Didactics and Resident Education
The schedule includes a number of recurring conferences, for which residents have a significant responsibility in preparing and presenting. A faculty mentor proctors each conference and leads a discussion of the topics at hand.
Senior head and neck radiology faculty present interesting and educational head and neck radiology cases to the resident group. Various residents read the scans and discuss the cases, including differential diagnosis and the radiologic characteristics of the cases.
Multidisciplinary Tumor Board Conference
Discussions of cancer cases from all affiliated hospitals take place in the Multidisciplinary Tumor Board Conference attended by all Head and Neck faculty, medical and radiation oncology, pathology and all ENT residents. Eight attendings from our department routinely attend the conference, with cases presented by the chief residents for each hospital service. The chief residents also distribute relevant current literature on the topics at hand in advance. During the conference, residents have opportunities to present for their treatment plan, including evidence-based rationale.
Faculty mentors are involved with regular journal club discussions. Articles are sometimes chosen from the AAO-HNS Home Study Course, and sometimes based on a particular topic of the residents’ or faculty’s choice. There is a specific format by which discussion is structured, which involves highlighting the strengths and weaknesses of the papers, analyzing the data, and discussing whether the paper should or will change clinical practice.
Otology Case Conference
A monthly case conference is based on in-depth discussions of specific otologic/neuotologic cases. The PGY4 resident assigned to the Otology rotation collects the pertinent data and presents the case. Discussion then ensues regarding the differential diagnosis, treatment plan, and surgical procedures and complications if indicated.
Grand Rounds topics change monthly based on an annual cycle. We generally have one invited speaker monthly, with frequent faculty lectures as well. The PGY5 residents are required to give one Grand Rounds presentation each year. The faculty mentor, who is one of the subspecialists in that month’s area, chooses the topics. The faculty member then assists the resident in putting together a coherent, educational, current literature-based presentation that is given to the entire department.
Morbidity and Mortality Conference
The Morbidity and Mortality (M&M) Conference, held monthly during Grand Rounds, is an opportunity to reflect upon complicated cases and determine ways to minimize future risk in similar situations. Every case is presented by the chief resident on service, followed by a literature-based review of the complication being discussed. Residents also discuss "near-misses" and interesting clinical cases during this conference.
Resident Didactic Conference
The residents hold self-directed educational modules on Thursday mornings; two PGY 4 residents are in charge of organizing a comprehensive syllabus of otolaryngology topics each year, with a particular emphasis on case conference- style learning, journal clubs, and pathology/histology sessions. When difficult topics are being discussed, faculty mentors are invited to participate. When routine topics in otolaryngology are being covered, the residents often take a self-guided approach, asking the junior residents to present while the seniors help clarify and teach certain points. This educational arrangement has allowed the residents to identify areas where they would like to receive more instruction and develop a career-long habit of evidence-based practice.
Head and Neck Anatomy Course
The PGY2 residents are given an introductory dissection course in head and neck surgical anatomy, comprised by lectures and cadaver dissection led by all otolaryngology faculty and several guest faculty in related disciplines.
Temporal Bone Lab
Residents in all four years of otolaryngology training are instructed in temporal bone anatomy and surgery through a dissection course using cadaveric human temporal bones.
Annual Courses and Conferences
On an annual basis, the department conducts a number of world-renowned postgraduate courses in head and neck surgery, microvascular free flap reconstruction, phonosurgery, rhinoplasty, and otologic surgery. Residents are provided the opportunity to attend these courses and participate in the laboratory sessions.
Department of Otolaryngology-Head and Neck Surgery