Rotations

Rotations

 The Otolaryngology Residency Program at the University of Louisville has as its primary teaching hospital the University of Louisville Hospital, with rotations also occurring at Norton Hospital-Downtown, Jewish Hospital, and the free standing tertiary care Kosair Children’s Hospital. These hospitals comprise the downtown Health Sciences Campus. Additional rotations occur at the Louisville VA Medical Center, approximately 5 miles from the downtown campus. The rotations are hospital based with the exception of the Elective rotation, which combines an advanced ambulatory experience in the faculty practice with operative experiences with community and faculty plastic surgeons. This rotation does not represent the only plastic surgery experience that the residents are afforded, as considerable Facial Plastic and Reconstructive Surgery is performed in the University Hospital and VAMC rotations. Below is listed the description of the Educational Program for each of our rotations.

General Surgery

The main goal of the general surgery rotations in the PGY-1 year is to provide a broad exposure to the skills and knowledge base necessary for the appropriate evaluation, assessment, and management of the surgical patient, and includes critical care, trauma, and pediatric surgery. Secondary goals include learning to work as an effective part of the health care team and developing the communication and professionalism skills necessary to become a successful physician.

ULH

The University of Louisville Hospital is a large teaching hospital with a diverse patient population, including a busy Level I Trauma center. This hospital is a tertiary referral center and is the site of the largest volume of surgical procedures, both elective and emergent, for the residency program.

VA

The Louisville Veterans Affairs Medical Center is a part of VISN 9 group of national Veterans Hospitals. This is a busy facility with the principal mission of serving the needs of veterans. Because of the aging of the veteran population, it allows our Otolaryngology residents the opportunity to learn the intricacies of operative and non-operative care in a geriatric population with considerable medical comorbidities. This rotation serves as an effective source of education of residents in complex decision making in Otolaryngology.

NKC (Norton/Kosair/ Jewish)

The Norton Hospital-Downtown and Jewish/St. Mary’s Hospital are both integrated teaching hospitals for adults with a large primary care base from both University of Louisville faculty and community based physicians. They are central to the mission of our program, providing a major adult operative experience in otolaryngology.

The Kosair-Children’s Hospital is the only free standing tertiary care children’s hospital in the state of Kentucky and provides a wide breadth and depth of complex pediatric medical and surgical patient experience to the residency program. It also has a Level 1 trauma center designation from the American College of Surgeons. The PGY-2 resident spends 6 noncontiguous months on this rotation, with the PGY-3 -4, and -5 residents participating in the surgical and medical management of more complex pediatric otolaryngology disorders.

Research

The research rotation consists of 3 nonconsecutive months in the PGY-3 and -4 years, two months during the PGY-3 year and 1 month during the PGY-4 year. The research experience for Otolaryngology residents is not isolated to this rotation but occurs in a structured curriculum beginning in the PGY-1 year. Expectations are clearly outlined in annually presented “research contracts” which provide the resident with specific deadlines for completion of research tasks. Program support is provided for presentation of projects at national meetings. During this rotation the resident is excused from all clinical duties except night call. For more information, see our Research page.

Elective

The elective rotation combines an advanced ambulatory experience in the faculty practice with an opportunity to perform more advanced aesthetic procedures with both community and faculty plastic surgeons. This rotation occurs in the PGY-4 year for one month.

Sample Rotation Schedule

ResidentJulyAugSeptOctNovDecJanFebMarchAprilMayJune
PGY-5VAULHNKCULHVAULHVAULHVAULHNKCULH
PGY-5ULHVAULHVAULHNKCULHVAULHVAULHNKC
PGY-4ULHNKCVAElectiveNKCULHULHNKCULHResearchVAULH
PGY-4NKCULHElectiveNKCULHVANKCULHResearchULHULHVA
PGY-3NKCResearchULHNKCULHNKCResearchNKCULHNKCNKCULH
PGY-3ULHNKCNKCULHNKCResearchNKCResearchNKCULHULHNKC
PGY-2ULHULHNKCNKCULHULHNKCNKCULHULHNKCNKC
PGY-2NKCNKCULHULHNKCNKCULHULHNKCNKCULHULH
PGY-1Gen SurgGen SurgGen SurgGen SurgGen SurgGen SurgENTERNeuroENTENTANES
PGY-1Gen SurgGen SurgGen SurgGen SurgGen SurgGen SurgANESENTENTNeuroERENT