COCLIA Curriculum Conference
The COCLIA curriculum is sponsored by the AAO-HNS as an active learning device.
The program consists of a weekly conference in which 50 major otolaryngology topics are reviewed over a two-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 one-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.
The Department of Surgery and Otolaryngology have grand round sessions once a month. Faculty and/or residents prepare presentations for both.
Morbidity and Mortality/Quality Improvement 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.
A monthly group session including faculty and residents is held to identify the topic and articles. The articles are assigned to the residents for presentation during a second group session, which is held at a local restaurant or faculty residence.
Research/Library Resource Series
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.
Head/Neck Radiology, Head/Neck Pathology, and Plastics/OMFS/ENT Combined Conferences
Didactics include series of combined conferences with the departments/sections of radiology, pathology, OMFS, and plastic surgery. Our residents will be exposed to case-based lectures given by the head and neck radiology faculty (Dr. Clifford Eskey, Dr. David Pastel and colleagues) on CT, MRI, angiography, radionuclide and functional imaging modalities . 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 and Dr. Jason Pettus. 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. OMFS series led by Dr. Rocco Addante and Dr. Eric Holmgren includes lectures on facial trauma, odontogenic lesions, and orthognathic surgery.
Audiology/Otology Case Conference
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.
Temporal Bone, Skull Base, Trauma/Plating, and Airway/Laryngology
Head and Neck Tumor Conference and Clinic
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 and Dr. Jason Pettus), as well as speech pathology and social work.
ENT Basics Lecture Series
Topics will be presented by both faculty and residents 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.
On-Site Educational Meetings
- Annual Dartmouth-Hitchcock Otolaryngology Research Symposium
- Dartmouth-Hitchcock Medical Center Primary Care in Otolaryngology Symposium
- Autumn in New England Otolaryngology Update
Off-Site Courses and Educational Meetings
The following is a list of recurring; off-site educational courses and conferences that the residents attend.
- CORES Simulation Course at Boston Children's Hospital (November)
- AO Principles of Operative Treatment of Craniomaxillofacial Trauma and Reconstruction (Summer/Fall)
- New England Otolaryngologic Society (NEOS) Meeting (Fall, Winter, Spring)
- American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Fall Meeting
- American Academy of Otolaryngic Allergy (AAOA) Core Basic/MOC Review Course - Resident Education Forum (February)
- American Academy of Otolaryngic Allergy (AAOA) Basic Allergy Course (July)
- Endoscopic Sinus & Rhinoplasty Course (varied)
- Combined Otolaryngology Society Meeting (COSM) Annual Conference (Spring)
- Advanced Craniomaxillofacial Trauma Course (Late Summer)
- Laryngology Course (varied)
Global Health Rotation
This rotation is a two 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.