Didactics and Resident Education
The schedule includes a number of regular conferences. A faculty mentor presents at each conference, and when relevant, proctors a resident presentation and 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 Surgery faculty, medical and radiation oncology, pathology and all ENT residents. The Head and Neck chief resident also distributes 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 chosen from the AAO-HNS Home Study Course, or 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. One external invited speaker presents monthly. The PGY5 residents are required to give one evening Grand Rounds presentation each year. The faculty mentor, who is one of the subspecialists in that month’s area, helps to select the topic. The faculty member then assists the resident in putting together a coherent, educational, current literature-based presentation that is given to the entire department.
Integrated Quality Improvement Conference
The Integrated Quality Improvement (IQI) Conference, held monthly, is an opportunity to reflect upon complicated cases and determine ways to minimize future risk in similar situations. Department metrics are reviewed. Complications are discussed. 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", methods for systems improvements, and interesting clinical cases during this conference.
Resident Didactic Conference
The residents participate in protected educational modules on Thursday mornings; the PGY 4 residents organize a comprehensive syllabus of otolaryngology topics each year, with a particular emphasis on case conference-style learning, journal clubs, and pathology/histology sessions. Each week, a faculty mentor is invited to lecture and 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 habit of evidence-based practice and lifelong learning.
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