Rotations during the third year include six months at the Veterans Affairs Hospital, three months on the head and neck service, and three months on the otology service. During the fourth year, three months are spent on facial plastic surgery, three months on otology, three months on head and neck, and three months on an advanced pediatrics and sinus surgery service.

The rotation at the VA Medical Center as chief resident is under the supervision of Mark K. Wax, M.D. and includes experience in the full range of the specialty. Significant experience in nasal and tumor surgery is gained on this service.

The head and neck service is under the direction of James I. Cohen, M.D., Ph.D.; Peter E. Andersen, M.D.; and Mark K. Wax, M.D. Residents on the service are responsible for all inpatients and their follow-up care. Additionally, the residents during this rotation are incorporated into the head and neck clinic for evaluation of new patients and surgical follow-up.

The six months spent during the last two years at OHSU Hospital on the otology and neurotology services are under the supervision of Sean O. McMenomey, M.D. and Alexander J. Schleuning, M.D. The residents will receive increasing experience in otologic and neurotologic procedures. As with the head and neck service, residents are incorporated into the outpatient clinic for patient follow-up care and new patient evaluation. The facial plastic rotation is under the direction of Ted A. Cook, M.D. and Tom D. Wang, M.D. During this rotation, the resident receives increasing experience in complicated facial flaps, facial reconstruction, exposure to cleft lips and palates, as well as other extensive facial plastic reconstructive procedures.

During the three months on the sinus/pediatric service, the resident will receive extensive exposure to complicated endoscopic sinus surgical procedures, as well as more complicated pediatric airway obstructions and surgical treatment. Sinus surgery is under the direction of Peter H. Hwang, M.D. and Karen J. Fong, M.D. Pediatric otolaryngology under the direction of Mark A. Richardson, M.D. and Henry A. Milczuk, M.D.

The third- and fourth-year curriculum presents the resident with a unique opportunity to relate closely with individual faculty members and become involved in their individual practices, as well as their teaching responsibilities.

The third and fourth years at chief resident level provide the resident with opportunity to perform surgery with faculty at an advanced level and to broaden their experience in all areas of the specialty.

During the third and fourth year, the resident is expected to complete a research project and submit it to a national meeting. Presentation and attendance at the Combined Otolaryngology Spring Meeting, annual fall meeting of the American Academy of Otolaryngology-Head and Neck Surgery, Western Section of the Trioloical Society and the Oregon Academy of Otolaryngology is strongly encouraged and supported.