The third year of residency training is divided between New York Eye and Ear Infirmary Head and Neck oncologic surgery service (three months), Mount Sinai Beth Israel (three months), and the Westchester Medical Center (two three-month rotations). Further discussion of these rotations is included under the respective medical centers and detailed in Goals and Objectives. These rotations afford the resident the opportunity to broaden their knowledge, experience, and clinical skills through exposure to different clinical situations in hospitals of varying size and character, and by working closely with a variety of otolaryngologists at these institutions.
The third-year resident builds upon the knowledge and experience gained in the first year and adds the development of analytical and problem solving skills. The resident's primary patient care responsibility is to deliver and direct clinical and ward care, particularly for the critically ill patient and more complex cases. The resident assumes increased responsibility for patient care with attending surgeons providing support. Surgical responsibilities for this year include performing (as primary surgeon) more complex cases than those performed in the second year of otolaryngology (for example, partial glossectomy, endoscopic ethmoidectomy, substernal thyroidectomy, mastoidectomy, tympanoplasty, rhinoplasty, excision of facial lesions, and local flaps). Expertise is increased in those procedures performed as a second-year resident. The third-year resident first assists major cases, supervises junior residents performing second-year cases, and performs a selected group of major cases as primary surgeon under attending supervision.
Further training in allergy, immunology, endocrinology, neurology, pathology and radiation oncology occurs both during the Basic Science Course and clinical rotations. Although the third-year resident does not formerly rotate through otology and neurotology at the NYEE, he or she receives significant exposure in this subspecialty, including audiology, at Westchester Medical Center.
During the third year of otolaryngology, the resident participates in core conferences conducted at New York Eye and Ear Infirmary. The resident also completes a second temporal bone dissection course under the direction of Dr. Christopher Linstrom and staff which is conducted every two weeks except during the summer. The principles of microsurgical dissection taught in the first-year course are reviewed and new skills of tympanoplasty, mastoidectomy, ossiculoplasty and facial nerve dissection are taught.
The third-year resident is required to participate actively in ongoing research as a junior contributor and to continue to work on research projects begun in the second year. The third-year resident must prepare at least one clinical and/or basic science research project for presentation to his fellow residents and the attending staff. This project is expected to be more sophisticated than the first year's project and is evaluated critically with the intent that it is prepared for presentation at a national or regional conference and/or for publication in a refereed journal.
In addition, the third-year resident continues the preparatory work which he or she began as a first-year resident for the three-month block of research time to be completed in the third year. The success of this staged approach to research training is reflected in the fact that, over the past five years, our residents have won regional and national ( American Academy of Otolaryngology, American Laryngologic Association and American Academy of Facial Plastic & Reconstructive Surgery) research competitions and patents for commercialization of their research findings.