Educational Objectives of Otolaryngology Rotation (PGY 1-2)
- Complete basic assessment of patients with hearing loss, dizziness, and tinnitus, including history, physical examination, and initial investigations
- Interpret audiometry tests with a specific focus on the patterns seen with vestibular schwannoma, including pure-tone thresholds, speech discrimination, caloric testing, and auditory brain stem responses
- Understand the diagnosis and management of the patient with a vestibular schwannoma, including history, physical examination, investigations, surgery, and radiation
- Develop understanding of the options for facial reanimation following transection of the facial nerve, including end-to-end anastomosis, and hypoglossal-facial nerve anastomosis, cross face transfers
- Develop applied knowledge of sino-nasal anatomy and by extension, endoscopic approaches to the skull base
- Develop basic skills of sino-nasal endoscopy in the clinic and operating room setting
- Develop applied knowledge of the embryology, clinical presentation and practical management of naso-encephalocoeles
- Develop applied knowledge of the clinical presentation and practical management of spontaneous and traumatic CSF leaks
- Develop applied knowledge of assessment and management strategies for sinonasal and head and neck tumours that can involve the skull base including esthesioneurobalstoma, paraganglioma, nasopharyngeal carcinoma, angiofibromas and sinonasal carcinomas
- Establish therapeutic relationships with patients and their families in the clinic, emergency room and on the inpatient units.
- Communicate effectively with patients and families in order to obtain through, focused histories during patient care encounters
- Present consultations including detailed history, physical exam and findings of investigations to senior residents and attending staff.
- Communicate effectively with involved specialty services around the multidisciplinary care of the trauma patient
- Document consultations including history, physical examination, findings of investigations and outline of the management plan (both written and dictated as appropriate).
- Update patients and family relevant information regarding their condition and management plan with appropriate supervision
- Work/collaborate effectively as a member of the interdisciplinary care team, fostering a positive team environment
- Consult other medical and surgical specialities appropriately in the care of the patients
- Demonstrate a safe and accurate written and/or verbal handover of patient issues to colleagues
- Listen and respond appropriately to concerns of other health care providers
- Manage own time, education and personal life to ensure balanced lifestyle
- Recognize and respond to determinants of health in sinonasal malignancies and vestibular schwannomas and operative outcomes including smoking, diet and socio-economic status
- Facilitate improvements in the underlying determinants of health in patients in an integrated fashion during care delivery
- Facilitate return of patient to community/alternate care environments in collaboration with the multidisciplinary care team and advocate for access to resources
- Actively participate in weekly rounds/educational activities
- Identify and seek out personal learning needs related to cases encountered on the otolaryngology service
- Facilitate patient, student and peer learning
- Foster collegial relationships with staff and residents, nurses and other allied health professionals
- Exhibit appropriate professional behaviors in practice, including honesty, integrity, commitment, compassion, timeliness, respect and altruism
- Show appropriate respect for opinions of other health care providers
- Be able to appraise and identify own limits with respect to knowledge and patient care, and when to ask for assistance and consult effectively.
Expectations of the rotation:
- Attend BCCA head and neck tumour board Mondays at 1100 hours when scheduling allows