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Ambulatory Care Block

We have designed the Otolaryngology – Head and Neck Surgery Ambulatory Care Block rotation to provide an introductory clinical experience in the outpatient elements of our specialty. We hope to provide a broad exposure to general otolaryngology while sharing skills beneficial to any generalist physician. The rotation consists of five half-days. Students rotate through many of the five major subspecialty areas of otolaryngology:

  1. Head and neck oncology

  2. Rhinology (nasal and sinus disease)

  3. Otology (ear, hearing, and balance disorders)

  4. Laryngology (voice, swallowing, and throat disorders)

  5. Pediatric otolaryngology (children's ear, nose, and throat disorders)

Objectives

Following completion of the medical student otolaryngology rotation, students will be able to:

Policies and Procedures

Attire during clinical duties is important. Business wear and doctors coats are generally appropriate. Men should wear a dress shirt, tie, and slacks. Women should wear a conservatively styled skirt, pant, or dress, and blouse or sweater.

It is expected that students participate in all parts of the rotation and required elements of the rotation. Timeliness is of utmost importance ("90% of success is showing up on time."). Failure to participate in a given day's work will require an explanation. Students must report to their clinic at 8:00am for the beginning of the morning sessions, or 1:00pm for the start of the afternoon sessions.

Rotation Schedule

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Student A

Klein

DelGaudio

Mattox

Johns

El-Deiry

AM

Student B

M. Patel

Moore

Klein

Vivas

Graham

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----------------

-----------------

---------------

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PM

Student C

Johns

DelGaudio

El-Deiry

Wise

Mattox

PM

Student D

Vivas

Moore

Klein

Vivas

Klein

PLEASE NOTE: If your assigned faculty member is away, there should be other faculty members in the clinic that you may join. Simply introduce yourself.

Required Reading Material

Primary Care Otolaryngology (now available online)

Required Patient Experiences

Students will perform the initial evaluation and/or continuity management of patients with the following common acute or chronic ambulatory subspecialty complaints, conditions, or diseases, or perform the following procedure at least once during the block and will log appropriately into ONE45:

Specialty

Patient Conditions

Required Procedures

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---------------------------

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Otolaryngology

Head and neck cancer

Audiogram (interpretation)

Hearing loss

Head and neck exam (complete)

Otalgia

Otoscopy and pneumotoscopy

Sinusitis

Screen for hearing loss (tuning fork)

Expanded Patient Experiences

1.   Head and Neck

– For patients with head and neck cancer, students will learn comprehensive head and neck examination skills, identify squamous cell carcinoma, and recall treatment strategies for head and neck cancer.

2.   Otology

– For patients with sensorineural hearing loss (SNHL), students will perform otoscopy and simple hearing screening using tuning forks, learn to properly interpret audiograms, and recall common etiologies of and rehabilitation for patients with SNHL.

– For patients with middle ear disease, students will learn to recognize middle ear dysfunction through otoscopy, correlate findings to abnormalities on the audiogram, and list common treatment strategies for SNHL.

– For patients with balance impairment, students will observe neurotologic examinatin with basic vestibular testing and review common causes and treatment of vertigo.

3.   Rhinology

– For patients with chronic sinusitis, students will identify differences in diagnosis and treatment between acute and chronic rhinosinusitis and identify normal anatomy through nasal endoscopy.

– For patients with allergic rhinitis, students will recall head and neck clinical manifestations of allergy and identify graded treatment approaches for the patient with allergic rhinitis.

4.   Laryngology

– For patients with hoarseness, students will learn the differences in etioloty and presentation of acute an dchronic dysphonia, define indications and timeline for laryngoscopy, and identify warning signs indicating early referral for laryngoscopy.

5.   Pediatric Otolaryngology

– For patients with otitis media with effusion, students will be able to discuss eustachian tube dysfunction, perform pneumatic otoscopy, diagnose otitis media with effusion, and discuss the indications for pressure equalization tubes.

– For patients with adenotonsillar hypertrophy, students will discuss symptoms and signs of adenotonsillar hypertrophy, diagnose adenotonsillar hypertrophy based on history and physical exam, and know indications for adenotonsillar hypertrophy.

Contact Information

Jayme Drake    
Medical Student Coordinator
Administrative Assistant                              
(404) 616-8261
jayme.drake@emoryhealthcare.org

Oswaldo A. Henriquez, MD
Director, Medical Student Education, Otolaryngology – Head and Neck Surgery
Grady Health System
80 Jesse Hill Jr. Drive
Atlanta, GA 30303
Tel: (404) 616-8261
Fax: (404) 616-0944
oswaldo.henriquez@emory.edu

Barbara Bingham
Clincal Education Liaison
Emory University School of Medicine
(404) 778-1372
bbingham@emory.edu

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