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VCU Department of Otolaryngology, Virginia Commonwealth University VCU Department of Otolaryngology VCU Medical Center VCU

VCU Department of Otolaryngology

Resident Training - Program Overview

There are two services within the department, one covering VCUMC, the other covering HHMMC. Two residents are always scheduled to cover HHMMC, one junior (PGY - 3), and one senior (PGY - 4 or 5). The remaining residents cover the VCUMC service, which includes departmental activities at the Stony Point Surgical Center facility. One resident is assigned to protected research time for the last eight months of the academic year.

The rotation schedule for each year of the program is shown in block format, and described in more detail below.

Rotations

The rotation schedule for each year of the program is shown in block format, and described in more detail below.

 

8 months

1 month

1 month

2 months

PGY1

General Surgery Subspecialties

Emergency Medicine

Anesthesia

Otolaryngology

 

11 months

1 month

PGY2

VCUMC

Research

6 months

3 months

3 months

PGY3

HHMMC

Research

VCUMC

 

6 months

6 month

PGY4

VCUMC

Community

 

6 months

5 months

1 month

PGY5

VCUMC

HHMMC

Community

 

PGY1

All residents are required to spend their PGY-1 year at Virginia Commonwealth University . The goals of the internship year are: 1) To provide exposure to concepts and techniques of medical/surgical disciplines complimentary to Otolaryngology - Head and Neck Surgery. 2) To provide training in the pre- and post-operative care of the surgical patient ranging from the elective case to the critically ill patient; and 3) To foster the development of fundamental surgical techniques, skills, and judgement.

The majority of time in the PGY-1 year is spent rotating through general surgery subspecialties, including general surgery, surgical trauma intensive care unit, neurosurgery, plastic surgery, vascular surgery, surgical oncology and cardiothoracic surgery. Additional rotations are spent in emergency medicine, anesthesia, and otolaryngology - head and neck surgery. The internship year is in compliance with the guidelines set by the Residency Review Committee for Otolaryngology, which become effective July 1, 2005.

PGY2

Eleven months of the PGY-2 year are spent at VCUMC, with 1 month spent toward the end of the year for research. The goals of this year are: 1) To develop a broad knowledge base in the field of otolaryngology - head and neck surgery, including the relevant basic sciences, and the workup and treatment of otolaryngologic disorders. 2) To further refine the basic surgical skills learned in the PGY-1 year, and apply these skills to otolaryngologic procedures. 3) To begin training in research through a month long research rotation, leading to selection of and planning for a research project, and learning the experimental techniques necessary for its completion.

The PGY-2 residents are primarily responsible for daily care of service inpatients and emergency room consults, including the initial evaluation of head and neck trauma patients and closure of facial lacerations when the service covers facial trauma call (every third week). In the outpatient clinic the PGY-2 resident will get experience in the workup and treatment of a wide variety of otolaryngologic problems. The PGY-2 residents learn a variety of basic operative procedures, including myringotomy and tube placement, tonsillectomy, adenoidectomy, excision of simple head and neck masses, repair of complex traumatic lacerations, tracheotomy, endoscopy, turbinate reduction, septoplasty and uvulopalatopharyngoplasty. Understanding of more complex head and neck and otologic procedures is fostered through assisting on such procedures.

PGY3

The PGY-3 resident spends 6 months at the HHMMC, 3 months in protected research time, and 3 months on the VCUMC Otolaryngology - Head and Neck Surgery service. The goals of this year are: 1) To deepen the knowledge base in the field of otolaryngology - head and neck surgery, including the relevant basic sciences, and the workup and treatment of otolaryngologic disorders; 2) To further refine surgical skills, and apply these to more advanced otolaryngologic procedures; 3) To continue training in research through a three month long research rotation, leading to submission of an abstract for presentation at a national meeting, and a manuscript to a peer-reviewed journal.

The PGY-3 resident assists the PGY-2 residents with the daily care of service inpatients, and is responsible for the initial evaluation of all adult inpatient consultations. The PGY - 3 resident covers the outpatient clinic when not operating. During this year the PGY - 3 resident learns to perform more advanced procedures, including endoscopic sinus surgery, excision of neck masses, incision and drainage of deep neck abscesses, local and regional flap reconstruction of head and neck defects, facial fracture repair, laser surgery of the upper aerodigestive tract, and myringoplasty.

PGY4

The PGY - 4 resident spends eleven months at VCUMC, and 1 month toward the end of the year at HHMMC, serving as the chief of that service. The goals for this year are: 1) To deepen the knowledge base in the field of otolaryngology - head and neck surgery, including the relevant basic sciences, and the workup and treatment of otolaryngologic disorders; 2) To further refine the surgical skills, and apply these to more advanced otolaryngologic procedures; 3) To acquire the clinical, organizational, and leadership skills necessary to effectively assume the role of chief resident.

While on the VCUMC service, the PGY - 4 will assist with departmental activities at Stony Point Surgery Center . It is during this time that the majority of training in cosmetic facial plastic surgery will be obtained. In addition, the PGY - 4 resident is the pediatric inpatient consult resident at VCUMC, responsible for the initial evaluation of pediatric consults, including airway problems. Procedures performed early in this year are similar to those in the PGY - 3 year, while later in the academic year more intricate procedures are performed, similar to those in the PGY - 5 year. The latter includes tympanoplasty and tympanomastoidectomy, parotidectomy, laryngectomy, neck dissection, regional and myocutaneous flap repair of complex head and neck defects, repair of complex facial fractures, rhinoplasty, blepharoplasty, rhytidectomy, evaluation and repair of the pediatric airway, choanal atresia repair, and advanced endoscopic sinus surgery.

PGY5

During the PGY - 5 year, 7 months are spent at VCUMC, and 5 months at HHMMC. The goals of this year are: 1) To further deepen the knowledge base in the field of otolaryngology - head and neck surgery, including the relevant basic sciences, and the workup and treatment of otolaryngologic disorders, in preparation to take the American Board of Otolaryngology Certification Examination; 2) To further refine the surgical skills, and apply these to more advanced otolaryngologic procedures, and to further one's operative experience such that any procedure within the realm of otolaryngology - head and neck surgery may be approached competently and confidently; 3) To develop the organizational and leadership skills necessary to effectively function as a practicing otolaryngologist - head and neck surgeon, whether in solo practice, or academic group practice.

The PGY - 5 residents serve as the service chiefs at both VCUMC and HHMMC, and thus assume full responsibility for the service at these institutions. The chief resident runs daily rounds and, in consultation with the attending staff, is responsible for all decisions in patient management, surgical or medical. The PGY - 5 will complete their year capable of performing all procedures within the realm of otloaryngology - head and neck surgery.

Call structure

All call is taken from home (pager call). For each day there is a first call resident (PGY - 1,2, or 3), who is primarily responsible for the initial evaluation and management of service inpatient care needs, and inpatient or emergency consults at VCUMC. The second call resident (PGY - 4 or 5) is available to assist the first call resident if needed at VCUMC, perform any emergency surgical procedures with the on call attending, and serve as the first call resident for HHMMC. At VCUMC facial trauma call coverage is shared between Otolaryngology - Head and Neck Surgery, Plastic Surgery, and Oral and Maxillofacial Surgery, such that facial trauma call is covered by each service every third week. During facial trauma call weeks, the on call residents are responsible for the initial evaluation and management of soft tissue and bony trauma to the face and neck.

For Additional information please contact:

Stephanie Brown
Department of Otolaryngology - Head & Neck Surgery
Box 980146
Virginia Commonwealth University
Richmond , VA 23298-0146
Phone: 804 - 828 - 2766
Fax: 804 - 828 - 5779
Email: ent@vcu.edu