CONFERENCES

New residents are required to attend University of Minnesota Medical School Resident/Fellow

Orientation.

An orientation to the Department of Otolaryngology is scheduled at the beginning of July.

Otolaryngology Core Curriculum

PGY 2 through PGY5 residents, as well as PGY1 residents on Otolaryngology rotation, are

required to attend Tuesday Morning Core Curriculum Conference except during approved leave

time. Attendance is verified by a sign-in sheet. Conferences begin at 6:30 a.m. Be sure to

allow time in your schedule to be at the University promptly. The core curriculum is taught on a

two-year cycle. Outline for the curriculum was derived from the COCLIA program available on

American Academy of Otolaryngology’s web site.

Conferences require some basic preparation by all residents. Residents are assigned to

prepare written answers to COCLIA questions to be circulated to all residents and the faculty

moderator in advance of conference. In addition, individual residents are assigned to lecture.

These assignments appear in the conference schedule, which is posted on the web. Begin at

www.ent.umn.edu and choose “Info for Residents” and then “Conference Schedules” from right

menu.

Residents are expected to:

Discuss their presentation in advance with the conference moderator(s).
Prepare PowerPoint or slide presentation.
Provide a typed outline of their lecture, with references, to everyone present at the

conference.

Morbidity and Mortality Conference

Morbidity and Mortality Conference is held once a month, usually on the first Tuesday of the

month, at 6:30AM. Resident attendance is required. The chief resident at each hospital (or

PGY2 resident at Children’s) is responsible for preparing a report in PowerPoint on each

complication, even those that appear to be minor, and presenting it at conference.

Guest Speakers/Special Conferences

Distinguished visiting otolaryngologists will be scheduled to present at several evening

conferences per year. Residents are required to attend these conferences. Other special

conferences will be scheduled which require resident attendance. Recent examples include Dr.

Hilger's AO-ASIF Maxillofacial Course for Surgeons and Sinus/Skull Base course given by Drs.

Boyer and Caicedo-Granados.

Rotation-Specific Conferences( currently under revision)

Each hospital has regularly scheduled conferences, and residents assigned to that hospital are

required to participate. Some of these conferences are listed below. Residents on research

rotation are assigned to a hospital, and are expected to attend conferences at that hospital

during their research rotation.

UMMC

Head and Neck Oncology Conference, every Friday. Coordinated by Dr. Khariwala.

Pediatric Otolaryngology Conference, third Wednesdays. Coordinated by Dr. Brianne Roby.

HCMC

Otolaryngology-Head and Neck Surgery (Citywide) Conference, first Monday each

month.( TBD)

HCMC Otolaryngology Department Meeting, monthly. Coordinated by Dr. Rick Odland .

Tumor Conference, third Tuesday each month. Coordinated by Dr. Emiro Caicedo-

Granados

Journal Rounds, every Friday. Coordinated by Dr. Rick Odland.

Maxillofacial Trauma Radiology Conference, every Monday. Coordinated by Drs. David

Hamlar and Warren Schubert.

Maxillofacial Trauma Conference, first Thursday each month. Coordinated by Dr.

Warren Schubert.

Educational Conference with Dr. Gapany, every Wednesday

Tumor Conference, every Wednesday. Coordinated by Dr. Markus Gapany.

Otology Conference, every Friday. Coordinated by Dr. Manuela Fina.

COURSES

ANAT 7999: Head and Neck Anatomy for Residents

PGY2( PGY1's effective 2021) residents are required to complete Anatomy 7999, a comprehensive review of the

anatomy of the head and neck with dissection. Course usually meets Tuesday, Wednesday

and Thursday evenings at 6:00 p.m. for one month near the beginning of the PGY2 year.

Home Study Course (American Academy of Otolaryngology-HNS)

The Home Study Course is designed for both residents and practitioners in otolaryngology-head

and neck surgery or related specialties. This is an excellent supplement to formal training for

residents and a valuable tool for continuing medical education.

Temporal Bone Dissection

The Temporal Bone Dissection course is a hands-on course in dissection of the ear. This

course is coordinated by Drs. Samuel Levine, Meredith Adams, and Tina Huang.

Topics include:

Surface anatomy of the temporal bone
Simple toidmeacstomy
Identification of the facial nerve
Endolymphatic sac
Facial recess
Middle ear anatomy, ossicular reconstruction
Wall down mastoidectomy
Labyrinthectomy
Internal auditory canal
Middle fossa approach
Petrous apex

RESEARCH

Every resident is required to conduct and publish research during the four-year residency. The

department will not consider a resident to be board-eligible until this is accomplished. A

research component is required by the Accreditation Council for Graduate Medical Education

(ACGME) for all otolaryngology residency training programs.

Research Rotation

All residents have 6 months of research-dedicated block time, or two 3-month blocks, beginning

in the PGY3 year. By ACGME rules, additional research time cannot be accomplished within the

four years of residency training. Residents may complete non-accredited block time as a part of

the educational contract; however, the required length of training would be extended

accordingly. Questions about this should be taken up with the Program Director.

Scheduling of the resident's research block is determined, first and foremost, by the resident's

proficiency in clinical skills. Faculty will determine which clinical rotation an individual resident

could best afford to miss. Next, the needs of the resident's research are taken into account.

In anticipation of block time, students should arrange to have lab "ready" with appropriate

equipment, calibration, and other measures to enable experimental procedures on the first

block-time day.

Residents on research will round Monday through Friday at the hospital responsible for their

stipend (indicated on the rotation schedule), either in the morning (preferable) or the afternoon.

During your six-month research rotation, there are expectations for your involvement in

department activities, as well as those at your specific hospital:

All residents on research block time are required to attend Tuesday Morning

Conferences (Core Conferences, Morbidity and Mortality) Pediatric ENT

Conferences, as well as special conferences.

Otolaryngology Residency Educational Program/Curriculum

Residents on block time who are assigned to Hennepin County Medical Center are

required to attend clinically at least three times a week, complete a rounds list,

and participate in all conferences at HCMC. During this period at HCMC, you are

second call for otolaryngology and will be assigned in-house first call as needed.

Residents on block time who are assigned to the Veterans’ Affairs Medical Center are

required to attend the weekly Tumor Conference and other requirements as

directed by the staff.

TEACHING

Teaching Medical Students

Residents are an essential part of the teaching of medical students. It is critical that any resident

who supervises or teaches medical students must be familiar with the educational objectives of

the course or clerkship and be prepared for their roles in teaching and evaluation. Therefore,

we’ve included in this manual the URL to the objectives for the Clerkship(s).

https://www.med.umn.edu/md-students/academics/course-directory

Search for:

OTOL 7200, two-week Introduction to Otolaryngology: MS2or 3

OTOL 7501, four-week Otolaryngology Acting Internship:MS4

SURG 7500, Two weeks of ENT as part of required 8-week surgery clerkship

OTOL/OSUR 7550, Two weeks as part of the general introduction for a MS3 or MS4 not specializing 2 weeks with OTOL and 2 weeks with OSUR

EVALUATION

Semi-Annual Performance Review

The Program Director conducts a private, semi-annual performance review with each resident

based on the Clinical Competency Committee meeting. A written summary of the semi-annual

review is maintained in the permanent record of each resident.

Resident Portfolio

Each resident is encouraged to maintain a portfolio to serve as an archive of educational and

research activities. Portfolios can include such documents as:

Curriculum vitae
Up-to-date operative experience report from ACGME web site
Handouts prepared for M & M conferences
Documentation of quality assurance activities
Grand rounds presentations
Research proposals
Annual research progress reports
Patient presentations
Reprints of published scholarly work, including clinical studies, scientific articles, clinical
reviews, editorials, or letters to the editor
Unpublished manuscripts of clinical studies, scientific articles, or clinical reviews
Evaluations of oral presentations
Documentation of coding meetings
Teaching experienc e
Administrative experience, including participation in department/medical school/hospital

committees

The following information is from the ACGME/ABMS Joint Initiative Toolbox of Assessment

Methods, Version 1.1, September 2000, Page 11:

“Description -

A portfolio is a collection of products prepared by the resident that provides

evidence of learning and achievement related to a learning plan. A portfolio typically contains

written documents but can include video- or audio-recordings, photographs, and other forms of

information. Reflecting upon what has been learned is an important part of constructing a

portfolio. In addition to products of learning, the portfolio can include statements about what has

been learned, its application, remaining learning needs, and how they can be met. In graduate

medical education, a portfolio might include a log of clinical procedures performed; a summary

of the research literature reviewed when selecting a treatment option; a quality improvement

project plan and report of the results; ethical dilemmas faced and how they were handled; a

computer program that tracks patient care outcomes; or a recording or transcript of counseling

provided to patients.

“Suggested Reference –

Challis M. Amee medical education guide no. 11 (revised): Portfoliobased

learning and assessment in medical education. Med Teach. 1991; 21:370-86.”

Components/Principles of the Review(PEC)

All relevant aspects of resident progress are considered by the Resident Review Committee at

the time of the review. Review will consider progress toward the goals that will include:

Clinical and surgical performance and progress: Faculty submit written evaluations of

each clinical rotation using the online system.

ACGME Case Log / Progress compared to ACGME minimum numbers and American
Board of Otolaryngology Core Surgical Competency
Otolaryngology Residency Educational Program/Curriculum
Progress compared to ACGME Milestones for Otolaryngology
Research progress
Administrative skill and experience
Teaching skill and experience: Medical students submit written evaluations of resident
teaching using the MEDHUB system.
Publication progress

Otolaryngology Training Examination scores:

The American Board of Otolaryngology

offers the Otolaryngology Training Examination in the spring of each year

(usually the first Saturday in March, so probably March 2, 2019). All residents

are required to take the Training Exam. The exam provides an opportunity for

residents in training to monitor their acquisition of knowledge. It is an opportunity

to compare individual proficiency against the national norm of residents at the

same level of training. Results are reported by category: head and neck, otology,

plastic and reconstructive, etc. This allows individual areas of strength and

weakness to be determined and allows the individual to improve in those areas

which require it. Residents are encouraged to be well prepared for these

examinations. Scores on the test are considered by the faculty at the time of the

residents' review.

Attitude
Punctuality
Conference attendance, participation and presentation

The faculty assume a resident's performance will mature as the resident gains greater

education and experience. Therefore, expectations for the PGY5 resident are very different

from those for the PGY2 resident.

Possible Outcomes

Positive outcomes of the Resident Review include:

Affirmation of good clinical progress
Advancement to the next year of training
Recommendation for graduation from the program
Information becomes part of the residents’ permanent file

Negative outcomes of the Resident Review include:

A reprimand related to concern about performance
Meetings at six-week intervals to evaluate improved performance until the next
scheduled evaluation
Probation for a period of six months to allow performance to improve
Expulsion, conducted according to the University of MN appeals process
Information becomes part of the residents’ permanent file

Resident Evaluation of Faculty and of Rotations/Training Program

At the end of each clinical rotation, residents have the opportunity to evaluate the rotation and

the faculty using the confidential, online system available through New Innovations Residency

Management Suite (RMS). Residents will receive email reminders when evaluations are due.

This information is valuable to improving our program and residents are encouraged to

complete it.

Residents can also review evaluations of their own progress submitted by faculty and medical

students through RMS.

RMS is located on the web at www.new-innov.com (choose “Client Login”).

If you don't know your user name or password, contact your program coordinator, You may use the "NET" (not enough time) feature to delete evaluations

that have been inappropriately assigned to you. Department contact for MEDHUB for the Medical

Student Clerkships is also your program coordinator,

Exit Interview

In June the Program Director invites the graduating residents to an informal dinner, after they

have received their graduation certificates, and asks them to candidly describe to a small group

of faculty areas for improvement and suggestions for strengthening the educational experience