The two-week rotation of ENT Medicine will prepare the
resident to recognize, assimilate and master those aspects of ENT problems and
diseases that are necessary for daily patient care. The needed skills will be
obtained through several resources including the attending otolaryngologist's
in-patient and out-patient private patients and the resident's panel of
patients at the FMC, Family Medicine Service Rotations, didactic lectures,
on-line resources (UpToDate, DynaMed) and conferences.
Goal I: At the end of this experience, the resident
will have the knowledge and skill to manage common ENT problems seen by family
physicians.
Goal II: The resident will also learn to recognize the
need for proper referral to an ENT specialist for problems that are beyond the
scope of the resident's capabilities
The resident is expected to:
Attend three ½ day FMC clinics.
Round with the otolaryngologist.
See patients in the otolaryngology clinic.
Patient Care
Goal
Residents must be able to provide patient care that is
compassionate, appropriate, and effective for the treatment of health problems
and the promotion of health. Residents are expected to:
Competencies
Recognize and treat common otolaryngology problems
Interpret outpatient tests
Correctly examine the head and neck
Perform otolaryngology procedures
Provide referrals appropriately
Objectives
The resident will:
Learn, observe and discuss common otolaryngology problems such as otitis media,
rhinitis, sinusitis, laryngitis, vertigo, pharyngitis/tonsillitis and otitis
externa in the settings detailed above.
Observe, learn and
discuss the interpretation of outpatient tests used in
otolaryngology such as audiometry and tympanometry.
Demonstrate proficiency
in the use of instruments such as the indirect laryngoscope,
nasopharyngoscope and pneumatic otoscope.
Learn otolaryngology
procedures such as removal of foreign bodies from the nose and ear,
anterior nasal packing and cerumen removal.
Understand and discuss the proper referral to otolaryngology specialists based
on acuity and complexity of the condition
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and evolving biomedical,
clinical, epidemiological, and social-behavioral sciences, as well as the
application of this knowledge to patient care. Residents are expected to:
Competencies
Be able to assess/evaluate/treat common otolaryngology problems
Properly interpret tests used in otolaryngology
Properly seek consultation with an otolaryngology specialist
Objectives
The resident will learn, observe and discuss common otolaryngology problems
such as otitis media, rhinitis, sinusitis, laryngitis, vertigo,
pharyngitis/tonsillitis and otitis externa, etc. in the settings detailed
above.
The resident will observe, learn and discuss the interpretation of outpatient
tests used in otolaryngology such as audiometry and
tympanometry
The resident will learn and discuss the proper referral to otolaryngology
specialist based on acuity and complexity of the condition.
The resident will receive an introduction to the
pathophysiology, diagnosis, and management of ENT problems including:
Labyrinthitis and other labyrinthine disorders
Epistaxis
Foreign body in the ear
Otitis externa
Otitis media
Serous otitis
Pharyngitis
Sinusitis
Tonsillitis
Adenoid/tonsillar
hypertrophy
Laryngitis
Mastoiditis
Benign ENT lesions
Malignant ENT lesions
Dizziness/vertigo
Cervical masses
Hoarseness
Hearing loss
Tinnitus
Cholesteatoma
Vocal cord nodules
Perforated ear drum
Peritonsilar abscess
Rhinitis
Practice- Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and evaluate their care of
patients, to appraise and assimilate scientific evidence, and to continuously
improve patient care based on constant self-evaluation and life long
learning. Residents are expected to develop skills and habits to be able
to:
Competencies
Identify strengths, deficiencies and limits in one's knowledge and expertise;
Locate, appraise and assimilate evidence from scientific studies related to
their patients' health problems
Objectives
The resident will discuss the proper approach to the patient with the
otolaryngology problems listed above with the otolaryngology preceptor and
develop the necessary differential diagnoses and treatments to ensure proper
patient care.
The resident will use the resources listed above as well as primary or
secondary literature to advance their knowledge in areas of otolaryngology
where they have limited experience.
Systems Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness to the larger
context and system of health care, as well as the ability to call effectively
on other resources in the system to provide optimal health care.
Residents are expected to:
Competencies
Work effectively in various health care delivery settings and systems relevant
to their clinical specialty
Objectives
The resident will:
Gain an understanding of the delivery of care to the otolaryngology patient in
the in-patient and out-patient setting.
Demonstrate an understanding of the resources necessary to treat different
types of otolaryngology problems.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out professional
responsibilities and an adherence to ethical principles. Residents are
expected to demonstrate:
Competencies
Compassion, integrity, and respect for others
Objectives
The residents are exposed to patients from a diverse patient population during
their otolaryngology rotation. They are expected to meet the needs and
expectations of the patients in the otolaryngology environment.
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information and teaming with
patients, their families, and professional associates. Residents are
expected to communicate effectively with physicians, patients, and families.
Teaching Methods
Direct preceptor/resident interaction, in-patient rounds,
out-patient private clinic.
Assessment Method
At the conclusion of each resident rotation, the residency
coordinator sends a formative-type, rotation-specific performance evaluation
form to the rotations' supervising physician. When the completed
evaluation is returned, the resident physician and the resident's faculty
advisor review the evaluation and attest to reviewing it by signing/initialing
the form. Next, the program director reviews and attests to the
document. Once all three have reviewed and attested the evaluation, it is
included in the resident's permanent file.
Each resident is asked to evaluate the rotation and
supervising physician(s) at the end of the rotation. The resident's
faculty advisor and program director review the evaluation and attest to
reviewing it by signing/initialing the form. These evaluations are filed
together by resident year
Educational Resources
References available at the AHEC Library:
Schuller DE.
Deweese and Saunders: otolaryngology – head and neck surgery. 8th ed.,
St. Louis, Mosby, 1994.
