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Otolaryngology - Head and Neck Surgery Residents in the lab at Mayo Clinic in Rochester, Minnesota.

PGY-1 intern year

During six months of ENT rotations, interns will work alongside our chiefs, take call, get rotation experience in our audiology, allergy, sleep, medical oncology, and neuroradiology divisions, and participate in the Anatomy Lab Series. The interns’ other six months are spent with colleagues in critical care, emergency medicine, oromaxillofacial surgery, anesthesiology, endocrine surgery, and neurosurgery.

PGY1/PGY2 Anatomy Lab Series

Lab	Procedures	Faculty	Location
1	Parotid Facial nerve Facial muscles	Head and neck	Anatomy lab
2	Nose Pericranium Local flaps	Plastics	Anatomy lab
3	Endoscopic sinus Orbit Anterior skull base	Rhinology	Anatomy lab
4	Neck dissection Thyroid	Head and neck	Anatomy lab
5	Larynx Esophagus Trachea Oral cavity	Laryngology	Anatomy lab
6	Optional: Parapharyngeal space/ infratemporal fossa, open maxillectomy, eyelid surgery, further endoscopic skull base dissection, temporal bone practice	Chief	Anatomy lab
7	Temporal bone Complete intact canal wall mastoidectomy with facial recess approach Canal wall mastoidectomy Labyrinthectomy Stapedotomy/stapedectomy Cochleostomy for cochlear implantation Endolymphatic sac decompression	Otology Entire procedures to be performed under the guidance of attending physician Tuesday evenings as scheduled	Temporal bone lab Minimum attendance: Three dissection labs until competence in all procedures is achieved Must complete by end of PGY-2 year

PGY-1/PGY-2 readings

PGY-1 and PGY-2 residents complete specified readings and summaries preceding the start of their research projects, including readings in:

Facial plastic surgery
General ENT
Sleep medicine
Head and neck surgery
Laryngology
Otology
Audiology
Pediatric otolaryngology
Rhinology
Trauma

PGY-2 junior year

Community practice setting

PGY-2s will accompany various faculty to Austin or Albert Lea, Minnesota. The minimum requirement is four times in the first half of the year.

Silver Quality Essentials

In preparation for their class quality improvement project (below), PGY-2s will complete the full-day seminar, Silver Quality Essentials. Objectives include:

Articulate the case for patient-centered quality improvement in health care
Identify, measure, and prioritize opportunities for improvement
Select and apply appropriate quality improvement methods and tools
Describe how to sustain long-term improvement
Prepare for the Silver Quality Essentials assessment and for meaningful participation in a class Quality Improvement Project

PGY-3 and PGY-4 senior years

Microsurgery course

Course goals:

Microscope basics
Initial training on practice boards and 1 mm biogel tubes
End-to-end artery and venous repair
End-to-sides
Interposition of vein grafts, nerve coaptations, etc.

Quality improvement project

Residents will work as a class to identify, analyze, determine, and implement a solution to a clinical problem or inefficiency, working as a team in conjunction with ENT’s Quality Improvement Committee and with a goal toward publication and/or presentation. A class representative will present yearly at the committee.

Research project

Residents will complete a minimum of one research project during their residency with a requirement of manuscript submission and a goal toward publication and presentation at regional/national/international conferences. Each resident will present to the research committee yearly.

Community practice setting

PGY-3 and PGY-4 residents may accompany their attending physician to Austin or Albert Lea, MN, with program and faculty approval.

Rotations

Rotations are designed for progressive training with graduated responsibility based on the residents’ progress. Rotations are in the quintile format (10-11 weeks long).

PGY-2	PGY-3	PGY-4
Facial plastics/sleep medicine	Head and neck	Facial plastics
Rhinology	Head and neck	Otology
Pediatrics	Otology	Laryngology
Laryngology	Rhinology	Rhinology
Head and neck	Pediatrics	Head and neck

PGY-5 chief year

PGY-5 residents are promoted to instructor in otolaryngology and maintain a dedicated personal clinic and operative schedule providing continuity of care for patients. In addition, in order to improve parity and comfort with upper level cases, chiefs will spend:

One quintile as mentored resident on an otology/neurotology service
One quintile as mentored resident on a rhinology/skull base service
One month at Hennepin County Medical Center for management of maxillofacial trauma in an urban setting

Getting to work one-on-one with a consultant allows you to follow patients as you will in the future. You see a patient in the clinic preoperatively, follow them to surgery, and see them again when they return for a postoperative follow-up. The mentorship model also got me involved as a crucial part of the team early, which meant more operative time, even as an intern.

Cheyanne Silver, M.D.
Otolaryngology resident

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