Medical Degree Program Admissions Application Criteria & Process Admission Requirements How to Apply FAQs Transfer Policy & Procedures Contact Us Curriculum Electives Information for Incoming Students Student Support 685D - Advanced Clinical Otolaryngology International students are not accepted on this rotation. Home Education Medical Education Medical Degree Program MD Programs Curriculum Head and Neck Surgery Elective > 685D - Advanced Clinical Otolaryngology Course Director, Coordinator and General Administrative Information Faculty & Staff Office Location Phone Email Director: Edward Kuan, MD, MBA UCI Medical Center Department of Otolaryngology – Head and Neck Surgery 333 City Blvd., West, Suite 525 Orange, CA 92868 714-456-5753 eckuan@uci.edu DESCRIPTION The student receives instruction in a wide range of Otolaryngology and Head & Neck disorders, and actively participates in the clinic, hospital wards, operating room and conferences. Emphasis is placed on diagnostic skills and development of a broad differential diagnosis. Special examination techniques will be included (i.e., endoscopy, mirror examination). PREREQUISITES UCI students must have successfully completed their basic science and clinical science curricula. Extramural students must be in the final year of undergraduate medical education. RESTRICTIONS International students are not accepted on this rotation. COURSE DIRECTOR Edward Kuan, MD, MBA WHAT STUDENTS SHOULD DO TO PREPARE Read a basic otolaryngology Head and Neck textbook (ex. Cummings), you may find review books (eg. Pasha, KJ Lee, ENT Secrets) to be portable and helpful on rotation as well. INFORMATION FOR THE FIRST DAY Who to Report to on First Day: Please contact the resident on-call by paging 714-506-6519 prior to your rotation to find out where and when to report on your first Monday, as well as to obtain your assignment for that day so you can be prepared. You could also contact the academic office at (714) 456-8450 or (714) 456-5753. Site: UCI Medical Center DURATION: two to four weeks Scheduling Coordinator: Scheduling Coordinator: UCI students please email comsched@uci.edu or call (714) 456-462 to make a scheduling appointment. Please read the following information carefully. Extramural students enrolled at a U.S. LCME medical school must use VSAS to apply. To apply please refer to the Visiting Students Learning Opportunities website. Periods Available: Throughout the year. NUMBER OF STUDENTS ALLOWED: one to four WHAT STUDENTS SHOULD DO TO PREPARE FOR THE ROTATION Read a basic otolaryngology Head and Neck textbook (ex. Cummings), you may find review books (eg. Pasha, KJ Lee, ENT Secrets) to be portable and helpful on rotation as well. Course Objectives and Program Objective Mapping The following are the learning objectives for the 605B course. Students are expected to demonstrate proficiency in these areas in order to satisfactorily complete the course. In addition, the extent of a student's mastery of these objectives will help guide the course evaluation and grade. Course Objective Key Topics and Competencies Be proficient at taking an appropriately directed history and physical as it relates to Otolaryngology - Head and Neck Surgery. General head and neck anatomy and physiology Demonstrate professionalism by attending all rounds, conferences and lectures as assigned. Ability to perform a complete physical examination Effectively prepare for and discuss procedures both in the clinic and the operating room. Endoscopy, audiology, stroboscopy, ultrasound Communicate patient workup and assessment by presenting to attending and resident physicians. Patient presentation skills Demonstrate higher level understanding regarding the management of the otolaryngology patient and communicate this with patients and providers. Building rapport with patients, and professionalism and teamwork Course Resources COURSE RESOURCES TEXTS AND READINGS: SUPPORTING AND REVIEW Answering clinical questions: During your rotation at UCI and other institutions, you will occasionally be asked to look up clinical questions related to diagnostic workup, anatomy, and surgical or medical treatment of disease processes. To set yourself up for success, it is important to be familiar with some of the resources commonly utilized by Otolaryngology residents and physicians. In the long run, knowing “how” to find the answer to the question can be more important than the answer to the question itself. Many resources can also be found online, often in media form (e.g., YouTube). Included are some common resources: Standard ENT textbooks: These are exhaustive textbooks with detailed chapters of the basics. They are a good place to start, in order to develop a full understanding of the background of the clinical question. Cummings Otolaryngology (7th edition, 2020) Bailey’s Head and Neck Surgery: Otolaryngology (5th edition, 2013) Surgical Atlas: The most critical parts of any surgery are understanding anatomy, indications, key steps, and complications. Commonly used surgical atlases include: Atlas of Head and Neck Surgery by Cohen and Clayman Operative Otolaryngology by Myers and Snyderman Master Techniques in Otolaryngology-Head and Neck Surgery – different specialty areas Surgical Anatomy of the Head and Neck by Janfaza An Atlas of Head & Neck Surgery by Lore and Medina ENT Review books Once you have a full understanding of the background of the question, the review books help highlight the most important “clinical pearls” associated with the topic. However, without a broader understanding, it can be difficult to use these resources to fully answer a given question. Pasha’s Otolaryngology-Head and Neck Surgery: Clinical Reference Guide KJ Lee’s Essential Otolaryngology ENT Secrets Literature Search: Once you have a good understanding of the background behind a question and the highlights associated with a topic, a literature search can help identify key points related to the clinical question. However, it is important to know that not every piece of published literature on a given topic is relevant to a surgical audience. Knowing the authors and their institutional affiliations, date of publication, and journal published are all key in determining the relevance of a given article. Several examples of established ENT journals are: JAMA Otolaryngology – Head & Neck Surgery Laryngoscope Otolaryngology – Head & Neck Surgery Head & Neck Annals of Otology, Rhinology and Laryngology International Forum of Allergy & Rhinology American Journal of Rhinology and Allergy Otology & Neurotology Journal of Voice Journal of Laryngology and Otology Often, high profile publications such as JAMA, NEJM, Cancer, and Journal of Clinical Oncology contain multidisciplinary articles about topics within Otolaryngology. Many other journals contain relevant literature to Otolaryngology as well, but it is always key to note the authors, affiliations, etc. Several review journals often invite “experts” to write reviews on topics as well, and these can be good supplements to answering your questions. These include: Otolaryngologic Clinics of North America Operative Techniques in Otolaryngology Facial Plastic Surgery Clinics of North America Major Exams, Assignments and Grading ASSIGNMENTS AND GRADING Educational Activities: The student will participate in daily rounds, group discussions, ground rounds and additional educational didactics. The sub-intern is also responsible for pre-rounding on all patients in whose operations they participated. Clinical Responsibilities of the Student: Pre-rounding, morning rounds, teaching conferences, patient care, case presentations, Grand Rounds, clinic rotation, participation in cases, ED consults, and floor procedures. Attending Rounds: During the rotation, there will be 1-2 morning sessions where sub-interns will present inpatients whom they are following. Sub-interns are expected to present their patients in a concise but thorough format (5 minutes or less), and feedback will be given by faculty regarding the presentation. Faculty in attendance will then ask the students and residents questions regarding the cases. Attending rounds are intended to be an opportunity to enhance learning in the group setting, and students are expected to fully participate. End-of-Rotation Presentation: The student is asked to deliver a 15-minute audiovisual presentation on an area in which they have conducted research, or on a patient or topic of interest, based on exposure during the rotation. Topics that include patient history, workup, disease pathophysiology, and treatment options have historically been more well-received than those that focus heavily on surgical techniques. The presentation should be discussed with and reviewed by a faculty member or the chief resident. All 4-week rotators are to present during the Grand Rounds time slot towards the end of the rotation. This can be scheduled prior to or during the first week of the rotation. Call Schedule of the Student: Please coordinate with the otolaryngology resident team regarding coverage of after-hour and weekend cases. Percentage of Time in Ambulatory Setting: Typically, 20-40 percent. Conference/Lecture/Small Group Sessions: The student will participate in group discussions, Grand Rounds and daily rounds. Subspecialty teaching conferences and Grand Rounds are Wednesday evenings from 4-6pm in ENT at either City Tower or via zoom. Verify the time and location with the resident team. Weekly Thursday AM conference from 7-8, with subsequent clinic or OR. Tumor Board Wednesdays 7:15 am via Zoom link. Reading about the patients and diagnoses prior to Tumor Board increases the educational yield of the conference. Facial Plastics Conference: 2nd Friday of the month, 7:30-10am after morning rounds. Content Theme Integration: Communication Decision Making Epidemiology Ethics Pain Management GRADING Official Grading Policy: The student will receive a grade of Honors, Pass or Fail. The student's final grade will be submitted on the standard UCI form. The student will be evaluated by attendings and residents in the area of clinical performance, clinical skills, formal presentation, learning accomplishments, attendance, attitude and effort. Clinical Instructing Faculty Name Subspecialty Title Tjoson Tjoa, MD Head & Neck/Microvascular Surgery Associate Professor, Interim Department Chair Yarah M Haidar, MD Head & Neck/Microvascular Surgery Assistant Professor, Otolaryngology Residency Program Director Edward C Kuan, MD, MBA Rhinology/Skull Base Surgery Associate Professor Director, Medical Student Education Director, Endoscopic Skull Base Surgery William B Armstrong, MD Head & Neck Surgery Professor and Chair Emeritus Naveen D Bhandarkar, MD Rhinology/Skull Base Surgery Associate Professor Chief, Rhinology and Allergy Roger L Crumley, MD General Otolaryngology Professor and Chair Emeritus Hamid R Djalilian, MD Otology/Neurotology Professor Chief, Otology and Neurotology Harrison W Lin, MD Otology/Neurotology Associate Professor Victor Passy, MD General Otolaryngology Professor and Chair Emeritus Douglas Trask, MD General Otolaryngology/Sleep Med Professor Sunil P Verma, MD Laryngology Professor Medical Director, Director of the Voice & Swallow Center Brian JF Wong, MD Facial Plastic & Reconstructive Surgery Professor Vice Chair Director, FPRS Fellowship Gurpreet S Ahuja, MD Pediatric Otolaryngology Chief of Otolaryngology, Children’s Hospital of OC Jay Bhatt, MD Pediatric Otolaryngology Children’s Hospital of OC Kevin Huoh, MD Pediatric Otolaryngology Children’s Hospital of OC Nguyen S Pham, MD Pediatric Otolaryngology Children’s Hospital of OC Qiu Zhong, MD Pediatric Otolaryngology Children’s Hospital of OC