PGY-1: Training begins with a general surgical internship with six one-month blocks in Anesthesia, NET/Trauma, Critical Care/ICU, General Surgery, Plastic Surgery and Neurosurgery. Remaining six 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.
PGY-2: The PGY-2 year rotates on 6 months on General-Pediatric Otolaryngology, 4 months in Head & Neck Oncology/Facial Plastics, and 2 months in Otology-Neurotology. 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.
PGY-3: The PGY-3 year begins with a two-month block in Otology-Neurotology leading up to the fall months rotating with the Moh’s Surgery or Sleep Medicine and Plastic Surgery teams. The remainder of the year is primarily spent as two-month blocks in General-Pediatric Otolaryngology and Head and Neck/Facial Plastics services. The remainder of the year is primarily spent as two-month blocks in General-Pediatric Otolaryngology and Head & Neck Oncology/Facial Plastics services. In addition, the PGY-3 resident has a two-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 two-month block of research time is scheduled in the PGY-4 year.
PGY-4: The PGY-4 year starts with a 2 month block on Research followed by 2 months on Head & Neck Oncology/Facial Plastics, with 2 months in Otology-Neurotology. The fourth block is Allergy and Oral Maxillofacial Surgery and the year ends with General- Pediatric Otolaryngology and Otology/Neurotology. Then over the course of the year the PGY-4 spends time operating with the Endocrine Surgery team performing thyroidectomy and parathyroidectomy procedures.
PGY-5: The Chief resident leads the house staff team, with the PGY-5 year divided into two-month blocks on the major subspecialty services of Head & Neck Oncology/Facial Plastics, Otology-Neurotology, and General-Pediatric Otolaryngology. The final two-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 one half-day per week, preparing him/her for efficient independent practice. The PGY-5 and PGY-4 residents also participate in surgeries at the VA Medical Center in White River Junction to expand and enhance their operative experience.