The residency training program consists
of three portions: an otolaryngology internship;
dedicated research training for
1-2 years; and 4 years of clinical
training in otolaryngology:
1. Otolaryngology Internship:
- The internship year is completed here at the
University of Washington with rotations at 5 hospitals
(UWMC, HMC, VA, Children’s, or Providence).
- The surgery rotations include ICU, pediatric
surgery, neurologic surgery, plastic surgery, and
general surgery. On these rotations, you will be
part of a surgical team which incorporates medical
students, fellows and 1-2 senior level surgical
- The primary focus of this year is on learning
sound principles of pre- and post-operative care
with graduated increases in surgical exposure.
- YOU DO NOT NEED TO APPLY SEPARATELY for the internship.
If accepted into the Otolaryngology program, the
internship year will be arranged automatically. The
internship year is directed by otolaryngology but is
primarily based in the general surgery residency program.
- Further information regarding the general surgery
residency can be found via their web site at http://depts.washington.edu/surgery/.
2. Research Training:
- Research is incorporated in the program with
a full-time postdoctoral fellowship year supported
by a NIH-NIDCD training grant. Regardless of the prior
experience of the resident, all research will be
done in conjunction with an experienced research
mentor, not necessarily within our own department.
The research topic and mentor is open to selection
by the resident depending on their area of interest.
- The goal of the research year is for the resident
to learn or refine their knowledge of research
methodology and to develop a research program in
their field of interest, which may encompass basic
science or outcomes studies.
- Research training is an integral part of our
Residency Training Program throughout the entire
period of training. While this training grant supports
full-time research training during one or more
1-year blocks for every resident, research time
is also set aside and protected during the second
year of clinical otolaryngology training, and residents
are encouraged and supported to continue research
productivity during each year of training. We believe
that the research training needs of residents differ,
depending on their prior research training and
areas of interest. Therefore, we have analyzed
and customized our Research Training Program in
an effort to meet differing needs.
- We have added 2-year positions at the beginning
of residency and post-residency research fellowships
for interested individuals.
3. Clinical Training:
- The second year of clinical
training, following internship includes rotations at the UWMC, HMC, and
VA. The focus is on pre-operative and postoperative
care of otolaryngology patients, mastering the
head and neck examination, endoscopy and airway
management skills and appropriate surgical cases
for that year of training.
- The third year of clinical training
following the research
year(s), includes rotations at Children’s, UWMC,
and a research rotation. This year is designed
to provide you with more individual development
of skills and graduated independence. Further development
of surgical skills at this level allows for more
active participation in procedures as the surgeon
versus surgical assistant. The dedicated research
rotation allows for completion of work from the
research training year or for proceeding with a
different research project.
- With the fourth year of
clinical training the resident rotates at UW and HMC. This year focuses on refinement of surgical
technique to allow incorporation of your improved
clinical sense and skills developed during your
third year. More active patient management and
decision making occurs this year particularly during
your chief rotation at HMC. Teaching of junior
residents will also be a highlight during this
year. Otology/neurotology is the focus of the
remaining four-month block.
- The final year of clinical training
includes rotations at the VA, UW, Children's, and Virginia Mason. The resident assumes the Chief Resident responsibilities during their 4 month rotation at UWMC. The 2 month rotation at Virginia Mason is a dedicated facial plastic/otology rotation. Two months are spent at Children's, and 4 months at the VA. This
year truly melds your investigative skills
with medical decision allowing for major responsibility
at each site in daily patient care issues and in
complex surgical cases. The Chief Resident will
also have a role in administrative duties as well
as direct involvement in junior resident teaching.
- Electronic Medical Records are available at all
clinical sites and have improved patient safety
and resident access to patient information. The
current model, ORCA at UWMC and HMC allows for
improved patient safety, allergy alerts and review
of dictated notes. The residents for the first
time have access to their own dictations which
they are able to edit and then forward to attendings
for final review. This is considered an important
- The UWMC and HMC radiology department incorporated
a PACS system for on-line viewing of all radiographs.
This has resulted in paperless radiology departments
with individual monitoring capability from home,
clinics, ORS and offices. This has improved the
ability to easily reference patient films, and
lessened workload on residents and physicians in
tracking down films for OR and tumor board review.
- UW CORES. This is a web-based system at HMC and
UWMC utilized by residents to organize patient
lists, store entered diagnosis, problem lists,
medications and other information. This system
is linked to the clinical database and will import
a 48-hour block of vital signs and laboratory data.
The system enables the resident to printed daily
progress notes automatically which includes vital
signs and laboratory values. This system can also
be accessed from home during on-call hours.
- Residents have access to the award winning UW
Health Sciences Library which provides a full digital
interface to a collection of electronic journals
as well as clinical and basic sciene search engines.
Via the Healthlinks site for clinical practitioners,
the resident also has access to helpful clinical
resources, such as MEDLINE and Up-To-Date.
- Up to date computers are available in all resident
offices, wards and clinical space. This allows
for immediate access to patient care information.
The department and medical center maintain up to
date software to facilitate word processing and
presentation formats. In addition, the department
supplies LCD projectors for the conference series
and departmental lectures.
- The OTOnet, resident intranet, provides a secure
site for resident and faculty perusal of rotation
schedules, goals and objectives for each training
year, individual resident evaluations, department
policy and helpful links.