Contents
The University of Louisville was opened in 1798.
Subsequently, the Louisville Medical College was opened. The first lecturer in
Ear, Nose, and Throat disorders was Professor J.M. Bodine in 1871. The first
full-fledged department of Ophthalmology, Otology, and Laryngology was
established in 1907 under the directorship of Dr. J. Morrison Ray. We have a
long tradition for training medical students and residents in one of the
country's oldest and longest standing medical schools.
The Division of Otolaryngology, a division of the
Department of Surgery, conducts the training program in Otolaryngology at the
University of Louisville and its affiliated hospitals. This is a fully
accredited program, which consists of one year of General Surgery (internship),
followed by four years of residency training in otolaryngology. The training is
under the supervision of the Program Director and the full time academic
faculty. Clinical faculty also participate in the training program. A listing
of our faculty with a brief bio-sketch is provided in this packet. All
residents who are accepted into the Otolaryngology program are required to
serve their PGY1 Year of residency in General Surgery at the University of
Louisville. Applicants who are accepted into the Otolaryngology program are
guaranteed a position in General Surgery.
Our program has a strong emphasis on didactic program.
This is demonstrated in the many courses and conferences offered to residents
in our program. We review all conferences and curriculum on an annual basis in
order to keep the conferences contemporary and meeting the needs of our
residents in a rapidly changing discipline. A listing of the courses and
conferences can be found below.
Residents participating in our program obtain training
covering the full breadth and depth of Otolaryngology as a specialty. We
achieve this training through teaching that occurs in clinics, Attending
Faculty Practice, and our teaching hospitals. A listing of our clinical sites
and hospitals and description of those facilities can be found below.
Our research program is an integral part of our divisional
activities and represents an important part of residency education. Dr. Eric J.
Lentsch is our Research Director and serves to organize and integrate our
research efforts. Research in our division involves, medical students, graduate
students in Audiology and Speech Pathology, Residents, and Faculty members. We
have multidisciplinary relationships with various departments in the Medical
Center including: Anatomy, Anesthesiology, Biochemistry, Gastroenterology,
Medical Oncology, Radiation Oncology, and the University of Louisville School
of Law to name a few. A copy of our most recent Resident Research Day is
included in your packet. Research is required with projects taking one to two
years in their completion. We strive for national presentation and publication.
Faculty mentorship is provided for all resident research projects.
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The plastic and craniofacial rotation is a month long
rotation in the PGY 4 and 4 year and is under the direction of Dr. Gerald
O’Daniel, a Clinical Associate Professor of Otolaryngology and Plastic Surgery
at the University of Louisville School of Medicine. This rotation consists of
an office ambulatory experience in the evaluation and preoperative planning of
facial cosmetic surgery patients and reconstructive patients. Additionally, the
residents receive an operative experience in the Ambulatory Surgical Suite at
Dr. O’Daniel’s office, Jewish Hospital, and NortonHealthcare while on this
rotation.
This rotation is one month long during the PGY 3 and 4
years. The rotation consists of an integrated exposure to Otolaryngologic
Allergy including skin endpoint titration and the programming and
administration of immunotherapy. The allergy portion of the rotation is under
the direction of Dr. Maria Veling. Some residents have pursued additional
externship time in Otolaryngic Allergy when available.
The division has maintained a nice working relationship with the Department of
Oral and Maxillofacial surgery in the University of Louisvlle School of
Dentistry. Our residents spend one to two weeks on the service at which time
they learn important aspects of occlusal relationships and dental disease and
management that is pertinent to the Otlaryngologist. This rotation is under the
direct supervision of Dr. George Kushner in the Oral Surgery Department.
The elective rotation has been crafted to meet the special needs and interest
of a particular resident. This rotation has been spent in a myrad of ways
including in the performance of research, special externships, as well as in
unique areas of interest.
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The general educational goal of the
Otolaryngology program at the University of Louisville is to help our residents
obtain the knowledge, skills, and attitudes necessary to be competent
otolaryngologists-head and neck surgeons and to prepare them for practice in
the twenty-first century. The specific knowledge and skill objectives that we
focus on are those defined in the Special Requirements for Residency Education
in Otolaryngology. These include bronchoesophagology, facial plastic and
reconstructive surgery, head and neck surgery, laryngology, rhinology, otology,
Otolaryngologic allergy, immunology, endocrinology, and neurology. In addition
to these specialty specific objectives, there are issues and challenges facing
residents today as they enter practice that are included in their curriculum.
These include competency in providing high quality, cost-efficient care, and a
general knowledge of population-based medicine and practice management. The
attitudes addressed in the curriculum include communication skills, humanistic
skills, and professionalism.
Our educational goals are met by a
curriculum consisting of instruction and service on clinical rotations, formal
didactic conferences, assigned text and journal readings, assigned temporal
bone and cadaver dissections, and formal continuing education courses.
Residents are exposed to broad based clinical environments and patient
populations throughout their residency, spending time at the University
Hospital, Veterans Administration Medical Center, a private adult hospital
(Norton's Hospital) and Kosair Children's Hospital. Rotations are assigned to
provide the residents with a comprehensive inpatient hospital experience, an
outpatient clinic experience, and both an inpatient and outpatient operative
experience.
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|
|
|
|
|
|
|
Monday |
7:00 |
U of L |
Dr. Polk |
Interdisciplinary
Trauma Rounds |
|
Monday |
8:30 |
VAMC |
Dr. Bumpous |
Pre-Op and
Post-Op |
|
Monday |
9:30 |
VAMC |
Various |
Faculty Lecture |
|
Monday |
5:00 |
Various |
Various |
Core Lectures |
|
Wednesday |
7:00 |
Meyers Hall |
ENT Staff |
Book Club |
|
2ndTuesday |
7:00 |
VAMC |
Dr. Flynn |
Head/Neck
Oncology |
|
1stWednesday |
5:00 |
Kosair |
Dr. Groff |
Mortality/
Morbidity |
|
3rdWednesday |
12:00 |
Brown Cancer Center |
Drs. Flynn and Bumpous |
Head and Neck
Tumor Board |
|
4thWednesday |
6:00 |
TBA |
ENT Staff |
Journal Club |
|
Last Thursday |
8:00 |
VAMC |
Dr. Cheadle |
Mortality/
Morbidity |
|
Monday |
4:00 |
ACB |
Dr. Polk |
Mortality/
Morbidity |
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Audiology Lectures:
A series of core lectures in audiology given by the audiology faculty.
Book Club:
The residents are assigned several chapters from recent textbooks on
Otolaryngology-head and neck surgery for study. A faculty member gives a quiz
and the scores are recorded each week for tabulation at the end of the year.
Grand Rounds:
Residents give a 30-minute presentation on a selected topic. They are expected
to research the topic, provide five recent articles for the other residents,
and to deliver a summary didactic presentation with audiovisual supplements.
Grand Rounds are given on Monday mornings following pre-op and post-op
conference.
Guest Speakers:
The division sponsors two guest speakers each year. One lecture is co-sponsored
with one or more other divisions while the second lecture is the Serge A.
Martinez, M.D. Endowed Lecture. Dr. Martinez is the immediate past director of
the division.
Interdisciplinary Trauma Rounds:
This is a multi disciplinary conference conducted in the
intensive care unit, during which ICU patients are presented and discussed. The
resident is responsible for presenting those patients on the ENT service to the
attending faculty and leading a discussion on the course of treatment, etc. In
addition, the resident is called upon to comment on Otolaryngologic issues in
patients admitted to other services.
Journal Club:
The faculty chooses outstanding journal articles from current respected
publications and assign each resident an article. The residents present the
articles in a round table format and review the research methodology as well as
conclusions of the article.
Morbidity and Mortality Conferences:
Each of the three main teaching hospitals have regular
conferences to discuss complications and deaths. The most senior ENT resident
is responsible for tabulating the surgical cases, consults, complications and
deaths for the Otolaryngology service at each hospital. The complications and
deaths are presented by the resident to the attending staff for discussion.
Pathology:
A bi-monthly conference in which a systematic review of head and neck pathology
is undertaken. Residents are expected to discuss the findings of histologic
slides presented by faculty in the Pathology department.
Pediatric Grand Rounds:
Weekly conference at Kosair Children's Hospital on various pediatric topics.
Residents rotating at Kosair attend those which are pertinent to Pediatric ENT.
Pediatric Otolaryngology:
Residents are exposed to lectures from the attending staff in Otolaryngology as
well as attending staff from Pediatrics, Radiology, Hematology/ Oncology,
Allergy/Immunology and other specialties which impact on current care in
otolaryngology.
Plastic and Reconstructive Surgery:
Residents participate in an open discussion following a
didactic presentation of PRS topics with relevance to facial plastic surgery.
In addition videotaped surgical procedures and cadaver dissection supplement
the conferences.
Practice Management/Managed Care:
A bi-monthly series of seminars are given by faculty or
administrative personnel. Seminars are designed to acquaint the resident with
the business/legal aspects of the medical practice. Topics will include:
coding, dictating operative reports, staff development, legal affairs, finance,
personal finance, practice paradigms, etc. See calendar for details of the
seminars.
Otolaryngology Pre/Post Operative:
In this weekly conference the senior resident at each of
three main hospitals reviews the surgical cases performed the prior week,
including a discussion of the technical aspects of the surgery. In addition,
the resident presents the cases scheduled for the upcoming week, and he/she is
expected to offer a narrative summary of the pertinent history, physical exam,
and indications for the procedure and discuss the procedure planned.
Otology Conference:
Residents participate in an open discussion following a didactic presentation
of relevant otologic/neurotologic topics.
Radiology:
This is a joint Otolaryngology/Radiology conference in which residents from
both specialties present interesting or unusual radiologic findings in ear,
nose and throat patients. Residents are responsible for providing the relevant
history, interpreting the radiologic findings, and reviewing the course of
treatment for patients that they select to present to the faculty of
Otolaryngology and Radiology.
Research Conference:
Exposes the residents to the basics of research design, statistical analysis,
structure literature reviews and abstracts. During conference residents are
expected to discuss their research topic with supporting data.
Surgery Grand Rounds:
Residents attend this weekly conference where invited speakers, often from
other institutions, address a variety of topics in the field of surgery.
Tumor Board:
These are multi disciplinary conferences whose purpose is to coordinate
/evaluate surgical, medical and radiologic oncologic care. Residents regularly
present head and neck cancer patients at the VA tumor boards, and occasionally
at the Brown Cancer Center. The resident is expected to present the history,
exam, and proposed treatment and review any laboratory, radiology, or pathology
data for discussion with the attending staff.
The Division supports the following meetings and courses;
and travel reimbursements are limited to $995 unless otherwise indicated.
| All Residents |
Endoscopy |
Annual, D. Winstead |
| All Residents |
Louisville ENT Society |
Quarterly |
| All Residents |
Kentucky ENT Society |
Semi-annually |
| OTO-2 |
AO Plating Course |
Annual, Local |
| OTO-3 |
Glasscock Ear and
Temporal Bone Course |
One week, Nashville, TN
Division pays tuition in advance of course; lodging and meals separate
|
| OTO-3 |
Indiana University
Histopathology Course |
Ten days, Indianapolis, IN
Division pays tuition in advance of course; lodging and meals separate.
|
| OTO-4 |
AAO-HNS Annual Meeting |
Annual, location varies, 4 days
|
Residents will be reimbursed according to the travel
policy if presenting a paper at a national or regional meeting. This is subject
to the timely completion of the travel request form. Consult with Dr. Bumpous
prior to submitting the abstract.
These courses have been selected based on the
educational goals of the division. If for some reason you are unable to attend
the courses for your year, the division will not necessarily support attendance
at a different conference.
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Duty hours at each affiliated hospital are dictated by the
need for continuing patient care. To provide 24-hour coverage while not
overburdening each resident, a night call schedule is set up by the senior
administrative resident and approved by the program director. Weekdays, call
begins at 5:00 p.m. and ends at 7 a.m. Weekends (Saturday and Sunday) change
over occurs at 7:00 a.m. On weekdays the hospital, including ER, consults, etc.
is to be covered by residents assigned there from 7:00 a.m. to 5:00 p.m. The
night call schedule is from home and will be every fourth night. The resident
work hours will not exceed 80 hours per week average over a four-week period.
While on call, the resident covers all four
affiliated hospitals. The PGY2 and PGY3 must be in house; PGY4 -5 must be
readily available by phone or beeper. There is also a staff physician who takes
supervisory call and must be notified of all admissions, cases needing to go to
the operating room, and any lingering unresolved questions. Residents at all
levels spend on the average of at least one out of seven days without patient
care responsibilities. On call rooms as well as provisions for meals and
parking are available to the resident. The work hours and call policy will be
in accordance with ACGME policy without exception.
The program policy is to provide appropriate supervision
of residents in the operating room as well as in the clinics. The program
director ensures that a full time or clinical faculty member is assigned to
supervise residents during all operative procedures at all of the affiliated
hospitals. These polices include:
-
Norton and Kosair Children's Hospitals, the faculty is
required to be in the operating room before any patient can undergo anesthesia.
-
University of Louisville Hospital, the senior residents
are permitted to operate independently on those cases for which he/she has been
given prior written approval. For any of the other residents to operate, a
staff physician must be present assisting the resident through all but the
closure.
-
Veterans Hospital, senior residents are allowed to operate
independently and may assist junior residents in operative procedures.
However, an attending staff is still assigned
to the operating room and is readily available on those cases as well. The
staff physician must be able to be reached immediately by phone or beeper and
to respond to the operating room rapidly as needed. They are not to be involved
at other hospitals or with other patient care responsibilities, which would
preclude their immediate response.
Likewise, a staff physician is assigned to all outpatient
clinics held in the affiliated hospitals. The degree of supervision is left to
the discretion of the staff member and is based on the level of clinical
judgment of the resident or residents, which are being supervised. The policies
for the clinics include:
Pediatric otolaryngology clinics at Kosair
Children's Hospital, a junior level resident is assigned and the care is
therefore personally supervised by a staff member all of the time.
Veterans Hospital and at University of Louisville
Hospital, where a senior level resident is always present, care is personally
supervised by a staff physician all of the time. Although personal supervision
of care is provided, the resident is expected to still make the primary
decisions regarding patient evaluation and management planning.
Request for travel support must be made in writing one
month in advance of the proposed trip. This requires a travel request form,
signatures from Dr. Bumpous and Dr. Polk, copy of the program announcement
which is to include hotel with lodging rates, location and dates of conference,
and any other information concerning monies that are to be reimbursed.
Requests for travel reimbursement must be submitted
to Tracy Strader within 30 days of completing the travel or the division will
not reimburse the travel. If you have a problem in meeting this deadline, let
her know. The following receipts are required:
-
airplane ticket receipt
-
hotel statement indicating a zero balance with
verification of payment (credit card receipt or canceled check)<
-
registration fee
-
Rental car and justification as to why a car was needed,
etc.
-
Receipts are required for all other expenses over $4
(taxi, etc.)
Meals are reimbursed on a per diem basis; therefore no receipts are needed when
reimbursement is requested through SDA. When you submit this information, you
must sign the U of L reimbursement form (front side only). It is good idea to
sign this when you submit the request for travel.
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Resident performance is evaluated on an ongoing basis in
terms of knowledge, clinical judgment, technical skills and interpersonal
skills and attitudes. Their progress is discussed regularly at monthly faculty
meetings. Written evaluations are carried out semi-annually by each faculty
member for each resident they have supervised during that time period. By
direct observation of resident performance in the clinics, on the wards, in the
operating room, at clinical and basic science conferences, at our annual mock
oral exams as well as other didactic sessions, progress can be continually
monitored and clinical competency can be accurately assessed. The program
director meets semi-annually with each resident for a formal evaluation session
in which the faculty's assessment of his or her knowledge, skills and
professional growth is discussed. (A copy of the evaluation form follows this
section.) If there are specific problem areas, formal meetings are more
frequent until the concerns are resolved.
Residents participate in two national standardized exams
each year, the home study course and the annual in-service examination of the
American Academy of Otolaryngology-Head and Neck Surgery. Each year the results
are evaluated and the curriculum content of the program is assessed in terms of
areas of strengths and weaknesses. Residents are expected to score the minimal
passing standards (mean) in accordance with the ABO guidelines for the
corresponding year in residency and a minimum score of the 85 percentile on the
home study course. Individual residents are also counseled if there are any
glaring weaknesses and guidance if given as to how to address these weaknesses.
The performance of program graduates on the American Board of Otolaryngology is
also monitored.
Residents are expected to attend 85% of the book club
meetings unless excused for vacation, courses or clinical responsibilities.
Mock Orals are scheduled for all residents in February. On
that day, exams will begin at 8:30 continuing until 12:00. Each faculty member
will meet with resident asking a question from his or her specialization. The
evaluation form follows this discussion.
Residents regularly participate in structured research
activities which requires the timely completion of the research tasks. See
Section 7 for details of research guidelines.
Operative reports reflect the surgical experience of the
resident; therefore, these reports are to be completed on a minimum of a
monthly basis. Reports are to be submitted no later than the 10th of the month
for the previous month’s surgical experience. Failure to comply will result in
the loss of operating privileges. Operative report forms are available in the
academic office.
The program director as well as the residents participate
in faculty evaluations annually. The faculty is evaluated on their clinical
knowledge, teaching ability and commitment, and scholarly contributions.
Resident written evaluations of the faculty are strictly anonymous to ensure
candor.
The direction of the overall program goals and objectives
as well as the needs of the residents and the teaching responsibilities of the
faculty are under continuous scrutiny of the Division Director and discussed
monthly at faculty meetings. We constantly strive to maintain the balance
between service and education both as a faculty and as a program. Formal
self-evaluation is carried out each year; a resident curriculum evaluation and
planning session and a faculty strategic planning retreat. The resident
curriculum planning session involves assessing the strengths and weaknesses of
curriculum content, including resident rotations, formal didactic sessions and
courses attended. Each are evaluated in terms of quality and importance in
accomplishing program goals and objectives. The program director and at least
one other faculty member meets with all residents for this three to four hour
session. Results are then communicated to other faculty members by a written
summary. Based on the results as well as faculty input the next academic year
is planned. The Special Requirements for Residency Education are reviewed to
ensure all requirements are met in designing the curriculum and resident
rotations.
The faculty strategic planning retreat is a half-day
session in which the program mission statement and goals and objectives are
assessed in terms of strengths, weaknesses, opportunities and obstacles. The
areas assessed include administration, teaching, clinical service and research.
Based on the discussions we develop a one- year, three-year, five-year and long
term program plan. We also assess what we have accomplished from our previous
year's plan, and make any appropriate modifications. This is an important part
of our self-assessment and ensures that we always have a vision for our future.
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All residents are expected to participate in clinical
research activities with a faculty member. Consult the following list of
research topics for the appropriate faculty member to match with your
interests. Clinical activities and an active monthly journal club are viewed as
important learning and research opportunities. Each year, all residents
rotating on the clinical rotations are expected to develop a clinical research
project in conjunction with a faculty mentor. A research plan including a time
table, method for data retrieval, and if necessary completion of Institutional
Human Studies review are completed. The resident is expected at regular
intervals to report project progress, findings, or difficulties to their
respective faculty mentors. Interdisciplinary research activity is encouraged
and past activity has involved cooperation with general surgery, neurosurgery,
medical oncology, radiation oncology, radiology, pediatrics, audiology and
speech pathology. Once data collection is complete on projects, data management
is the responsibility of the resident. Statistical software capabilities are
extensive*. Residents are expected to present their research at the divisions
yearly Resident Research Day.
In addition, residents are encouraged to present a local,
regional, and national meetings; the residents ability to attend meetings to
present their research is financially subsidized by the division of
Otolaryngology through internal and occasionally extramural funding. The
residents are encouraged to culminate their yearly research activity with the
preparation of a manuscript to be submitted to a professional journal. Note:
After the first meeting the sessions are divided into two groups: PGY 2 and PGY
3, and PGY 4 and PGY 5.
*Statistical support and consultations can be
made on a case by case basis.
Abstracts are to be prepared in accordance with the
abstract instructions that are used in professional journals.
Objective: brief, concise stated purpose
of the research.
Design: the type of study (retrospective
case review, randomized prospective double- blinded, survey.
Setting: primary care, hospital,
ambulatory care.
Patients: demographics and inclusion
criteria.
Intervention(s): treatment, diagnostic,
education.
Outcome measures: essential criterion
that addresses the study’s central hypothesis.
Results: statistics, summary data.
Conclusions: include only those items
directly supported by this study.
Hypothesis: Brief, clear statement of
the goals of the work.
Background: Concise orientation
of the investigation prepared for the reader unfamiliar with the investigation.
Methods: Summary of techniques and
materials used.
Results: Including appropriate
statistics.
Conclusions: include only those items
directly supported by this study and discuss the clinical relevance.
Objective: Brief, concise stated purpose
of the review.
Data Sources: Specific database, search
methodology, languages covered and time frame.
Study Selection: Criteria to be used in
the selection of articles.
Data Extraction: Statistical techniques
used for data analysis.
Conclusions: Concise statement of
primary inferences with appropriate recommendations.
Pentium II computer with internet access is located in
room 109. Ovid MEDLINE, and other internet based search engines are accessible
through this computer. Corel (WordPerfect) and Microsoft packages are loaded on
the computer. All residents will be required to have a Groupwise e-mail
account.
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Academy of Otolaryngology Membership
Membership in the Academy is required of each resident;
you should apply for membership no later than the first week of July. The
resident is responsible for dues.
American Board of Otolaryngology
The Board will send explanatory information to your home
address early in the fall. The Board is the official agency for document you
resident operative report. Operative logs must be uploaded to the Board
website, and a hard copy with Program Director’s signature sent by July 10th
each year. Once a report has been submitted to the Board, records cannot be
changed.
Louisville ENT Society
See Dr. Bumpous
Kentucky ENT Society
See Dr. Bumpous
When you are on call and admit a patient to a hospital to
which you are not assigned during the day, make sure a resident assigned to
that hospital is notified of the admission prior to or during morning
rounds. Remember that OR at NKC begins at 7:30 a.m. If you call the resident
there to notify them of an admission at 7:35 a.m., they won't have time to see
them in the morning. Generally 7:00 a.m. is a good time to take care of this.
Airway Expert
Always remember that as an ENT resident you are the airway
expert. Even if you are only a consultant for a patient with an airway
problem, the buck stops with you to diagnose and manage an airway
problem.
Attending, when you must call
Call the Attending on-call for all patients seen at NKC.
Additionally, call the attending for OR cases at all hospitals.
Backup
Do not hesitate to call back-up residents anytime you
need them. We may not know the answer, but might still possibly be of
assistance. If you don't call, you might deprive others of a learning
experience.
Call Schedules
The junior residents prepare resident call schedules. The
division’s secretary will distribute these to the mailboxes (located in room
131 Myers Hall). The call schedule contains additional information such as
rotation assignments, vacations and other similar general information.
USA, University Surgical Associates is the faculty private
practice whose primary address is 601 South Floyd Street, Suite 604, Phone
number 583-ENTS (583-3687).
Call time frames
Weekdays, call begins at 5:00 p.m. and ends at 7 a.m.
Weekends (Sat. & Sun.) change over occurs at 7:00 a.m. On weekdays the
hospital, including ER, consults, etc. is to be covered by residents assigned
there from 7:00 a.m. to 5:00 p.m.
In-house call and hours
First call or in house call; PGY2 and PGY3 are expected to
be in-house; PGY4 and PGY5 must be readily accessible by pager and phone. Call
rooms are TBA.
Cameras/film
There is a digital camera located in the University
Hospital Surgical Suite locker room. Software is on the residents’ computer.
When you MUST call
Attending physician and chief resident must be called
anytime you go to the operating room on weekends or after 5 p.m. regardless of
hospital.
First Priority
Clinics and conferences are first priority for your
attendance regardless of hospital assignment. See clinic and conference
schedules.
Grand Rounds
Resident presentations for Grand Rounds will be assigned
and are to be given on Monday mornings following preop and postop conference.
Handouts and five relevant articles are expected.
Guest Speakers
The division sponsors two guest speakers each year. One
lecture is co-sponsored with one or more other divisions while the second
lecture is the Serge A. Martinez, M.D. Endowed Lecture. Dr. Martinez is the
immediate past director of the division.
Some resident conferences are conducted in the Nolph Library; schedule the
library with the Division's secretary.
Harvesting Temporal Bones
Temporal bone harvests are the duty of the junior
residents. This should be done each month just before the disposal of cadavers.
Journals
Journal Club Article assignments will be made on a monthly
basis and requires the following journals at a minimum:
Laryngoscope (you must pay for subscription)
Otolaryngology-Head and Neck Surgery (included with Academy membership)
Archives of Otolaryngology-Head and Neck Surgery (included with AMA
membership)
Keeper of the Book
When at Kosair’s You are the "keeper of the book"
to which you will be more formally introduced at a later date.
Operative Reports
Residents are responsible for completing operative reports
that accurately reflect their surgical activity.
|
DATE |
S/T/A |
STAFF |
HOS |
PATIENT # |
CPT |
PROCEDURE |
LASER |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
1.
|
Date of procedure
|
|
2.
|
Resident role in the surgery:
S = Staff
T = Teaching or
A = Attending
|
|
3.
|
Initials of Attending Faculty and Clinical Instructors:
|
|
|
JB
|
Jeffrey Bumpous
|
M.D.
|
GO
|
T. Gerald O'Daniel
|
M.D.
|
|
JG
|
Julie Goldman
|
M.D.
|
WW
|
Welby Winstead
|
M.D.
|
|
TG
|
Toni Ganzel
|
M.D.
|
MV
|
Maria Veling
|
M.D.
|
|
AN
|
Alan Nissen
|
M.D.
|
EL
|
Eric Lentsch
|
M.D.
|
|
MC
|
Mark Charicker
|
M.D.
|
|
|
4.
|
Hospital Codes:
|
|
|
JH
|
Jewish Hospital
|
|
KCH
|
Kosair Children's Hospital
|
|
NH
|
Norton Hospital
|
|
UHL
|
University of Louisville Hospital
|
|
VA
|
Veterans' Administration Hospital
|
|
|
5.
|
Patient Number
|
|
6.
|
CPT Code, list one code per line. If multiple codes are
used, continue them on the next line. This adds in the accurate transfer of
your data to the permanent operative record.
|
|
7.
|
This allows you to describe the procedure and make any
notes necessary to assist with accurate transfer of your data to the permanent
operative report for the American Board of Otolaryngology.
|
|
8.
|
List type of laser used in the procedure, if any: CO2
|
Professional Behavior
Do your best to be courteous, prompt and helpful to those
who consult you.. ENT residents receive more than the fair share of
consults (facial fractures, UADT tumors, thyroids) which could go to other
services. This is partly due to the timely and professional mannerly which care
is given to other less-rewarding clinical problems. Other services (Medicine,
General Surgery, etc.) are consulting ENT because ENT is viewed as the head and
neck expert and because help is needed with a specific clinical problem or
question. Try to be as helpful as possible without being demeaning to those
services.
Plastic Rotation
The Plastic Surgery rotation is under the direction of Dr.
T. Gerald O'Daniel. Residents rotating on that service are expected to scrub
cases in the OR and attend office hours. Residents should round on patients and
help with H&Ps, orders, etc. when possible.
Scheduling Conferences and Rooms
When scheduling conferences for the Nolph Library, Myers
Hall; contact the division’s secretary.
When scheduling for the VAMC, contact the Education Office.
Tools
In general, all residents should try to carry with them
the “tools of the trade”. At a minimum, the junior-most resident on a service
should carry an otoscope, tongue blades, a nasal speculum, scissors and bayonet
forceps at all times either in a small bag or in the lab coat.
Vacation
Vacation is four weeks per year, consult with the chief
residents prior to scheduling vacation. No vacation is granted during June or
July.
Where do I find ...?
Keys
First year residents are to “inherit” their set of keys
from the graduating chiefs. See the division's secretary to obtain keys.
Lab Coats
.... are purchased by the division. First year residents
may order two coats; the division will purchase one new coat per year for the
subsequent years. If you desire an additional coat, you can purchase it when
the annual order is placed to receive the discount or place the order directly
with Diversiforms. Coats are ordered at the end of April in order to have them
by July 1.
Supplies
...office supplies are maintained in room 132, Myers Hall.
Let the division’s secretary know if there are supplies that you need or if you
take the last of any item. She places stock room orders on Mondays.
Travel Request Forms
... are in a yellow file folder in the top drawer of the
filing cabinet in Tracy’s office.
WHO is...?
The Academy
...is the Academy of Otolaryngology-Head and Neck Surgery.
The Board
... is the American Board of Otolaryngology.
U.S.A. (University Surgical Associates, Inc)
...is the private practice for the faculty. The primary
office address is 601 South Floyd Street, Suite 604, Children's Foundation
Building.
U.S.S. (University Surgical Services)
...is the billing entity for university clinics and
operative cases.
Tracy
...is your help and your friend!
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