Goals and Objectives PGY 2: SCVMC

Goals and Objectives PGY 2: SCVMC

Competency-based Goals and Objectives Goal 1: Learn how to evaluate and counsel otolaryngology patients with common conditions related to the head and neck.

Resident Objectives: ACGME Competency Goals Regularly attend outpatient clinics and learn a complete head and neck history and examination on adult and pediatric patients with attending supervision/verification of positive/negative findings. Patient Care Medical Knowledge Begin to attain an understanding of appropriate work-up and available medical and surgical treatment options for adults with common conditions such as chronic otitis media, nasal obstruction, sleep apnea, chronic sinusitis, gastroesophageal reflux, asymmetric sensorineural hearing loss, vocal cord paralysis, epistaxis, head and neck malignancy, and otitis externa. Patient Care Medical Knowledge

Be able to effectively counsel patients regarding the treatment alternatives, indications, risks, benefits, and expected post-operative course of basic surgical procedures such as: Patient Care Medical Knowledge Interpersonal and Communication Skills

o Uvulopalatopharyngoplasty o Septoplasty o Turbinate reduction o Tracheotomy o Tympanoplasty o Excisional biopsy of neck mass o Laryngoscopy, esophagoscopy, and bronchoscopy Be able to effectively counsel patients regarding medical ENT topics such as presbycusis, tinnitus, control of seasonal allergies, head and neck cancer risk factors, and smoking cessation.

Patient Care Medical Knowledge Interpersonal and Communication Skills Learn basic audiologic principles and understand the interpretation of audiologic tests. Medical Knowledge Begin to develop a practical and cost-effective approach to providing excellent care within the constraints of resources available to uninsured/under-insured patients. Systems-Based Practice Patient Care Begin to develop competency in recognizing emergencies in the adult and pediatric patient, including airway emergencies. Patient Care

Learn the nuances of performing fiberoptic nasopharyngoscopy and laryngoscopy. Patient Care Learn to perform pneumatic otoscopy to improve accuracy in the diagnosis of middle ear effusion. Patient Care Learn the ways in which normal pediatric anatomy may differ from adult anatomy, and the appearance of common pediatric disorders. Medical Knowledge

Learn to obtain a directed history and exam for common pediatric problems such as sleep apnea, hearing loss, speech delay, epistaxis, and stridor. Patient Care Interpersonal and Communication Skills

Be able to discuss appropriate work-up and management for pediatric conditions such as otitis media, sleep disorders, sinusitis, laryngomalacia, recurrent respiratory papillomatosis, and neck masses. Patient Care Medical Knowledge

Be able to effectively counsel patients/families regarding the treatment alternatives, indications, risks, benefits, and expected postop recovery of the following procedures: o Pressure equalizing tube placement o Tonsillectomy o Adenoidectomy o Laryngoscopy and bronchoscopy o Excision of neck mass (e.g. thyroglossal duct cyst) o Tracheostomy o Tympanoplasty Be able to effectively counsel patients/families regarding medical ENT topics such as congenital hearing loss, risk factors for otitis media, second-hand smoke risks, epistaxis prevention. Develop a sense of empathy regarding the barriers that conspire to prevent patients from receiving optimal healthcare (lack of transportation, language barriers, socioeconomic status, cultural differences, education level, family support, etc.).

Understand the importance of confidentiality in patient medical records, patient care, and patient related communications. Begin to develop an understanding of one's own abilities and limitations, including fatiguemanagement, and a commitment to life-long learning and improvement. Patient Care Interpersonal and Communication Skills

Patient Care Interpersonal and Communication Skills

Patient Care Interpersonal and Communication Skills Professionalism Professionalism Interpersonal and Communication Skills Practice-Based Learning and Improvement Professionalism

Become a competent user of the literature in otolaryngology, through targeted literature searches and critical review of literature, to direct patient care and improve medical knowledge. Practice-Based Learning and Improvement

Develop an understanding of OHNS documentation, coding and compliance issues. Systems-Based Practice Professionalism

Goal #2: Learn to perform basic otolaryngology procedures

Resident Objectives:

ACGME Competency Goals Be able to competently perform the following procedures with direct attending supervision: Patient Care o Tympanostomy tube placement o Tonsillectomy and adenoidectomy o Endoscopy, including direct laryngoscopy, suspension laryngoscopy, esophagoscopy, and bronchoscopy in children and adults o Routine tracheotomy o Removal of simple neck masses/cysts o Repair of complex facial lacerations o Removal of uncomplicated esophageal foreign bodies o Incision and drainage of neck abscess Be able to assemble the equipment needed to perform a laryngoscopy, bronchoscopy and esophagoscopy. Patient Care Learn to set up, test, and operate the CO2 laser with appropriate attention to laser safety, with supervision. Patient Care

Goal #3: Begin to appreciate systems-based understanding of otolaryngology practice and general OHNS issues

Resident Objectives: ACGME Competency Goals Attend monthly staff meeting. Systems-based practice Begin to appreciate importance of E&M and procedure coding, surgical procedures, consultations, and outpatient visits (CPT and ICD-9). Systems-Based Practice Professionalism Begin to understand the importance of documentation to support coding levels and to comply with insurance payor regulations (e.g. Medicare). Systems-Based Practice Professionalism Begin to develop sense of empathy regarding the barriers that conspire to prevent patients from receiving optimal healthcare (lack of transportation, language barriers, socioeconomic status, cultural differences, education level, family support, etc.) Patient Care Interpersonal and Communication Skills Professionalism

Understand the importance of maintaining confidentiality in patient medical records, patient care, and patient related communications. Professionalism Interpersonal and Communication Skills