Each pediatric otolaryngology fellow has clinical responsibilities during the entire year, including clinical activities in the operating room, examination of patients in the outpatient department, examination of inpatient consultations, participation in morning ward rounds, on-call responsibilities, and teaching rounds. There is a particular emphasis on the complete longitudinal care of the pediatric patient with otolaryngologic disorders, from the initial consultation in the emergency room or outpatient clinic through any operative intervention to appropriate outpatient follow up.
As there is always an attending pediatric otolaryngologist present, the large patient population allows for continuous teaching of the pediatric otolaryngology fellow in the outpatient department, operating room and rounds on the wards as well as during formal teaching sessions.
The weekday rotations are set to maximize the learning experience of the pediatric otolaryngology fellow. Clinically, the fellow splits time between the operating rooms and clinics (general pediatric otolaryngology clinics, as well as the many multidisciplinary clinics, which include Cleft/Craniofacial, Hearing, Sinus, Vascular Malformation, Sleep, and Voice). The fellow is also given two half-days of protected time every week for research and reading. The schedule allows flexibility to maximize the fellow’s educational experience.
The fellow rotates between the different attending pediatric otolaryngologists. Although each faculty is capable of practicing the entire spectrum of clinical pediatric otolaryngology, special interest and training distinguish the faculty among themselves. Therefore, rotation among the faculty gives the pediatric otolaryngology fellow exposure to a very extensive variety of clinical problems and surgical procedures, and also exposes the fellow to many different approaches to the same problem.
In the pediatric otolaryngology clinic, a full-time pediatric otolaryngologist is responsible for the clinical care and teaching of the pediatric otolaryngology fellow and otolaryngology resident, who obtain the history and examine the patient and based on these data, formulate a preliminary treatment plan. The patient is then presented to and examined by the attending pediatric otolaryngologist, who discusses management and treatment options of the patient with the resident and finalizes the treatment plan.
In the operating room there is always one or more attending pediatric otolaryngologist for clinical care, supervision and teaching of the pediatric otolaryngology fellow and the otolaryngology resident. No patient can be taken to the operating room, during regular hours as well as during night-time or week-end calls, without an attending pediatric otolaryngologist being present in the operating room except for extreme emergencies. The attending surgeon, pediatric otolaryngology fellow and otolaryngology resident also make rounds on all post-operative patients after the operative schedule has been completed.