Resident Clinical Training Program
The residency training program consists of didactic teaching and education programs, conferences, research and clinical duties at the affiliated hospitals. The curriculum includes instruction in all phases of modern Otolaryngology including Otology, Neuro-Otology, Skull Base Surgery, Oncologic Head and Neck Surgery, Rhinology and Allergy, Laryngology, Pediatric Otolaryngology, Plastic and Reconstructive Surgery, and Bronchoesophagology.
At the beginning of this program, residents will immediately experience the integration of patient care, research and education. The first year curriculum will focus on general surgical training with exposure to different surgical subspecialties, such as emergency room, trauma surgery, thoracic surgery, plastic surgery, neurosurgery, otolaryngology, head and neck surgery, surgical intensive care, anesthesia, as well as general surgery. The rotations during this year will be jointly determined by the Department of Otolaryngology and the selected Department/Divisons at Beaumont Hospital - Dearborn and participating hospitals. 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 the services at Karmanos, Beaumont Hospital-Dearborn and Crittenton Hospitals. The training at this stage emphasizes examination of patients and specialized history taking, evaluation of the various laboratory tests and the resulting data, 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 this 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 Hospital-Dearborn, and Crittenton Hospitals. Fourth year rotations include the Veteran's Affairs Hospital, Karmanos and Beaumont Hospital-Dearborn. 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. Finally, the fifth year rotations include the VA, Providence Hospital (Michigan Ear Institute) and Karmanos Hospital. 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.
The ambulatory rotations will take place at Rochester, Southfield, Dearborn, Karmanos (Wertz), and VA offices. The second and third year residents will be offered mentorships in otology, facial plastics surgery, head and neck, rhinology and pediatric otolaryngology.
Resident career counseling: during the residency program, residents will be provided the guidance and information to become comfortable in clinical practice and have the tools to continue their professional growth as effective teachers and competent investigators in any clinical environment. Residents can select appropriate faculty for mentorship of development of career choices. This provides opportunity with the educational process.
The Department of Otolaryngology adheres strictly to the ACGME implemented 80-hour weekly limit on resident work hours. Further, in order to adhere to the work hour limit on continuous duty, residents are relieved from clinical duties in the morning following an overnight in-house call. Most call coverage is required at Harper University Hospital, Detroit Receiving Hospital and Beaumont Hospital-Dearborn. The call schedule is at home if the resident is within 20 minutes of the hospital. The call schedule is determined by the chief resident. Currently, the call schedule is 1 in 4 for PGY2, twice a month for PGY3, once a month for PGY4, and back-up calls for PGY5.