ROTATION: ENT
PRECEPTOR(S): Drs. Ron Darling, Ed Kass, Thomas Belson,
William Darling, Mary Fox
DURATION: 2-4 Weeks
1. GOALS/OBJECTIVES:
--- To
master basic ENT exam skills including:
---
history
---
head, neck, ear, nose, and throat examination including indirect mirror nasal
laryngoscopy.
--- To
become familiar with common ENT problems and to know when to refer them,
--- To meet
with the audiologist and review use of audiograms and hearing aids.
2. EXPECTATIONS
OF THE RESIDENT:
---
See patients in an outpatient clinic with an ENT preceptor with exposure to a
wide variety of disorders. Perform the ENT examination including indirect
laryngoscopy on some patients.
--- Discuss
pathophysiology as it is encountered.
---
Observe/assist in surgery, for educational cases depending on preceptor and
resident interest. Best cases would be
those FP's counsel patients on, i.e. T&A, tubes, etc.
3. SUGGESTED
PREPARATION/REFERENCES:
A copy of "Common Problems of
the Head and Neck" - Dr. Roger Crumley, is distributed to our residents.
Other suggested references:
"ESSENTIALS OF
OTOLARYNGOLOGY" by Lucente & Sobol.
Saunders TEXTBOOK OF OTOLARYNGOLOGY
is somewhat more extensive, but also an excellent basic reference.
4. TYPICAL
DAY/WEEK:
Monday through Friday, when not in
FP clinic (8AM-12N, 1PM-5:30PM).
5. WORKUPS/WRITE-UPS:
The resident will evaluate patients
together with the preceptor in an office setting. Workups and write-ups are not
generally required.
6. PROCEDURES:
This may vary some, depending on
preceptor. Residents should tell the
preceptor they are interested in procedures. Possibilities include pneumatic
otoscopy, indirect mirror laryngoscopy and nasal pharyngoscopy; examination of
the ear under the oto microscope; myringotomy; tuning fork tests of auditory
function. Surgical and basic procedures are basically not done by the
residents, although the residents are invited to observe the procedures (eg.
vent tube placements, etc.) here in the office and are also invited to observe
otologic procedures in the operating room if they wish and their time permits.
7. AVAILABLE EDUCATIONAL
EXPERIENCES/CONFERENCES:
WMH
All Staff, MCW and program conferences are required. A suggested list of talking
topics includes:
-Otitis Media, When to Refer -Oral
and Pharyngal Infections
-Disease of the Inner Ear -Benign
and Malignant Tumors
-Conductive Hearing Loss -Salivary
Gland Disease
-Foreign Bodies and Cerumen
Impaction -Allergic Rhinitis
-Sinusitis -Hoarseness
-Cervical Masses -Indications
for Tonsillectomy
-Prophylactic Antibiotics for
vs. Tympanostomy Tubes
8.
IMPACT
ON FP OFFICE SCHEDULE/NOON CONFERENCE SCHEDULE:
Little
conflict is to be expected.
9. CALL: NONE
10. WEEKEND REQUIREMENTS: NONE
11. VACATION/TIME OFF:
One week if the resident elects to
do 4 weeks of ENT
12. EVALUATION:
The resident should be comfortable
and competent performing an ENT history and physical exam, formulating a
differential diagnosis, and generating treatment options. This should include
indirect mirror exams.
13. CRITERIA FOR SUCCESSFUL COMPLETION:
-- The resident will have an adequate
ability to evaluate common disorders of the ears, nose and
throat.
-- The resident must attend the ENT
clinic or spend time with the otolaryngologist in the OR at least 8 half days per each two weeks of the
rotation. One of these half days should be with the audiologist.
-- The resident should demonstrate
proper technique in basic ENT exam.
.
14. COMMENTS:
The resident will probably find that
experiences will vary somewhat depending on their preceptors. The residents
have been encouraged to try to tailor the rotation somewhat to maximize their
learning, by spending more time in the OR.
Revised: 6/1/05 – PHG:lmc