Medicine IV Clerkship

​​The Otorhinolaryngology Head and Neck Surgery rotation during the fourth year of medical school expands on the basic principles of anatomy and physiology acquired during medicine I and medicine II, and has the following learning objectives:

  • Expose the student to a variety of otorhinolaryngology problems, both in the ambulatory and inpatient settings
  • Develop history-taking skills for  otorhinolaryngology  chief complaints
  • Develop an understanding of the head and neck physical examination, and learn to recognize abnormal presentations
  • Formulate a basic differential diagnosis for the most common presentation
  • Understand the indications for surgical procedures, the expected post-operative course, and the potential complications
  • Understand the role of the otorhinolaryngology in the management of the difficult airway
The rotation takes place over 4 weeks, with duties on the inpatient and outpatient services. There are typically 4 to 6 students rotating in each block, with occasional visiting students or rotating interns/residents.

The students spend their time between the outpatient department (OPD) and the operating room and participate in regular didactic sessions and clinical discussions.

In OPD, students are exposed to the various aspects of history-taking and physical examination in otorhinolaryngology , and learn to formulate a basic differential diagnosis and general management guidelines for common condition. The operating room experience is a mandatory part of the rotation, and exposes the student to the surgical aspect of otorhinolaryngology with all its subspecialties

Students’ evaluation will be based primarily on his/her clinical performance and participation. An online evaluation form will be filled by the attending physicians and the chief residents for the students at the end of the rotation. The students will also sit for an oral and written exam at the end of the rotation.

The final grade will be based on the following:

​Final written exam
​50%
​Evaluation by faculty and residents
​30%
​Oral examination
​20%

CONFERENCE SCHEDULE

Attendance at all Otorhinolaryngology conferences is mandatory while on the rotation.

Monday

Departmental Conferences

Lectures

First Monday of the Month        ​
​​Didactic Lectures by ​Faculty Members at 9:00 AM​ ​ ​
Second Monday of the MonthMulti-Disciplinary Tumor Board at 2:00 PM
Third Monday of the MonthJournal Club at 8:00 AM
Fourth Monday of the Month
Grand Round at 8:00 AM
Multi-Disciplinary Tumor Board at 2:00 PM​


Educational Activities

  • Daily talks on morning rounds, given by residents
  • Daily talk by the attending of the day after patient evaluation in OPD
  • Lectures by residents based on the lecture lists in appendix 1
  • Monday morning departmental activity at 8 AM (grand rounds, interesting cases, tumor board, visiting lecturers)
  • Monday morning didactic lecture given at 9AM

Daily Schedule

Time 
6:45 AMMeeting on the 6th floor, in the department's conference room. Teaching discussions will precede in-patients handover and discussions of their care.
7:10– 7:30 AMWalking rounds with residents
8:00 AM – 1 PMOPD and lecture with attending of the day
AfternoonAll available students (not post-call or on-call) are required to attend on-going surgical cases​