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Resident | Clinical Residency

Judith Lieu, MD, MSPH
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. 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, based on the six ACGME Core Competencies. 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 Advanced Physician Scholars Program. 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 six months of structured education on non-otolaryngology rotations, which are selected among anesthesia, general surgery, neurological surgery, neuroradiology, ophthalmology, oral-maxillofacial surgery, pediatric surgery, plastic surgery, and radiation oncology. One month of structured education must include an intensive care rotation. The remaining six months are spent on otolaryngology-head and neck surgery rotations.

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 Quality Improvement 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 Advanced Physician Scholars Program 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 Advanced Physician Scholars Program 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 Advanced Physician Scholars Program provides a framework in which residents are able to interact with experienced scientists and develop critical thinking, experimental design skills, and grantsmanship. Many Advanced Physician Scholars Program residents also qualify for the NIH Loan Repayment Program which can pay up to $70,000 in medical school loans.