Department of Otolaryngology/Head and Neck Surgery

FIRST-YEAR CURRICULUM

During the first year of residency, six months are spent at the Portland Veterans Affairs Hospital. Three months are spent on head and neck and three months on the pediatric otolaryngology service. The six months at the Portland VA Hospital include outpatient and surgical experience in all areas of the specialty, including otology, facial plastic surgery, head and neck, and sinus surgery. The pediatric otolaryngology rotation includes outpatient clinic exposure and surgical experience in tonsillectomies, myringotomies, tubes, and endoscopic procedures. The head and neck service, under the supervision of the chief resident and staff, includes surgical and medical experience in head and neck procedures.

The first-year resident admits, examines and writes orders under the supervision of the senior resident and staff when treating hospitalized patients. The outpatient experience is under the supervision of the senior resident and the full-time clinical faculty.

The resident is responsible for assisting most major surgery done on his or her service. All tonsillectomies, myringotomies and minor nasal and otologic surgical procedures are done by the first-year resident with staff supervision. In addition, soft tissue surgery experience in both facial plastic and head and neck cancer is gained under the direction of staff and senior residents.

The first-year resident is assigned a series of didactic lectures presented to medical students, as well as supervising assigned elective students.

The resident will develop a research topic and attend local and regional specialty meetings. During the first year, residents attend an advanced soft-tissue workshop, learn soft-tissue and craniofacial techniques, and are given an introduction to alloplastic filler. First-year residents also attend and teach, as a demonstrator, the First Year Anatomy Course. This four-week course encompasses cadaver dissection, as well as lectures.

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