Training Program Director: Eli Avisar, MD
Associate Program Director:
The Comprehensive Breast Cancer Program at the University of Miami (UM) Miller School of Medicine offers an integrated approach to the management of breast cancer patients in an academic tertiary care environment. The Breast Surgery Section of the Division of Surgical Oncology offers a one to two years surgical fellowship designed to provide in-depth multidisciplinary training in the diagnostic evaluation, surgical management, and adjuvant care of breast cancer patients in addition to management of patients with benign breast disorders. In addition, a strong emphasis is placed on participation in clinical and translational research. The goal of the fellowship is to provide the trainee with the independent skills to be a leader in breast care in an academic or community environment.
One fellow is taken every year and intensively trained. During the first year, the Breast Fellow spends 6 months on the breast surgical service working with the whole breast surgery team at the Sylvester Comprehensive Cancer Center and at the Taylor Breast Health Center of the Jackson Memorial Hospital. Significant emphasis is placed on the outpatient evaluation of breast imaging, pathology results, and patient risk factors to develop a comprehensive care plan. Development of ultrasound skills for characterization of breast lesions, image-guided biopsy, and intra-operative localization is emphasized. The remainder of the year includes month-long rotations in Breast Imaging, Pathology, Medical Oncology, Radiation Oncology, Plastic Surgery, and Risk Assessment and Genetic Counseling. The fellow is evaluated at the end of each rotation by the clinical preceptor of that rotation as well as every three months on the breast surgery service. The evaluation includes patient care, technical skills, medical knowledge, clinical judgment, teaching, academic performance, organization, work relationship, empathy to patients and dependability.
The second year is dedicated to clinical research while continuing the clinical breast activities for 1-2 days a week and for after-hours coverage. The goal of this optional second year is to foster the development of breast oncology researchers who will be able to return to their institutions and function not only as excellent clinicians but also become academic leaders in their field of breast oncology. After the first six months of the first year, the candidate is evaluated for suitability and interest in this track based on the candidate interest and the evaluations during that time. When a second year is offered, the candidate is given choices of a few mentors for his research project and is expected to formulate a project plan prior to starting the second year. Evaluations continue every three months by the research mentor and by the breast surgery service.
The Breast Fellow benefits greatly from the large referral base available to the University of Miami/Jackson Memorial Medical Center from South Florida, the Caribbean basin and Latin America. Clinical activities are based at Jackson Memorial Hospital (JMH – a 1,600-bed teaching/tertiary care institution run by the Public Health Trust of Dade County), the Jackson Breast Health Center, and the Sylvester Comprehensive Cancer Center/University of Miami Hospital and Clinics. There are five or more operating room days at JMH, and two to three operating room days at Sylvester. There are four breast surgery clinic days and one multidisciplinary breast presentation per week at JMH and each attending surgeon also sees breast patients in an office setting at Sylvester 1/2 to 2 days per week. Fellows work closely with their attending preceptors in both outpatient and operating room settings.
Fellows participate in weekly Multidisciplinary Breast Cancer Conferences for treatment planning as well as academic interdisciplinary Breast Site Disease Group meetings. Teaching conferences led by faculty in the Breast Cancer Program are designed to cover the core educational objectives developed through the SSO and ASBS. Additionally the Breast Fellow has the opportunity to participate in all the Surgical Oncology Fellowship activities including the General Multidisciplinary Tumor Board, the Surgical Oncology Journal Club held 10 to 12 times per year, The clinical research “boot camp” offered to all Oncology Fellows at UM and 30 to 40 Surgical Oncology Core Curriculum lectures given each year. Participation in Surgical Grand Rounds, and Mortality and Morbidity Conference is required.
Prospective fellows must have completed a fully accredited program in surgical residency prior to the start of the Breast Surgical Oncology Fellowship and must be Board certified or eligible. Foreign applicants must have completed a surgical residency program in their country and meet all University of Miami Graduate Medical Education requirements. We accept the J-1 Visa.
Maria I. Paez, Program Coordinator
University of Miami Leonard M. Miller School of Medicine Surgical Residency/Fellowship Office
1611 N.W. 12th Avenue,
Holtz Building- ET 2169
Miami, FL 33136