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Summary of Resident Operative Experience

The Operative Experience of Residents Graduating the Residency Program at New York Eye and Ear Infirmary of Mount Sinai in Comparison With the National Average as Provided by the American College of Graduate Medial Education.

Category

Procedure

NYEE Program Average

National Program Average

Head & Neck - Salivary Glands

 

Parotidectomy

28.7

  21

 

Submandibular gland excision

13.7

    9

 

Parapharyngeal space tumor excision

2.0

    0

 

Other salivary glands

2.0

    0

 

   Total

46.3

  29

Head & Neck - Nose and Maxilla

 

Rhinectomy

1.7

    1

 

Maxillectomy

1.3

    4

 

Excision Angiofibroma

0.0

    0

 

Anterior skull base resection

1.0

    1

 

  Total

4.0

    7

Head & Neck - Lips

 

Excision lip

3.0

    4

 

Excision w/flap reconstruction

3.0

    1

 

  Total

3.3

    5

Head & Neck - Oral Cavity

 

Local resection tumor (tongue/floor of mouth)

10.3

  10

 

Glossectomy

7.7

    7

 

Resection of primary floor of mouth

3.3

    0

 

Mandible resection (independent procedure

3.3

    1

 

  Total

24.7

  18

Head & Neck - Ear

 

Auriculectomy

1.0

    3

 

Temporal bone resection

0.3

    1

 

  Total

1.3

    4

Head & Neck - Neck

 

Cervical mass biopsy or sentinel node biopsy

22.0

  22

 

Neck dissection - radical

1.3

  14

 

Neck dissection - modified or selective

54.0

  38

 

Carotid body excision

0.3

    0

 

Excision soft tissue tumor

14.3

    2

 

Drainage deep neck space abscess

9.3

    1

 

  Total

104.0

  78

Head & Neck - Endocrine

 

Thyroidectomy

114.3

  32

 

Parathyroidectomy

24.7

    8

 

  Total

139.0

  40

Head & Neck - Pharynx/Esophagus

 

Cricopharyngeal myotomy

3.3

    3

 

Repair pharynx or cervical esophagus

0.0

    0

 

Esophagectomy

0.7

    0

 

Pharyngectomy

3.7

    0

 

  Total

7.7

    3

Head & Neck - Larynx/Trachea

 

Tracheotomy

90.3

  64

 

Tracheal repair

0.7

    0

 

Tracheal resection with repair

0.3

    1

 

Thyrotomy (laryngofissure)

1.0

    1

 

Partial laryngectomy, external or endoscopic

1.7

    2

 

Total laryngectomy

9.0

    5

 

Laryngopharyngectomy

0.3

    0

 

Tracheoesophageal puncture (TEP)

3.3

    0

 

  Total

106.7

  73

Otology/Audiology

 

Reconstruction of ear canal or meatoplasty

4.3

    2

 

Excision ear canal

1.3

    1

 

Removal foreign body or cerumen from ear canal

1.7

    0

 

Myringotomy/tympanostomy

111.3

169

 

Tympanoplasty (tympanic membrane repair)

29.3

  22

 

Ossicular reconstruction

9.0

    9

 

Mastoidectomy

27.3

  15

 

Stapedectomy

8.7

    7

 

Facial nerve decompression/repair

0.0

    1

 

Labyrinthectomy

0.3

    1

 

Endolymphatic sac operation

0.0

    1

 

Cochleo/vestibular nerve section

0.0

    0

 

Excision glomus tumor

0.7

    0

 

Middle and posterior fossa skull base surgery

0.7

    4

 

Cochlear implant

1.3

    3

 

Osseointegrated implant

0.3

    1

 

  Total

196.3

234

Plastic/Trauma

 

Otoplasty

4.7

    2

 

Rhinoplasty

20.3

  15

 

Rhytidectomy

2.0

    2

 

Browlift

4.3

    3

 

Blepharoplasty

11.0

    6

 

Other eyelid procedures (ectropion rep, ptosis)

14.7

    1

 

Resurfacing procs (dermabrasion, chem peel, laser)

0.3

    2

 

Liposuction

0.7

    1

 

Repair complex laceration (all sites inc intraoral)

34.7

  33

 

Reduction of facial fractures - frontal

0.7

    2

 

Reduction of facial fractures - nasal

13.7

  11

 

Reduction of facial fractures - midface

10.0

  17

 

Reduction of facial fracture - mandible

8.3

  19

 

Skin grafts

13.0

  18

 

Composite

5.0

  10

 

Cartilage/bone

11.3

    9

 

Local, pedicle

37.7

  21

 

Muscle fasciocutaneous

6.7

    7

 

Free microvascular

1.7

   2

 

Static sling - muscle transfer

0.3

    1

 

Nerve graft/transfer

0.0

    1

 

Cleft repair - lip

0.3

    1

 

Cleft repair - palate

1.7

    2

 

Resection of skin lesions & primary closure

34.7

   40

 

  Total

237.7

 225

General/Peds - Congenital Anomalies

 

Branchial cleft anomaly excision

6.3

    5

 

Thyroglossal duct cyst excision

7.7

    5

 

Dermoid cyst excision

1.0

    2

 

Lymphatic or vascular malformation excision

3.0

    2

 

Cervical lymph node excision

2.0

    0

 

Choanal atresia

0.7

    0

 

  Total

20.7

  13

General/Peds - Larynx

 

Surgical speech fistula (TEP)

3.0

    5

 

Laryngeal fracture repair

1.0

    1

 

Laryngoplasty (inc laryngotracheoplasty)

3.3

    7

 

Ext Arytenoidectomy

0.0

    0

 

Thyroplasty (medialization laryngoplasty)

3.3

    0

 

Endoscopic arytenoidectomy

1.0

    1

 

Other larynx

1.3

    2

 

  Total

13.0

  16

General/Peds - Endoscopy

 

Direct laryngoscopy - diagnostic except newborn

40.0

  82

 

Diagnostic - newborn

3.3

    9

 

With arytenoidectomy

0.0

  63

 

With cordectomy / epiglottoplasty

0.0

    0

 

With vocal cord injection, any route

0.0

    0

 

Laryngoscopy & intervention

72.0

    7

 

Bronschoscopy, diagnostic (rigid or flexible)

26.3

  57

 

Bronchoscopy & intervention

2.0

    8

 

Diagnostic flex laryngoscopy

5.0

    1

 

Flex laryngoscopy & intervention

1.7

    0

 

Indirect laryngoscopy & intervention

0.0

    0

 

Stroboscopy

25.3

    0

 

  Total

175.7

228

General/Peds - Esophagoscopy

 

Diagnostic (rigid or flexible)

40.3

  50

 

Esophagoscopy & intervention

5.3

  11

 

With tumor ablation

0.0

    0

 

External Zenker's diverticulum

1.7

    1

 

  Total

47.3

  62

General/Peds - Oropharynx

 

Adenoidectomy

124.7

142

 

Tonsillectomy

112.3

152

 

Drainage deep neck space absces

0.0

  11

 

Uvulopalatopharyngoplasty (UVPPP)

5.0

  19

 

Tonsillectomy and adenoidectomy

17.3

    5

 

Polysomnophraphy & sleep testing

0.0

    0

 

  Total

259.3

349

General/Peds - Nose/Sinus

 

Septoplasty

40.7

   55

 

Turbinectomy/turbinoplasty

15.7

   43

 

Oroantral/oronasal fistula repair

1.7

     1

 

Control of epistaxis (endonasal, endoscopic)

11.3

  11

 

Dacryocystorhinostomy (external endoscopic)

5.7

    1

 

Incision & excision nose, non-sinus benign

7.0

    3

 

Sinus, endonasal and ext approaches (nonendoscopic)

5.7

 152

 

Osteoplastic flap - frontal sinus

1.3

     2

 

Sinonasal endoscopic

172.7

   89

 

Endoscopic sinonasal, extended

2.0

     2

 

Incision & excision of oral cavity/togue, benign

22.0

     2

 

   Total

285.7

  363