Otolaryngology Rotation

Educational Objectives of Otolaryngology Rotation (PGY 1-2)

MEDICAL EXPERT:

  • 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

COMMUNICATOR:

  • 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

COLLABORATOR:

  1. Work/collaborate effectively as a member of the interdisciplinary care team, fostering a positive team environment
  2. Consult other medical and surgical specialities appropriately in the care of the patients
  3. Demonstrate a safe and accurate written and/or verbal handover of patient issues to colleagues
  4. Listen and respond appropriately to concerns of other health care providers

LEADER:

  • Manage own time, education and personal life to ensure balanced lifestyle

HEALTH ADVOCATE:

  • 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

SCHOLAR:

  • 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

PROFESSIONAL:

  • 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