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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 8 workstation laboratory had been maintained at the 134 Atlantic Avenue location, until the closure of that site in 2014. A new, state-of-the-art lab was planned for the SUNY site, but was delayed for many years.  During that time, we were able to offer our Temporal Bone course to our residents using the facilities at Bellevue Hospital thanks to the help of the ENT Program at NYU.  We anticipate the completion and opening of our own lab on the SUNY-Downstate campus in September 2020.  It will be located in room BSB 7-39 of the SUNY Basic Science Building, immediately next to Dr. Hanson’s academic office.  This lab will feature state-of-the-art dissection stations from Global Surgical Corporation, including new microscopes and drills, with a two-headed prosector station and video monitors.  The lab is intended to be used as a specialty-wide surgical education resource and will include instruments for microvascular training and soft-tissue repair. Significant funding for the lab was provided by the Medical School, the University President, and a charitable account which raised additional money to make the project, finally, a reality.

 

Resident Educational Conferences

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

Grand Rounds are held every Thursday morning at the University Hospital of Brooklyn. All house staff, students, research fellows and faculty are required to attend. The first half hour is dedicated to the discussion of various residency related topics.  During the 7:00 to 8:00am hour, lectures are delivered by invited guests who are nationally known for their expertise and experience in a variety of topics.  In-house speakers and faculty as well as residents present information during the 8:00 to 9:00am hour. Also, journal club occurs from 8:00 to 9:00 on the second Thursday of each month and morbidity & mortality conference occurs at 7:00am on the fourth Thursday. On the fourth Thursday, invited speakers presentations occur from 8:00 to  9:00. Biweekly Head and Neck Tumor Board is included in the schedule from 9:00 to 10:00 alternating with the COCLIA Chapter Review Sessions Different aspects of basic sciences as related to the field of Otolaryngology-Head & Neck Surgery are presented and discussed from 7:00 to 9:00am during July and August.

 

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.

 

Resident Presentations

Once per  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 to discuss recent head and neck cancer patients and selected topics in head and neck cancer.  A similar conference is held weekly at New York Presbyterian Brooklyn Methodist Hospital.  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)

 

As part of the Bailey’s Chapter Review Sessions, In-Training Examination -type questions are also reviewed.  Supervision is provided 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. 

 

Otology-Radiology Conference

 

Cochlear Implant Conference

 

Multidisciplinary Endocrine Surgery Conference

 

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. 

 

VA Hospital Otolaryngology Conference

 

 

BVAH Head and Neck Conference

 

 

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.

The residents also attend the yearly New York City Pediatric Airway Course.

Residents also attend the AO North America Maxillofacial Trauma Course as a PGY-3 or PGY-4.

 

Temporal Bone Dissection Course

During each year of training, residents attend a 3 day temporal bone course.  Early course work stress anatomy and embryology, followed by intensive dissections and surgical technique practice.  Dr. Matthew Hanson, Dr. Neil Sperling, and Dr. Michal Preis 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.

 

Journal Club

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

During each year of training, residents attend a 3 day temporal bone course.  Early course work stress anatomy and embryology, followed by intensive dissections and surgical technique practice.  Dr. Matthew Hanson, Dr. Neil Sperling, and Dr. Michal Preis 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.

 

COCLIA