Residency Level:
Surgical Rotation:
Length of Rotation:
PGY 2
Head and Neck Surgery
One Month
Goals and Objectives
Patient care:
 Evaluation and preparation of the pre-operative head and neck surgery patient
 Management skills required to independently evaluate the head and neck surgical patient, develop
your own plan for the patient and communication of the plan to the appropriate level of
supervision
 Take ownership in care of the patient
 Post-operative care of the head and neck surgical patient
 Mechanisms and criteria for minimally invasive head and neck surgical surgery
 Mechanisms and criteria for rotational and free flaps
 Fluid and electrolyte management including indications for parenteral and enteral nutrition
 Understanding and utilization of diagnostic techniques including routine films, contrast studies,
ultrasound, CT scan, MRI and endoscopic procedures
 Clear and timely documentation of daily progress notes
 Develop a strong work ethic
 Develop appropriate safe hand offs
 Develop the ability to care for head and neck surgical emergencies in the role as the senior
surgical resident on call, particularly airway issues
Technical skill:
 Become proficient in more advanced surgical techniques and dissections
 Diagnostic Evaluation of the nasopharyngeal tract, including physical examination, radiologic
evaluation, and laryngoscopic/ bronchoscopic/ endoscopic examination
 Focused ENT history and physical examination
 After a period of learning and appropriate supervision, perform biopsies of lesions of face, nose,
oral cavity
 After a period of learning and appropriate supervision, perform tracheostomy
 Assist at thyroidectomy, parathyroidectomy, major head and neck tumor surgery
Medical knowledge:
 Anatomy and physiology of the ear, nose, throat, thyroid and parathyroid.
 Pathology of head and neck neoplasms.
 Airway management, indications for elective and emergency tracheostomy.
 Causes and management of epistaxis.
 Evaluation and management of facial trauma
 Demonstrate evidence of continued increase in head and neck surgery core knowledge from basic
surgical texts, additional readings and the SCORE curriculum as noted below
 Study and prepare for the ABSITE
 Fluid and electrolyte management including management of parenteral and enteral nutrition
Practice-based learning and improvement:
 Participate actively in M and M conferences, daily chief conferences and journal clubs
 Learn to critically read the literature
 Master the IT resources available to you to develop a commitment to lifelong learning and
education
Interpersonal and communication skills:
 Develop the appropriate skills to provide efficient, concise, patient presentations
 Master text paging, emailing, etc.
 Develop strong doctor patient relationships using counseling and education of patients and their
families
 Learn to master EPIC to provide proper documentation in the electronic medical record
 Learn to properly consult other specialty services in a professional manner
Professionalism:
 Respect every patient regardless of social or other circumstances
 Log cases appropriately
 Log your duty hours using My Evaluations appropriately and in a timely fashion
 Complete all required clinical and residency documents in a timely fashion
 Demonstrate sensitivity to age, gender and culture of patients and other members of the health care
delivery team
 Learn to be punctual
 Always exemplify professional attire, appropriate grooming and hygiene
 Demonstrate honesty, integrity and leadership skills
Systems-based practice:
 Demonstrate the effective communication with referring physicians throughout the Swedish health
care system
 Keep patients’ safety foremost while discharging patients in a timely fashion
 Demonstrate time management and organizational skills while adhering to work hour regulations
 Gain an understanding of the importance of discharge planning and the writing of timely discharge
orders to the overall throughput of patients in our system
SCORE CURRICULUM - CATEGORY 27: HEAD AND NECK
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − COMMON
• Cervical lymphadenopathy
• Tracheostomy
• Upper airway obstruction
ESSENTIAL − UNCOMMON
FOCUSED
• Cricothyroidotomy
• Epistaxis
• Mucosal cancers of the oral cavity
COMPLEX
• Mucosal cancers of the pharynx
• Resection of lip/tongue lesions
• Mucosal cancers of the larynx
• Parotidectomy
• Parotid gland tumors
• Modified radical neck dissection
• Submandibular gland tumors
SCORE CURRICULUM - CATEGORY 14: ENDOCRINE
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − COMMON
• Thyroid nodule(s)
• Partial or total thyroidectomy
• Papillary carcinoma
• Parathyroidectomy
• Follicular carcinoma
• Primary hyperparathyroidism
• Hypothyroidism (postoperative)
• Hypercalcemia
• Hypocalcemia
• Addisonian crisis
• Hyperthyroidism
FOCUSED
• Thyroiditis
• Medullary carcinoma
• Hurthle cell tumors
• Anaplastic carcinoma
• Secondary hyperparathyroidism
• Tertiary hyperparathyroidism
• Recurrent or persistent hyperparathyroidism
• Parathyroid carcinoma
• Multiple endocrine neoplasia type I
• Multiple endocrine neoplasia type IIA
• Multiple endocrine neoplasia type IIB