OT501M.5

Otolaryngology-Head and Neck Surgery

Sites: BIDMC
Director(s): Katharyn Atkins, James Naples
Prerequisites: Surgery Clerkship
Offered: Full time every month.
Location: BIDMC - BI-Deaconess Medical Center (5)
Open to Exclerks: No (HMS only)
Description: This one-month elective will offer students a comprehensive clinical experience in Otolaryngology-Head and Neck Surgery. The rotation is available to all interested students, and will be particularly useful for students interested in pursuing a career in Otolaryngology-Head and Neck Surgery. The rotation will consist of a combination of operative, inpatient, and outpatient experiences. Students will spend time with each of the various subspecialty services (H&N oncology, Otology, Laryngology, and rhinology) during this rotation, and will be expected to be active participants within each service. Students will be expected to take call one night during the week and one weekend during the rotation. The students will assists residents and faculty in evaluating outpatients and taking care of inpatients and in the operating room. Learning activities will include weekly didactics, multi-disciplinary conferences, and outpatient specialty clinics. The course director will orient the students on the first day of the elective, and have a mid-rotation meeting to discuss progress and experience of the rotation. It is expected that the student will prepare for each aspect of the experience through active reading and inquisition. At the end of the rotation, it is expected that the student present on a topic of their choosing during to the department.
Incorporation of Basic Science Content and Evidence-Based Medicine:
- Basic science and EBM content will be integrated into the course throughout the rotation. Students will receive assigned readings in various topics prior to the start of each week that incorporate this material. They will be expected to integrate basic science literature and evidence-based medical literature during their end-of-rotation presentation.
Grade Criteria:
Honors with distinction:
Functions at the level of a an early PGY-1 resident. To achieve this level, students should demonstrate comprehensive knowledge of patients and their disease process. The students should demonstrate entrustable behavior in all core competencies including medical knowledge, patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practices.
Achieving honors with distinction means that the students will demonstrate complete insight to the limits of their medical knowledge, communicate what they know to the patients in an appropriate manner, and recognize when they need more senior advice. In the clinical setting, the student who achieves honors with distinction will gather all information in the history and perform an adequate physical examination. The honors with distinction student will efficiently be able to interpret the findings from the history and physical. In addition, they will know how to implement and integrate feedback to improve their fund of knowledge.
In the operating room, entrustable behavior means that students demonstrate ability to participate in preparation and set up of the patient for each case. In addition, the students will demonstrate full understanding of the indications for each procedure and some of the advanced surgical nuances such as various approaches to each surgery.
Finally, students who achieve honors with distinction should demonstrate professionalism in their work by interacting with all patients and staff in a manner that is sensitive to and respectful of culture, race, and gender.

Honors:
Emerging function that approach the level of a an early PGY-1 resident. To achieve this level, students should demonstrate near comprehensive knowledge of patients and their disease process. The students should demonstrate entrustable behavior in most of the core competencies including medical knowledge, patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practices.
Achieving honors means that the students will demonstrate some insight to the limits of their medical knowledge. In the clinical setting, the honors student will gather all information in the history and perform an adequate physical examination, but may require assistance in interpreting the findings from the history and physical. They will communicate what they know to the patients in most instances, and recognize when they need more senior advice. They will know how to implement and integrate feedback to improve their fund of knowledge.
In the operating room, entrustable behavior means that students demonstrate ability to participate in preparation and set up of the patient for each case. In addition, the honors student will demonstrate full understanding of the indications for each procedure, however they may require some guidance on some of the advanced surgical nuances such as various approaches to each surgery.
Finally, honors students should demonstrate professionalism in their work by interacting with all patients and staff in a manner that is sensitive to and respectful of culture, race, and gender.

Satisfactory:
Functions at the level appropriate for senior medical student. To achieve this level, students should demonstrate incomplete, but thorough knowledge of patients and their disease process. The students should demonstrate emerging behavior in most of the core competencies including medical knowledge, patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practices.
Achieving a satisfactory level means that the students will demonstrate some insight to the limits of their medical knowledge. In the clinical setting, the satisfactory student will gather most information in the history and perform an adequate physical examination, but may require assistance in interpreting the findings from the history and physical. They will communicate what they know to the patients in most instances, and may be uncomfortable in offering details of the care plan. They may require guidance in the implementation and integration of feedback to improve their fund of knowledge.
In the operating room, emerging behavior means that students demonstrate ability to participate in preparation and set up of the patient for most cases. The satisfactory student will demonstrate incomplete understanding of the indications for each procedure, and may be familiar with various approaches, but in uncertain how to implement these concepts.
Finally, satisfactory students should demonstrate professionalism in their work by interacting with all patients and staff in a manner that is sensitive to and respectful of culture, race, and gender.

Unsatisfactory:
Functions below the level appropriate for senior medical student. To achieve this level, students will demonstrate incomplete knowledge of patients and their disease process. The students should demonstrate pre-entrustable behavior in most of the core competencies including medical knowledge, patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practices.
Achieving an unsatisfactory level means that the students will demonstrate lack of insight to the limits of their medical knowledge. In the clinical setting, the satisfactory student will gather some information in the history and perform an adequate physical examination, but may require assistance in interpreting the findings from the history and physical. They will communicate what they know to the patients in some instances, and may be uncomfortable in offering details of the care plan. They will require guidance in the implementation and integration of feedback to improve their fund of knowledge.
In the operating room, pre-entrustable behavior means that students in unable to participate in preparation and set up of the patient for most cases. The unsatisfactory student will demonstrate incomplete understanding of the indications for each procedure, and may will not be familiar with various approaches.
Finally, unsatisfactory students, despite shortcomings in other competencies, will be expected to demonstrate professionalism in their work by interacting with all patients and staff in a manner that is sensitive to and respectful of culture, race, and gender. Violation of professionalism principles will not be tolerated in any setting.