School of Medicine

Wayne State University School of Medicine

Post-Graduate Years Two through Five

The second to fifth year curriculum will consist of three months rotations at different hospitals focusing on different subspecialties of Otolaryngology-Head and Neck Surgery.

Currently, the second year rotations include hospital basic services at Karmanos, Beaumont-Dearborn and Crittenton Hospitals. The training at this stage emphasizes examination of patients and specialized history taking, evaluation of laboratory tests and diagnosis of otolaryngologic pathology and disease. The preoperative evaluation and decision making are stressed in addition to excellence in postoperative care. The resident performs less complicated surgical procedures and assists in major procedures. The emphasis during the PGY 2 year is on the development of basic otolaryngologic surgical techniques and learning head and neck surgical anatomy.

Third year rotations include research and services at Karmanos, Beaumont-Dearborn, and Crittenton Hospitals, a dedicated 3-month basic science research block, as well as rotating at the VA in general otolaryngology. Fourth year rotations include the Veterans Affairs Hospital, Karmanos, Beaumont-Dearborn and Beaumont Hospitals. These rotations offer residents the opportunity to continue to develop clinical skills and they are given greater responsibilities for patient care and surgical activities. They begin to take on leadership roles and assume greater responsibilities assisting the senior residents and faculty.

The fifth year rotations include the John D. Dingell Veterans Affairs, Michigan Ear Institute, and Karmanos Cancer Institute. This year as the chief resident is the time to perfect clinical, surgical, supervisory, and administrative skills, and develop competency to take charge. At this stage, the resident is expected to have developed the expertise to plan and to carry out all of the major and minor otolaryngologic surgical procedures.