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Resident | Clinical Residency

Judith Lieu, MD, MSPH
Director, Resident Education

The educational mission of the Otolaryngology training program at Washington University is to prepare physicians to become competent and highly skilled otolaryngologists with excellent preparation in clinical and surgical patient care, mastery of existing knowledge within the scope of practice, and appropriate experience in teaching and research. In addition to Medical Knowledge and Patient Care in the above mentioned areas, the department teaches and evaluates performance in Interpersonal and Communication Skills, Professionalism, Systems-Based Practice and Practice-Based Learning and Improvement as defined by the ACGME Core Competencies. To this end, the program has established goals and objectives for each level of postgraduate year and a formative and summative evaluation process to measure progress along the way. In such an environment the developing otolaryngologist can reach his or her full potential by the completion of the program.

Joseph P. Bradley, MD Associate Director, Resident Education

The Department of Otolaryngology-Head and Neck Surgery at Washington University School of Medicine offers two pathways, the 5-year Clinical Residency track which includes three months of research time and a 7-year Research Residency oriented track which includes two years of contiguous NIH supported research training called the Physician Scientist Program (PSP). The objective of the 5-year Clinical Residency track is to train individuals in advanced medical and surgical patient care and to introduce them to scientific principles of investigation in order to enhance the scholarly evidence-based practice of medicine.

The first year of otolaryngology will include ACGME required rotations. A minimum of five months of structured education in at least three of the following: general surgery, thoracic surgery, vascular surgery, pediatric surgery, plastic surgery, surgical oncology. One month of structured education in each of the following four clinical areas: emergency medicine, critical care unit (intensive care unit; trauma unit or similar), anesthesia, neurological surgery. An additional maximum of three months of otolaryngology-head and neck surgery is optional.

The second year otolaryngology residents participate in a rich operative and ambulatory clinical setting. At the beginning of this year, a comprehensive basic science course is given, including temporal bone and neck dissection. A two-year rotating core curriculum is given by the faculty covering all major topics. Additional conferences include: Grand Rounds, Tumor Conference, Otology/Audiology Conference, Journal Club, Facial Plastic Conference, Patient Safety Conference, Morbidity/Mortality Conference and Research Seminars.

During the third and fourth year otolaryngology years, graduated surgical and outpatient responsibility is provided to the residents. In the final (chief resident) year, significant responsibility is afforded to the graduating residents to further aid the transition into independent practice. Career guidance and counseling is performed at six-month intervals via a faculty advisor system throughout the program.

The objective of the Physician Scientist Program (PSP) is to train career physician-scientists capable of delivering advanced medical and surgical patient care and capable of obtaining funding for additional mentored clinical scientist development. The ultimate goal of this career pathway is to produce life-time career physician-scientists who maintain active surgical practices and research laboratories which are independently funded. This program is designed for applicants dedicated to research and academics within the field of Otolaryngology. Funded through a T32 training grant from the NIH, the PSP offers salary support for 2 years of consecutive research during residency training. Residents are encouraged to engage in basic science or clinical research and are able to choose mentors from the many funded principal investigators throughout Washington University School of Medicine. The PSP provides a framework in which residents are able to interact with experienced scientists and develop critical thinking, experimental design skills, and grantsmanship. Each year two of the five entering residents match into the PSP. Residents in the PSP begin research after either PGY-2 years. Many PSP residents also qualify for the NIH Loan Repayment Program which can pay up to $70,000 in medical school loans.