Residency Structure

Otolaryngology Residency Block Schedule


Training begins with a general surgical internship with 6 one-month blocks in Critical Care/ICU, NET, Neurosurgery, Plastic Surgery, Trauma, General Surgery, and Anesthesia. Remaining 6 months of the PGY-1 year are spent on the Otolaryngology service. During that period, the intern will perform as a junior Otolaryngology resident with an emphasis on evaluating Otolaryngologic emergencies, learning to perform tracheotomies, and assisting in the operating room.


The PGY-2 year rotates 4 months on General Otolaryngology/Pediatric Otolaryngology, 2 months on Head and Neck Oncology/Facial Plastics/OMFS, and 4 months in Otology/Neurotology/Rhinology. The PGY-2 has 2 months off-service when he/she rotates with the Allergy and Sleep Medicine services. The PGY-2 resident is immediately immersed in both the operating room and clinic settings, working one-on-one with the respective attending physician(s). The schedule is designed to provide continuity of care, allowing the resident to participate in pre-operative and post-operative clinic encounters, as well as the surgical procedure and immediate peri-operative care. Together with the PGY-3, the PGY-2 resident shares day call for inpatient/ER consultations.


The PGY-3 year begins and ends with a 2-month block in Head and Neck Oncology/Facial Plastics/OMFS leading up to the fall months rotating with the Mohs Surgery and Plastic Surgery teams. The remainder of the year is spent as 2-month blocks in General Otolaryngology/Pediatric Otolaryngology, Otology/Neurotology/Rhinology, and Head and Neck Oncology/Facial Plastics/OMFS again. Additionally, the PGY-3 resident has a 2-month block of time dedicated to the ongoing development and implementation of his/her clinical or basic science research project. This is the first block of protected research time – an additional 2-month block of research time is scheduled in the PGY-4 year.


The PGY-4 year begins with a 2-month block on Otology/Neurotology/Rhinology followed by 2 months on Head and Neck Oncology/Facial Plastics/OMFS and then 2 months on Research. The fourth block is General Otolaryngology/Pediatric Otolaryngology and the year ends with 2-month blocks each on Head and Neck Oncology/Facial Plastics/OMFS and General Otolaryngology/Pediatric Otolaryngology.


The Chief Resident leads the house staff team and starts the first block as the overseer of all services. The PGY-5 year is divided into 2-month blocks on the major subspecialty services of General Otolaryngology/Pediatric Otolaryngology, Otology/Neurotology/Rhinology x2, and Head and Neck Oncology/Facial Plastics/OMFS. The final 2-month block is "Choice" and allows the Chief Resident the flexibility to participate in those surgical cases of particular interest. In addition, the Chief Resident runs his/her own continuity clinic 1 half-day per week, preparing him/her for efficient independent practice.

The PGY-2 through PGY-5 residents also participate in surgeries during their off service and research blocks at the VA Medical Center in White River Junction to expand and enhance their operative experience.

Otolaryngology Residents (2024)