PGY-1: Building Blocks
The first year of training includes six months of Otorhinolaryngology and 6 months of fundamentals experiences in a variety of fields as dictated by the ACGME. At this time, this includes experiences in Anesthesiology, Surgical Intensive Care, General Surgery and Pediatric Surgery, and Plastic Surgery. In each rotation, the resident is expected to actively participate in the medical and surgical management of patients in the inpatient, outpatient and operative settings. Serving as a first responder to clinical situations allows the PGY I to learn the skills of physician-ship and identify scenarios which require escalation of care to a more seasoned member of the team.
PGY-2: A Firm Foundation
During the second year, each resident spends six (6) months at Lyndon B. Johnson Hospital (LBJ), a part of Harris Health. In this setting, residents provide care under the direct and indirect supervision of faculty, ensuring access to excellent care for those whose means may not allow them to access other options. The remainder of the year is spent at Memorial Hermann Hospital – Texas Medical Center (MHH-TMC) engaged in comprehensive care of patients during the full arc of pre-operative, intraoperative, postoperative and outpatient care, building on the skills acquired as a PGY I. By the end of the academic year, the residents will be expected to demonstrate proficiency in basic Otolaryngologic surgery and to have formulated a research project for implementation during the research rotations.
PGY-3: Expanding Exploration
As the resident advances in the Medical Knowledge and Patient Care Competencies, initial supervision of more junior trainees becomes integrated into the educational experience. There is a period of protected research time, absent the typical daytime clinical responsibilities which is 2 months in length. This year also includes the initial MD Anderson Cancer Center experience with exposure to state-of-the art management of head and neck cancer and allied conditions. The majority of the year is spent at MHH-TMC. The resident will be expected to further develop her/his skill set in the surgical and medical management of Otolaryngologic conditions, both as primary providers and consultants.
PGY-4: Pedagogy & Pathways
As a PGY IV, three months are again spent at MD Anderson Cancer center with progressive responsibility. An additional month of research is allocated to allow for completion of clinical projects requiring patient enrollment. The remainder of the time is spent at MHH-TMC engaged in progressively complex surgical care and active teaching of colleagues, both in the department and across teams. During this year, the resident also begins to participate in the secondary call pool to further develop complex decision-making skills. Subspecialty interests are solidified in anticipation of possible application to fellowship training programs with clinical rotations and teaching experiences tailored accordingly.
PGY-5: Refinement & Reflection
The final clinical year is evenly divided between MHH-TMC and LBJ serving as the Chief Resident. The chief resident is endowed with additional administrative and teaching responsibilities in preparation for independent practice or fellowship training. Chief Residents are also allowed to attend a national meeting of her/his choice, typically either the AAO-HNS/F Annual Meeting or the Combined Otolaryngology Spring Meeting.