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Surgery Subspecialties

Otolaryngology

Number: (Oasis - S58c) 2205

Rotation Supervisor: Dr. Katy Fedder

Available: Clerkship Periods 1-4

Duration: 2 weeks

Report to: Otolaryngology Chief Resident

Time to Report: 6:45 am

Place to Report: A.M. Rounds 6 West

Course Description: The objective of the Otolaryngology Subspecialty is to provide the student with a broad overview of the field of otolaryngology through required reading, participation in the clinics, assisting in the operating rooms, attending lectures and developing fundamental otolaryngology examination, diagnostic and technical skills. The student is expected to manifest their intellectual curiosity through extensive, self directed reading of the disease processes that they encounter while on the rotation. Both the housestaff and the attending physicians will direct reading to those sources of information which represent contemporary 'best of practice' resources. The student will attend morning rounds and present those patients for whom they are caring.

Lectures:

  • Attending lectures: The attending physicians have composed, within their area of speciality, designated lectures for the medical students. These lectures form core information for the student. These lectures will be given at time slots determined by the respective attending, to be given as their clinic and surgical schedule allows, either on a regularly scheduled or floating basis.
  • Resident lectures/teaching: The resident physicians are a critical component of the student educational experience. The residents provide formal lectures and extemporaneous lectures in the clinics and operating rooms.

Learning Objectives:

Head and Neck Surgery/Head and Neck Oncology

  • diagnosis and management of the neck mass
  • diagnosis and management of thyroid nodules
  • endoscopic evaluation of the larynx, recognition of pathologic and non-pathologic findings
  • evaluation and management of head and neck malignancies
  • general oncologic principles in the management of head and neck malignancies.

Otology/Neurotology:

  • understand the embryology and anatomy of the ear and temporal bone
  • understand the anatomy and physiology of hearing
  • understand the anatomy and physiology of the vestibular system
  • to be able to perform a thorough examination of the human ear
  • understand the differential diagnosis of unilateral and bilateral conductive and sensorineural hearing loss, and to be conversant in the management of each of these
  • understand the indications for pressure equalization tubes, the principle of insertion and management of otorrhea
  • to be familiar with surgery for chronic ear disease such as mastoidectomy and in a general sense, understand principles of ossicular reconstruction
  • to be familiar with congenital hearing loss and its management, including cochlear implantation
  • understand the evaluation, differential diagnosis and management of vertigo
  • be familiar with, and capable of reading an audiogram
  • understand and be able to proceed with the diagnosis of an acoustic neuroma

Rhinology

  • understand the anatomy and physiology of the nose and paranasal sinuses, and be familiar with the endoscopic nasal anatomy
  • be able to read a CT scan of the nose and paranasal sinuses
  • understand the differential diagnosis of nasal obstruction, and be familiar with the diagnostic work up
  • be able to evaluate anosmia, give a differential and general management principles
  • be able to diagnose and manage epistaxis
  • understand, and be capable of management of uncomplicated acute and chronic sinusitis
  • be familiar with indications, principles and complications of endoscopic sinus surgery

Facial Plastic Surgery

  • understand and be able to describe the aesthetic units of the face
  • understand the management of facial soft tissue trauma
  • be able to describe the skull bones, the buttresses and the LeForte classification of facial fractures
  • recognize and be able to discuss the application of basic skin flaps in reconstruction of tissue defects in the face
  • express a working knowledge of skin malignancies and their management
  • generally understand the cosmetic procedures of the head and neck and their indications.

Pediatric Otolaryngology

  • understand the differences between the neonatal and adult airway and the impact on respiration
  • be able to evaluate and manage a neonate with airway obstruction
  • be familiar with the differential diagnosis and general managment principles of the neonate with respiratory distress
  • know the embryology of the head and neck and be able to discuss congenital neck masses and their evaluation and management
  • understand pediatric sleep disorders and their management
  • understand the unique anatomy and issues of the child with trisomy 21
  • be able to discuss stridor, stertor and their evaluation and management
  • understand the pathophysiology, diagnosis and management of acute and chronic otitis media in the young child
  • be familiar with the structure and function of adenoidal and tonsillar tissue, their role in facial growth and infectious diseases
  • be familiar with the indications, contraindications, techniques and complications for surgical intervention of adenotonsillar tissues.