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Otolaryngology Clinical Elective Block

Thanks for your interest in Emory Otolaryngology – Head and Neck Surgery. We take great pride in our specialty and look forward to providing you with an excellent learning opportunity and clinical experience. In addition to all otolaryngology subspecialties being strongly represented in our department, we have an excellent complement of residents, placing our program among the strongest in the nation.

Emory Otolayrngology is founded on having a strong commitment to medical education. We have attempted to structure student rotations to be as enriching as possible, combining a structured curriculum with ample opportunity for hands-on experience and individualized attention. Our faculty, staff, and residents are focused on making your stay as fulfilling as possible. Please let us know if there are any other ways we can assist.

Topics:

Goals & Objectives Rotation Schedule
Reading Material Arrival & Living
Specific Expectations         Orientation Meeting
Otolaryngology Skills     Contact Information
Policies & Procedures ID's & Parking

Goals and Objectives

The Otolaryngology – Head and Neck Surgery rotation is designed to provide an introduction and basic clinical experience in our specialty. We realize that many of our rotators will go on to train in other specialties. We therefore hope to provide a broad exposure to general otolaryngology, while passing along skills beneficial to any generalist physician. For those interested in advancing in otolaryngology, our diverse department can provide excellent exposure to the varied subspecialties and their advanced therapeutic and diagnostic procedures.

Following completion of the Medical Student Otolaryngology Rotation, students will be able to:

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Reading Material

1.   Primary Care Otolaryngology (now available online)

2.   ENT Secrets (for four-week rotators, optional for others)

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Specific Expectations (i.e., The Basis for Evaluation)

1.   Medical Knowledge

• Reading Material: 

Primary Care Otolaryngology

ENT Secrets or similar (optional four week rotators)

Selected articles (TBA)

• Didactics and Conferences:

Grand Rounds: Thursdays, 7:00 a.m., Emory University Hospital Midtown, 5th floor, Classroom 1

Lecture Series: Thursdays, 8:00-10:00 a.m., Emory University Hospital Midtown, 5th floor, Classroom 1

Rotation-specific didactics: TBA

Tumor Board (for four-week rotators): Wednesdays, 4:30 p.m., Emory University Hospital Midtown, 5th floor, Classroom 1

2.   Patient Care

• Participation during rounds and clinic

• Short "checklist" of Primary Care Otolaryngology skills

• More advanced skill set for four-week rotators and others interested

3.   Problem-Based Learning

• Ten-minute presentation given on patient/topic based on exposure during rotation with all rotators to present at the Medical Student Presentation Forum (MSPF)

4.   Professionalism

• Punctuality

• Participation in morning and evening rounds with team

• Participation in didactics, conferences, and requirements listed above

• Participation in final examination including covering topics in reading, didactics, or interesting case topics, may include "systems-based practice" topics in otolaryngology

• Participation in 10-minute final presentation

5.   Communication Skills

• Assessment based on numbers 1-4 above

6.   Systems-Based Practice in Otolaryngology

• Assessment based on number 1-4 above

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Otolaryngology Skills

Medical students must have a resident or faculty member initial each procedure listed below upon completion:

• Comprehensive head and neck exam (5x)

• Observe tympanic membrane mobility (pneumotoscopy)

• Observe tympanic membrane with microscope

• Complete CN VII evaluation (3x)

• Indirect laryngoscopy (5x)

• Assist flexible laryngoscopy (5x)

• Audiogram (observe and interpret)

• Observe myringotomy

• Orotracheal intubation

• Skin/subQ closure of wound

• Tracheotomy tube change

In addition, for four-week rotators, students must have a resident or faculty member initial each additional procedure listed below upon completion:

• Tracheotomy

• Nasal packing

• Cerumen removal

• Flexible laryngoscopy (3x)

• Identify structures on nasal endoscopy

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Policies and Procedures

Outside rotators must apply for a medical student rotation via the Visiting Medical Student program of the Emory School of Medicine. The application must be submitted no less than two months in advance of your expected rotation date. There are pre-defined rotation dates that conform to the Emory academic calendar, and we strongly recommend you use these dates for your Emory rotation. However, we understand that irreconcilable conflicts can happen, and we may be able to accommodate flexibility. Please notify our office as soon as possible if this is a concern. Please contact Jayme Drake, the medical education assistant in the Department of Otolaryngology, at jayme.drake@emoryhealthcare.org, in addition to completing the rotation application.

Our current policy is to schedule a total of two rotators for each of our four-week blocks and two rotators for each of our two-week blocks. This limited number allows for the most individualized and hands-on instruction possible.

Attire during clinical duties is important. Most rotations will have "clinic days" and "operative days." Business attire is generally appropriate. Men should wear dress shirt/tie/slacks or khakis; for women, well-tailored, conservatively styled skirts, pants, dresses, and sweaters are appropriate. For non-clinic days, hospital scrubs are acceptable (a limited supply may be borrowed while on rotation).

All students are expected to participate in all aspects of the rotation and all required elements of the rotation. Of course, promptness is of utmost importance ("90% of success is showing up on time."). Typically, our days are not unremittingly grueling, though there are often unexpected events and late evenings. Failure to participate in a full day's work may warrant explanation.

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Rotation Schedule

Students rotating on the two-week schedule will have one-week stays at Emory University Hospital Midtown (EUHM) and at Children's Healthcare of Atlanta (CHOA) at Egleston Hospital.

Those on the four-week schedule will rotate one week each in the various subspecialty centers, and occasionally on other campuses.

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Arrival & Living

Please contact Michele Rutherford via email approximately one week prior to your rotation (after acceptance via the Emory Application) to ensure that we can provide the best experience possible.

For outside rotators, there are several administrative tasks that must be completed after arrival, including obtaining ID's and parking access for our facilities. These obligations can easily take a half-day to complete. Planning to arrive one business day ahead of time to complete these tasks may allow some or all of them to be completed in advance. See below for ID and parking details.

Please arrange for some form of temporary housing while rotating in Atlanta. To do so, visit Emory’s Off-Campus Housing resource to explore options.

Also, please be aware that Atlanta is largely a "driving city." While public transportation exists, it will be difficult to navigate your varied rotations in a timely manner if you rely on public transportation only.

Strong campus and hospital police forces allow us to enjoy an exceptionally safe work and educational environment, but due caution is suggested when off site, exploring the city, at night, etc.

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Orientation Meeting

There will be a brief 8:30 a.m. orientation meeting on the first morning of your rotation at Dr. Oswaldo Henriquez' office, 3th floor, J wing, Grady Memorial Hospital. Rotation schedules will be distributed, questions can be asked, and you will generally be assisted in preparing for the upcoming month.

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Contact Information

Michele Rutherford
Coordinator, Academic Degree Programs
Office of Medical Education and Student Affairs (OMESA)
Emory University School of Medicine
(404) 778-1371
michele.rutherford.emory.edu

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

Barbara Bingham
Administrative Manager
Office of Medical Education and Student Affairs (OMESA)
Emory University School of Medicine
(404) 778-1372
bbingham@emory.edu

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ID's and Parking

Emory ID: Take your rotation acceptance to the ID card office in the Dobbs University Center near Emory University Hospital. Obtain the "PROX" card, not the standard card.

Grady Memorial Hospital ID: Take your rotation letter to the Grady Human Resources Department in the "old" Grady Memorial Hospital building on the Grady campus.

Emory Parking: Take your rotation letter to the Parking Office on the ground floor of the parking garage behind the Emory Clinic, Building B. For a fee (approximately $50), you will be given access to off-site parking with access to the shuttle.

Grady Parking: Take your Grady ID and rotation letter to the Parking Office in the Grady Visitor Parking Garage and obtain a student parking pass for a nominal fee.

EUHM Parking: Ask Dr. Klein to email your rotation dates to Caryn Kirby in the Parking Office. Then take your PROX card to the Security Office in the Orr Building on the EUHM campus for activation and parking details.

Shuttle Service: Please be aware that there is a free shuttle that travels between Emory University Hospital/CHOA campus and Emory University Hospital Midtown: http://transportation.emory.edu/shuttles/hospital_routes.html.

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