Conference Schedule
- COCLIA curriculum conference
- Teaching conference
- Competency-based teaching
- Endocrine surgery tumor board
- Head and neck tumor conference and clinic
- July and August summer lecture series
COCLIA curriculum conference
Mondays, 7:00 to 8:00 a.m.
The COCLIA curriculum is sponsored by the AAO-HNS as an active learning device.
The program consists of a weekly conference in which 100 major otolaryngology topics are reviewed over a two-year period. Each resident is assigned a question. He/she is expected to read a chapter on the general topic and to respond to the question by preparing a one-page handout. Junior level residents will be responsible for the basic science or general anatomy and physiology questions. More senior residents are asked to review and discuss landmark or current journal articles pertaining to the topic. Chief residents are assigned management of difficult cases or oral board scenarios.
The one-hour session is devoted to the residents presenting answers to their questions in turn (junior to chief). In addition, they will have already made copies of the handouts for their fellow residents, so that by the end of the two-year program, they will be able to cultivate a binder with pertinent information on the major topics. Each week, an invited faculty member who has experience in the topic is in attendance, but the teaching is generally by each resident as they answer their questions.
Teaching conference: a rotating basic science / clinical science schedule
Wednesdays, 7:00 to 9:00 a.m., September through June
Week one
7:00 a.m.: Faculty meeting - Residents are invited to attend this informational session.
8:00 a.m.: Grand Rounds - the faculty will prepare the grand rounds presentations. Every effort will be made to make this a CME carrying event and to involve community otolaryngologists and primary care providers.
Week two
7:00 a.m.: Morbidity and Mortality / Interesting Case Conference - Patient safety is identified as the seventh or composite competency. The M&M portion of this conference requires that the chief resident and PD select cases for which there is a significant complication (including all deaths). The case is assigned to a resident for presentation with an attempt to match complexity of the case to the resident's year in training. The resident must describe the case, reflect on and identify what went wrong, list resources used to gain a better understanding of the case, ask themselves what he or she would do differently and what he or she would have to learn (knowledge, skill, attitude, perspective) in order to improve. The reviewing faculty member may add to this presentation and then there is open discussion of the case. Following the conference, the resident completes a brief learning plan that describes what he or she would need to learn to do things differently. The PD or the involved attending will then review the learning plan with the resident and will rate the resident in the following areas: practice analysis, improvement opportunity, resources to support analysis and action plan. When there is insufficient case material for a full hour of M&M, the attending physicians will present interesting cases within their subspecialty areas. These case presentations may be exhaustive treatises of complex issues, or may be relatively brief presentations of clinical pearls. An interactive format is encouraged.
8:00 a.m.: Journal Club - Each month is assigned to an individual attending physician. This person picks the topic and articles. The articles are assigned to the residents for presentation. The discussion is led by the attending.
Week three
7:00 a.m.: Research - Lead by Dr Davies, this conference will discuss the status of all active research projects. Research design, biostatistics, informed consent and IRB procedures, funding and common problems will be discussed.
8:00 a.m. - Head and Neck didactic conference
Week four
7:00 a.m.: Radiology - A combined conference with the department of radiology, our residents will be exposed to lectures on CT, MRI, angiography, radionuclide and functional imaging modalities of the head and neck
8:00 a.m.: Audiology/Otology case conference
4:00 to 5:00 p.m., first Monday of each month: Pathology - Directed by Dr. Black, this is a classic pathological conference covering normal and pathological microscopic diagnosis. Organized by anatomic area and organ systems, topics will comprehensively cover all aspects of head and neck pathology.
Competency-based teaching
Friday, 7:00 to 8:00 a.m.
DHMC is nationally recognized as a leader in GME and in educating specifically for the ACGME competencies. Program directors have access to a wide array of course material targeted at specific areas of the competencies, especially those "hard to teach" competencies like system-based practice, professionalism, communication skills and practice-based learning. Materials available include lectures by medical center experts and archived web-based video lectures. In addition there is an extensive series of lectures prepared by the Dartmouth medical library (Library Grand Rounds Archives) and medical ethics lectures presented by Dr Morrison. Topics will include:
- Systems-based practice: Review of the text "Quality by Design" and the Dartmouth Clinical Microsystem Improvement Curriculum. Practice configurations, looking for the right practice, physician employment contracts, CV writing, third party payers, managing physician referral relationships, managing patient relationships, risk management, practice improvement, quality assurance, business ethics and compliance, correct coding.
- Practice-based learning and improvement: quality systems and frameworks, linking professional knowledge to improvement knowledge, systems and processes, measurement and variation, benchmarking, control charts, quality measures and payment, chronic disease management, funding sources for research, web based information search, finding evidence based answers to clinical questions, data base searching.
- Professionalism: palliative and end of life information sources, cultural awareness resources, addiction resources, voice of caregivers: Schwartz Center Rounds, informed consent and autonomy.
- Interpersonal and communication skills: effective interviewing skills, physician/patient verbal and nonverbal interactions, verbal abuse - the gentle art of verbal self defense, difficult patient encounters, oral boards - effective styles for success, succeeding in the publication process, medical image search and management, use of PowerPoint, use of the PDA as a clinical tool, communication with referring doctors, understanding your referral sources -who are they and what do they want.
Endocrine surgery tumor board
Second Thursday of each month, 5:00 to 6:30 p.m.
Attended by all residents and directed by Thomas Colacchio, MD, this is a videoconference with several groups of regional endocrinologists. Case presentations assigned by Dr. Colacchio.
Head and neck tumor conference and clinic
Thursdays, 7:00 to 8:00 a.m., 1:00 to 5:00 p.m.
Multidisciplinary tumor conference is held weekly and followed by clinic. The PGY4 resident is expected to present cases as assigned by the head and neck oncology attendings. Discussion is directed by the attendees including head and neck surgical oncology (Drs Gosselin, Pardarfar and Davies), medical oncology (Dr Davis), radiation oncology (Dr Underhill), pathology (Dr Black), as well as speech pathology and social work.
July and August summer lecture series
Faculty presentations
Wednesdays, 7:00 to 9:00 a.m.
Topics will be chosen by each attending and monitored by the PD, and include clinically oriented basic reviews of:
- General ENT emergencies: epistaxis, nasal, zygoma, mandible, midface fractures, complications of sinusitis
- Otologic emergencies: Complications of otitis media, sudden hearing loss, acute facial palsy, temporal bone fracture, otitis externa, auricular hematoma
- Head and neck emergencies: Deep neck space, retropharyngeal, peritonsillar abscess, Lugwig's, angioedema, foreign body aspiration, caustic ingestion, neck trauma
- Airway emergencies: Upper airway obstruction assessment, diagnosis, management, pediatric stridor, foreign bodies
- Diseases of the ear (otoscopic diagnosis)
- Evaluation of the dizzy patient, evaluation of the head and neck cancer patient, sinusitis, otitis media/Eustachian tube dysfunction, evaluation and treatment of the patient with a neck mass, neonatal/pediatric airway evaluation, audiometric testing (18 total).
