Rotation Schedule

Year 1 (ORL-1)

The first year of training includes rotations through Otolaryngology - Head and Neck Surgery, General Surgery, Plastic Surgery, Oral Surgery, Trauma Surgery, Pediatric Surgery, Neurosurgery, Vascular Surgery, Anesthesiology, Emergency Medicine and the Surgical Intensive Care Unit. A contiguous block of time on the ENT service readies the resident for the transition to our service full-time in the following year.

Year 2 (ORL-2)

Second-year residents are assigned to the services at University Hospitals of Cleveland, Rainbow Babies and Children’s Hospital, the Cleveland Veterans Affairs Medical Center (VAMC) and MetroHealth Medical Center. They are responsible for the pre- and postoperative care of all Otolaryngology - Head and Neck surgery patients. Other assignments include on-call duties and consultations, always in close contact with senior residents and faculty members. These experiences teach them to take good histories, perform complete physical examinations and understand the proper work-up and management of a variety of ENT patients.

Under supervision, they begin to perform procedures commensurate with their growing experience such as adenotonsillectomy, myringotomy with PE tube insertion, & septoplasty. They also assist faculty and senior residents with all major surgical procedures.

In consultation with faculty advisors, second-year residents attend the monthly research conference and begin to develop a plan for a specific clinical or basic research project. Further, under the supervision of faculty from the Department of Anatomy at CWRU, PGY-2 residents act as instructors during the cadaver dissection of the head and neck course for freshman medical students.

Year 3 (ORL-3)

Third-year residents consolidate the basic skills and knowledge gained the previous year. They perform surgical procedures of intermediate magnitude, including neck dissection, maxillofacial trauma and involvement in reconstructive flaps, under the supervision of faculty members and senior residents. Third-year residents also are given more responsibility for managing patients in the clinics of the affiliated hospitals. This permits increased hands-on experience.
A protected block of time for clinical and/or basic science research under the direction of a faculty advisor is also a requirement during this training year.

Year 4 (ORL-4)

Fourth-year residents, with the faculty's supervision, perform much of the major head and neck surgery and trauma. Fourth-year residents rotate as acting chief residents through the Division of Pediatric Otolaryngology at Rainbow Babies and Children’s Hospital. Here they have responsibility for the inpatient medical service while directly supervising a PGY-2 resident. A rotation on Otology provides extensive broad experience in Pediatric and Adult Otology and skull-base procedures. Final rotations in Laryngology, Rhinology, Facial Plastics and Head and Neck surgery complete this busy surgical year.

Year 5 (ORL-5), The Chief's Year

Chief residents assume complete responsibility for the outpatient clinic and inpatient medical care at University Hospitals, MetroHealth Medical Center and Veterans Affairs Medical Center. Each fifth-year resident take turns serving as administrative Chief Resident. Chief Residents have direct supervisory responsibility over all junior members of the house staff as well as medical students.

Chief residents also perform most of the major surgical procedures. They have primary responsibility for teaching medical students at affiliated hospitals and for assisting in giving didactic lectures and conferences for medical students rotating through the Department. It is a year of tremendous growth and development that prepares the resident for fellowship, an academic position, or a private practice experience.