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Otorhinolaryngology: Year 3
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Otorhinolaryngology - Head and Neck Surgery

Otorhinolaryngology: Year 3

During this year, increasing responsibilities are gained in the basic science and clinical areas, with exposure to more sophisticated techniques in management demanding a higher level of surgical skill and decision making. He/she continues to be supervised by attendings and more senior residents. His/her rotations include approximately 3 months at the Queens campus, 5 months at the Bronx campus, and 3 months at the Manhattan campus. There are 4 weeks of vacation.

He/she is responsible for initial response to all in-hospital consultations. The resident performs more advanced surgery, including initial ear surgery; CO2 laser surgery, pediatric endoscopy and tracheotomy as well as increased head and neck surgery. The essentials of jet ventilation are learned. Increasing exposure to functional endoscopic sinus surgery and nasal surgery are gained. There is more exposure to the preoperative assessment of patients undergoing facial plastic procedures. By the end of this year, the resident begins to undertake major head and neck, otologic, facial plastic and maxillofacial procedures. As part of this and subsequent years, he/she gains extensive experience in maxillofacial and penetrating and blunt trauma to the head and neck, since JMC is a Level 1 trauma center.

During this year, the resident begins to formulate a research project of a clinical or basic science nature, and submits the proposal to the departmental research committee. The research is conducted during the third year.

He/she participates in the AAO-HNS Patient Management Problem and the AAO-HNS Home Study Course, the Annual Otolaryngology Examination and the AECOM Department of Otolaryngology Basic Science Course at MMC. He/she also participates in the temporal bone course developed for the residency program and the soft tissue surgical course. He/she participates in the New York and Nassau County Otolaryngology Society meetings.

During this year the resident is sent to the one week Basic Otolaryngic Allergy Course, which is given by the American Academy of Otolaryngic Allergy.

Goals and Objectives

  • Develop independence in the evaluation and treatment of outpatient ORL/HNS patients
    • Supervised clinical experience (with attendings in general and subspecialty otolaryngology)
  • Achieve competence in following office procedures:
    • Tympanocentesis
    • Fine needle aspiration biopsy
    • Biopsy of skin lesions
    • Paranasal sinus aspiration
  • Attend annual allergy course and allergy clinic
  • Perform supervised inpatient, consultative and emergency room evaluation of the ORL/HNS patient
    • Competent airway evaluation
    • Competent neonatal evaluation
  • Demonstrate competency in standard ORL/HNS operative procedures
    • Rhinology
    • General otolaryngology
    • Basic otology
    • Basic head and neck surgery
  • Demonstrate competency in standard ORL/HNS operative procedures
    • Rhinologic - septoplasty, turbinate surgery, basic endoscopy sinus surgery
    • General otolaryngology - all endoscopy, abscess drainage, basic sleep surgery
    • Basic head and neck surgery - tracheotomy
    • ESS
  • Become exposed to the remainder of ORL/HNS procedures
  • Participate in the didactic teaching of the breadth of ORL/HNS
    • Mandatory participation in 2 year weekly basic science course
    • Mandatory conference attendance (Grand Rounds and site specific)
    • Temporal bone course
    • Sinus dissection course
    • Participate in AECOM anatomy course
    • Attend annual AAOA allergy course
    • Develop presentation skills through Grand Rounds, M&M's, etc
  • Develop teaching skills
  • Research-Begin preparations and select mentor for the third year research project