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Howard Wayne Francis

Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology
Otology, Neurotology & Skull Base Surgery
Duke South Yellow Zone 4000, DUMC Box 3805, Durham, NC 27710
40 Duke Medicine Circle, DUMC Box 3805, Durham, NC 27710

Overview


Dr. Howard W. Francis, is the Richard Hall Chaney, Sr professor of Otolaryngology and inaugural Chair of the Department of Head and Neck Surgery & Communication Sciences (HNS&CS) at Duke University Medical Center, where he is also the Chief of the Medical Staff of Duke University Hospital. He is a practicing neurotologist with research interests including practice innovations and clinical outcomes in the delivery of hearing health care. He is a senior editor of the Cummings Otolaryngology-Head and Neck Surgery Text, is a Director on the American Board of Otolaryngology-Head and Neck Surgery, a past member of the Otolaryngology Residency Review Committee of the ACGME, and a member of the Board of Directors of the Alexander Graham Bell Association for the Deaf and Hard of Hearing. Dr. Francis is a past president of the Society of University Otolaryngologists, past Education Director of the American Neurotology Society, and a recipient of the 2020 American Academy of Otolaryngology-Head and Neck Surgery Presidential Citation.

After completing his high-school education in Jamaica, and his bachelor’s degree at the University of Southern California in Los Angeles, Dr. Francis earned his medical degree from the Harvard-MIT division of Health, Science and Technology at Harvard Medical School, and then completed his internship, residency and fellowship training at the Johns Hopkins Hospital. He completed his Master’s in Business Administration with a focus in medical services management at the Johns Hopkins Carey Business School. After 19 years on the faculty at Johns Hopkins during which he served as Residency Program Director, Director of the Johns Hopkins Listening Center and Vice Director of the Department, he was appointed chief of HNS&CS at Duke in March 2017, and then the first Chair of the new Department in 2019.

Current Appointments & Affiliations


Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology · 2018 - Present Otology, Neurotology & Skull Base Surgery, Head and Neck Surgery & Communication Sciences
Professor of Head and Neck Surgery and Communication Sciences · 2023 - Present Otology, Neurotology & Skull Base Surgery, Head and Neck Surgery & Communication Sciences
Chair of Head and Neck Surgery & Communication Sciences · 2020 - Present Head and Neck Surgery & Communication Sciences, Clinical Science Departments
Vice President of the Medical Staff/ Chief of Staff of the Executive Committee of the Medical Staff · 2023 - Present School of Medicine

In the News


Published February 26, 2023
How Cochlear Implants Restore Hearing: One Woman’s Story of Regaining Her Independence

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Recent Publications


An Exploratory Study of the Impact of Hearing Handicap on Listening Fatigue During Health Care Encounters Among Older Adults.

Journal Article Am J Audiol · December 12, 2025 PURPOSE: This exploratory study examined if hearing handicap in older adults affected listening-related fatigue during health care interactions and explored whether different face mask types worn during the coronavirus disease 2019 (COVID-19) pandemic infl ... Full text Link to item Cite

The relationship between extent of resection, tumor recurrence, and facial nerve outcomes in vestibular schwannoma surgery: a single-institution experience and systematic review.

Journal Article J Neurooncol · October 29, 2025 BACKGROUND: Gross surgical resection (GTR) of vestibular schwannomas (VS) is curative, but how surgical intent translates to facial nerve outcomes in practice, however, is incompletely understood. The purpose of this study was to identify factors predictin ... Full text Link to item Cite
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Recent Grants


Developing a Pathway for Preparing Underrepresented Minority Students for a Career in Otolaryngology and Communication Sciences

Inst. Training Prgm or CMECo-Principal Investigator · Awarded by National Institute on Deafness and Other Communication Disorders · 2024 - 2029

Otolaryngology Surgeon- Scientist career Path (OSSP) program

Inst. Training Prgm or CMECo-Principal Investigator · Awarded by National Institutes of Health · 2022 - 2027

Evaluation of Unilateral vs Bilateral Hearing Aids for the Treatment of Age-related Hearing Loss

ResearchCo Investigator · Awarded by Patient-Centered Outcomes Research Institute · 2021 - 2026

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Education, Training & Certifications


Johns Hopkins University · 2012 M.B.A.
Harvard Medical School · 1990 M.D.