|Wk 1||7-7:30 Planning meeting||7-9 Head and neck/Laryngology||7-8 Surgery Grand Rounds|
|7:30-8:30 OMFS/Facial Trauma Series||8-9 Pathology|
|Wk 2||7-7:30 Planning meeting||7-9 Pediatrics/Sleep||7-8 Otolaryngology Grand Rounds|
|7:30-8:30 Residency program meeting||8-9 Facial Plastics|
|Wk 3||7-7:30 Planning meeting||7-9 Otology-Neurotology/Rhinology||7:15-8:00 Head-Neck Radiology|
|7:30-8:30 Library/Research Resources||8-9 Rhinology/Allergy|
|Wk 4||7-7:30 Planning meeting||7-8 Otology-Neurotology||7-9 M&M; CCC/PEC meetings|
|7:30-8:30 Resident Best Practice||Audiology-Otology conference|
Mondays: 7:00 to 7:30 am
The residents, attendings, and staff review the cases and events from the weekend on call team and look at the week’s schedule to ensure resident coverage for all key indicator procedures and to optimize the number of learners in the operating room and clinic in compliance with the policies for social distancing.
Facial Trauma/OMFS conference
Mondays (1st): 7:00 to 8:30 am
Facial Trauma/OMFS series led by Dr. Rocco Addante and Dr. Eric Holmgren includes lectures on mandible fractures, midface fractures, frontal sinus fractures, odontogenic lesions, and orthognathic surgery.
Residency program meeting
Mondays (2nd): 7:30 to 8:30 am
PD and residents meet monthly to review administrative tasks (case logs, work hour logs, VA credentialing), programmatic updates, and policy changes. This is also an opportunity for residents to voice any concerns and make recommendations regarding the program.
Research/library resource series
Mondays (3rd): 7:30 to 8:30 am
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.
The library resource series covers PubMed (MEDLINE), Evidence-Based Medicine, point-of-care resources, and reference management.
Resident best practices
Mondays (4th): 7:30 to 8:30 am
Senior residents lead sessions to guide junior residents and medical students on how to prepare for clinic and surgery with each attending, how to stay up to date with administrative tasks, how to write accurate progress note, operative report, consultation note, how to best prepare for inservice examination (OTE).
Core curriculum conference/ENT Basics Lecture Series
Wednesdays: 7:00 to 9:00 am
The program is based on the Comprehensive Otolaryngologic Curriculum Learning through Interactive Approach (COCLIA) which is a teaching tool designed to help residents systematically acquire otolaryngology-head and neck surgery knowledge over a 2 year period. Based on adult learning principles, the program provides a discussion platform for basic anatomy, physiology, diagnosis, management and decision making that includes over 100 major otolaryngology topics.
ENT Basics Lecture Series occurs yearly in May-August. The topics will be presented by both faculty and residents and include clinically oriented basic reviews of:
- Evaluation and management of vertigo, neck mass, rhinosinusitis, neonatal/pediatric airway, otitis media/Eustachian tube dysfunction, OSA, hearing loss
- General ENT emergencies: epistaxis, nasal, zygoma, mandible, midface fractures, complications of sinusitis
- Head and neck emergencies: Deep neck space, retropharyngeal, peritonsillar abscesses, Lugwig's, angioedema, foreign body aspiration, caustic ingestion, neck trauma
- Airway emergencies: Upper airway obstruction assessment, diagnosis, management, pediatric stridor, foreign bodies
- Otologic emergencies: Complications of otitis media, sudden hearing loss, acute facial palsy, temporal bone fracture, otitis externa, auricular hematoma
Audiology/Otology case conference
Wednesdays (4th): 8:00 to 9:00 am
A monthly combined conference with adult and pediatric audiologists in which interesting cases are presented and discussed. The residents also get hands-on training performing audiological and vestibular evaluations.
Head and neck tumor conference
Thursdays 6:45 to 7:45 am
Multidisciplinary head and neck tumor conference is held weekly and followed by clinic. Residents are 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, Paydarfar, and Davies), medical oncology (Dr. Tom Davis), radiation oncology (Dr. Philip Schaner), pathology (Dr. Laura Tafe, Dr. Jason Pettus, Dr. Darcy Kerr), as well as speech pathology and social work.
Fridays (1st and 2nd): 7:00 to 8:00 am
The Department of Surgery (1st Friday) and Section of Otolaryngology (2nd Friday) have monthly grand round sessions on basic science and clinical topics presented by both attendings, residents and guest lecturers.
The program consists of a weekly conference in which 50 major otolaryngology topics are reviewed over a 2 year period. Each resident is assigned 1-3 questions. He/she is expected to read a chapter on the general topic and to respond to the question by preparing a 1 page handout or PowerPoint presentation. 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.
Head/neck radiology conference
Fridays (3rd) 7:15-8:00 am
Our residents will be exposed to case-based lectures given by the head and neck radiology faculty (Dr. Clifford Eskey, Dr. David Pastel, Dr. Rihan Khan, and colleagues) on CT, MRI, angiography, radionuclide and functional imaging modalities.
Morbidity and Mortality/Quality Improvement conference
Fridays (4th) 7:00 to 8:00 am
At the M&M/QI conference, the resident involved in the challenging case reviews the case and relevant literature and generates a Learning Plan. The resident prepares a case presentation describing the case, reflecting on and identifying what went wrong, listing resources used to gain a better understanding of the case, and asking 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. Several QI projects have been generated from this conference.
Head/neck pathology xonference
Fridays 8:00 to 9:00 am
Pathology of the head and neck including squamous lesions, salivary gland, cystic lesions, thyroid and parathyroid glands, and sinonasal lesions are reviewed with the head and neck pathologist, Dr. Laura Tafe, Dr. Darcy Kerr, and Dr. Jason Pettus, and colleagues.
Plastic Surgery/ENT combined conference
Fridays 8:00 to 9:00 am
Combined conferences with the Plastic Surgery residents and faculty (Dr. Gary Freed, Dr. John Nigriny, Dr. Joseph Shin, and Dr. Joseph Rosen) cover facial plastics topics including cleft lip and palate, nasal and auricular reconstruction, soft tissue and bony facial trauma, and cosmetic surgery.
A monthly article selection session including faculty and residents is held to identify the topic and to choose articles from peer-reviewed journals. The articles are assigned to the residents for presentation during the journal club event, which is held at faculty residence or a local restaurant.
Temporal Bone, Skull Base, Trauma/Plating, and Airway/Laryngology Labs are scheduled throughout the year. Temporal Bone Dissection Course runs 5-6 times throughout the year on Friday mornings 8 to 12 under the directions of Drs. McCool, Saunders, and Wise. Anterior and Lateral Skull Base Lab is a 2-day course that occurs in the spring along with the neurosurgery faculty and residents. Facial Trauma/Plating Lab occurs in the fall in coordination with the Plastic Surgery faculty and residents. The Airway Emergency Lab is run in the simulation center 1 to 2 times a year.
On-site educational meetings
- Annual Dartmouth Hitchcock Medical Center Otolaryngology Research Symposium
- Autumn in New England Otolaryngology Update
- Dartmouth Hitchcock Medical Center Primary Care in Otolaryngology Symposium
Off-site courses and educational meetings
The following is a list of recurring; off-site educational courses and conferences that the residents attend.
- Advanced Craniomaxillofacial Trauma Course (Late Summer)
- American Academy of Otolaryngic Allergy (AAOA) Basic Allergy Course (July)
- American Academy of Otolaryngic Allergy (AAOA) Core Basic/MOC Review Course - Resident Education Forum (February)
- American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Fall Meeting
- AO Principles of Operative Treatment of Craniomaxillofacial Trauma and Reconstruction (Summer/Fall)
- Combined Otolaryngology Society Meeting (COSM) Annual Conference (Spring)
- CORES Simulation Course at Boston Children's Hospital (November)
- Endoscopic Sinus & Rhinoplasty Course (varied)
- Laryngology Course (varied)
- New England Otolaryngologic Society (NEOS) Meeting (Fall, Winter, Spring)
Global health rotation
This rotation is a 2 part elective for junior and senior residents. It will enhance the core competencies of residency training, specifically Practice Based Learning, Interpersonal Communication Skills (cultural sensitivity), Professionalism and Systems Based Practice. The program will emphasize applying research, evidence based medicine, and quality improvement to provide the highest level of value and most cost-effective care to lower resource environments.