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Otorhinolaryngology: Year 5
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Otorhinolaryngology - Head and Neck Surgery

Otorhinolaryngology: Year 5

The Chief Resident bears responsibility for all patients in the assigned hospital's otolaryngology service, as well as outpatient management. This year represents the highest level of responsibility for decision making in patient management. The resident coordinates with the Attending staff all major conferences and the teaching program for that year. He/she is also responsible for supervision of the junior residents and the rotating medical students in conjunction with the faculty.

His/her rotations include 3 months at the Queens campus, 5 months at the Bronx campus and 3 months at the Manhattan campus. There will be one month of vacation.

In the operating room the Chief Resident is responsible, in conjunction with the attending physician, for teaching other residents as well as performing the more intricate otologic, facial plastic and reconstructive and head and neck surgery. Included will be advanced work in otoneurological and skull base surgery, phonosurgery, revision plastic and otologic cases, complex endoscopic and conservational head and neck cases. Ability to surgically manage unusual pediatric and premature infant problems is enhanced. They are trained in the use of 3D imaging for localization in indicated cases.

The Chief Resident, under supervision, provides diagnostic, medical, surgical and post-surgical care in specialized clinics to which patients with significant disease are referred from the general clinics.

Toward the end of the year, the resident presents to the faculty the result of his/her research project in a written thesis and presentation. The quality of the past presentations in the two programs that are forming this proposed consortium have frequently resulted in acceptance for presentation at national meetings and publication in highly rate journals.

During the year, he/she attends the AECOM Department of Otolaryngology Basic Science Course at Montefiore Medical Center, Eastern Section of the Triologic Society meeting, the Long Island and New York Otolaryngology Society meetings, the NY Head and Neck Society meetings and the National Meeting of the AAO-HNS. He/she participates in the American Academy of Otolaryngology (AAO-HNS) Patient Management Problems and Home Study course. Advanced temporal bone dissection is performed. He/she performs and teaches head and neck anatomy dissection as part of the medical school anatomy course.

Goals and Objectives

  • Perform independent outpatient specialty clinic evaluations and management
  • Effectively manage ORL/HNS inpatient service
    • Optimize administrative skills
  • Effective supervision and management of residents on service
    • Optimize teaching skills
  • Demonstrate ability to teach medical students and residents from other services
  • Perform independent office procedures
    • Basic facial plastic procedures
    • Skin Lesion excisions
    • Office intranasal excisions
    • Laryngology
  • Demonstrate competency in all OTO/HNS operative procedures
    • Complex head and neck procedures
    • Facial plastics procedures
    • Complex trauma
    • Neuro-otology and skull base procedures
    • Complex pediatric airway and otologic cases
  • Participate in the didactic teaching of the breadth of OTO/HNS
    • Mandatory conference attendance (Grand Rounds, M&M's, etc.)
    • Business of Medicine Course
  • Maximize presentation skills through Grand Rounds, M&M's, etc