Otolaryngology-specific emergency room as a model for resident training

Laryngoscope. 2015 Jan;125(1):99-104. doi: 10.1002/lary.24766. Epub 2014 Jun 10.


Objectives/hypothesis: There is a paucity of data on junior resident training in common otolaryngology procedures such as ear debridement, nasal and laryngeal endoscopy, epistaxis management, and peritonsillar abscess drainage. These common procedures represent a critical aspect of training and are necessary skills in general otolaryngology practice. We sought to determine how a dedicated otolaryngology emergency room (ER) staffed by junior residents and a supervising attending provides exposure to common otolaryngologic procedures.

Study design: Retrospective review.

Methods: Diagnostic and procedural data for all patients examined in the Massachusetts Eye and Ear Infirmary ER between January 2011 and September 2013 were evaluated.

Results: A total of 12,234 patients were evaluated. A total of 5,673 patients (46.4%) underwent a procedure. Each second-year resident performed over 450 procedures, with the majority seen Monday through Friday (75%). The most common procedures in our study included diagnostic nasolaryngoscopy (52.0%), ear debridement (34.4%), and epistaxis control (7.0%)

Conclusions: An otolaryngology-specific ER provides junior residents with significant diagnostic and procedural volume in a concentrated period of time. This study demonstrates utility of a unique surgical education model and provides insight into new avenues of investigation for otolaryngology training.

Keywords: Milestones project; otolaryngology emergency room; otolaryngology procedures; residency education.

MeSH terms

  • Accreditation
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Clinical Competence
  • Curriculum
  • Emergency Service, Hospital*
  • Female
  • Humans
  • Internship and Residency*
  • Male
  • Massachusetts
  • Middle Aged
  • Models, Educational*
  • Otolaryngology / education*
  • Otorhinolaryngologic Surgical Procedures / education
  • Retrospective Studies
  • Young Adult