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Department of Otolaryngology
Temporal Bone Surgical Dissection Laboratory
The Temporal Bone Laboratory is an important aspect of Otolaryngology Training. Continuous education in the intricacies of temporal bone anatomy and surgical technique is extremely important in the practice of otology. A fully equipped laboratory is maintained on the campus of Long Island College Hospital. It is equipped with 8 workstations containing microdissection instruments, microscopes and drills for detailed study of temporal bone anatomy. An additional instructor’s station equipped with video camera, classroom video monitors for demonstration or video review, and other teaching tools (charts, dissection manuals and models) enhances the educational experience.
Resident education as well as post-graduate courses, take place on a regular basis. Comprehensive study of anatomy and surgical technique is guided by several otologic surgeons and covers labyrinthine procedures and skull base techniques. The laboratory is available to all members of the department for independent study. Our residents and attendings are encouraged to utilize the laboratory as the need arises.
The department has an extensive conference program that attempts to cover all aspects of contemporary otolaryngology-head and neck surgery in a setting that encourages vigorous discussions in a supportive environment.
Grand Rounds are held every Thursday at the Long Island College Hospital site. All house staff, students, research fellows and faculty are required to attend. Basic science topics are presented during the first part of the program. The second part is devoted to clinical topics. There are frequent guest lecturers from the New York Metropolitan area as well as from throughout the United States and abroad. All conferences provide ample opportunity for active participation by residents, students and attending staff members.
Morbidity and Mortality/Quality Assurance
Monthly departmental meetings are scheduled to discuss issues related to quality improvement, performance improvement and morbidity/mortality. This important process involves all department members in an effort to improve individual, departmental, interdisciplinary and system activities in rendering quality patient care. Focusing on the quality activities of all five affiliated hospitals provides a coherent departmental-wide program. These conferences always include a systems-based practice approach, with identification of the roles of all members of the health-care team and identification of any institutional or system issues.
Basic Science Lecture Series
During the summer, a 9-week basic science and communicative disorders course is given for 1st, 2nd and 3rd year residents, with senior resident attendance encouraged. Held on Thursday mornings, the first hour is devoted to basic anatomic, physiologic, radiologic and pharmacologic aspects of otolaryngology - head and neck surgery. The second hour is devoted to topics in clinical otolaryngology, audiology and speech and language pathology.
Twice a year each resident gives a formal presentation on a basic science or clinical subject at Grand Rounds. The resident is expected to choose a faculty adviser to assist with topic selection, format determination and possible manuscript preparation. The presentations may be a part of a research project and submission to local, regional and national meetings.
Radiology and Pathology Conferences
Radiology and pathology conferences are held regularly every month within the context of the Grand Rounds conference. Basic overview of imaging and pathology as well as interesting cases in the head and neck are presented. Discussion and teaching is facilitated by experienced head and neck radiologists and pathologists.
Combined Head and Neck Oncology Conference
Twenty four times a year, the Departments of Oncology, Otolaryngology, Radiology, Radiation Therapy and Pathology meet at LICH to discuss recent head and neck cancer patients and selected topics in head and neck cancer. A similar conference is held weekly at the Brooklyn Veterans Administration Medical Center. A combined otolaryngology/radiation oncology/medical oncology Tumor Board is held at SUNY-UHB/KCHC once a month; all head and neck cancer cases are presented for treatment planning.
Communicative Disorders Conference
A set of in-service meetings have been established by the Division of Communicative Disorders for the residents of otolaryngology. Topics covered include basic audiometry, immittance audiometry, evoked potentials, hearing loss, hearing aids, head and neck disorders, laryngectomy and rehabilitation and dysphagia.
In-Service Examination (Annual Otolarlyngology Examination)
Weekly conferences involving all members of the residency staff are held from January to April of each year up to and including the week before the American Board of Otolaryngology In-Training Examination for Residents. The conference takes place in the LICH library, and is attended by available members of the residency staff. Supervision is by an attending who is present at the request of the resident staff and is available for consultation. Topics from past examinations are reviewed to allow more comprehensive coverage of all aspects of the specialty of Otolaryngology - Head and Neck Surgery. The library setting allows for immediate availability of reference material as well as audio/visual equipment.
First Tuesday of each month at LICH: Otologic case review and temporal bone imaging conference. A resident case presentation is the precursor to the thorough review of an otologic problem. Clinical data with emphasis on the imaging studies is reviewed. Management options are discussed in detail.
Cochlear Implant Conference
Third Tuesday of each month at LICH: Cochlear Implant Team meeting. A multidisciplinary team including audiologists, speech pathologists, social workers and otolaryngologists discuss current issues of cochlear implantation. Individual cases are reviewed in detail to determine candidacy. Progress reports and outcomes of prior implants are also discussed.
Multidisciplinary Endocrine Surgery Conference
This Multidisciplinary Endocrine Surgery Conference takes place once every two months on a Thursday morning at the Long Island College Hospital site. The conference is dedicated to diseases of the thyroid and parathyroid glands. Our residents prepare cases for discussion by endrocrinologists, radiologists, pathologists and head and neck surgeons.
Otology Conference - Kings County Hospital Center
The Otology Conference takes place on a weekly basis in the office of the Department of Otolaryngology. The content of didactic and bedside teaching is based upon clinical material related to patients treated at Kings County Hospital and University Hospital of Brooklyn. The resident presents the case, and the discussion is led and supervised by the attending physician. An attempt is made to integrate the clinical material from the standpoint of diagnosis, treatment, and didactic teaching. Operative cases are presented both before and following surgery. The minutes of the conferences are recorded by the senior resident.
VA Hospital Otolaryngology Conference
Conferences involving the attending and the otolaryngology residents assigned to the BVAH take place twice a week (usually on Tuesday afternoon and Friday morning). Consultations are reviewed, problem cases are presented, and surgical cases for the week are reviewed. Patients with severe disabling tinnitus are seen by the attending every Friday morning and integrated into the conference. Topics discussed at these conferences consist primarily of general otolaryngology, otology, nose and sinus surgery.
BVAH Head and Neck Conference
Weekly (Thursday afternoon) Head and Neck Conferences are held at the BVAH. The conference is attended by the residents and attendings on the otolaryngology team as well as the resident and attending staff of the Department of Surgery, Head and Neck Service. There is a multidisciplinary group of physicians, radiologists, oral surgeons, oncologists and radio-therapists. Patients are presented both before and following therapy. The statistics of the Tumor Registry Board of the BVAH are reviewed specifically for cases of head and neck oncology.
Special Evening Meetings
Four times a year, the New York Head and Neck Society hosts a Wednesday evening lecture series devoted to a particular issue. Local, national and international authorities are invited to speak. All residents are invited and sponsored by our department.
Temporal Bone Dissection Course
The department maintains a state-of-the-art temporal bone microdissection laboratory at the LICH campus: residents attend a program over 2 weekends each year of their training. Early course work stresses anatomy and embryology, followed by intensive dissections and surgical technique practice. Dr. Neil Sperling and Dr. Matthew Hanson, along with other faculty members, guide the resident through this important and valuable educational program. Temporal bones are also available for resident self-study and dissection.
On a monthly basis, the current literature is reviewed in a journal club format. Review of the literature is important for keeping up-to-date with the ever-changing world of medicine. The Journal Club format helps residents learn how to analyze research fundamentals and new material, allowing them to draw their own conclusions. Reading the literature also helps create interest in specific research ideas and stimulates discussion and controversy.
Home Study Course
The Home Study Course, offered by AAO-HNS, includes current reprints. This course emphasizes both classic and current studies in otolaryngology-head and neck surgery. The course consists of compendia published in four sections a year, beginning each September. A self-assessment examination is provided after each section and scored for credit. All residents participate in this course, with the registration fee paid by the Department of Otolaryngology at SUNY Downstate.
Comprehensive Otolaryngologic Curriculum Learning through Interactive Approach (COCLIA) is a teaching tool to help residents learn otolaryngology-head and neck surgery. This study guide provides discussion questions for over 100 major otolaryngology topics. Residents meet monthly to review the questions and learn from each other.