MEDICAL STUDENTS

Current Medical Classes:
680 P - Otolaryngology-Head and Neck Surgery (OTO-HNS) Clerkship/UW (4/8)
683 P - OTO-HNS Clerkship/Madigan (8)
686 P - OTO-HNS Clerkship/Greater Seattle Private Practice(* max, 12)
697 P - OTO-HNS Clerkship/ Away Externship ( *, max 24)
699 P - OTO-HNS Clerkship/ WWAMI ( *, max 24)

680 P - OTO-HNS Clerkship/UW (4/8)

This rotation includes rotations at the following sites: UWMC (two students), HMC (one student), VA (one student), CHMC (one student), and Swedish (one student). The four week rotation option is intended for the student who has a particular interest in otolaryngology.

Goals: This rotation is designed to allow the student to:

• Develop an introductory knowledge in general otolaryngology including the subspecialties of head & neck cancer, laryngology, maxillofacial trauma and reconstruction, sinus disorders, otology, and pediatric otolaryngology.
• Develop an understanding of the directed history required in Otolaryngology.
• Develop an understanding and ability to perform a dedicated head and neck exam.
• Develop an understanding of peri-operative issues in otolaryngology patients through direct involvement with inpatient management.
• Develop an understanding of head and neck anatomy through observing/participating in operative and in-office procedures.

Objectives: At the completion of this rotation, the student will:

• Demonstrate the ability to take a pertinent history directed at the otolaryngology patient.
• Demonstrate the ability to perform a basic head and neck examination with the goal of detecting abnormal anatomy.
• Demonstrate through presentation to faculty, the ability to develop a differential diagnosis for the patients they interview and examine.
• Demonstrate through intraoperative discussion, a basic understanding of normal head and neck anatomy through directed reading throughout the rotation.
• Be able to describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Demonstrate an understanding of how the otolaryngologist works with other professionals in facilitating and coordinating patient care.

Schedule: Each student will be assigned to the service in the designated hospital and follow the residents on the service. All rotations will provide a broad exposure to both inpatient and outpatient management. Students will have an opportunity to observe and participate in a variety of surgeries at each of these sites. Different scopes of practice will be emphasized at the various sites, for example:

• pediatrics otolaryngology at CHRMC
• trauma/reconstruction and general otolaryngology at HMC
• private practice general otolaryngology at Swedish
• head and neck oncology, general otolaryngology and otology at UWMC and VA.

All rotations are from 6:00 am – 6:00 pm which includes morning and evening rounds with the resident team. Clinic/operating room schedules vary among rotations (see samples below). On services where operating times and clinics overlap, the student should spend portions of time in all of the clinics listed for the rotation. All students will attend Wednesday teaching conferences at University Hospital. No mandatory on call. Any absences from daily work hours must be cleared with the Attending prior to planned leave.

Schedule UWMC

Schedule VA and HMC Clinic and OR days are distinct and separate. The student will therefore follow the residents and participate in the daily team activities.

Schedule CHRMC **Students are expected to give one presentation during the rotation at CHRMC conference

Schedule Swedish

Reading/texts: Otolaryngology Clerkship Syllabus or general otolaryngology textbook.
Evaluation: By student and faculty.

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683 P - OTO-HNS Clerkship/Madigan (8)

Goals: What skills students will develop:

• General head and neck exam.
• Introduction to head & neck cancer, laryngology, sinus disorders, otology, and pediatric otolaryngology.
• Experience interviewing and presenting patients.
• Experience inpatient management.
• Experience observing/participating operative procedures.

Objectives: What students will be able to evaluate and treat in otolaryngology:

• Have enough skill to perform a screening head and neck exam to detect abnormal anatomy.
• Know how to take a pertinent history with a majority of otolaryngology problems.
• Provide treatment for basic otolaryngology disorders.
• Recognize treatment failures or complex conditions that require appropriate and timely referral.

Schedule:
Individual externship training at Madigan Army Medical Center outpatient clinic that offers a busy outpatient service with patients who have a wide variety of ear, nose, and throat complaints. The student is taught to examine the patients and present a complete diagnosis and management plan to the supervising staff. Inpatients are assigned. The student performs pre-admission evaluations, assists in the surgical procedures with expected ward responsibility for these patients. He/she is expected to review a basic ENT text and be able to discuss a question list on basic ENT disorders.

Annual ENT admissions to Madigan: 1,000. Annual outpatient visits for ENT: 14,000. Videotapes and appropriate reference materials are available within the ENT Clinic as well as adjacent medical library.

Reading: Introductory text of choice.
Evaluation: By student and faculty.

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686 P - OTO-HNS Clerkship/Greater Seattle Private Practice(* max, 12)

Available Clinical Sites (1 student/site):

• Robert Ballard, MD
  Pacific Medical Center
  Seattle, WA
• Charles Caplan, MD
  Renton, WA
• Glenn Drumheller, DO
  Everett, WA
• Kenneth Faw, MD
  Kirkland, WA
• Julie Gustafson, MD
  Cascade Ear Nose & Throat
  Puyallup, WA
• Dan Kozie, MD
  Green River ENT Clinic
  Auburn, WA
• Alice Kuntz, MD
  Bellevue ENT Clinic
  Bellevue, WA
• Stacy Williams, MD
  Kirkland, WA
• Linnea Peterson, MD
  Virginia Mason ENT
  Seattle, WA
• Eric Pinczower, MD
  Bellevue, WA
• Patrick McClean, MD
  Seattle, WA
• James Rooks, MD
  Ear Nose & Throat Associates of Tacoma
  Lakewood, WA

This rotation will provide exposure to all aspects of patient care in otolaryngology through a private practice setting. The student will be exposed to the outpatient clinic and operating room procedures with daily directed contact by one attending faculty member. Contact the administrator to request a specific site. Final approval must be granted through Allen Hillel, MD.

Goals: This rotation is designed to allow the student to:

• Develop an introductory knowledge in general otolaryngology.
• Develop an understanding of the directed history required in otolaryngology.
• Develop an understanding and ability to perform a dedicated head and neck exam.
• Develop an understanding of peri-operative issues in otolaryngology patients.
• Develop an understanding of head and neck anatomy through observing/participating in operative and in-office procedures.

Objectives: At the completion of this rotation, the student will:

• Demonstrate the ability to take a pertinent history directed at the otolaryngology patient.
• Demonstrate the ability to perform a basic head and neck examination with the goal of detecting abnormal anatomy.
• Demonstrate through presentation to faculty, the ability to develop a differential diagnosis for the patients they interview and examine.
• Be able to describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Demonstrate an understanding of how the otolaryngologist works with other professionals in facilitating and coordinating patient care.

Reading: General Otolaryngology Text or Otolaryngology Clerkship Syllabus
Evaluation: By student and faculty.

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697 P - OTO-HNS Clerkship/Away Externship ( *, max 24)

Offered:	AWSpS. 4weeks full time
Prerequisite:	Completion of HuBio series. Permission of chairman. Third- and fourth- year medical students.
Total Enrollment:	Variable
Faculty:	Allen D Hillel, MD
Administrative Contact:	Patti Peterson, 206-616-4328 peterp@u.washington.edu

Qualified students, on their own initiative, may obtain special clerkships or externships in otolaryngology at university centers other than the University of Washington. Where these opportunities meet standards acceptable to the Department of Otolaryngology-Head and Neck Surgery at the University of Washington, students may, with approval of the department chairman, be given credit for the assignment. These 4 week rotations are designed for the student interested in an in-depth experience in otolaryngology. The rotation carries the same goals and objectives as 680P Otolaryngology. In addition, the student should be made aware of site specific requirements that are specific to the chosen institution. The rotations should include an inpatient and outpatient otolaryngology clinical experience. Students should contact the department contact and obtain a “Credit for Clerkship Away” form from the Dean’s Office at least two months before advanced registration.

Goals: This rotation is designed to allow the student to:

• Develop an introductory knowledge in general otolaryngology including the subspecialties of head & neck cancer, laryngology, maxillofacial trauma and reconstruction, sinus disorders, otology, and pediatric otolaryngology.
• Develop an understanding of the directed history required in otolaryngology.
• Develop an understanding and ability to perform a dedicated head and neck exam.
• Develop an understanding of peri-operative issues in otolaryngology patients through direct involvement with inpatient management.
• Develop an understanding of head and neck anatomy through observing/participating in operative and in-office procedures.

Objectives: At the completion of this rotation, the student will:

• Demonstrate the ability to take a pertinent history directed at the otolaryngology patient.
• Demonstrate the ability to perform a basic head and neck examination with the goal of detecting abnormal anatomy.
• Demonstrate through presentation to faculty, the ability to develop a differential diagnosis for the patients they interview and examine.
• Demonstrate through intra-operative discussion, a basic understanding of normal head and neck anatomy through directed reading throughout the rotation.
• Be able to describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Demonstrate an understanding of how the otolaryngologist works withother professionals in facilitating and coordinating patient care.

Reading: General Otolaryngology Text of choice or Otolaryngology Clerkship Syllabus.
Evaluation: By student and faculty.

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699 P - OTO-HNS Clerkship/ WWAMI ( *, max 24)

Available Clinical Sites (1 student/site):

• Delray Maughan, MD
  Boise, ID
• John Kokesh, MD
  Alaska Native Medical Center
  Anchorage, AK
• Emil Hecht, MD
  Bellingham, WA
• Karen Ahlstrom, MD
  Spokane ENT
  Spokane, WA
• Timothy Patton, MD
  Eye & Ear Clinic
  Wenatchee, WA
• Darryk Barlow, MD
  Mt. Hood Ear Nose & Throat HN Surgery
  Portland, OR

By specific arrangement for qualified students, special clerkships or externships may be available at institutions other than the University of Washington located within the WWAMI region. Interested students should obtain a "Credit for Clerkship in WWAMI" form from the Dean's Office at least two months before advance registration.

The rotation is designed to provide an introductory exposure to otolaryngology in both inpatient and outpatient settings. Directed exposure through daily contact with one attending provides a well rounded exposure to this field. No lodging or travel is prearranged or supplied.

Goals: This rotation is designed to allow the student to:

• Develop an introductory knowledge in general otolaryngology.
• Develop an understanding of the directed history required in otolaryngology.
• Develop an understanding and ability to perform a dedicated head and neck exam.
• Develop an understanding of peri-operative issues in otolaryngology patients.
• Develop an understanding of head and neck anatomy through observing/participating in operative and in-office procedures.

Objectives: At the completion of this rotation, the student will:

• Demonstrate the ability to take a pertinent history directed at the otolaryngology patient.
• Demonstrate the ability to perform a basic head and neck examination with the goal of detecting abnormal anatomy.
• Demonstrate through presentation to faculty, the ability to develop a differential diagnosis for the patients they interview and examine.
• Be able to describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Demonstrate an understanding of how the otolaryngologist works with other professionals in facilitating and coordinating patient care.

Reading: General Otolaryngology Text of Choice.
Evaluation: By student and faculty.

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