MEDICAL STUDENTS

Current Medical Classes:
680 P - OTO-HNS Clerkship UW (4/8)
683 P - OTO-HNS Clerkship Madigan (8)
686 P - OTO-HNS Clerkship Greater Seattle Private Practice (2)
697 P - OTO-HNS Away Externship (8)
699 P - OTO-HNS Clerkship WWAMI (4/8)

680 P - OTO-HNS Clerkship UW (4/8)
Meets the surgery selective requirement.

This rotation includes rotations at the following sites: UWMC (two students), HMC (one student), VA (one student), and CHMC (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:

• Identify and describe the most common surgical problems unique to the relevant specialty (tonsillitis & peritonsillar abscess, sinusitis, sleep disorders, head & neck cancer, laryngeal & airway disorders, hoarseness, salivary gland disorders).
• Perform a focused history and physical examination emphasizing ear, nose & sinus, oral cavity, oropharynx, larynx, neck.
• Identify conditions that warrant referral to the relevant specialty (head & neck infection, hoarseness, airway disorders, head & neck, cancer, sinusitis, sleep disorder, neck mass).
• Demonstrate skills in basic surgical techniques such as knot-typing, suturing and limited dissection.
• Discuss the use of appropriate imaging studies for that specialty.
• Develop a differential diagnosis for the patients they interview and examine.
• Discuss normal head and neck anatomy.
• Describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Describe how the otolaryngologist works with other professionals in facilitating and coordinating patient care.
• Recognize treatment failures or complex conditions that require appropriate and timely referral.

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

Reading/texts: General otolaryngology textbook or HuBio Head and Neck Anatomy syllabus.

Evaluation: By student and faculty.

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683 P - OTO-HNS Clerkship Madigan (8)
Meets the surgery selective requirement.

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: At the completion of this rotation, the student will be able to:

• Identify and describe the most common surgical problems unique to the relevant specialty (tonsillitis & peritonsillar abscess, sinusitis, sleep disorders, head & neck cancer, laryngeal & airway disorders, hoarseness, salivary gland disorders).
• Perform a focused history and physical examination emphasizing ear, nose & sinus, oral cavity, oropharynx, larynx, neck.
• Identify conditions that warrant referral to the relevant specialty (head & neck infection, hoarseness, airway disorders, head & neck, cancer, sinusitis, sleep disorder, neck mass).
• Demonstrate skills in basic surgical techniques such as knot-typing, suturing and limited dissection.
• Discuss the use of appropriate imaging studies for that specialty.
• Develop a differential diagnosis for the patients they interview and examine.
• Discuss normal head and neck anatomy.
• Describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Describe how the otolaryngologist works with other professionals in facilitating and coordinating patient care.
• 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)
Meets the surgery selective requirement.

Available Clinical Sites (1 student/site):

• 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
  Swedish Medical Center
  Seattle, WA
• Eric Pinczower, MD
  Bellevue, WA
• Patrick McClean, MD
  Seattle, WA
• Michael Wolfe , MD
  Pacific Medical Center
  Seattle, 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:

• Identify and describe the most common surgical problems unique to the relevant specialty (tonsillitis & peritonsillar abscess, sinusitis, sleep disorders, head & neck cancer, laryngeal & airway disorders, hoarseness, salivary gland disorders).
• Perform a focused history and physical examination emphasizing ear, nose & sinus, oral cavity, oropharynx, larynx, neck.
• Identify conditions that warrant referral to the relevant specialty (head & neck infection, hoarseness, airway disorders, head & neck, cancer, sinusitis, sleep disorder, neck mass).
• Demonstrate skills in basic surgical techniques such as knot-typing, suturing and limited dissection.
• Discuss the use of appropriate imaging studies for that specialty.
• Develop a differential diagnosis for the patients they interview and examine.
• Discuss normal head and neck anatomy.
• Describe the initial medical treatments employed in acute and chronic sinusitis, tonsillitis, epistaxis, sudden sensorineural hearing loss, hoarseness and stridor.
• Describe how the otolaryngologist works with other professionals in facilitating and coordinating patient care.
• Recognize treatment failures or complex conditions that require appropriate and timely referral.

Reading: General otolaryngology text or HuBio Head and Neck Anatomy syllabus.

Evaluation: By student and faculty.

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697 P - OTO-HNS Away Externship (8)
Does not meet the surgery selective requirement.

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

By specific arrangement for qualified students, special clerkships or ‘away clerkships’ may be available at institutions other than the University of Washington located within the WWAMI region. Interested students should obtain a “Credit for Away Clerkship in WWAMI” form available from the UWSOM Dean’s Office Registrar and complete for departmental approval at least two months before advance registration.

Reading:
General Otolaryngology text of choice or Hu Bio Head and Neck Anatomy syllabus.

Evaluation: By student and faculty.

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699 P - OTO-HNS Clerkship WWAMI (4/8)
Does not meet the surgery selective requirement.

By specific arrangement for qualified students, special clerkships or ‘away clerkships’ may be available at institutions other than the University of Washington located within the WWAMI region. Interested students should obtain a “Credit for Away Clerkship in WWAMI” form available from the UWSOM Dean’s Office Registrar and complete for departmental approval at least two months before advance registration.

Reading:
General Otolaryngology text of choice or Hu Bio Head and Neck Anatomy syllabus.

Evaluation: By student and faculty.

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