The Department of Otorhinolaryngology accepts five residents each year. The core hospitals of the residency training program are in the immediate vicinity of the University of Pennsylvania campus. These are the Hospital of the University of Pennsylvania (HUP), Penn Presbyterian Medical Center, Children’s Hospital of Philadelphia, and the Philadelphia Veteran’s Administration Hospital. In addition, residents rotate to Pennsylvania Hospital, which is just 2 miles away.
The first year of residency is spent in a variety of rotations that benefit the residents’ subsequent four years of training in otorhinolaryngology: head and neck surgery. During internship the residents also spend six months on the Head and Neck Service at HUP.
The clinical rotations at the Hospital of the University of Pennsylvania are divided between two Services. One service is primarily devoted to patients with head and neck oncologic and reconstructive problems. This team is headed by a Chief Resident and includes otolaryngology residents at the PGY-2 and PGY-4 levels.
PGY-1 level otolaryngology residents are assigned to the service for a 3-month rotation in the general surgery internship year. This serves to introduce the PGY-1 residents to the otolaryngology service and to other members of the faculty and residency.
The second service deals primarily with problems in the field of otology, rhinology/sinus surgery and general otolaryngology. The team is also headed by a Chief Resident and includes otolaryngology residents at the PGY-2 and PGY-3 levels.
The Head and Neck Service covers the scope of benign and malignant diseases. Referrals of patients requiring surgical management of thyroid, parathyroid and laryngeal neoplasms comprise a significant proportion of the management challenge.
These rotations provide a wide range of clinical experience and exposure to both common and rare clinical problems in all age groups and clinical populations. Resident responsibilities are progressive through the training program in order to develop a well-rounded physician who can have justified confidence in his or her clinical abilities in dealing with all types of problems.