Otolaryngology-Head and Neck Surgery Residency Program
The Otolaryngology-Head and Neck Surgery Residency Program is fully accredited by the Accreditation Council for Graduate Medical Education. The program matches three residents each year at the PGY-1 level via the National Resident Matching Program. Application to the program is via the Electronic Resident Application Service (ERAS). The program is five years in length for a total of 15 residents current residents. Otolaryngology-head and neck surgery training takes place at LSUHSC Shreveport as well as at the Overton Brooks VAMC. There are four otolaryngology teams at LSUHSC-Shreveport and one otolaryngology service at Overton Brooks VAMC which provide rotations for residents. The Residency Program’s goals and objectives are achieved through a variety of mechanisms offered by the Department including conferences, Grand Rounds, Departmental courses, clinic experiences, operative experiences, research experiences, as well directed independent study.
The faculty consists of 8 full-time and 4 part-time faculty members who represent all of the major subspecialty areas of otolaryngology-head and neck surgery to include facial plastic and reconstructive surgery, head and neck surgical oncology, laryngology, pediatric otolaryngology, otology/neurotology in addition to general otolaryngology.
The department performs approximately 2000 surgeries per year and over 12,000 office visits so the resident experience is extensive.
The first year residents spend 6 months on the Otolaryngology-Head and Neck Surgery service split between our General service and Head and Neck service. During this time, residents learn the basics of taking care of patient’s in the clinic as well as the OR. They become compete in many office procedures including flexible laryngoscopy, nasal endoscopy, and ear microscopy. The other 6 months are spent on other services to complete the Otolaryngology-Head and Neck Surgery education with months spent on General Surgery, Anesthesia, Neuroradiology, Neurosurgery, Surgical Intensive care unit, and Plastic Surgery.
The OTO-2 resident is assigned to one of two Otolaryngology-Head and Neck Surgery Teams at LSUHSC Shreveport (Otology, Head and Neck) rotations for 4 months each. Four months during this year is spent at the Overton Brooks VAMC. The goals and objectives for the OTO-2 resident are the same at both institutions. The additional basic principles of the head and neck examination with refinement of the technique to include endoscopic evaluations and technique using the operating microscope are taught. Residents evaluate patients under the supervision of staff while acquiring competency to evaluate patients independently. The indications for medical and surgical treatment are taught through structured conferences, informal consultations, daily rounds, in the clinic, and in the operating room. All surgical procedures and clinical examinations are performed under the direction of a staff physician. The PGY-2 residents further develop skill of performing a myringotomy, insertion of a ventilation tube, and performing a tonsillectomy and adenoidectomy. Nasal septum surgery, resection of skin lesions, the use of skin flaps and some facial fracture reductions will be added. The PGY-2 assists in major operations performed by more senior residents and the Faculty. As the resident acquires experience, more surgical responsibility is delegated. The PGY-2 residents share first call (home call) with the PGY-3 residents. Call is on average one in every six nights with at least one 24 hour period free of any clinical duties. The PGY-2 resident is under the supervision of upper level residents as well as the Faculty at all times. Satisfactory completion of this year of training is required for advancement/continuation.
The PGY-3 resident is assigned to one of the LSUHSC Shreveport Otolaryngology-Head and Neck Surgery Teams for a total of 9 months including General, Head and Neck and Pediatrics. Three months of this year are spent on a basic science research block where the resident is free of daily clinical responsibilities to perform basic science research under the mentorship of a Faculty member. During the PGY-3 year of training, the resident performs more sophisticated surgery (e.g. surgery of the paranasal sinuses, complicated septal surgery, maxillofacial fractures, facial plastic procedures, tympanoplasties) and acquires competence in endoscopy. The endoscopic surgery will include microlaryngoscopy and bronchoscopy. The third year resident will assist and perform in part, major cancer operations including neck dissections, further refine the skill of caring for surgical wounds, and develop expertise in the use of flaps and grafts. The procedures will be under the supervision of a Faculty member. The clinic experiences continue as well, under the supervision of upper level residents as well as the Faculty at all times. The PGY-3 residents share first call (home call) with the PGY-2 residents. Call is on average one in every six nights with at least one 24 four period free of any clinical duties. The PGY-3 resident is under the supervision of upper level residents as well as the Faculty at all times. Satisfactory completion of this year of training is required for advancement/continuation.
The PGY-4 resident is assigned Otolaryngology-Head and Neck Surgery teams at LSUHSCS for a total of 8 months (General, Head and Neck Surgery). The PGY-4 resident spends four months as the chief resident of the Otolaryngology-Head and Neck Surgery Service at the VAMC. The PGY-4 resident will continue to acquire expertise in otology, maxillofacial, facial procedures, and cancer surgery. S/he will supervise junior residents as well as medical students. During this year the residents take a more active part in the teaching procedures and managing the more complex cases under the direction and supervision of upper level residents and the Faculty. The PGY-4 resident will take back-up home call divided with the PGY-5 resident such that back-up home call is on average every six nights under the supervision of the Faculty. The PGY-4 resident has at least one 24 hour period per week free of clinical responsibilities. Satisfactory completion of this year of training is required for advancement/continuation.
The PGY-5 resident is assigned to three Otolaryngology-Head and Neck Surgery Teams and rotates through each service every four months (General, Head and Neck, Otology). The PGY-5 functions as the chief resident of the assigned team. The chief resident is expected to develop competence in the advanced surgical procedures of the specialty. S/he performs major otology, cancer and facial plastic and reconstruction surgery, which include the management and surgical correction of cleft lip and palate problems. The chief resident will develop the judgment and technical skills to function independently. S/he is expected to be the leader and teacher for the more junior residents and medical students under the supervision of the Faculty. The PGY-5 resident will take back-up home call divided with the PGY-4 resident such that back-up home call is on average every six nights under the supervision of the Faculty. The PGY-5 resident has a least one 24 hour period per week free of clinical responsibilities. Satisfactory completion of this year of training is required for successful completion of the residency program.
The surgical skills laboratory serves as a teaching tool for medical students, residents, faculty, and practicing surgeons of all subspecialty fields. The lab provides a setting in which learners of all levels may practice and hone their surgical skills. Using cadaveric specimens allow participants a relaxed setting to strengthen their anatomic knowledge without putting actual patients at risk.