Residency Program Welcome Message Program Overview Curriculum Training Sites Meet Our Residents & Alumni Life in Orange County How to Apply Contact Us Curriculum Home About Campus & Community Resources ENT: Education & Training > Residency Program > Curriculum A Comprehensive & Diverse Curriculum Explore the clinical and didactic curriculum of the five-year, ACGME-accredited Otolaryngology-Head and Neck Surgery Residency program. Clinical Curriculum The PGY-1 year is developed around the new American Board of Otolaryngology (ABO) requirements that include rotations in anesthesia, emergency medicine, neurosurgery and a diverse mix of rotations in the surgical specialties. The PGY-2 through PGY-5 years concentrate on otolaryngology-head and neck surgery. During the PGY-2 through PGY-4 years, residents acquire skills in head and neck history-taking and physical examination techniques and progressive acquisition of skills in surgical procedures in the specialty. During these years, training takes place at UCI Medical Center and the affiliate hospitals. In the PGY-3 year, four months are devoted to research. The final year (PGY-5) of the residency program is spent primarily at UCI Medical Center, with the focus on leading the team of residents and advanced operative experience. Surgical skills are fine-tuned, and administrative and leadership skills are developed as chief resident on the service. Didactic Curriculum The didactic curriculum for the residency program is designed to be comprehensive, academic and well organized. A 24-month cycle is utilized and is patterned after the quartile system of the ABO. Our curriculum follows the quartiles outlined by the ABO as follows: General otolaryngology (including pediatric otolaryngology) Head and neck surgery Otology and neurotology Facial plastic and reconstructive surgery A working knowledge of related specialties, such as neurosurgery, oral and maxillofacial surgery, plastic surgery, general surgery, neurology and pulmonary medicine is also among the academic goals of the department. Much of this information is learned at joint conferences and via specific clinical experiences. Grand Rounds Grand Rounds conferences are held each week on Wednesday afternoons. This period is an opportunity for residents, faculty and guest speakers to deliver didactic lectures and promote resident/faculty education. Grand Rounds are divided into two separate but interwoven sessions. The first is a didactic session, which is organized and presented by the residents on various topics, and the second is the formal department Grand Rounds, which includes department faculty, interdisciplinary faculty and invited guest speakers of national and international repute. Morbidity & Mortality conference is held once a month during the Grand Rounds time slot. The goal of Grand Rounds is to: Prepare attendees for the annual otolaryngology training examination and eventual oral and written board exam. Allow residents to practice presenting before formal meetings and present interesting or special cases. Head & Neck Tumor Board A weekly tumor board is held at UCI Medical Center. The UCI tumor board is composed of a multidisciplinary team of specialists, including head and neck surgeons, radiation oncologists, medical oncologists, head and neck pathologists, and neuroradiologists. The clinic is attended by social workers, and when appropriate, neurosurgeons, endocrinologists and speech pathologists. One resident is assigned to present each new case. The average volume is three new cases per week and is increasing with the progressive clinical practice volume of new faculty. The board is structured with patients coming to the outpatient clinic, where the board members can meet the patients, then move to a nearby conference room to present diagnostic studies, review pathology and discuss treatment options. Pediatric Otolaryngology Conference A monthly pediatric otolaryngology conference is held on the morning of the first Thursday of the month in the department resident library. It is attended by all the residents and the pediatric otolaryngologists on the faculty, who are based at Children’s Health of Orange County (CHOC). Facial Plastic and Reconstructive Surgery Conference Each month, a three-hour conference dedicated to instruction in facial plastic and reconstructive surgery is provided to the residents and community otolaryngologists. These sessions are both clinical and didactic. Case studies are presented to the conference when they illustrate a particularly complex or difficult clinical problem. In addition, lectures are delivered on subjects related to facial plastic and reconstructive surgery. The goal of this conference is to supplement the facial plastic surgery education provided elsewhere in the resident experience. Vascular Malformations Conference A monthly vascular malformations conference is held at the Beckman Laser Institute under the direction of Brian Wong, MD, and J. Stuart Nelson, MD, PhD. Pathology Conference Pathology conference occurs monthly at UCI Medical Center. The conference is held in the Department of Pathology at the multi-headed microscope, where interesting and unusual head and neck pathology cases are reviewed with a pathologist. The conference is held in a room in which every resident observer has their own microscope viewer and can point to pathology and describe it for the pathologist. Temporal Bone Dissection Laboratory The main temporal bone laboratory for the training program is a state-of-the-art facility with multiple video-equipped stations. Residents perform temporal bone dissections at the laboratories whenever they desire (the labs are always open to residents) and in four yearly sessions supervised by our neurotologist. A second, smaller laboratory is located at VA Long Beach Medical Center. Orange County Society of Head and Neck Surgery (OCSOHNS) Quarterly dinner meetings are held at the local Orange County Society of Head and Neck Surgery. Academically acclaimed otolaryngologists from across the nation are invited to give presentations on their area of interest, providing a valuable and unique educational experience. The department sponsors resident annual dues to attend all society meetings. Journal Club Journal Club is a resident-led session, meeting three to four times per academic year. The residents present and discuss classic or otherwise timely and interesting articles, with faculty facilitation of discussion. The meetings are held in informal settings, often over dinner in a local venue. These meetings serve to broaden the educational experience of the residents, as well as increase camaraderie among the residents and faculty. Faculty-Supervised Activities The department faculty members actively supervise and administer the educational activities described above (quartiles of the didactic curriculum, surgical caseload, etc.). Formal resident evaluations occur twice each year, with the program director meeting each resident to review evaluations, surgical case numbers and research progress. Our faculty are dedicated to the education of residents. Each resident receives lectures and one-on-one teaching every week. Thorough preoperative evaluation and sound medical/surgical judgment are stressed, as is excellence in postoperative care. Full-time faculty attend all surgical operations. In the faculty clinical practices, many patients are evaluated by the resident rotating with the attending and presented to the attending physician. The resident has the benefit of independent assessment with mentored feedback at the time of the patient visit. In addition, a resident clinic is staffed by full-time and volunteer faculty. In these clinics, the resident initially sees all patients before presenting them to a senior resident. Attending oversight is provided, and an attending physician also sees all patients. Residents participate in the faculty surgeries, and all operative procedures performed at UCI Medical Center and VA Long Beach Medical Center include resident participation. At the affiliated hospitals (Kaiser and Children’s Health of Orange County (CHOC)) the number of cases and faculty members exceeds resident availability. At these sites, residents participate in many but not all of the available surgeries. Libraries The ENT resident library is located in our departmental office. It contains the major journals of the specialty. Otolaryngology textbooks and other otolaryngology educational aids are also available in this library for resident use. Adjacent to the library is a resident computer, resources on temporal bone anatomy, histopathology, anatomy and surgical techniques. A second resident library and workspace are located in the clinic. The UCI Grunigen Medical Library, located on the hospital campus, has an extensive journal and textbook collection and a computer lab available for residents. Interlibrary loan and electronic document requests are available, as well as professional library assistance for literature searches. Research One major goal of the residency program is to train future academic surgeons in the specialty of otolaryngology-head and neck surgery. Accordingly, research, both basic and clinical, is an important aspect of the training program. Each resident is expected to complete at least one publishable basic science and one clinical project (such as a retrospective study, etc.) during the training period, although most residents typically exceed that expectation. It is expected that each of these will result in a scientific manuscript that is presented at a meeting and a published paper. The department establishes high academic goals and pursuits to prepare each resident to attain clinical expertise and scientific competency. The residency curriculum rigor prepares residents for passage of the American Board of Otolaryngology certifying examination and success in their future careers. Academic Meetings Residents are strongly encouraged to attend and present papers and posters at national and regional academic meetings. A podium presentation for at least one meeting is expected, although residents frequently present more often. The department provides financial assistance to support residents’ travel to major regional and national meetings where they present a paper or poster. Testimonials “On interviewing at UCI, the friendliness and camaraderie of the residents, engagement of the attendings and impressive surgical training clinched it for me. Our program also exposes trainees to a variety of practice settings, allowing them to start planning their own future practice early in residency. Residents who graduate from our program are capable surgeons and physicians. Our faculty are supportive and will wholeheartedly assist you in pursuing any fellowship or career you choose.” -Catherine Merna, MD, Class of 2022 “Our faculty are truly great at graded autonomy. By the time I was a chief, I was leading juniors through nearly every type of ENT surgery. This has made me a confident and competent surgeon, and I feel great about going into practice after finishing my training here at UCI.” -Cameron Heilbronn, MD, Class of 2020