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, 2 months in Head & Neck Oncology/Facial Plastics/OMFS, and 2 months in Otology-Neurotology. 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.
PGY-3: The PGY-3 year begins with a two-month block in Head & Neck/Facial Plastics/OMFS leading up to the fall months rotating with the Mohs Surgery and Plastic Surgery teams. The remainder of the year is primarily spent as two-month blocks in Otology-Neurotology, General/Pediatric Otolaryngology and Head & Neck/Facial Plastics/OMFS 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 Otology-Neurotology followed by 2 months on Head & Neck Oncology/Facial Plastics/OMFS and then 2 months on Research. The fourth block is Head & Neck Oncology/Facial Plastics/OMFS and the year ends with General/Pediatric Otolaryngology and Otology-Neurotology.
PGY-5: 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 two-month blocks on the major subspecialty services of Head & Neck Oncology/Facial Plastics/OMFS, Otology-Neurotology x2, 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.
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