Curriculum

3rd Year Elective Curriculum

Description: This elective rotation targets the third year medical student who is interested in exploring the specialty of otolaryngology - head & neck surgery. This course will include clinical experiences in the inpatient, outpatient, and operating room settings where students work alongside residents and faculty physicians to care for patients. This rotation can serve as an introduction to the specialty for those students who are interested in pursuing the field as their primary specialty. Alternatively, it can help students interested in primary care to better understand the common ENT-related problems they will encounter so they are better equipped to treat patients and request appropriate ENT consultations/referrals in their practice.

 

Sites:

  • Smith 17th floor outpatient office (clinic experience)
  • OPC 18 operating room (OR experience)
  • HMH inpatient wards and ER (inpatient and consult experience)

 

Didactics:

  • Weekly grand rounds presentations with Weill Cornell Medicine (6 a.m.) and Baylor College of Medicine (7 a.m.) on Thursday mornings (currently via Zoom)

    Supplementary Reading Material:

  • Primary Care Otolaryngology, Fourth Edition, American Academy of Otolaryngology – Head & Neck Surgery Foundation

 

Course Objectives:

By the end of this elective, the student will be able to:

  • Understand the breadth and depth of the field of Otolaryngology – Head & Neck Surgery
  • Recognize common indications for ENT consultation in the inpatient setting and referrals in the outpatient setting
  • Obtain a thorough otolaryngologic history, including history of present illness, review of systems, and pertinent family/social history
  • Perform a complete head and neck examination
  • Observe a variety of in-office diagnostic procedures, such as a microscopic ear exam, nasal endoscopy, laryngoscopy, and videostroboscopy
  • Observe common in-office therapeutic procedures and operative cases, such as ear and mastoid surgery, sinus surgery, microlaryngoscopy, tracheostomy, head and neck surgery, and facial plastic surgery

     

    Graded Components:

  • Clinical assessment by attending physicians

      

    Clinics:

  • Students will introduce themselves to the faculty and staff at the beginning of clinic.
  • Most staff will ask students to shadow them primarily while seeing patients, but also may encourage students to see some patients on their own and present them.

     

    ORs:

  • Students will prepare for the cases in which they will participate by reading the patient’s history and presentation.
  • Students must be familiar with relevant anatomy and important concepts. Though not expected to understand the specific steps of every procedure, they should have a general understanding of the anatomy and goals of surgery.

 

Sample Rotation Schedule:

The rotation schedule is flexible but students should try to work with every attending, if possible. This sample template is divided into three weeks of the different subspecialties and an open fourth week that can be used to supplement any specific interests or deficiencies from the rest of the rotation. Students should plan each week ahead of time on a week-by-week basis, though the schedule is flexible based on weekly case and clinic volumes.

 

  Monday Tuesday Wednesday Thursday Friday
 Week 1
Oto/Rhino
 Vrabec clinic  Takashima OR  Vrabec OR  Takashima OR  Takashima clinic
Week 2
Laryngo/H&N 
Thekdi OR   Thekdi clinic/
Mohyuddin OR
 Yiu clinic/OR  Yiu OR/
Mohyuddin OR
Thekdi clinic 
 Week 3
FPRS
 Brissett clinic Brissett OR   Bressler OR  Bressler clinic Choice OR/clinic 
 Week 4
Choice
 Choice OR/clinic Choice OR/clinic
 Choice OR/clinic Choice OR/clinic  Choice OR/clinic 

 


Sub-Internship Curriculum

Description: This sub-internship rotation targets third or fourth year medical student who has decided to pursue a career in otolaryngology or who is interested in further exploration of the field after an initial elective rotation. This course will include clinical experiences in the inpatient, outpatient, and operating room settings where students will work alongside residents and faculty physicians to care for patients. The sub-intern will function as part of the resident team and participate in all aspects of otolaryngology care at Houston Methodist Hospital.

 

Sites:

  • Smith 17th floor outpatient office (clinic experience)
  • OPC 18 operating room (OR experience)
  • HMH inpatient wards and ER (inpatient and consult experience)

 

Didactics:

  • Weekly grand rounds presentations with Weill Cornell Medicine (6 a.m.) and Baylor College of Medicine (7 a.m.) on Thursday mornings (currently via Zoom)
  • Head & Neck multidisciplinary tumor board (1st & 3rd Tuesdays at 7 a.m. via Webex)

     

    Suggested Supplementary Reading Material:

  • ENT Secrets, Fourth Edition, Scholes and Ramakrishnan
  • Otolaryngology – Head & Neck Surgery Clinical Reference Guide, Fourth Edition, Pasha

 

Course Objectives:

By the end of this sub-internship, the student will be able to:

  • Understand the breadth and depth of the field of Otolaryngology – Head & Neck Surgery
  • Recognize and understand management of common indications for ENT consultation in the inpatient setting and referrals in the outpatient setting
  • Obtain a thorough otolaryngologic history, including history of present illness, review of systems, and pertinent family/social history
  • Perform a complete head and neck examination
  • Observe/assist in a variety of in-office diagnostic procedures such as a microscopic ear exam, nasal endoscopy, laryngoscopy, and videostroboscopy
  • Observe/assist in common in-office therapeutic procedures and operative cases such as ear and mastoid surgery, sinus surgery, microlaryngoscopy, tracheostomy, head and neck surgery, and facial plastic surgery
  • Have a thorough understanding of what is expected of an otolaryngology resident physician

     

    Graded Components:

  • Clinical assessment by attending physicians
  • End of rotation oral case presentation (15 minutes)

     

    Clinics:

  • Students will introduce themselves to the faculty and staff at the beginning of clinic.
  • Most staff will ask students to shadow them primarily while seeing patients, but also may encourage students to see some patients on their own and present them.

     

    ORs:

  • Students will prepare for the cases in which they will participate by reading the patient’s history and presentation.
  • Students must be familiar with relevant anatomy and important concepts. Though not expected to understand the specific steps of every procedure, they must have a general understanding of the anatomy and goals of surgery.

     

    Inpatient Floor/Consult Responsibilities:

  • The BCM PGY4 resident is the chief on service and will help delegate responsibilities.
  • Students will behave as an acting intern while on their rotation, and as such should communicate with the residents as to how they can be helpful. Students are expected to round with the team on a daily basis, as well as take one night of call per week.
  • Students will assist with any floor work, including suture removal, removal of drains, and changes, etc. They will anticipate floor work and have supplies ready for rounds in the morning.
  • Students will help prepare discharge summaries, which can be done in the days prior to the day of discharge so the resident can addend as necessary.
  • Students will follow-up on labs, consults, radiology, and pathology. They will discuss any necessary orders with the resident.


Sample Rotation Schedule:

The rotation schedule is flexible but students should try to work with every attending, if possible. This sample template is divided into three weeks of the different subspecialties and an open fourth week that can be used to supplement any specific interests or deficiencies from the rest of the rotation. Students should plan each week ahead of time on a week-by-week basis, though the schedule is flexible based on weekly case and clinic volumes.

 

 

  Monday Tuesday Wednesday Thursday Friday
 Week 1
Oto/Rhino
 Vrabec clinic  Takashima OR  Vrabec OR  Takashima OR  Takashima clinic
Week 2
Laryngo/H&N 
Thekdi OR   Thekdi clinic/
Mohyuddin OR
 Yiu clinic/OR  Yiu OR/
Mohyuddin OR
Thekdi clinic 
 Week 3
FPRS
 Brissett clinic Brissett OR   Bressler OR  Bressler clinic Choice OR/clinic 
 Week 4
Choice
 Choice OR/clinic Choice OR/clinic
 Choice OR/clinic Choice OR/clinic  Choice OR/clinic