PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Students must have completed their M3 Core Clerkships in Medicine and Surgery.
PURPOSE: This rotation is targeted toward those students interested in developing knowledge of otolaryngology beyond that required of the primary care physician. Most of the students on this rotation will be interested in a future in otolaryngology, but this rotation will also be valuable for those who intend a career in primary care medicine, plastic surgery, anesthesiology, emergency medicine and radiology. The basic skills needed to perform a thorough head and neck examination will be reinforced and greater exposure will be given to pathologic disease processes. Students on this elective will play a greater role in the inpatient care and in operating room procedures than those students on the clerkship. Students will be taught to identify head and neck pathology, to complete an appropriate work-up of the disease process and to manage head and neck disease processes. In the operating room, students will be taught the basic operative techniques needed for maintenance of sterility, closure of surgical wounds, and prevention of complications. We deduce that students who choose a four week eletive would like to understand head and surgery better and may even desire to apply to an Otolaryngology residency training program.
COMPETENCIES: Perform a thorough head and neck examination; Recognize common disease states in the head and neck; Understand and be able to suggest the appropriate work-up for common head and neck disorders; Understand medical management of common disease states; Perform procedures to manage common disease states such as epistaxis, simple lacerations, nasal fractures, and tracheostomy problems.
INSTRUCTIONAL FEATURES: : This elective program includes student participation in outpatient and inpatient care of otolaryngology patients. Students on the elective will be expected to play a greater role in care and management of otolaryngology inpatients Students perform history and physical examinations, form initial differential diagnoses, develop a plan for further work-up of disease processes and suggest proper management. As unique diseases arise, students are asked to perform library research to gain a deeper understanding of the disease process encountered. The experience is conducted under the supervision of the attending staff assisted by members of the house staff who act as preceptors. Students on the elective are expected to actively participate in the operating room, when appropriate, and learn operative techniques from the attending physician during the course of the surgical procedures. Formal didactic sessions are held three to four times a week on a variety of topics pertinent to the specialty and comprise an important part of the student learning. Department library and teaching models are available for student use. Each student is asked to prepare and present a talk of 15 minutes or longer on an ORL-HNS subject of their choice. All faculty and residents attend the presentation at the end of the elective.
ASSESSMENT: Student performance is evaluated by house staff and attending faculty with exposure to the student using the standard College of Medicine Clerkship Evaluation form. Knowledge and skills are rated during patient care situations and throughout the course of students’ didactic discussions with various faculty members.
Program Number: ELEC 643
Program Director: H.S. Sims, M.D., Beth Blackwell (Coordinator) firstname.lastname@example.org
Duration: 4 Weeks
Night Call: No
Students Accepted: Min. 1 Max. 3 (depending upon how many students are accepted for the clerkship)
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 8
Laboratory/Independent Study: Students prepare a 15 minute presentation on an ENT topic of choice.
Total Hours /Week: 40