House
Staff Policies and Orientation Manual
RESIDENT ROTATIONS YEAR BY YEAR (2 or 3 Residents per year depending
on cycle):
PGY-1
It is expected that the PGY-1 year will be spent
in the Emory General Surgery program at Emory
University Hospital, Grady
Memorial Hospital, Children's
Healthcare of Atlanta (Egleston Children's Hospital), Emory
Crawford Long Hospital, the Atlanta
VA Medical Center and other affiliated hospitals in Atlanta.
The goals of the PGY-1 year are:
1. Learn
care of pre-and post-operative patients.
2. Master fundamental surgical techniques.
3. Develop interpersonal skills to deal with patients, staff and colleagues.
PGY-2
(Oto 1):
During the first year of training in Otolaryngology, time is
split between Grady Memorial Hospital, Children’s Healthcare of Atlanta
(Egleston Children’s Hospital) and the Emory Clinic. The goals of the
first year of Otolaryngology training are to:
1. Become
skilled in physical diagnosis of OHNS patients, including all of the specialized
techniques used in the specialty.
2. To assume increasing responsibility for the outpatient management of patients
under a carefully supervised setting.
3. To develop familiarity with the surgical tools and techniques used within
the specialty.
PGY-3 (Oto 2):
The PGY-3 residents spend alternating blocks at the Atlanta
VA, Emory Hospital and Crawford W. Long Hospital. These rotations allow development
of more sophisticated surgical and diagnostic skills. Crawford W. Long Hospital
is the home of the Emory Voice Center dedicated to the care of the professional
voice and swallowing problems. This rotation also includes Facial Plastic
experience at the Emory Facial Center in central Buckhead. The goals of the
PGY-3 year are to:
1. Develop independence in evaluation and treatment of outpatients.
2. Develop skills in increasingly complex surgical procedures.
PGY-4
(Oto 3):
The PGY-4 rotation includes Grady Memorial Hospital as Chief
of Service and the research block. The goals of the PGY-4 year are:
1. To become a skilled independent clinician and develop administrative skills
for running the inpatient and outpatient services.
2. To become more facile with complex surgical procedures.
3. To design and perform a research project in close collaboration with a
research mentor.
PGY-5
(Oto 4):
In the final year of this training program in Otolaryngology
– Head and Neck Surgery, the PGY-5 resident is the Chief of Service
at Emory Hospital and the Atlanta VA Hospital. The goals of the PGY-5 year
are to:
1. Perform the most complex and sophisticated surgical procedures.
2. Develop administrative skills necessary in managing a busy and diverse
service.
Additional
Information about the Emory Residency Program:
Hospitals:
Consistent with the Department’s mission to offer comprehensive exposure
to a diverse patient population the resident rotations cover five Atlanta
hospitals (Grady Memorial, Emory University, Egleston Children’s, Crawford
W. Long Hospital and the Veteran’s Affairs Medical Center). In addition
to these sites the residency also provides rotations through the Department’s
central faculty clinic in addition to both the Facial Aesthetics and Voice
Centers.
Case
volumes:
Given the scope and breadth of the Emory residency our case experience logs
are consistently strong, and appropriately the size of our residency has been
expanded to better capture these educational opportunities without diminishing
the quality of exposure, experience and education our residents enjoy.
Call
Responsibilities:
With the close proximity of Emory’s hospitals we are able to offer our
residents the ability to take no in-house call for the duration of the program.
We group on-call responsibilities by campus (Emory/ Egleston vs. VA/ Grady)
which provides for convenience of proximity in the case of the Emory/ Egleston
campus and volume balance in the case of Grady/ VA.
Work Hours:
In keeping with the new ACGME guidelines limiting resident work hours, the
Department follows THE 80 HOUR RULE: whereby Otolaryngology residents are
NOT allowed to work greater than 80 hours averaged over a four week period.
If a junior resident reaches his or her 80-hour limit that resident is to
defer all calls to his or her senior (back-up) resident; THE 1 IN 7 RULE:
whereby Otolaryngology residents MUST have 1 full day (24 hours) off in every
7-day period averaged over the course of 1 calendar month; and THE 24 + 6
RULE: whereby Otolaryngology residents are not allowed to work greater than
24 hours continually in a clinical/ surgical capacity. After 24 hours residents
are allowed to complete an additional 6 hours in a “continuity of care”
capacity.
Performance
evaluations:
Residents receive comprehensive evaluations by our faculty on a bi-annual
basis and pop surgical procedural evaluations quarterly. We also employ annual
360º evaluations that allow clinical and surgical nurses the opportunity
to evaluate your interactions with support staff as we believe that disposition,
integrity, and principled behavior are important facets to your professional
training and development.
Program / Faculty evaluations:
In our effort to continually improve the residency training program we follow
an annual program and faculty evaluation process by all residents. This anonymous
feedback is carefully considered at each faculty member’s annual performance
review.
Conferences:
There are several venues for didactic teaching during the residency. All residents
are required to attend each of these conferences.
Grand Rounds meets Thursday mornings and consists of lectures by residents,
faculty and outside speakers. Scheduled sessions include Morbidity and Mortality,
audiology and pathology. This conference is GME approved for physicians.
Basic Science Conferences are held each Tuesday and Thursday evening. Basic
science topics in pediatric otolaryngology, otology, rhinology, laryngology,
head and neck, facial plastics, neuroscience and audiology are presented and
discussed over a two year rotating curriculum.
The
Temporal Bone Surgical Anatomy Laboratory is held as a part of the Basic Science
conferences and runs for several weeks in the spring. We are very fortunate to have Dr. Malcolm
Graham as the Director of the Temporal Bone Surgical Anatomy Laboratory and under his guidance
each resident has become a superb temporal bone surgeon. Each resident has
a drilling station with state of the art microscopes, drills and instruments.
The session starts with a short lecture on the topic of the day and is followed
by proctored drilling for all residents. After the temporal bone sessions
are finished, there are additional dissections of the orbit and larynx.
Journal Club is held the first Tuesday evening of each month at Crawford Long
Hospital. Articles are pre-assigned and are discussed in detail over a warm
meal.
The Georgia Society of Otolaryngology-Head and Neck Surgery holds five monthly
meetings each year at local restaurants and invites nationally recognized
speakers. Residents are expected to attend, and the meal is included. The
last meeting of each year is an annual Resident Research Day held in conjunction
with the Medical College of Georgia residency.
Additional Department-sponsored courses are held each year including both
Rhinology and Facial Plastics and are open to resident participation.
The Department sponsors each resident’s annual participation in the
American Academy of Otolaryngology-Head and Neck Surgery’s Home Study
Course in preparation for the mandatory American Board of Otolaryngology’s
In-Service Training exam each spring.
MEMBERSHIPS:
The Department sponsors resident memberships to the American Academy of Otolaryngology-Head
and Neck Surgery, the Triological Society, the Georgia Society of Otolaryngology
and the Metro Atlanta Otolaryngology Association.
JOURNALS
AND PUBLICATIONS:
Department-sponsored resident membership in the societies above also includes
receipt of Otolaryngology – Head and Neck Surgery, The Laryngoscope
and Archives of Otolaryngology.
TRAVEL
& MEETINGS:
The Department sponsors travel to national meetings for any presenting
residents, in addition to sponsoring junior resident travel during
the PGY-4 year.