International Surgeons’ Course (ISC)

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International Surgeons’ Course Highlights

The ISC is designed for CI surgeons living outside of the United States and consists of all didactic training of the ICIT Advanced Surgeons’ Course, including:

  • 14 Modules, each of which contains weekly guided readings, recorded lectures, self-correcting knowledge assessments, discussion board Q & A, and live Web-Class recordings.  All are presented on Blackboard online and lead to a Certificate of Completion of the ISC Didactic Course.

  • This is a didactic course only with no temporal bone laboratory sessions.


This course was designed to address issues confronting some international CI surgeons who wish to access ICIT cochlear implant training:

  • Time zone difficulties Time zone differences of 5 to 14 hours may create hardship for international participants.  These are eliminated by making all lectures and web classes available online at any time during the Module week. 

  • Travel expense Travel to the temporal bone lab may be expensive and cause extensive time away from work.  No travel is required for this didactic-only course.  (No temporal bone laboratory sessions are included.)

  • Tuition reduction Tuition is reduced by 1/3 of the ASC. 

To see excerpts from the surgical courses, watch the video below.



Expertise in mastoidectomy and facial recess as well a minimum of 3 cochlear implants completed as primary surgeon are required.





Didactic Curriculum


1. History and Introduction to Cochlear Implantation

2. Applied Surgical Anatomy

3. Cochlea and Central Auditory System

4. Cochlear Implant Audiology for Surgeons

5. Sensorineural Hearing Loss, Auditory Neuropathy & Deficient Cochlear Nerve

6. Imaging: Cochlea & Temporal Bone

7. Cochlear Implant Candidacy

8. Deaf Culture, Ethical Considerations, Meningitis

9. Cochlear Implant Electronics & Signal Processing

10. Bilateral Cochlear Implants, Tinnitus & Single Sided Deafness


11. Incision & Fixation, Avoiding device migration and dural injury

12. Mastoidectomy, Facial Recess, Extended Facial Recess, Promontory

13. Adaptive Cochleostomy & Electrode Insertion for Hearing Conservation

14. Difficult Cases: Ossification, Dysplasia, Very Young Children, Device Failure, Reimplantation


Surgeons' Course Instructor Team



Hotchkiss Professor and Chairman Emeritus
Professor of Neurological Surgery and Pediatrics
Department of Otolaryngology
University of Miami Miller School of Medicine



International Surgeon Reviews

I am able to say with certainty that this course is unique and extremely worthwhile. I already had surgical experience with a number of CIs, but this course was invaluable to take my understanding and skills to the next level.
— Nicholas Jufas, MBBS (Hons), MS, FRACS Past: Neurotology Fellow Dalhousie University, Halifax, Nova Scotia, Current: Senior Clinical Lecturer, University of Sidney and Macquarie University, Austrialia
I have found ICIT course to be a wonderful opportunity for cochlear implant surgeons started their carrier as well as those surgeons who have been doing implants for some time and want to improve their skills. Starting from the web classes which are very well organized in terms of content and delivery to the temporal bone lab., everything adds something to your knowledge and skills. I liked the concept of Compleat CI surgeon who should be knowledgeable about every aspect of the subject from basic and applied anatomy to the audiology, radiology, electronics so on and off course different surgical aspects. All these things were covered during the course.
— Muhammad Sohail Awan, Associate Professor, Department of ENT-Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan
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The ICIT course was a great experience for me. Initially, I thought it’s too early in my carrier for this course. But your kind words of encouragement have ignited my interest in this field. It means a lot to me, and I would definitely live up to the expectations. I was indeed very fortunate to be a part of the course.
— Dr. Manusrut, Fellowship in Implant Otology, Department of Otorhinolaryngology (ENT) Christian Medical College (CMC) & Hospital, Vellore, India
The course is organized in a rational and very didactic way. Dr. Balkany is able to clearly and objectively approach the various aspects of cochlear implant, which makes all lectures interesting and enjoyable to watch. In addition, all the colleagues who took part in the course ask excellent questions, which complements the discussions brilliantly.
— Henrique Furlan Pauna, MD, Otolaryngologist, University of Campinas, Brazil
It was an excellent experience. Thoroughly enjoyed the course. The intricate details of cochlear implantation were covered in the module and have been put into practice now. Dr. Balkany is a blessed teacher. May God give him good health and longevity to continue this excellent program. I feel every potential CI surgeon should undergo this training. I hope to use this training to build my CI practice and benefit Society.
— Basharat Nadeem, MS, DNB, MNAMS Department of ENT, Bangalore ENT Care Centre, India
Wow! I am so excited to participate in the ICIT Course. It is an excellent course! A very good program with dedicated teachers. My knowledge and my skills have been upgraded so much with new theory and techniques. I learned a lot. I am more confident in my practice and my passion: Cochlear Implant. Thank you so much for your ICIT team! I love you all.
— Lam Huyen Tran, MD, University of Medicine and Pharmacy HCM City, Vietnam
To every Otologist that’s is interested in the CI field, ICIT is the best place to start!!! Since the beginning of CI implantation and development five-six decades ago, all was covered by the lead instructors in the course. With all their experience, they give the participant all the pearls that one needs to succeed in the field.
— Dr. Eleazar Eduardo Graterón Cedeño, Otology Fellow, Venezuela
CI is my passion and I spend most of my time learning and practicing in order to do the best things for my patients. It is the best CI training course I have ever attended…The course covers the vast subject of cochlear implantation, the way it is going is marvelous. [The Advanced Surgeon Training Course is] interesting, well taught with excellent web support, and the temporal bone lab is really good.
— Dr. Nhan Le Tu Thanh, City International Hospital, Hochiminh City, Vietnam