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Otolaryngology is presented to students in the first-, second-, third- and fourth-year classes. Physical diagnosis skills are taught in the first year. Clinically oriented lectures and a physical diagnosis workshop are presented to second-year students. In the third year of the medical curriculum, four-week elective rotations on one of the services in East Pavilion, the Veterans Administration Medical Center or St. Louis Children’s Hospital are offered. During this period, there is teaching at the bedside, in the operating room and in the clinic, supplemented by daily afternoon lectures, Grand Rounds on Wednesdays and an introduction to audiology.
Fourth-year students interested in ENT as a specialty may take a two- to four-week elective designed to give them exposure to patient care, both in the outpatient clinic and the operating room and postoperative setting. An additional four-week elective that provides comprehensive ambulatory experience is offered to students headed for primary care.
Postgraduate Program
The educational mission of the Otolaryngology training program at Washington University is to prepare physicians to become competent and highly skilled otolaryngologists with excellent preparation in clinical and surgical patient care, mastery of existing knowledge within the scope of practice, and appropriate experience in teaching and research. In addition to Medical Knowledge and Patient Care in the above mentioned areas, the department teaches and evaluates performance in Interpersonal and Communication Skills, Professionalism, Systems-Based Practice and Practice-Based Learning and Improvement as defined by the ACGME Core Competencies. To this end, the program has established goals and objectives for each level of postgraduate year and a formative and summative evaluation process to measure progress along the way. In such an environment the developing otolaryngologist can reach his or her full potential by the completion of the program.
| The Department of Otolaryngology-Head and Neck Surgery at Washington University School of Medicine offers two pathways, the 5-year Clinical Residency track which includes three months of research time and a 7-year Research Residency oriented track which includes two years of contiguous NIH supported research training called the Physician Scientist Program (PSP). |
The objective of the 5-year Clinical Residency track is to train individuals in advanced medical and surgical patient care and to introduce them to scientific principles of investigation in order to enhance the scholarly evidence-based practice of medicine.
The first year of otolaryngology will include ACGME required rotations. A minimum of five months of structured education in at least three of the following: general surgery, thoracic surgery, vascular surgery, pediatric surgery, plastic surgery, surgical oncology. One month of structured education in each of the following four clinical areas: emergency medicine, critical care unit (intensive care unit; trauma unit or similar), anesthesia, neurological surgery. An additional maximum of three months of otolaryngology-head and neck surgery is optional.
The second year otolaryngology residents participate in a rich operative and ambulatory clinical setting. At the beginning of this year, a comprehensive basic science course is given, including temporal bone and neck dissection. A two-year rotating core curriculum is given by the faculty covering all major topics. Additional conferences include: Grand Rounds, Tumor Conference, Otology/Audiology Conference, Journal Club, Morbidity/Mortality Conference and Research Seminars.
During the third and fourth year otolaryngology years, graduated surgical and outpatient responsibility is provided to the residents. In the final (chief resident) year, significant responsibility is afforded to the graduating residents to further aid the transition into independent practice. Career guidance and counseling is performed at six-month intervals via a faculty advisor system throughout the program.
The objective of the Physician Scientist Program (PSP) is to train career physician-scientists capable of delivering advanced medical and surgical patient care and capable of obtaining funding for additional mentored clinical scientist development. The ultimate goal of this career pathway is to produce life-time career physician-scientists who maintain active surgical practices and research laboratories which are independently funded.
This is designed for applicants dedicated to research and academics within the field of Otolaryngology. Funded through a T32 training grant from the NIH, the PSP offers salary support for 2 years of consecutive research during residency training. Residents are encouraged to engage in basic science or clinical research and are able to choose mentors from the many funded principal investigators throughout Washington University School of Medicine. The PSP provides a framework in which residents are able to interact with experienced scientists and develop critical thinking, experimental design skills, and grantsmanship. Each year two of the five entering residents match into the PSP. Residents in the PSP begin research after either PGY-1 or PGY-2 years. Many PSP residents also qualify for the NIH Loan Repayment Program which can pay up to $70,000 in medical school loans.
A two-year rotating lecture series provides the backbone of didactic teaching for the residents. Eight sections: Head and Neck - malignant, Head and Neck - benign, Head and Neck - reconstruction and trauma, Facial Plastic Surgery, Pediatric Otolaryngology, Otology-Audiology-Vestibular, Sinus-Allergy and Critical Appraisal of the Medical Literature are each headed by a faculty coursemaster who selects the individual topics, faculty presenters, and duration of each section. Attendance is taken and all residents are expected to attend.
In addition to the two-year rotation, a yearly Basic Science course is provided for the OTO-2 residents. Topics are outlined following the ACGME standards for basic science contents. These lectures are given Monday and Thursday afternoon from July through September preceding the start of the Core Curriculum cycle. Other mandatory conferences include (September thru May) Grand Rounds, Journal Club, Facial Plastic Conference, Otology Conference, Head and Neck Conference, Morbidity-Mortality Conference & Physician-Scientist Conference. There is also a temporal bone otology course, as well as a head and neck dissection course.
During the clinical years, residents are expected to participate in clinical and/or basic research and to publish papers in peer-reviewed journals, and they are expected to make presentations at the lectures or Grand Rounds. They are encouraged to submit papers and to make presentations at regional and national otolaryngology meetings. There is a national course consisting of literature given by the American Academy of Otolaryngology in which residents are expected to participate throughout the year. There is also an In-Training Examination given by the American Academy of Otolaryngology that all residents must take on a yearly basis. Throughout their residency, residents receive training in all aspects of otolaryngology, including general otolaryngology; head and neck cancer surgery; microvascular reconstructive techniques; facial plastic surgery; trauma; otology and neurotology; pediatric otolaryngology, including pediatric endoscopy; and allergy and endoscopic nasal sinus surgery.
Central Institute for the Deaf at Washington University School of Medicine
An alliance that began as a trusted handshake in 1931 became a formal affiliation in September 2003, when, after decades of working together, Washington University School of Medicine entered into an historic agreement with nearby Central Institute for the Deaf (CID) — one of the world’s leading education and research centers for hearing disorders. This affiliation transferred CID’s graduate training program, hearing research programs and adult audiology clinic, along with its state-of-the art, 66,000-square-foot campus and research facilities, into the School of Medicine. These programs became known collectively as CID at Washington University School of Medicine.
The graduate degree programs in audiology, deaf education, and speech and hearing sciences moved into the School of Medicine’s newly formed Program in Audiology and Communication Sciences (PACS). The research and clinical programs moved into the Department of Otolaryngology, under the direction of Richard A. Chole, M.D., Ph.D., continuing to advance CID’s mission to help people with hearing loss and strengthening the research efforts in the fields of hearing and deafness of one of the largest otolaryngology departments in the world. Work also continues in the Harold W. Siebens Hearing Research Center, which houses the Fay and Carl Simons Center for Biology of Hearing and Deafness and the Center for Childhood Deafness and Adult Aural Rehabilitation.
The Spencer T. Olin Hearing Clinic remained on the CID campus as part of the Department of Otolaryngology’s Division of Adult Audiology. CID continued its affiliation with the programs by providing faculty and practicum sites as well as collaborating on applied research studies involving children with hearing loss. The CID at Washington University School of Medicine programs share the CID campus.
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Last Modification: 08/03/2009 | |