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Curriculum

All residents have assignments at the two hospitals during their four years of Otolaryngology training. During each rotation the residents have the opportunity to participate in the medical and surgical care of all surgery for all staff and private cases. The attending surgeons are always available for operating room and clinic coverage on a daily basis and the same applies for consultative and emergency services throughout the day and night. Direct supervision is always provided in this program. During each year, a rotation structure is created with residents at various levels of training.

Each resident rotation is designed to help achieve the overall educational goal and therefore shares the common goal.  In order to direct progress toward goal achievement, general and specific objectives are identified.  General objectives are purposefully common to all rotations. Unique aspects of each rotation are outlined and specific objectives are listed under each rotation.  In order to achieve our stated goal, we have purposefully mirrored the goals and objectives of the ACGME’s Outcome Project.  Our assessment tools are designed to demonstrate progress towards these objectives by direct linking via a common format.

General Objectives for All Rotations

Competency Objectives
  Patient Care Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families Gather essential and accurate information about our patients Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment Develop and carry out patient management plans Counsel and educate patients and their families Use information technology to support patient care decisions and patient education Perform competently all medical and invasive procedures considered essential for the area of practice Provide health care services aimed at preventing health problems or maintaining health Work with health care professionals, including those from other disciplines, to provide patient-focused care
Medical Knowledge Demonstrate an investigatory and analytic thinking approach to clinical situations Know and apply the basic and clinically supportive sciences which are appropriate to otolaryngology
Practice-Based Learning and Improvement Analyze practice experience and perform practice-based improvement activities using a systematic methodology Locate, appraise, and assimilate evidence from scientific studies related to patients’ health problems Obtain and use information about our own population of patients and the larger population from which our patients are drawn Apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness Use information technology to manage information, access on-line medical information; and support our own education Facilitate the learning of students and other health care professionals
Interpersonal and Communication Skills Create and sustain a therapeutic and ethically sound relationship with patients Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills Work effectively with others as a member or leader of a health care team or other professional group
Professionalism Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society, and the profession; and a commitment to excellence and on-going professional development Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities
Systems-Based Practice Understand how our patient care and other professional practices affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect our own practice Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources Practice cost-effective health care and resource allocation that does not compromise quality of care Advocate for quality patient care and assist patients in dealing with system complexities Know how to partner with health care managers and health care providers to assess, coordinate, and improve health care and know how these activities can affect system performance

Rotations

PGY Rotations
1 Surgical rotations in neurosurgery, plastic surgery, vascular and general surgery, anesthesia, ICU, otolaryngology and trauma – under the direction of UR Medicine Otolaryngology (ENT).
2 Includes four months on the Head and Neck rotation, four months of pediatrics and four months of subspecialty inclusive of exposure to audiology and vestibular training. Residents will develop proposed research projects with the Research Division.
3 Clinical rotations at Strong Memorial Hospital with outpatient responsibilities at the Clinton Woods facility, plus six months of a dedicated research block.
4 Twelve months clinical otolaryngology inclusive of one month in facial cosmetics and one month in a Head and Neck elective.
5 Chief Resident year – 12 months as chief with six months as administrative chief resident.