-year residents and will prepare and deliver presentations to the lay community as well as community physicians.  Under the guidance of a mentor, the fellow will participate in writing journal articles and may participate in writing research protocols and grant proposals. The fellow will learn to evaluate scientific publications and to prepare research results for submission to peer-reviewed medical/scientific journals. Additionally the fellow will be expected to participate in ongoing clinical research protocols and will be encouraged to present research findings at local and national meetings. We participate in national cooperative group trials including Alliance, NSABP, RTOG, and SWOG. Previously trained fellows have presented their work at the annual meetings of the Society of Surgical Oncology, American College of Surgeons, Pacific Coast Surgical Association, American Society of Breast Surgeons, American Society of Clinical Oncology, and other national and international meetings.

Eligibility

Applicants should be eligible or certified by the American Board of Surgery or an equivalent certifying body and must be eligible for medical licensure in the state of California.

Contact Information

Training Program Director: Armando E. Giuliano, MD, FACS, FRCSEd
Executive Vice Chair, Surgery
Contact: Vicky E. Norton, Breast Oncology Fellowship Coordinator
Address: Cedars-Sinai Medical Center
310 N. San Vicente Boulevard, Third Floor
Los Angeles, CA 90048
Phone: 310-423-9970
Fax: 310-423-9577
Email: nortonv@cshs.org