During the first year (R1) of Otolaryngology, the resident will advance from simple procedures such as tonsillectomy and laryngoscopy to other forms of endoscopy, maxillofacial trauma, nasal septoplasty, and sinus surgery.
The second year (R2) of Otolaryngology, the resident will perform both minor and major sinus and head and neck trauma surgery. He or she will be expected to show proficiency in minor reconstructive and cosmetic procedures of the head and neck and basic microsurgery of the ear.
Third and Fourth Years
The R3 and R4 years build upon the surgical and clinical experiences of the first two years while facilitating experience in advanced microsurgery of the ear, neurotology, facial plastic surgery, major head and neck surgery, and advanced reconstructive techniques. After completion of the residency, it is usual for the graduating resident to have participated as the primary surgeon in more than 2,000 cases. The senior resident at each hospital serves as its Chief Resident and assumes responsibility of that service. Also during this period, exposure to research is emphasized. Three months of the R3 year are reserved for electives, which may be dedicated to clinical or basic science research, further clinical elective training, or other academic endeavors as approved by the faculty.
Research activity is considered an important educational tool at UT Southwestern, and completion of a clinical or basic science research project suitable for publication is mandatory.
Elective Rotation and Research Projects
In the R3 year, a three-month elective rotation is provided. This elective is generally spent performing basic or clinical science research on campus, under the preceptorship of one or more faculty members.
With prior approval, an off-campus mini-fellowship may be arranged during the elective rotation. This requires that the individual submit the details of the proposed fellowship to the Program Director three months prior to the beginning of the elective rotation and appear at the subsequent faculty meeting to defend the choice. Such mini-fellowships are supported by Department funds for salary expenses and require that a paper based on the experience gained during the training be submitted by the resident within one month of returning. The planning of this away rotation is critical, so please inform us as early as you know about it so that we can arrange for your salary and malpractice coverage to extend through this period.
In choosing a research project, whether basic science or clinical, the resident should initially consult the Clinical Research Coordinator. She will be able to give guidance and counsel for IRB paperwork. In the case of clinical projects, the resident will be put in touch with the appropriate faculty member who will serve as sponsor on the project.
During the three-month research/elective rotation, two weeks are provided for learning the disciplines of audiology, speech-language pathology, physical therapy, and allergy. Angela Shoup, MD, puts together a concise, effective schedule for the two-week period encompassing useful experience in all these areas.