Rotation Goals and Objectives

  1. General Description
    1. Family Physicians actual practices vary considerably in the extent to which they provide Otorhinolaryngology (ENT) services to their patients. The goal of teaching in this area is to provide residents with the skills and expertise expected of family physicians with active practices involving this area. This rotation will provided a concentrated experience for ENT diseases and will be the resident's intensive exposure for this area. The resident will achieve competency in the management of ENT disorders commonly cared for by family physicians.
    2. Resident activities while on this service will include observing and working alongside physicians specializing in ENT. A firm understanding of what consultative services are useful to a patient presenting with ENT problems will be developed.
    3. Residents are expected to continue to follow their patients in the Family Medicine Center during this rotation.
    4. Level - PG 2 year
    5. Location - primarily an office based experience with Otolaryngologists on the staff of Renown Regional Medical Center and St. Mary's Regional Medical Center, with some time spent in the operating room and rounding on hospitalized patients.
    6. Duration - 4 weeks
    7. Otorhinolaryngology is a full time rotation.
    8. Four half days per week will be spent in the Family Medicine Center.
    9. Participation in the Family Medicine call pool is required during this rotation.
    10. Work hour form submission is required at the completion of this rotation during work hour submission months.
    11. Evaluation of Rotation
      1. The evaluation of the resident on this rotation will be done by the completion of an evaluation form by the attending physicians at the end of the rotation.
      2. The resident will fill out a rotation evaluation for at the end of the rotation.
      3. The knowledge, skills and competencies acquired during this rotation will be evaluated by a Family Medicine attending as the resident provides care to patients in the Family Medicine Center.
      4. The resident's performance on the American Board of Family Medicine In-Training examination will also be used to assess knowledge in this area.
  2. Patient Care skills to be mastered
    1. Performance of ENT history taking
    2. Performance of ENT physical examination
    3. The evaluation and treatment of common ENT disorders including hearing loss, vertigo, hoarseness, epistaxis, otitis media, otitis externa, mastoiditis, rhinitis, sinusitis, and neck masses. D. Removal of cerumen
    4. Prescribing appropriate ENT medications
    5. Develop an understanding of what consultative services are useful to a patient with ENT disorders
    6. Develop assisting skills and understanding of common ENT procedures, both office based and in the operating room.
  3. Medical Knowledge skills to be mastered
    1. An understanding of the normal anatomy and physiology of the head and neck
    2. An understanding of the Pathophysiology of common ENT disorders
    3. An understanding of the risks and benefits involved in the various forms of therapy
  4. Practice Based Learning and Improvement
    1. This competency is addressed longitudinally throughout the rotation.
      1. Scientific evidence will be reviewed by the resident and attending otolaryngologist in the context of their patients and practice.
      2. The practical implementation of evidence-based medicine will be discussed as the medical decision making is reviewed.
      3. Information technology will be utilized by the resident as he or she is required to research topics as directed by the attending physician. d. The resident will also be evaluated on the steps they took during the rotation to improve their shortcomings.
  5. Interpersonal and Communication Skills
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will observe and be observed, taught and evaluated in the performance of obtaining patient histories, documenting histories, writing prescriptions, educating patients about treatment plans and prognosis, and interactions with patients, families, office staff and physicians.
  6. Professionalism
    1. This competency is addressed longitudinally throughout the rotation.
      1. The attending physician will observe and assess the resident's sense of personal responsibility including attendance, promptness, motivation, completion of duties, and appropriate dress.
      2. Ethical and legal practice skills will be taught
      3. Respect for cultural, age, and gender differences will be taught, observed and evaluated.
      4. The resident is expected to treat patients, families and colleagues with respect, understanding, sympathy and honesty
  7. Systems Based Practice
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will learn to become aware of available resources and the cost effectiveness of testing and therapeutic options
      2. The resident will gain an increasing understanding of the role of the patient, physician, support staff, and insurer in the health care environment