Clinical Training

The U-M Department of Otolaryngology-Head and Neck Surgery residency program offers a robust clinical training experience. This is a summary of the academic structure of the training program.

5-Year Clinical Training Program

Our five-year program offers a balance of inpatient, outpatient, operative and research experience. Residents in this program spend six months doing research during their PGY-4 year.

6-Year Advanced Research Training in Otolaryngology Program

Like our five-year residency program, our six-year Advanced Research Training in Otolaryngology Program offers a balance of inpatient, outpatient, operative and research experience. Residents in our six-year program spend an additional 12 months doing research, which begins during the PGY-3 year, for a total of 18 research months.

Program Rotations

The department is divided into the following services:

  • Blue: Head and Neck Oncology
  • Maize: Facial Plastics and Reconstructive Surgery, General Otolaryngology, Laryngology, Rhinology and Skull Base Surgery
  • Mott: Pediatric Otolaryngology
  • Otology: Otology-Neurotology
  • V.A.: Veteran's Administration Hospital(link is external)
  • Research: 6-month or 18-month Research Rotation

PGY-1 

PGY-1 residents are assigned to twelve, one-month rotations. Residents spend six months on rotations outside of the department, primarily rotating with general surgery services as well as with neurosurgery. The remainder of the year is spent in the Department of Otolaryngology-Head and Neck Surgery.

Otolaryngology-Head and Neck Surgery Rotation (six months)

PGY-1 residents spend six months working in the Department of Otolaryngology - Head and Neck Surgery. During this time, they rotate through our pediatric otolaryngology and head and neck oncology services. This rotation structure exposes residents to otolaryngologic scenarios across the spectrum, providing a balance of clinic, inpatient, consultation and operative experience, resulting in an abundance of learning opportunities. Through numerous conferences, rounds and lectures offered throughout the year, the PGY-1 residents are also introduced to the department's academic endeavors.

Perhaps one of the most unique aspects of the PGY-1 year is the Otolaryngology Clinical Skills Period. During this one-month focused educational rotation, the entire PGY-1 class spends two weeks with the head and neck anesthesia team and two weeks focusing on ear, nose and throat skills development. Activities include simulation, didactics and dedicated clinical experiences.

Otolaryngology - Head and Neck Surgery Rotation (three months)

During the otolaryngology - head and neck surgery rotation, PGY-1 residents spend six weeks on our Gold Service. During this time, PGY-1 resident also spend Thursdays with our Green Service, corresponding with the Green Service Otology Conference and temporal bone drilling. Residents spend at least one day with audiology, speech language pathology and the vestibular laboratory. The remaining six weeks are spent on the Mott Service. This rotation structure exposes residents to otolaryngic scenarios across the spectrum, providing a balance of clinic, inpatient, consultation and operative experience, resulting in an abundance of learning opportunities. Through numerous conferences, rounds and lectures offered throughout the year, the PGY-1 residents are also introduced to the department's academic endeavors.

PGY-2

PGY-2 residents spend three months each on the Maize, Mott, Blue and Otology services. These rotations afford PGY-2 residents the opportunity to obtain a strong base of knowledge and experience upon which to build. There is a balance between the clinic and operative experience and a strong emphasis on developing and acquiring the skills and knowledge required to care for patients. System-based practice and the concepts of patient-based learning are also emphasized. Residents have the opportunity to enhance their written and verbal communication skills when communicating with other clinicians and presenting during teaching rounds and conferences. PYG-2 residents take call with senior resident backup.

PGY-3

PGY-3 residents spend three months each on the Blue and V.A. services and six months on the Maize service. PGY-3 residents are expected to take on more responsibility for patient care, teaching and organization under the supervision of faculty and senior residents. They make significant progress in the area of medical knowledge and offer more substantial contributions to case discussions at rounds and conferences. With the assistance of faculty, PGY-3 residents select a research project and complete a research proposal for presentation to the Research Committee and at the Charles J. Krause, M.D., Lectureship. PGY-3 residents continue to take call with senior resident backup.

PGY-4

PGY-4 residents spend three months each on the Mott and Otology services, assuming chief resident responsibilities during these months. This gives residents the opportunity to develop and improve their leadership, organizational and communication skills. PGY-4 residents have increased responsibility for supervising and teaching junior residents and students and organizing rotations to ensure work is distributed fairly and appropriately among the service team members. They are expected to develop, communicate and carry out complete treatment plans under faculty supervision. The remaining six months are spent completing a research project. This work is presented during the Charles J. Krause, M.D., Lectureship and submitted for publication. PGY-4 residents contribute substantially during case discussions, rounds and conferences. They also take back-up senior call.

PGY-5

PGY-5 residents are the chief residents on the Blue, Maize and V.A. services. These rotations demand excellent organizational, communication and leadership skills. Junior residents and students are assigned to these services, so PGY-5 residents have an excellent opportunity to hone their teaching skills. In addition, they are expected to lead discussions at rounds and conferences. PGY-5 residents perform complex procedures under the supervision of faculty, and supervise junior residents performing less-complex procedures. They have the opportunity to act as consultants, developing and communicating diagnostic and treatment plans to consulting services with faculty supervision. PGY-5 residents provide back-up senior call.