Goals and Objectives PGY 5: SCVMC

Goals and Objectives PGY 5: SCVMC

Competency-based Goals and Objectives Goal #1: Know how to evaluate, counsel and treat otolaryngology patients.

Resident Objectives: Exhibit confidence and independence while pursuing a well-reasoned approach to the evaluation and management of the full spectrum of OTO/HNS patients.

The R5 will be able to efficiently execute the evaluation of most patients without major changes being suggested by supervising faculty. Demonstrate a command of relevant current 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 o Complicated sinonasal disease o Complex facial trauma o Complex oto-neurotologic complaints o Structural and functional voice/swallowing disorders o Thyroid and parathyroid disorders Demonstrate confidence and competence in the management of OTO/HNS emergencies, along with the skills needed to effectively lead the patient care team.

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, and to communicate effectively while leading the patient-care team . ACGME Competency Goals Professionalism Medical Knowledge Patient Care Medical Knowledge Patient Care Medical Knowledge Patient Care Practice-Based Learning and Improvement

Patient Care Medical Knowledge Professionalism Interpersonal and Communication Skills Systems-Based Practice Medical Knowledge Interpersonal and Communication Skills Professionalism

Recognize and anticipate complications such as airway compromise, hemorrhage, hematoma, infection, CSF leak, and fistula. Develop and execute a treatment plan to manage such complications, while taking responsibility as appropriate, and using such experiences to improve patient care.

Be able to apply information gained from radiographic studies in the assessment of head and neck lesions, congenital anomalies, paranasal sinus pathology and temporal bone pathology, and understand the appropriate use, overuse, and limitation of these studies. Demonstrate competence in the interpretation of the full range of audiologic studies including ABR, Enog, and OAEs. Be able to successfully transition from supervision by faculty to primary decision-making with faculty oversight.

Take primary responsibility for co-directing monthly pathology and radiology teaching conferences with the Pathology and Radiology Departments. Supervise presentation of complications on the service at monthly Quality Improvement conference, including review of relevant literature.

Develop the resident call schedule. 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. Patient Care Medical knowledge Patient Care Medical Knowledge Professionalism Practice-Based Learning and Improvement Systems-Based Practice Medical Knowledge Patient Care

Medical Knowledge

Professionalism Medical Knowledge Patient Care Interpersonal and Communication Skills

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

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

Demonstrate competence in OHNS coding, compliance, documentation and confidentiality issues. Demonstrate a high-level of empathy and 'cultural competence' regarding those factors that conspire to prevent patients from receiving optimal healthcare (lack of transportation, language barriers, socioeconomic status, cultural differences, education level, family support, etc.), and an understanding of resources that can be utilized to improve care in these situations Demonstrate a high degree of self-knowledge, including personal strengths and weaknesses, including the ability to expand medical knowledge through literature review, to be appropriately self-critical, and to request assistance and/or consultation as needed.

Goal #2: Be able to safely and efficiently perform advanced otolaryngology procedures

Resident Objectives: Be able to competently and efficiently perform advanced otolaryngology procedures with attending supervision such as: o Laryngology • Laryngoplasty o Otology/Neurotology • Tympanomastoidectomy • Ossicular chain reconstruction • Stapedotomy o Head and Neck • Partial maxillectomy • Modified radical neck dissection • Composite resection • Total or superficial parotidectomy • Surgical management of aggressive thyroid malignancy • Parathyroidectomy Interpersonal and Communication Skills

Professionalism

Professionalism Systems-Based Practice Patient Care Interpersonal and Communication Skills Professionalism Systems-Based Practice

Professionalism Practice-based Learning and Improvement

ACGME Competency Goals Patient Care

o Rhinology • Revision endoscopic sinus surgery • Orbital decompression • Repair of CSF leaks 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

Goal #3: Develop systems-based understanding of otolaryngology practice

Resident Objectives: Attend monthly staff meeting Demonstrate competence in correctly coding surgical procedures, consultations, and outpatient visits (CPT and ICD-10). Demonstrate competence in appropriately documenting patient care to support coding levels and to comply with insurance payor regulations (e.g. Medicare). Demonstrate 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.) Continue to develop an understanding of one's own abilities and limitations, and a commitment to life-long learning and improvement, through activities such as case presentation at Morbidity and Mortality conference, including directed literature review and discussion of systems improvements as appropriate. ACGME Competency Goals Systems-based practice Systems-Based Practice Professionalism Systems-Based Practice Professionalism Patient Care Interpersonal and Communication Skills Professionalism Practice-Based Learning and Improvement Professionalism Systems-Based Practice