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تحميل الدليل التدريبي

أسئلة شائعة




















Department of Otorhinolaryngology

Postgraduate Center

College of Medicine





King Saud University

Riyadh, Saudi Arabia



College of Medicine

King Saud University

ORL Department

King Abdulaziz University Hospital





The decision in obtaining a postgraduate/specialty training fellowship is the most important and career oriented one.  A fellowship at which brings your dream at highly specialized, unique among your peers and give you the utmost confident in performing certain surgical procedures at high level in shorter period of time


Through the years, the King Saud University which is situated in the heart of Riyadh, Kingdom of Saudi Arabia played a major role and served as an instrument of this quest since it is credited as the largest and the best in the region government medical institution known to have the facilities and the experience in offering a fellowship in many fields of specialties that caters not only the Saudi Nationals but also in other parts of the Arab speaking Countries.


The otolaryngology and head and neck (ORL H & N) at King Saud University is unique having the prestige and qualities at being the center of excellence of practicing and providing major otolaryngology and head and neck surgery, accordingly its Facial Plastic Fellowship in its postgraduate and/or continuing medical education program.



Two-year Facial Plastic Fellowship Program



Goals and objectives of program / training:   


The objective of the 2-year Facial plastic Fellowship is to provide an up to date and highly specialized graduate in the field of basic and fundamental aspects of Facial Plastic.


At the end of his training, he will be capable at taking surgical tasks at difficult level in an excellent manner.  He as well has the basic knowledge to prepare for his clinical and research paper, has the opportunity for advanced training in facial plastic and reconstructive surgery has to learn how to set up a well run and successful facial plastic surgery practice and has to gain exposure to the academic responsibilities expected of a fellowship trained in the field of facial plastic Fellow.


The training includes didactic sessions, clinical care, research opportunities and medical and surgical experiences


All aspect of facial plastic training is covered, with special emphasis on facial and cosmetic of face.


1.     Full exposure to all aspect of diagnosis, medical and surgical care of facial deformity, trauma so that at the completion of the fellowship, the Fellow will be a well qualified and a safe surgeon in the field of facial plastic (e.g. scar revision, closed and open septorhinoplasty procedure) and its disorders as well as be well versed in the basic science knowledge underlying diagnosis and management.

2.     Delineate updates in medical and surgical option for management of different facial-plastic disorders (Rhinoplasty, etc……)

3.     Learn the methodology and interpretation of facial plastic studies.

4.     Expose to advanced facial plastic procedures

5.     Undertake and complete a minimum of 1 clinical research project during the fellowship program to be agreed upon with the mentor at the

     start of the fellowship. The research topic will be presented/published at

     National or International otolaryngology / facial plastic meeting or

     journals.   However, we recommend to do more than 1 research projects

     and this will be supported by  the Staff as well.

6.  Actively involvement in the teaching and academic development of

  King Saud University Hospitals.



Prerequisite / Selection Criteria:


To be admitted to facial plastic subspecialty program, Candidate must:


1.     A Board eligibility  and/or Board certification in Otolaryngology/Plastic

2.     Provide a sponsor and its release paper

3.     Pass  the oral interview

4.     Two (2) reference letters from Consultants with whom the Candidate is currently working or has recently worked with, for a minimum period of six months.



General Guidelines


1.     The duration of sub-specialty training will be TWO (2) years.

2.     Each fellow will be personally supervise and cater by the facial plastic group.

3.     The evaluation of Fellow will be quarterly (3 months) through entire training period.

4.     The Fellow will starts his training in the beginning of each academic year (1st of October)

5.     The  deadline for the Fellow’s application is on the 15th of March each


6.     Selection examination will be in a form of oral interview and it will be held end of March each year



Resources and facilities


King Abdulaziz University Hospital is a tertiary care academic hospital attached to the College of Medicine, King Saud University, Riyadh, King of Saudi Arabia.


It is located in central area of Riyadh, the University Hospital is a specialized hospital for ORL H and N surgery and Ophthalmology with a capacity of 104 inpatient beds. 


The total ambulatory visits to all Departments are approximately 305340 annually including 101705 emergency visits.  There are about 300881 visits to ENT clinic each year.


The surgical case load is approximately 4,459 per year, all procedures are performed in the main OR in KAUH with 3 rooms being in use each day.


(1)  Teaching staff:


      At present physician staff consists of two full time facial plastic

      practitioners with experience in teaching and training in the  facial

      plastic subspecialty.  In  addition, the

      other Teaching  Staff of the Department and affiliated hospitals will also

      help in accomplishing the program’s objectives.


(2)  Equipment:


 The ORL department in KAUH is a highly equipped center.  All examination rooms and operating rooms are equipped with updated and latest instruments and video documentation facilities, simulation program in addition to excellent Laboratory, Radiology and Pathology services. 


(3)  Surgery:


Surgery includes a wide array of office procedure, routine facial plastic surgeries as well as complex and revision surgery using different techniques.


Cadaveric dissections will be carried out on human biological material using advanced instrumentation.


A variety of research opportunities are offered in collaboration with research department of College of Medicine, KSU to perform basic and clinically orientated research projects.


The scientific/academic computing center located in K.K.U.H., aids fellows, staff, and faculty in the scientific computing, including how to use the Center’s computers and other facilities, statistical analysis, data acquisition, analysis techniques, research methodology, and mathematical/analytical methods.


(4)  Capacity:


Only 1 Candidate per academic year will be accepted in the facial plastic Program


(5)  Training committee:


The Training Committee will be comprised of the facial plastic Consultants at the ORL, H and N surgery Department of College of Medicine,  KSU.  All participating consultants in facial plastic fellowship program in affiliated hospitals will be Members at the Program Board Committee to evaluate the program progress and Fellow’s performance.


Structure and content of the program



I.  Division of time and duties for the full 2-year period:


     12- month  -  Full exposure in clinical exposure in King Saud

                           University’s Teaching


        3-month   -  Elective rotation

        3-month   -  Intensive training and exposure in maxillofacial trauma

        6-month   -  Intensive training and exposure in plastic in 2 to 3 different




II. Clinical and Research Components


a.     Clinical


The fellow will participate “hands on” in all facial plastic clinics and in the operating room.  The fellow will receive clinical training during facial plastic full-day clinics per week and surgical training in the operating room twice per week.  Additional clinical teaching takes place during hospital rounds on facial plastic patients and during the care of emergency facial plastic cases.


The fellow is clinically involved in the on-call in the rotation of the mentor of fellowship taking 5 to 8 per month.


b.    Research


The fellowship provides numerous opportunities for clinical and basic science research in the areas of nasal, ear plastic studies clinical/surgical outcomes.  Fellows are encouraged to develop research proposals under the direction of the Fellowship Director with full Department support to present the work at the major meetings in Saudi Arabia or abroad not more than 2-month period.


c.      Elective period


      The fellowship provides opportunity to attend Mini Fellowship, Courses

      or get more experience in higher center worldwide as arranged by

      University Department or by Candidate himself after the approval of the

      Program Board..



III.   Fellow Supervision and Patient Care Responsibilities


      Fellows are closely supervised during the first quarter of the Fellowship. 

     As the fellow matures, patient care independence is allowed though still

     will be under the supervision of the Fellowship Director.


      At the completion of fellowship, the fellow is able to evaluate and

      manage all medical and surgical disease related to the facial plastic:


      Patient care responsibilities:


1.     See and evaluate facial plastic patients in the facial plastic clinics.

2.     Supervise the preparation process for patients requiring facial plastic surgery.

3.     Pre-Post operative rounds in-hospital’s  facial plastic cases

4.     Supervise otolaryngology residents on the facial plastic rotation.

5.     Participate in the care of emergency facial plastic patients.

6.     Receive consultations of all facial plastic cases referred from the department or from others.



IV. Procedural Requirements


     The following procedures are performed during the fellowship:




Number of cases


Basic septoplasty procedure     

> 50 cases


Closed septorhinoplasty procedure

> 80 cases


Open septorhinoplasty procedure

>50 cases


Revision of septorhinoplasty

10 cases



5 cases



5 cases



20 cases


Closed technique of septal perforation closure

5 cases


Open technique of septal perforation closure

2 cases


Scar revision

20 cases


Maxillofacial trauma include nasal bone fracture reduction

30 cases







V.         Didactic Components


a.     Attend all department conference pertaining to facial plastic

b.     Assist in implementation of annual  facial plastic CME program

c.      Conduct a mandatory and pre-requisite research in the Department clinical presentation

d.     Give 2 Department otolaryngology resident lectures per year.  Lecture topics included basic rhinoplasty approach and basic facial plastic principles.

e.      Attend otolaryngology journal club every month and proctor facial plastic papers being discussed.

f.       Supervise resident cadaver training dissection (optional)

g.     Supervise all use of laboratory dissection materials.

h.     Attend all otolaryngology clinical meetings.


The fellow will be required to


-         Study epidemiology, statistical methods, experimental design, and manuscript preparation, including literature searches and the use of computerized and internet databases, so needs to complete a course in statistics in the first year.

-         Complete 2 Basic / Advanced  Facial Plastic Courses (abroad, and encouraged to attend hands-on courses)

-         Participate in preparation of all the facial plastic division Courses and considered as Member in all Facial Plastic Committee.

-         Participate in at least 2 - 12 weeks mini fellowship or clinical attachment outside the Kingdom as part of the elective rotation or period, to see and manage advanced and difficult facial plastic cases and surgery after approval of the Program Director.

-         Attend at least one (1) conference (National or International) on facial plastic per year.

-         Present and publish at least three (3) papers during his training. One (1) could be a case report but the other two (2) should be a well written high evidence ranking paper. (there is large time that is given for research as seen next and it should be objectively measured by publications)







The fellow will be evaluated on the following items using postgraduate evaluation scale from 1 to 5, 1 being the lowest or very poor performance and 5 being the highest or outstanding performance (1 = unsatisfactory performance; 2= Below average;  3= Average;  4= Above average; 5= Outstanding)


1.  Patient care – compassionate, appropriate and effective for the treatment   

                            of health problems and the promotion of health in Saudi



2. Medical knowledge – established and evolving biomedical, clinical and

                            cognate (epidemiological and social behavioral) sciences

                            and the application of this knowledge to patient care


3. Practice-based learning and improvement – involves investigation and

                            evaluation of their own patient care, appraisal and

                            assimilation of scientific evidence and improvements in

                            patient care


4. Interpersonal and communication skills – that result in effective

                            information exchange and teaming with patients, their

                            families and other health professionals


5. Professionalism – as manifested through a commitment to carrying out

                            professional responsibilities, adherence to ethical

                            principles and sensitivity to a diverse patient population


6. System based practice – as manifested by actions that demonstrate an

                           awareness of and responsiveness to the larger context and

                           system of health care and the ability to effectively call on

                           system resources to provide care that is of optimal value.









Fellow Job Description


Title:              Facial Plastic Fellow

Department:    Department of ORL H & N surgery, College of Medicine, 


Academic:      Board Certification

Experience:  1)  Demonstrate clinical competency to work at a fellow level

                     2)  Demonstrate potential medical supervisory skills

                     3)  Demonstrate potential teaching skills

                     4)  Demonstrate ability to promote good interpersonal



Terms of Employment:


1)    KAUH, Riyadh

2)    ORL H & N Department, KSU




a) General:

v Administer ORL patient care polices and protocols

v  Provide exemplary facial plastic patient care to those patients  

       under his/her care

v  Cooperate with all the other staff to ensure exemplary patient care

v  Attend rounds


b) Specific

v Help and/or assist  in looking after critically ill patients

v Review,  prepare and completed all the medical records of the facial plastic patients

c) Evaluation

v Assist in the evaluation of residents, medical students and interns.

d)  Teaching

v Participate in the teaching of Medical Students, Residents, Interns,

      Nurses and patients

e)   Research

v Undertake 1 research project (preferably randomized control studies) under supervision of Program Director, though, not limited to only 1 and will encourage to have more than 1 as mentioned above and it will be fully supported by the Training Supervisors and the Department as well.

v Publish at least 3 publications during the program, case reports are

                accepted for only 1 publication



f)   Others

v Assume responsibilities for the development and maintenance of own professional competency


g)  At the end of the Fellow’s training, he should meet the following



-         The trainees will be able to demonstrate competency of  facial plastic procedures and skills in the use of technology

-         Demonstrate the ability to assess the facial plastic patient by

1)    Appropriate history taking and physical examination

2)    Selecting appropriate investigations

3)    Interpreting investigations

-         Make management plan for all  facial plastic problems

-         Demonstrate effective communication skills

-         Demonstrate academic qualities pertaining to  facial plastic

-         Demonstrate effective teaching of the residents

-         Participate in research work of the department

-         Understand the relevant aspects of staff management and

administration pertaining to high intensity of work


h) At completion of 2-year program, King Saud University Fellowship in

    Facial Plastic Certificate will be awarded to the candidate from King Saud












General Rules and Regulation: In accordance to the rules and regulations of KSU


1. Admission processing


    The Postgraduate Medical Education (PGME), Medical Education Center

    will accept and perform the preliminary review of applicants and forward

    applications to the Program Director.


    The Departmental Residency Committee will then conduct the interview

    and or selection exam and recommends candidates for acceptance using

    the special form for selection of Candidate(s) {as stated above in general



    Results will be forwarded to the Director of the Postgraduate Training

    Programs, who will forward the results to the Vice Dean of Postgraduate

    and Continuing Medical Education and the Dean of the College of

    Medicine.  Upon approval of the results the PGME will write acceptance

    letters to the accepted Candidate(s).


    The training will commence at the beginning of academic year – 1st of

    October.   The accepted Candidate(s) will be registered with the Deanship

     of Admissions and Registrations.


     Deadline for the submission of application will be 15th of March.


2)  Rotations - New  facial plastic fellows should be paired with  Facial

     Plastic Consultant until their procedures have been certified

3)  Teaching commitments must be protected

4)  Number of on call –as stated above

5)  Withdrawal:  


      A valid reason for withdrawal must be given in writing to the Facial

      Plastic Program Director.  Submission of withdrawal should be made 3

      months before the end of the training year to the Departmental

      Residency Committee (DRC) which will refer the request to the

      Postgraduate Training Board (PGTB) with recommendations.  The final

      decision will be made by the PGTB who will give their final reasons in



      If in case the withdrawal was rejected by the PGTB and the Candidate

      left the program without permission, he will not be allowed to join any

      other programs for 1 year.


6) Examination


     Candidate who has good performance in the evaluation must also pass the

     Facial Plastic Subspecialty Fellowship Examination distributed in the     

     following criteria with a passing mark of  70%.  While, the garnered

     passing marks is categorized as follows:


                               Excellent       =    95 to 100%

                             Very Good    =    90 to 94%

                             Good             =    76 to 89%

                               Pass               =    70 to 75%

                             Fail                =    below 70



          a)  Written Examination                    -        40%

          b)  Oral Examination               -        30%

          c)   Evaluation                         -        30%

                                                          =      100%


 7) Disciplinary actions


     Disciplinary actions will be in accordance with the KSU Residency

     Training Programs Policies and Procedures.  Any Candidate exhibiting

     poor performance or misconduct will be thoroughly discussed in the

     (DRC) and the policies and procedures will be applied. 


     In case of dismissal from the program, the DRC has to refer the matter to

     the PGTB for appropriate decision.  The PGTB will then forward the

     matter to the Vice Dean of the Postgraduate and Continuing Medical



8). Vacation


     The Fellow is entitled to a 4 weeks vacation per year and should be

     approved by the Director of Facial Plastic Fellowship Program and in

     accordance with the Department’s protocol and one of the Eid Holidays.


      Justified absence from the program such as (sick and maternity/paternity

      leaves) should be compensated if more than 1 week per year.




      Educational leave will be granted to attend one (1) hands-on course a

      year and one (1) international conference a year. If the candidate is

      presenting his/her research, he/she can attend any additional number of

      meetings to present her/his work. While, the elective training period for

      mini fellowships are not to be part of the educational leaves. 



Fellowship Teaching Staff and/or Consultant



1. Dr. Ahmed Al-Arfaj           Chairman, Assistant Professor,


                                                DLO, ENT Fellowship, FRCS (I),

                                                   Facial Trauma & Reconstructive, USA

                                                Research Fellowship, USA



2.  Prof. Sameer Bafaqeeh       Professor, Consultant 

                                                 P. G.  -  George August University,

                                                   West Germany

                                                Subspecialty - American Board in Facial


3.  Prof. Mohammed Qattan   Professor / Consultant, FRCSC

                                                Plastic Surgeon, General Surgery


4. Dr. Ayman Helmi               MBBS, FRCS(C)


                                                 Plastic, General Surgery Department

                                                Riyadh Military Hospital, Ext 21371                                                                                                  

5. Dr. Othman Al-Tuwargi   DMD, MD, MSc.PhD                                                                                 Surgery Department

                                                 King A/aziz Med. City











Program review


The program will undergo a review process to be conducted by the King Saud University Training Program Directors in order to assess its training process and/or if any other improvement or rule to be implemented.



Program Certification:


The Fellowship will be an accredited program affiliated to the department of ORL H and N surgery at College of Medicine, K.S.U. and its accredited residency program. 


As of today, there is no other accredited facial plastic program in Saudi Arabia.


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