PGY5 Goals and Objectives
Clinical training in the PGY5 year is spent in four different approximately three-month rotations:
Chief Resident Rotation, University of Minnesota (all residents)
Chief Resident Rotation, VA (all residents)
Chief Resident Rotation, HCMC (all residents)
Chief Resident Rotation, Regions (all residents)
Additionally, the Chief Resident at Regions Hospital has the opportunity to accompany Dr. Peter
Hilger to his private cosmetic practice, Facial Plastic and Reconstructive Surgery Specialists at
the Centennial Lakes Building in Edina, approximately once a week. Aesthetic surgery is only
practiced at select outpatient surgery centers, so this experience allows the resident access to a
broader range of the training in facial plastic surgery that is required by the American Board of
Otolaryngology. At the completion of this experience, the resident will have gained knowledge,
skills, and understanding and will demonstrate competence regarding:
The financial difference between a private physician’s practice and a hospital based
practice
The role of ancillary aesthetic office services
Patient assessment and evaluation techniques of aesthetic surgical patients
How to ensure patient safety in outpatient office surgery
Assisting and performing primary aesthetic procedures
Goals:
The goal of the PGY5 year at all rotations is for the resident to build on clinical skills
developed in prior years, to demonstrate maturity in approach to patient care and follow-up; and
to demonstrate mastery of surgical techniques and medical management in
Otolaryngology/Head and Neck Surgery.
University of Minnesota:
At the U of M site the chief resident is not assigned a particular rotation
but allowed to choose an area of concentration or further skill refinement in Head & Neck,
Neurotology or Pediatrics. The chief resident can also choose to rotate among the three blocks
depending on the case being done that day. This allows the chief resident to set appropriate
learning and improvement goals based on self-identification of strengths, deficiencies, and limits
in knowledge and expertise.
PGY5 Objectives:
The objectives for PGY5 training follow. The learning objectives are
organized by each ACGME core competency.
Medical Knowledge: Upon completion of the PGY5 year of training residents will have:
Demonstrated mastery of the course content in Otolaryngology/Head and Neck
Surgery
Displayed maturity in approach to patient care and follow-up
Explored advanced techniques and adapted them to personal style
Resident’s acquisition and application of medical knowledge will be demonstrated by above
average performance, as compared to Program Year peers nationally, on annual in-service
examination.
Patient Care:
Upon completion of the PGY5 year residents will have:
Demonstrated the ability to provide patient care that is compassionate, appropriate,
and effective for the treatment of health problems and the promotion of health.
Patient Care—Procedural Skills:
Upon completion of the PGY5 year residents will have:
Performed a sufficient number and variety of surgical procedures to ensure
education in the entire scope of the specialty
Communication Skills:
Upon completion of the PGY5 year residents will have:
Effectively presented cases at Morbidity and Mortality Conference
Demonstrated interpersonal and communication skills that result in the effective
exchange of information and collaboration with patients, their families, and health
professionals.
Practice Based Learning and Improvement:
Upon completion of the PGY5 year residents will
have:
Engaged in quality improvement projects based on cases brought to Morbidity and
Mortality Conference
Demonstrated the ability to investigate and evaluate their care of patients, to
appraise and assimilate scientific evidence, and to continuously improve patient care
based on constant self-evaluation and life-long learning
Professionalism:
Upon completion of the PGY5 year residents will have:
Demonstrated a commitment to carrying out professional responsibilities and an
adherence to ethical principles that would be expected in a staff physician.
Systems-based Practice:
Upon completion of the PGY5 year residents will have:
Participated in identifying system errors and implementing potential systems
solutions.
Demonstrated an awareness of and responsiveness to the larger context and system
of health care, as well as the ability to call effectively on other resources in the
system to provide optimal health care.
PGY5 Research Skill Development:
The resident may participate with a faculty member in submission for grant funding,
learning the method of grant preparation for various funding sources, and IRB
requirements
Presents findings of required project or other research at local, regional or national
meeting
Submits article for publication
Resident Duties
1. Clinical
Under the supervision of the Attendings, manages the service and is responsible for
all patients on the otolaryngology service
Makes final decisions regarding management under Attending supervision
Can operate with direct visual supervision when he/she feels comfortable with a
particular case.
Runs the clinics under Attending supervision
Supervises the ward service under Attending supervision
2. Administrative:
Serves as a the administrative chief while on rotation at all hospital sites
Develops the resident call schedule
Assigns caseloads
Administers the service under Attending supervision
Forms the link for resident feedback to the Attending surgeons
3. Educational:
Participates in the education and evaluation of junior residents
Teaches and evaluates the medical students
Instructs junior residents in clinic and in the operating room.
Presents all Morbidity and Mortality cases to the monthly meeting
Progression of Responsibilities
Acts in a supervisory role within the operating room setting and when performing
procedures outside the OR when the responsible Attending is immediately available
by telephone and readily available onsite when needed.
The Attending physician must be present for the key portion of the procedure. In an
emergency situation, when a supervising physician is not present, the resident shall
document the emergency treatment provided by said resident. This shall include the
nature of the emergency, the treatment provided, and the contact of the supervising
physician. With arrival of the supervising physician, he/she will concur with the
resident and contact the Attending physician for appropriate management decisions.
As Chief Resident, is fostered in development of skills in supervisory and
administrative skills.
Has an increased supervisory role over other residents (with Attending coverage)
and instructs them in clinic.
Supervises (with Attending coverage) in the operating room for any case that is
approved by the attending and would not be considered a fellow level case. This
would include all general cases as well as neck dissections, facial trauma,
endoscopic sinus surgery, neck masses congenital or other, general otology
including mastoidectomy and tympanoplasty, tracheotomy, septoplasty,
turbinectomy.