11. DESCRIPTION OF ACADEMIC CONTENT, CONFERENCES AND RESPONSIBILITIES

❑ Quality Improvement Project

PGY4 ❑ Residency Research Symposium Presentation

PGY5 ❑ Grand Rounds ❑ Residency Research Symposium Presentation

11.Description of Academic Content, Conferences and Responsibilities

Residents are responsible for core learning as outlined in the following document: http://www.aboto.org/pub/Core%20Curriculum.pdf

The academic curriculum is based on a rotating two-year cycle so that each resident is exposed to each topic at least twice during his/her residency. Weekly Residency Education conferences are held on Mondays 8:00-9:00 AM. Residents are expected to be on time for 80% of sessions (except for cases of pre-approved excused absences). Residents at SCVMC and VAPA will be expected to participate via Zoom videoconference. Attendance records will be tracked, and will be reviewed by residents and faculty.

The Thursday evening conferences (Grand Rounds and Quality Improvement) begin at 6:00 PM. In addition, there will be at least one book club, and journal clubs are held on weekday evenings (usually on Mondays) four times a year. Residents will be assigned to help organize the journal clubs. Residents are expected to practice drilling in the temporal bone lab on their own to meet required competencies. See appendix (Temporal Bone Lab) for more information. The Quality Improvement Project, whose curriculum has been redesigned, will be a requirement of all residents in their PG3 year.

The use of laptops is not permitted during Grand Rounds.

The PGY5 chief residents will be assigned to give one grand rounds session during the year.

All residents rotating at Stanford and LPCH are expected to attend Monday morning conference from 7:15-8:00 AM. The course subjects include Neurotology Radiology, Laryngology, Rhinology, Trauma, Sleep Surgery, and Pediatric Otolaryngology conference. The residents rotating at SCVMC and VAPA are expected to participate in the Monday morning conferences via Zoom videoconference.

All residents on the Scalpel Service are required to attend the Head & Neck Resident Case Conference every Thursday 4:00-4:30 PM, followed by Head & Neck Tumor Board 4:30-5:00 PM.

All residents are required to complete an allergy course either online or in person at some point during their residency. In addition, all residents must spend a minimum of two half-days in the Allergy Clinic to gain hands-on experience with skin testing. Contact Dr. Meng Chen at mengchen@stanford.edu at least one month in advance to schedule your clinic time. These

requirements can be completed in any PGY year. Due to travel restrictions this year, the requirements may be completed online through the World Allergy Organization website: https://www.pathlms.com/wao/ The following allergy sessions should be completed: https://www.pathlms.com/wao/courses/585 https://www.pathlms.com/wao/courses/4114 https://www.pathlms.com/wao/courses/1771 https://www.pathlms.com/wao/courses/572 https://www.pathlms.com/wao/courses/586 https://www.pathlms.com/wao/courses/576 https://www.pathlms.com/wao/courses/581

All residents are required to take the in-training exam each year of residency, held the first Saturday of each March, with the exception of residents in their dedicated research years of the T32 track.

Attendance Policy

Conferences

Attendance will be taken at each of the Monday conferences at 8:00 AM and other required conferences (eg journal club, grand rounds, etc) and other events (residency meetings, symposium, etc).

Mandatory Events

Residents are required to be present for the following annual events. Vacation time should be scheduled accordingly:

• Residency graduation • Residency Research Symposium • In-training exam (first Saturday of March) • Residency Annual Program Evaluation/Retreat (usually the first Monday in June)

Annual In-training Exam

All residents, including the PGY1 residents with the exception of residents in their dedicated research years of the T32 track, are required to sit for the in-training exam, administered the first Saturday of March. Residents who achieve scores in the 7th -9th group stanines will receive prizes of $500 for academic purposes. Those in the bottom three stanines will be required to submit a written study plan to the program director and their assigned mentor, and to meet with their mentor on a quarterly basis to discuss progress.

Residency Research Symposium

Every year, on graduation Friday, the department hosts a day-long symposium to showcase research conducted by residents over the year. Maximum time for the presentation is 7 minutes (with an additional three minutes of question and answer time). Presentations are judged by selected faculty and the guest of honor using a criterion-based rubric, which is provided to the residents in advance. PGY2-5 are required to give a presentation. A grand prize of $500 in

academic funds is given to the best overall presenter; there are two runners up, receiving $250 in academic funds each in the categories of presentation and content, respectively.

To be eligible for these prizes, the material presented must constitute original research conducted by the resident (which has also not been previously presented in years past, but may have been presented at a national conference or the Bay Area Residency Research Symposium). An abstract of the talk is due two weeks before the symposium date.

Quality Improvement (QI) Curriculum

Effective July 1, 2020, the QI curriculum has been revamped. While its purpose remains the same, this learning requirement has been restructured, is now being overseen by Dr. Karthik Balakrishnan, and is a collective rather than individual resident project of PGY3’s.

The aim of the QI project is to develop a plan to support a hospital or clinical performance improvement or patient safety measure by:

• Reflecting on practice and practice analysis • Critically analyzing the current literature • Developing a plan for implementation of the proposed change • Developing an outcomes’ assessment (performance measure)

Its overall purpose is to foster an understanding of the complexities of health care delivery and develop the skills to address them as is described by the core competency, Systems-Based Practice.

The program is illustrated in the image below. Working sessions will take place on weekday evening, four times a year between July and October. Thereafter the team will meet on its own for completion of the project in the following June.