Rotation Schedule

Year 1 (ORL-1)

The first year at University Hospitals Cleveland Medical Center training includes rotations through Otolaryngology - Head and Neck Surgery (at University Hospitals, MetroHealth, and VA), General Surgery, Oral Surgery, Radiology, Neurosurgery, and the Surgical Intensive Care Unit. A total of 6 months of time will be spent on ENT rotations during this first year in order to prepare our first year residents for transition to our service full-time the following year.

Year 2 (ORL-2)

Second-year residents are assigned to the services at University Hospitals Cleveland Medical Center, Rainbow Babies and Children’s Hospital , and MetroHealth Medical Center. They are responsible for the pre- and postoperative care of all Otolaryngology - Head and Neck surgery inpatients. Other assignments include on-call duties and consultations including a night float rotation. 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, PGY2 residents act as instructors during the cadaver dissection of the head and neck course for first year medical students.

Year 3 (ORL-3)

Third-year residents consolidate the basic skills and knowledge gained the previous year. Rotations are completed at the University Hospitals Cleveland Medical Center on the subspeciality services (Otology, Sleep, Rhinology, Larynology, and Plastics), the Louis Stokes Veterans Administration Medical Center (VAMC), and MetroHealth. 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 supervision, perform much of the major head and neck surgery and trauma at Cleveland Medical Center. Fourth-year residents rotate as acting chief residents through the Division of Pediatric Otolaryngology at Rainbow Babies and Children’s Hospital. At RBC they have responsibility for the inpatient medical service while directly supervising a PGY2 resident. Subspecialty rotations in Laryngology, Rhinology, Facial Plastic surgery, Sleep, and an additional Otology rotation complete this busy surgical year.

Year 5 (ORL-5)

Chief residents assume complete responsibility for the outpatient clinic and inpatient medical care at Cleveland Medical Center, MetroHealth Medical Center, and the Louis Stokes VAMC. There is also a dedicated PGY5 rotation in Otology at CMC. 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.