The General and Specialty Clinics in the Department of Otolaryngology - Head and Neck Surgery at New York Eye and Ear Infirmary of Mount Sinai (NYEE) served 44,239 patients from January 1, 2000 through December 31, 2000. There were 21,584 visits to the General Clinic and the following visits to specialty clinics: Head and Neck: 1,086; Otology: 1,552; Facial Plastic and Reconstructive: 576; Allergy: 1,483; Pediatrics: 5,207; Audiology: 5,726; Speech Pathology: 1,920; and the remainder in miscellaneous specialty clinics. Further, residents are involved in the care of an additional 18,000 patients seen in the full time academic faculty practice, and may participate in the care of an additional 6,274 Audiology patients and 3,080 Speech Pathology patients.
General clinics run five afternoons a week and Saturday mornings at the New York Eye and Ear Infirmary. The General Clinic serves as a triage site for the specialty clinics. Specialty clinics are arranged on designated mornings: Head and Neck on Monday mornings; Facial Plastic and Reconstructive Surgery on Tuesday mornings; Otology/Neurotology on Tuesday and Thursday mornings; and Allergy on Wednesday and Friday mornings. Allergy clinic has special faculty assigned to them including Dr. Michael Teitel.
Each clinic is run as an academic experience and the attending staff monitors residents' performance. Individual problems are discussed as they arise. Residents are credentialed for clinic procedures according to the New York Health Department regulations. Residents are expected to examine patients, obtain accurate and complete clinical (history, signs, & symptoms) and laboratory data, formulate a comprehensive plan for evaluation and treatment of the patient and present that plan to the attending physician. The patient load is borne partially by physician assistants who are supervised by residents and attending physicians through reviews of patient histories and physical examinations.
Residents are expected to recall facts relative to overall patient care and to interpret data and tests. They are required to analyze and interpret appropriate data relative to individual patients to establish a diagnosis and treatment plan. At least one member of the full time or part time staff provides supervision in all clinics at all times.
Residents also participate in the educational process by providing guidance and instruction to more junior residents, medical students (including participation in a Robert Wood Johnson grant to train general physicians), and physician assistants. In this role, residents have access to the advice and help of the faculty and attending staff.
Residents are expected to perform minor surgical procedures in the clinic (such as myringotomy, flexible nasopharyngolaryngoscopy, otomicroscopy, incision and drainage). Direct attending supervision is provided at all times until competence to work independently is assured and certified. Attending physicians remain provide onsite supervision. The faculty member monitors resident procedures and demonstrates proper technique.