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Department of OtolaryngologyEducational Programs
Temporal Bone Surgical Dissection LaboratoryThe 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 videotape 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. Resident Educational ConferencesThe 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 RoundsGrand Rounds are held every Thursday at Long Island College Hospital. 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 programs 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 AssuranceMonthly 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 SeriesDuring the summer, a 9-week basic science and communicative disorders course is given for 1st and 2nd year residents. Held on Friday 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 audiology and speech and language pathology. Resident PresentationsTwice a year each resident presents his or her clinical research at Grand Rounds. The resident is expected to choose a faculty adviser to assist with topic selection, format determination and manuscript preparation. The presentations are generally considered for submission to local, regional and national meetings. Radiology and Pathology ConferencesRadiology and pathology conferences are held regularly every month within the context of the Grand Rounds conference. Difficult as well as interesting cases are presented. Discussions and teaching is motivated by experienced head and neck radiologists and pathologists. Combined Head and Neck Oncology ConferenceTwenty 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 conference on head and neck cancer is held at SUNY-HSCB/KCHC once a month; all head and neck cancer cases are presented and discussed. Communicative Disorders ConferenceA 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 National In-Service Examination for Residency Training and Otolaryngology. The conference takes place in the LICH library, and is attended by all members of the residency staff at every level of residency training as well as fellows on staff. Supervision is by an attending who is present at the request of the resident staff and is available for consultation. Examination questions of the past are reviewed, and assignments are distributed among the residents 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 storage of conference audio/visual material. Otology-Radiology Conference1st Tuesday of each month at LICH: Otologic case review and temporal bone imaging conference. This is a thorough review of an otologic case lead by a resident presentation. Clinical data with emphasis on the imaging studies is reviewed. Management options are discussed in detail. Cochlear Implant Conference3rd Tuesday of each month at LICH: Cochlear Implant Team meeting. This is a multidisciplinary meeting involving audiologists, speech pathologists social workers and otolaryngologists to discuss current issues of cochlear implantation. Individual cases are reviewed in detail to determine candidacy. Progress reports and outcomes of prior implants are discussed. Multidisciplinary Endocrine Surgery ConferenceThis Multidisciplinary Endocrine Surgery Conference takes place once every two months on a Thursday afternoon at Long Island College Hospital. The conference will be dedicated to diseases of the thyroid and parathyroid glands and our residents will prepare cases for discussion. Otology Conference - Kings County Hospital CenterThe Otology Conference takes place on a weekly basis in the office of the Department of Otolaryngology. Medical student participation is required. Didactic and bedside teaching is based upon current and past clinical material presented as inpatient or outpatient clinical problems. 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. Problems within the hospital or the OPD service are presented and discussed, and operative cases are presented both before and following surgery. The minutes of the conferences are recorded by the senior resident. VA Hospital Otolaryngology ConferenceConferences of the attending and the ENT residents assigned to the BVAH take place twice a week (Tuesday afternoon and Friday morning). Consultations are reviewed, problem cases 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 ConferenceWeekly (Thursday afternoon) Head and Neck Conferences are held at the BVAH. It is attended by all members of the resident staff of the Department of Otolaryngology as well as resident and attending staff of the Department of Surgery, Head and Neck Service. There is a team approach of physicians, radiologists, oral surgeons, 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 MeetingsFour times a year, the New York Head and Neck Society hosts a Wednesday evening lecture devoted to a particular issue. Local, national and international authorities are invited to speak. All residents are invited. Attendance in 2002-2003 averages 80%. Temporal Bone Dissection CourseThe department maintains a state-of-the-art temporal bone microdissection laboratory at the LICH campus: residents attend an 8-10 week program in each year of their training, meeting on Thursday evenings following Grand Rounds. Early course work stresses anatomy and embryology, followed by intensive dissections and surgical technique practice. Dr. Neil Sperling and Dr. Emmett Campbell, along with other faculty members, guide the resident through this important and valuable educational program. Journal ClubOn 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 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 CourseThe 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 four sections a year and begins 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. |