Medical Education

Residency Program

The Otolaryngology residency training program at the University of Texas Medical Branch was established 1940. In 1968, Dr. Byron J. Bailey was appointed Wiess Professor and the first Chairman. Our residency training program is fully approved by the Residency Review Committee for Otolaryngology sponsored by the Council on Medical Education of the American Medical Association, the American College of Surgeons, and the American Board of Otolaryngology.

The purpose of our training program is to prepare residents to be successful in whatever practice venue they choose. In order to implement our purpose, we have designed an Otolaryngology residency that is comprehensive, with an emphasis on breadth of experience and exposure.

The philosophy of the educational component of the training program is that strength in clinical skills is based upon thorough knowledge of basic scientific information and developing operative skills on a variety of complex pathologies. We feel that resident involvement in research activities and publications is extremely important. Another defining characteristic for our program is "balance." We seek to provide a balance between individual resident responsibility and resident supervision within and educational and supportive environment. Similarly, we seek to provide a balanced experience in the medical and surgical aspects of the field of Otolaryngology.

The scope of our residency program includes all aspects of otolaryngology, including otology, audiology, otolaryngologic allergy and rhinology, laryngology and speech language pathology, endoscopy, maxillofacial trauma, plastic and reconstructive surgery of the head and neck, pediatric otolaryngology and head and neck surgical oncology. Surgical procedures are performed with residents under supervision of our faculty members, and all clinics are staffed by faculty members.

The resident plays an active and important role in the training of medical students, residents in other specialties, and other residents in our otolaryngology training program. We have a strong interest in training the residents to be good educators as this skill is important for collaborative patient care. Periodically, the residents are given the responsibility of presentations at Grand Rounds, Journal Clubs, and other seminars.

Didactics

Our department sponsors a variety of weekly didactic activities which bring residents and faculty together to learn and teach in a collaborative environment.

Monday afternoon
  • Head and Neck Tumor Board for multi-disciplinary management of head and neck patients with Pathology, Neuroradiology, Radiation and Medical Oncology, Oral Maxillofacial surgery, Head and Neck surgical oncology and Speech and Language Pathology. At this meeting we also have a weekly poignant journal article presented by the various subspecialties in attendance.
  • Quarterly Otolaryngology/Endocrinology conference
Wednesday morningGrand Rounds:
  • Presentations led by residents, faculty, visiting faculty, and joint conferences with Neurosurgery/Neuroradiology/Plastics Surgery 
  • Morbidity and Mortality monthly meeting, Quality Improvement meeting, Journal Club, Resident Wellness lectures and activities
Thursday afternoon"Quinn Rounds"
  • Mock oral board exam style teaching of interesting patient cases – hosted by rotating faculty
    Friday morningWeekly planning conference and evidence based update


    Basic Introductory Course (BIC): During July, junior residents participate in daily introductory lectures highlighting important topic areas in Otolaryngology. Lecture topics and hands-on experiences range from head and neck radiology, audiology, care of tracheostomies, epistaxis management, etc.


    Other educational resources provided for all residents include:

    • BoardVitals question bank subscription in preparation for the In-service Examination and the Written Boards
    • Focused Lifelong Education Xperience (FLEX) educational curriculum through the AAO-HNSF
    • Otolaryngology textbooks and journals through UTMB Moody Medical Library
    • Resident fund that can be used at any time for educational purchases such as loupes, textbooks, conferences, courses, etc. (at least $1000 each year).

    Labs:

    • Temporal Bone Lab
    • ENT Junior Resident Boot Camp
    • Hands on Rhinology Course
    • Skull base Course
    • Microsurgery/Local and Free Flap Course – hosted with other Houston residencies programs
    • Ethicon Suture Course
    • Microsurgery Simulation Lab
    • Other courses provided throughout the year include a microvascular suturing course, plating course, and endoscopic sinus and skull base course.

    Description of Rotations:

    Team
     
    Description
    A Team
    Head and Neck Surgery
    2 months PGY1
    2 months PGY2
    2 months PGY3
    4 months PGY5

    The largest resident team, residents gain a comprehensive head and neck experience working with Dr. Resto, Dr. Coblens, Dr. Shabani and Dr. Ranasinghe performing a wide variety of procedures including head and neck cancer ablation with local and free flap reconstructions, neck mass excisions, neck dissections, thyroid and parathyroid surgery, sleep surgery and skull base surgery.

    Super B Team
    Otology, Laryngology, Facial Plastics, Rhinology and Allergy

    2 months PGY2

    2 months PGY32 months PGY44 months PGY5
    Highlighted by having three otologists Dr. McKinnon, Dr. Young, and Dr. Makishima, our program is particularly strong in otology. Residents will gain ample experience in all aspects of clinical and operative otology from basic tympanoplasties to lateral skull base surgery. We have two laryngologists – Dr. Jamal and Dr. Bracken who practice the full spectrum from clinical procedures to comprehensive airway surgery. Dr. Siddiqui has a robust allergic and rhinologic practice that covers the entirety of function and anterior skull base surgeries..

    C Team
    Pediatric Otolaryngology

    4 months PGY1
    4 months PGY2

    Apprenticeship-style teaching with Dr. Pine, Dr. Hajiyev and Dr. Hughes. As a PGY2, you will be functioning as the chief of the pediatric otolaryngology team, providing early opportunities for resident leadership and mentoring.

    Texas Department of Corrections (TDC)4 months PGY2
    4 months PGY4

    One of the highlights of our residency program is the UTMB Texas Department of Criminal Justice Hospital. It is the first and only free-standing hospital in the country specializing in offender care. This rotation offers similar autonomy to a Veterans Affairs/County hospital rotation at other programs but with a larger patient population (encompassing almost the entire prison population in the state of Texas – all genders and patients range from 18-90+ years of age) and often more diverse and advanced pathology.

    Methodist

    General Otolaryngology with focus on Rhinology, and Facial and Reconstructive Plastics


    2 months PGY3

    2 months PGY4

    The four cumulative months working at Methodist hospital provide exposure to a wide variety of different surgical faculty within a different hospital system to learn from. High surgical volume gives residents hands on experience and builds surgical confidence. Many residents have participated in meaningful research with these faculty. Housing is provided in Houston by UTMB.
    MD Anderson
    Head and Neck Surgery
    2 months PGY3
    2 months PGY4

    MD Anderson is leading Cancer hospital in the country and one of the most respected cancer hospitals in the world. As a UTMB resident, you will have the privilege to rotate as a resident physician within the head and neck cancer team during your 3rd and 4th year. During that time you will be exposed to the complex and the multidisciplinary management of head and neck cancer patients and sick cancer patients. This rotation offers great opportunity for collaboration and experience of an NCI designated hospital system. Housing is provided in Houston by UTMB.

    Facial Plastic Surgery Associates

    Russell Kridel, MD

    1 month PGY3

    One month rotation working with Dr. Kridel at Facial Plastic Surgery Associates, one of the Cosmetic Facial Plastic Surgery premier facial plastic surgery private practices in the Houston area. Residents receive exposure to every facet of facial plastic surgery from laser resurfacing and injectables to complex rhinoplasty, facelift, and brow lift surgeries. UTMB also now hosts their fellowship program which further strengthens the educational value of this rotation. Many residents have participated in meaningful research with Dr. Kridel.

    Research3 months PGY3Three months are dedicated to protected research time during the PGY-3 year. Residents have the option to work on clinical projects such as clinical trials, systematic reviews, or meta-analyses, but some residents also choose to work on bench research. Residents have historically been productive on this rotation.

    Second Mountain

    The Second Mountain program is an entirely unique and progressive wellness program led by Dr. Pine and funded by the department. As an otolaryngology resident, progressing through residency is the obvious "first mountain" that one must climb. However, as a part of the Second Mountain program, residents choose an additional goal to work toward outside of medicine which can be a wide variety of things including a physical endeavor, spiritual goals, or expanding one’s competency of a hobby. Current residents have chosen goals such as reaching a higher rock climbing proficiency, losing weight, biking, and jiu jitsu. Residents must have an attainable goal, and progress is tracked and reported to Dr. Pine.