Fellowship Program

Fellowship Program

Fellowship Program Directors:
Sean M. Blaydon, M.D., F.A.C.S. (Odd Year)
Vikram D. Durairaj, M.D., F.A.C.S. (Even Year)

Clinical Faculty:
Tanuj Nakra, M.D., F.A.C.S.
Emily M. Bratton, M.D.
John W. Shore, M.D., F.A.C.S.
Marie B. Somogyi, M.D.

Texas Oculoplastic Consultants (TOC) now hosts two fellowship positions in oculofacial plastic, orbit, cosmetic and reconstructive surgery. The two programs have the same educational experience with one position offered each July. Our fellowship programs are accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). Successful completion of the fellowship qualifies the physician to apply for membership in the Society. The fellowship training program is carefully integrated with the oculoplastic services at participating institutions including Seton Medical Center, Dell Seton Medical Center at The University of Texas (DSMCUT) and Dell Children’s Medical Center of Central Texas (Level I Pediatric Trauma Center. The training programs are directed by Dr. Sean Blaydon (program starting in odd years) and Dr. Vikram Durairaj (program starting in even years); however, the fellow will spend an equal amount of time with Drs. Sean Blaydon, Vikram Durairaj, Tanuj Nakra, Emily Bratton, John Shore and Marie Somogyi, all partners at TOC.

Given the objectives cited above, the TOC faculty assumes that applicants are strongly motivated toward a career in the subspecialty of oculoplastic surgery. This area of clinical medicine encompasses the general areas of teaching, laboratory and/or clinical research, administration, and the business aspects of an aesthetic and reconstructive oculoplastic surgical practice. This fellowship is structured to provide an intensive, well-supervised training experience over two years. The overall goals of the two-year fellowship program is to expose the fellow to the full range of clinical experiences that make up the subspecialty of Ophthalmic Plastic, Orbital, Cosmetic and Reconstructive Surgery and to remain within the standards of training for fellows as set forth by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). This includes the medical and surgical management of diseases of the eyelids, ocular adnexae, orbit, lacrimal system, and the reconstruction of the ocular and periocular region. It is expected that the fellow will have significant exposure to periocular and facial cosmetic procedures to include face and neck lifts, rhinoplasty, and autologous fat transfer.

The fellowship is divided into junior and senior fellowship years. In the first year of training, most of the fellow’s time is spent with Drs. Blaydon, Durairaj, Nakra, Shore, Bratton and Somogyi in their clinical practices. The fellow will work-up patients, first assist on private surgical cases, and perform some surgical cases under direct supervision. The fellow will act as primary surgeon on selected patients with eyelid and lacrimal disease, but most of the surgical experience will be shared with the preceptors on their private patients. There will be ample opportunity to manage patients with ocular, orbital, and adnexal trauma both as primary surgeon and as first assistant. After a period of time the fellow will be allowed to operate independently on carefully selected patients on the ophthalmology clinic services at the Dell Seton Medical Center at The University of Texas (DSMCUT) and Dell Children’s Medical Center of Central Texas, both Level I Trauma Centers in Austin. During the first year of training, the fellow will assume increasing responsibility for surgical management of non-referred cases. Once proficiency is demonstrated, the fellow will be credentialed to perform selected procedures without supervision. Back-up senior staff coverage will always be available. The fellow will have opportunities to assist other attending surgeons in a variety of specialties depending upon case mix. A number of other ASOPRS members residing within the local area participate in supervision of the fellow. The fellow will have the opportunity to assist on their private cases.

Upon completion of the first year of training, the fellow will have his/her credentials expanded to allow greater flexibility and responsibility for managing complex medical and surgical cases. Depending on demonstrated skills, responsibility, and maturity, the fellow may have an opportunity to spend a portion of the second year at a teaching hospital with clinical privileges being coterminous with the completion of training at the end of the second year. If selected, the fellow will have responsibility for patient care commensurate with his clinical skills, training, and experience. His or her performance will be carefully monitored by the program directors. Staff support and supervision will always be available. The fellow will attend a residents’ clinic, assist and teach the residents, and actively participate in the activities of the oculoplastic services at several institutions. He or she will bear substantial administrative responsibility for the daily management of patients. Complex orbital and reconstructive cases originating in the private practice of Drs. Blaydon, Durairaj, Nakra, Bratton, Shore, Somogyi and other faculty will be performed by the fellow commensurate with his skills, level of training, and preceptor and patient comfort. The goal is to keep the fellow as primary surgeon when possible. Formal rotation blocks will be scheduled in ENT, neurosurgery and Mohs surgery. In addition, there will be ample opportunity for the fellow to perform team surgery with ENT, neurosurgery, dermatology, and plastic surgery.

During the fellowship, the fellow will have protected time to conduct research, study independently, or take elective rotations. This is subject to approval of the program directors and TOC partners. The fellow is expected to complete a clinical or laboratory research project, submit a manuscript for review, and defend a thesis prior to completion of training. This research will form the basis for the thesis required for membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). In addition to the thesis, the fellow is expected to complete a minimum of four to six manuscripts during the course of the fellowship.

There are four objectives for the training program:

  • To provide comprehensive training in ophthalmic plastic, orbit reconstruction, and aesthetic surgery.
  • To prepare the fellow for a career in the specialty of consultative ophthalmic plastic, orbit, and reconstructive surgery.
  • To develop the fellow’s skills in clinical and laboratory research.
  • To assist the fellow in becoming an effective teacher, surgeon, and clinician.

Conference and Teaching Responsibilities
The fellows are responsible to the clinical faculty for participation in academic programs related to oculoplastic surgery. The fellows will attend courses sponsored locally and will participate in teaching conferences as opportunities evolve. The fellows are expected to develop and give lectures to residents on suitable topics chosen by the faculty. In addition, monthly conferences will be held in the TOC offices where the fellows will present topics of interest and review cases with the faculty.

Call
The fellows will take primary emergency call at the Dell Seton Medical Center at The University of Texas (DSMCUT) and the Dell Children’s Medical Center of Central Texas (both Level I Trauma Centers). Both hospitals are major trauma centers for the city of Austin and central Texas. The call will involve the coverage for all ophthalmic cases including intraocular trauma as well as adnexal trauma. Adequate subspecialty coverage and backup are provided by the hospital. In addition to call at UMCB and DCMC, the fellows will be expected to take primary first call for the practice with backup provided by the TOC partners. The call requirements are not onerous and allow ample time for independent study and research.

Period of Training
The fellowship begins on July 1st and continues for 24 consecutive months through June 30th of the second year of training. The fellows are expected to be available for clinical and/or research duties throughout this time. The training schedule will be set by the program directors. The certificate of training will be withheld if a fellow fails to complete the requirements of the fellowship program or the fellow departs prior to completion of training, unless the departure is approved by the program directors.

The TOC ASOPRS fellowships are funded. In addition to the fellows’ salary, malpractice insurance and health benefits are provided. Limited funds are available for travel to national scientific meetings in each year of training if the fellow is a first author on the paper. Additional funding is available for research.

Vacation
The fellow is allowed two weeks of vacation in the first year of training and three weeks in the second year. The absences will be approved and coordinated by the program director. Normal TOC holidays will also be honored.

Upon successful completion of training, the fellow will be awarded a fellowship certificate by TOC. This fellowship is accredited by ASOPRS. Once ASOPRS is notified that training has been successfully completed, the fellow will be eligible to apply for membership in the society.

Basic Requirements for an Application:

  • Completion of residency training in an ophthalmology residency training program sanctioned by the ACGME. Exceptional foreign medical graduates may be considered in unusual circumstances only if they are eligible for full Texas licensure.
  • Eligible for an unrestricted Texas Medical License (you will be required to have a Texas Medical License by the start of your fellowship – this can take up to 12 months here in Texas).
  • Eligible for academic and professional credentials approved by Seton Medical Center Network such that the fellow can obtain clinical privileges at affiliated institutions.
  • Eligible for malpractice coverage as required by hospital by-laws. Malpractice insurance will be covered by TOC.

Applications
All applications to ASOPRS fellowship programs will be made through an online Centralized Application Service (CAS) via the San Francisco Match (SF Match) website (www.sfmatch.org). All candidates will use the CAS, which will be the same for all programs. Applicants must fill out an online application form and mail the required support documents to the SF Match office. Program selection is done online. A separate fee applies based on the number of programs selected.

Once the application is complete (online application form submitted, programs selected and required documents and payment received), the application is distributed online to the programs you have selected.

The following information will be required when you complete the CAS. You will be given instructions on how to send them to the SF Match.

  • Current Curriculum Vitae
  • Medical School Transcript
  • At least three independent letters of recommendation including one from your Program Director or Department Chair
  • USMLE Scores
  • Personal Statement
  • US Citizenship or Immigrant Status

In addition to the above our program also requires the below additional information. These can be sent directly to our program.

  • A recent passport sized or similar photo
  • A summary of your OKAP scores (examinee score report face sheet) from the first, second, and third years of training where applicable
  • Dean’s letter from medical school
  • A copy of your current medical license (even if only a training license)
  • Any other information you wish to present as part of your application

Our application deadline is December 31, 18 months prior to the start of the fellowship.

Application material should be emailed to and information is available from:

Jean Alexander
TOC Fellowship Program Coordinator
Telephone: (512) 533-7320
Fax: (512) 458-4824
Email: jalexander@tocaustin.com
Website: https://toceyeandface.com

Interviews
Following initial review of the application, fellows will be selected for the interview process. Applicants will be contacted individually. The applicants should not contact members of the faculty to request interviews. Interviews will not be granted until all applications have been reviewed and the pre-selection process completed.

Learn More

Our application deadline is December 31, 18 months prior to the start of the fellowship.

More information can be found in the below tabs. Fill out this form if you have any questions.

Fellowship Program Inquiry

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Given the objectives cited above, the TOC faculty assumes that applicants are strongly motivated toward a career in the subspecialty of oculoplastic surgery. This area of clinical medicine encompasses the general areas of teaching, laboratory and/or clinical research, administration, and the business aspects of an aesthetic and reconstructive oculoplastic surgical practice. This fellowship is structured to provide an intensive, well-supervised training experience over two years. The overall goals of the two-year fellowship program is to expose the fellow to the full range of clinical experiences that make up the subspecialty of Ophthalmic Plastic, Orbital, Cosmetic and Reconstructive Surgery and to remain within the standards of training for fellows as set forth by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). This includes the medical and surgical management of diseases of the eyelids, ocular adnexae, orbit, lacrimal system, and the reconstruction of the ocular and periocular region. It is expected that the fellow will have significant exposure to periocular and facial cosmetic procedures to include face and neck lifts, rhinoplasty, and autologous fat transfer.

The fellowship is divided into junior and senior fellowship years. In the first year of training, most of the fellow’s time is spent with Drs. Blaydon, Durairaj, Nakra, Shore, Bratton and Somogyi in their clinical practices. The fellow will work-up patients, first assist on private surgical cases, and perform some surgical cases under direct supervision. The fellow will act as primary surgeon on selected patients with eyelid and lacrimal disease, but most of the surgical experience will be shared with the preceptors on their private patients. There will be ample opportunity to manage patients with ocular, orbital, and adnexal trauma both as primary surgeon and as first assistant. After a period of time the fellow will be allowed to operate independently on carefully selected patients on the ophthalmology clinic services at the Dell Seton Medical Center at The University of Texas (DSMCUT) and Dell Children’s Medical Center of Central Texas, both Level I Trauma Centers in Austin. During the first year of training, the fellow will assume increasing responsibility for surgical management of non-referred cases. Once proficiency is demonstrated, the fellow will be credentialed to perform selected procedures without supervision. Back-up senior staff coverage will always be available. The fellow will have opportunities to assist other attending surgeons in a variety of specialties depending upon case mix. A number of other ASOPRS members residing within the local area participate in supervision of the fellow. The fellow will have the opportunity to assist on their private cases.

Upon completion of the first year of training, the fellow will have his/her credentials expanded to allow greater flexibility and responsibility for managing complex medical and surgical cases. Depending on demonstrated skills, responsibility, and maturity, the fellow may have an opportunity to spend a portion of the second year at a teaching hospital with clinical privileges being coterminous with the completion of training at the end of the second year. If selected, the fellow will have responsibility for patient care commensurate with his clinical skills, training, and experience. His or her performance will be carefully monitored by the program directors. Staff support and supervision will always be available. The fellow will attend a residents’ clinic, assist and teach the residents, and actively participate in the activities of the oculoplastic services at several institutions. He or she will bear substantial administrative responsibility for the daily management of patients. Complex orbital and reconstructive cases originating in the private practice of Drs. Blaydon, Durairaj, Nakra, Bratton, Shore, Somogyi and other faculty will be performed by the fellow commensurate with his skills, level of training, and preceptor and patient comfort. The goal is to keep the fellow as primary surgeon when possible. Formal rotation blocks will be scheduled in ENT, neurosurgery and Mohs surgery. In addition, there will be ample opportunity for the fellow to perform team surgery with ENT, neurosurgery, dermatology, and plastic surgery.

During the fellowship, the fellow will have protected time to conduct research, study independently, or take elective rotations. This is subject to approval of the program directors and TOC partners. The fellow is expected to complete a clinical or laboratory research project, submit a manuscript for review, and defend a thesis prior to completion of training. This research will form the basis for the thesis required for membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). In addition to the thesis, the fellow is expected to complete a minimum of four to six manuscripts during the course of the fellowship.

There are four objectives for the training program:

  • To provide comprehensive training in ophthalmic plastic, orbit reconstruction, and aesthetic surgery.
  • To prepare the fellow for a career in the specialty of consultative ophthalmic plastic, orbit, and reconstructive surgery.
  • To develop the fellow’s skills in clinical and laboratory research.
  • To assist the fellow in becoming an effective teacher, surgeon, and clinician.

Conference and Teaching Responsibilities
The fellows are responsible to the clinical faculty for participation in academic programs related to oculoplastic surgery. The fellows will attend courses sponsored locally and will participate in teaching conferences as opportunities evolve. The fellows are expected to develop and give lectures to residents on suitable topics chosen by the faculty. In addition, monthly conferences will be held in the TOC offices where the fellows will present topics of interest and review cases with the faculty.

Call
The fellows will take primary emergency call at the Dell Seton Medical Center at The University of Texas (DSMCUT) and the Dell Children’s Medical Center of Central Texas (both Level I Trauma Centers). Both hospitals are major trauma centers for the city of Austin and central Texas. The call will involve the coverage for all ophthalmic cases including intraocular trauma as well as adnexal trauma. Adequate subspecialty coverage and backup are provided by the hospital. In addition to call at UMCB and DCMC, the fellows will be expected to take primary first call for the practice with backup provided by the TOC partners. The call requirements are not onerous and allow ample time for independent study and research.

Period of Training
The fellowship begins on July 1st and continues for 24 consecutive months through June 30th of the second year of training. The fellows are expected to be available for clinical and/or research duties throughout this time. The training schedule will be set by the program directors. The certificate of training will be withheld if a fellow fails to complete the requirements of the fellowship program or the fellow departs prior to completion of training, unless the departure is approved by the program directors.

The TOC ASOPRS fellowships are funded. In addition to the fellows’ salary, malpractice insurance and health benefits are provided. Limited funds are available for travel to national scientific meetings in each year of training if the fellow is a first author on the paper. Additional funding is available for research.

Vacation
The fellow is allowed two weeks of vacation in the first year of training and three weeks in the second year. The absences will be approved and coordinated by the program director. Normal TOC holidays will also be honored.

Upon successful completion of training, the fellow will be awarded a fellowship certificate by TOC. This fellowship is accredited by ASOPRS. Once ASOPRS is notified that training has been successfully completed, the fellow will be eligible to apply for membership in the society.

Basic Requirements for an Application:

  • Completion of residency training in an ophthalmology residency training program sanctioned by the ACGME. Exceptional foreign medical graduates may be considered in unusual circumstances only if they are eligible for full Texas licensure.
  • Eligible for an unrestricted Texas Medical License (you will be required to have a Texas Medical License by the start of your fellowship – this can take up to 6 months here in Texas).
  • Eligible for academic and professional credentials approved by Seton Medical Center Network such that the fellow can obtain clinical privileges at affiliated institutions.
  • Eligible for malpractice coverage as required by hospital by-laws. Malpractice insurance will be covered by TOC.

Applications
All applications to ASOPRS fellowship programs will be made through an online Centralized Application Service (CAS) via the San Francisco Match (SF Match) website (www.sfmatch.org). All candidates will use the CAS, which will be the same for all programs. Applicants must fill out an online application form and mail the required support documents to the SF Match office. Program selection is done online. A separate fee applies based on the number of programs selected.

Once the application is complete (online application form submitted, programs selected and required documents and payment received), the application is distributed online to the programs you have selected.

The following information will be required when you complete the CAS. You will be given instructions on how to send them to the SF Match.

  • Current Curriculum Vitae
  • Medical School Transcript
  • At least three independent letters of recommendation including one from your Program Director or Department Chair
  • USMLE Scores
  • Personal Statement
  • US Citizenship or Immigrant Status

In addition to the above our program also requires the below additional information. These can be sent directly to our program.

  • A recent passport sized or similar photo
  • A summary of your OKAP scores (examinee score report face sheet) from the first, second, and third years of training where applicable
  • Dean’s letter from medical school
  • A copy of your current medical license (even if only a training license)
  • Any other information you wish to present as part of your application

Our application deadline is December 31, 18 months prior to the start of the fellowship.

Application material should be emailed to and information is available from:

Jean Alexander
TOC Fellowship Program Coordinator
Telephone: (512) 533-7320
Fax: (512) 458-4824
Email: jalexander@tocaustin.com
Website: https://toceyeandface.com

Interviews
Following initial review of the application, fellows will be selected for the interview process. Applicants will be contacted individually. The applicants should not contact members of the faculty to request interviews. Interviews will not be granted until all applications have been reviewed and the pre-selection process completed.