Goals and Objectives PGY 4/5: VAPA

Goals and Objectives PGY 4/5: VAPA

Competency-based Goals and Objectives Goal 1. Know how to care for the otolaryngology patient.

Resident Objectives: The R4/5 will be able to efficiently execute the evaluation of most patients without major changes being suggested by supervising faculty. Demonstrate a command of relevant literature and be able to apply it in the development of an evaluation and (surgical and/or non-surgical) treatment plan for the full spectrum of OTO/HNS problems such as: o Head and neck malignancy ACGME Competency Goals Patient Care Medical Knowledge

Patient Care Medical Knowledge Practice-Based Learning and Improvement

o Complicated sinonasal disease Patient Care Medical Knowledge Practice-Based Learning and Improvement

o Complex facial reconstruction

o Complex oto-neurotologic complaints

o Advanced voice and swallowing disorders

Patient Care Medical Knowledge Practice-Based Learning and Improvement Patient Care Medical Knowledge Practice-Based Learning and Improvement Patient Care Medical Knowledge Practice-Based Learning and Improvement o Obstructive sleep apnea Patient Care Medical Knowledge Practice-Based Learning and Improvement Demonstrate confidence and competence in the management of OTO/HNS emergencies. Patient Care Medical Knowledge

Exhibit leadership and clear thinking while efficiently mobilizing appropriate resources to care for such problems as airway emergencies, hemorrhage, and OTO/HNS trauma.

Demonstrate the ability to think ahead and contingency plan to avoid errors caused by lack of equipment, lack of staff, or lack of appropriate attending or specialty back-up. Patient Care Medical Knowledge Systems-Based Practice Systems-Based Practice

Demonstrate proficiency in the recognition and management of surgical risk factors. Patient Care Medical Knowledge

Demonstrate proficiency in the recognition, management, and avoidance of surgical complications.

Be able to successfully transition from supervision by faculty to primary decision making with faculty oversight.

Supervise presentation of complications on the service at monthly Quality Assurance conference. Patient Care

Medical Knowledge

Patient Care

Medical Knowledge

Practice-Based Learning and Improvement

Demonstrate competence and organizational skills in directing the resident team in the daily management of in-house patients and OR activities.

Demonstrate ability and commitment in the day-to-day informal teaching and mentoring of students and junior residents.

Be able to competently supervise/assist junior residents performing common OTO/HNS surgical procedures.

Be able to demonstrate excellent interpersonal skills, effectively setting the tone for other members of the resident team, clinical and non-clinical staff.

Goal 2. Be able to perform standard otolaryngology procedures.

Resident Objectives: Patient Care

Medical Knowledge

Practice-Based Learning and Improvement

Practice-Based Learning and Improvement

Interpersonal and Communication Skills

ACGME Competency Goals

Be able to competently and efficiently perform advanced otolaryngology procedures such as: Patient Care o Otology/Neurotology Tympanomastoidectomy Ossicular chain reconstruction Stapedotomy o Head and Neck Maxillectomy Partial laryngeal surgery Composite resection Total parotidectomy with nerve grafting Surgical management of aggressive thyroid malignancy o Rhinology Revision endoscopic sinus surgery Orbital decompression Repair of CSF leaks o Laryngology Microlaryngeal excision of cancer with laser and cysts with microflap technique Endoscopic and open cricopharyngeaus and Zenker’s diverticulum surgery Thyroplasty and arytenoid repositioning surgery In office injection larygoplasty, laser surgery, and trans-nasal esophagoscopy o General Advanced techniques in obstructive sleep apnea surgery o Facial Plastic and Reconstructive Surgery Complex facial trauma, such as Le Fort fractures, naso-orbital-ethmoid fractures, and comminuted mandible and midface fractures Functional rhinoplasty Repair of post-traumatic and post-ablative defects Skin resurfacing for malignancy prophylaxis

Goal 3. Have a comprehensive otolaryngology knowledge base.

Resident Objectives: Develop competence in the interpretation of head and neck imaging studies through regular review of all patient imaging and attendance at radiology rounds. Learn the nuances of correctly coding surgical procedures, consultations, and outpatient visits (CPT and ICD-9). Be able to appropriately document patient care to support coding levels and to comply with insurance payor regulations (e.g. Medicare). Develop an understanding of and sensitivity to the impact of cultural, economic and ethnic factors in the doctor-patient relationship and the delivery of healthcare. Develop an understanding of one’s own abilities and limitations including awareness of signs of fatigue. Become an intelligent user of the academic literature in otolaryngology. Demonstrate the ability to apply knowledge of study designs and statistical methods to appraise clinical studies. Perform literature searches as needed to continuously improve the level of medical knowledge. ACGME Competency Goals Patient Care Medical Knowledge Patient Care Systems-Based Practice Patient Care Systems-Based Practice Professionalism Systems-Based Practice Professionalism

Professionalism Practice-Based Learning and Improvement