Otorhinolaryngology by gah31J

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									A Career in Otorhinolaryngology


 ENT
 Otolaryngology
 Otorhinolaryngology
 Otorhinolaryngology
  – Head & Neck
  Surgery
 ENT related problems constitute 15% of
  general practice (greater in pediatrics)
 Less than proportionate representation in
  medical school
               Pros of ENT

 Multidisciplinary work
 Wide spectrum of
  medical and surgical
  cases
 Good scope for clinical
  research
 Human touch – close
  contact and rapport with
  patients
               Pros of ENT


 Less onerous on call than other surgical
  specialties – good quality of life
 Wide scope for subspecialization
 Ability to be hospital based, tertiary care
  or community based
              Cons of ENT


 Highly competitive at entry level
 Not a “glamorous” specialty
             Subspecialties

 Otology, neurotology, skull base surgery
 Rhinology
 Facial plastic and reconstructive surgery
 Laryngology
 Head and neck surgery
 Pediatric otolaryngology
            Recent Advances
 New technological
  developments –
  microsurgery, fiberoptics,
  microchip
  miniaturizations
 Testing of newborn
  hearing
 Cochlear implantation,
  digital hearing aids
          Recent Advances

 Osseointegrated implants as bone
  anchored hearing aids
 Endoscopic surgery – skull base lesions
 Endoscopic and laser aesthetic facial
  surgery
 Microvascular free flaps
             Prerequisite
 Good grades, or improving grades
 Excellent reference letters
 Research in some area to show motivation
  (not necessarily ENT)
 Some (not all) electives in ENT
 Personal letter
 Well rounded, broad interests
                   Training
   1 year General Surgery
   4 years ENT
   At home call
   1 in-funded, 0-1 out-
    funded residents per
    year
   4 months
    research/diagnostics
    rotation
   7 months pediatric ENT
                Training
 Increasing complexity with increase in
  seniority
 POS exam PGYII
 Royal College exam at the completion of
  PGYV
 Research
 Academic half days with structured
  teaching
      Strengths of U of O

 Collegial staff
 Few-no fellows
 Good staff/resident ratio
 Baffin Island program
    Weaknesses of U of O

 Research, especially basic science,
  historically weak
 Currently not US Board eligible
 More difficult to obtain American
  fellowships
           Career Opportunities
 Aging specialty
 Community ENT
    – Outside big cities -
      huge demand
    – Larger cities – more
      hit and miss
   Tertiary care
    – Fellowship dependent
    History of U of O Graduates
 2005
   – Fellowship in Rhinology (USA)
   – Fellowship in Laryngology (BC)
 2004
   – Offered fellowship Neurotology (returned to Saudi
     Arabia)
 2003
   – Community ENT, BC, now Ottawa
   – Head & Neck Fellowship (On/Que)
 2002
   – Fellowship Paediatric ENT (Australia)
 2001
   – Head & Neck Fellowship (On)
                   Summary

 Great mix of cases
 All ages
 Outpatient work
  primarily, 15% require
  surgical intervention
   Wide diversity surgical
    procedures
   Clinical, experimental,
    laboratory based research
   Good quality of life
   Reasonable on call
    commitment
   Varied practice
    opportunities

								
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