Curriculum Outline
UNIT 1: CLINICAL FUNDAMENTALS
MODULES:
- Outcomes Research and Evidence Based Medicine
- Vascular Thromboembolism (VTE)
- Anesthesia for the Otolaryngologist
- The Impaired Physician
- Ethics and Professionalism
- Pain Management
- Patient Safety and Quality Improvement in Otolaryngology
- Universal Precautions
- Fatigue Management
UNIT 2: RHINOLOGY
MODULES:
- Sinonasal Embryology and Anatomy
- Physiology of Nose and Paranasal Sinuses
- Olfactory Disorders
- Epistaxis
- Anatomic Obstruction
- Rhinitis (Non-Allergic)
- Maxillary Sinus
- Rhinosinusitis (Fungal)
- Rhinosinusitis (Non-Polypoid)
- Rhinosinusitis (Polypoid)
- Systemic Diseases with Sinonasal Manifestations
- Ethmoidectomy and Sphenoidotomy
- Septoplasty
- Rhinoscopy / Nasal Endoscopy
- CSF Rhinorrhea
- Benign Sinonasal Neoplasms
- Pathology of Regions Adjacent to Paranasal Sinuses (Orbital / Lacrimal)
- Pathology of Regions Adjacent to Paranasal Sinuses (Anterior Skull Base / Middle Skull Base)
- Sinonasal Disease in the Elderly
- Headaches and Facial Pain
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
ENDOSCOPIC
- Rhinoscopy / Nasal Endoscopy
- Spetoplasty
- Turbinoplasty
- Inferior Meatus Antrostomy
- Maxillary Antrostomy
- Endoscopic Ethmoid and Sphenoid Surgery
- Frontal Sinusotomy
- Trans-Pterygoid Approach-Pterygomaxillary Fissure/ Sphenoid
- Repair of Rhinologic CSF Leaks
- Orbital / Optic Nerve Decompression
- Dacryocystorhinostomy
- Medial Maxillectomy
- Hypophysectomy
- Endoscopic Approaches to the Anterior/Middle Skull Base
NON-ENDOSCOPIC
- Septoplasty
- Nasal Valve Repair
- Epistaxis Management
- External Approaches to the Paranasal Sinuses
UNIT 3: ALLERGY
MODULES:
- Basic Immunology
- Hypersensitivity Disorders
- Food Allergy
- Latex Allergy
- Allergy Testing
- Allergy Treatment
- Anaphylaxis
- Allergic Rhinitis
- Allergic Ocular Disease and Conjunctivitis
- Allergic Disease and Rhinosinusitis
- Allergic Disease and Laryngeal Dysfunction
- Allergic Disease and Asthma
- Allergies in the Elderly
UNIT 4: LARYNGOLOGY, VOICE, AND SWALLOWING
MODULES:
- Laryngeal Anatomy
- Physiology of Voice, Breathing, and Swallow
- Videolaryngoscopy and Stroboscopy
- Vocal Function Tests / Laryngological EMG
- Pharyngitis
- Laryngitis
- Laryngopharyngeal Reflux
- Benign Laryngeal Lesions
- Vocal Nodules
- Contact Ulcer and Granuloma
- Laryngeal Polyps, Cysts, and Sulci
- Laryngoceles
- Laryngeal Paralysis and Paresis
- Presbyphonia
- Functional Voice Disorders
- Spasmodic Dysphonia
- Vocal Tremor
- Subglottic and Glottic Stenosis
- Laryngeal Dystonias and Tremor
- Granulomatous Diseases of the Larynx
- Acute Airway Management
- Voice Therapy
- Dysphagia
- Zenker’s Diverticulum
- Aspiration
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
ENDOSCOPIC APPROACHES
- Direct Laryngoscopy / Microlaryngoscopy (Non-Cancer)
- Principles of Phonosurgery
- Injection Laryngoplasty
- Laser Surgery
- Rigid and Flexible Esophagoscopy
EXTERNAL APPROACHES
- Framework Surgery (Thyroplasty 1-4 / Arytenoid Adduction)
- Cricotracheal Resection
- Arytenoidectomy / Arytenoidopexy
- Vocal Fold Reanimation
- Excision of Benign Laryngeal Lesions
- Zenker’s Diverticulectomy
- Cp Interventions: Myotomy, Botox Injections, Dilatation: video (3 min) and outline
- Surgical Techniques for Chronic Aspiration
- Tracheotomy
RESOURCES:
Laryngeal Ultrasound Teaching Module
Julina Ongkasuwan, MD, FAAP, FACS, Baylor College of Medicine
Website | Video Link
UNIT 5: ADULT SLEEP MEDICINE
MODULES:
- Sleep Physiology and Disorders
- Diagnostic Evaluation of Sleep Disorders
- Obstructive Sleep Apnea (OSA)
- Surgical Treatment of OSA
- Non-Surgical Management of OSA
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
- Snoring Surgery
- Uvulopalatopharyngoplasty
- Tongue Reduction including Radiofrequency
- Tongue Suspension
- Maxillomandibular Advancement
- Hyoid Suspension
- Hypoglossal Nerve Stimulator
- Surgery for Obstructive Sleep Apnea
UNIT 6: PEDIATRIC OTOLARYNGOLOGY
MODULES:
- Care of Pediatric Surgical Patient
- Syndromes and Genetics
- Adenotonsillar Disease / Obstructive Sleep Apnea
- Congenital Cysts and Sinuses of Neck
- Vascular Lesions Including Hemangiomas and Vascular Malformations
- Pediatric Hearing Loss
- Congenital Nasal Masses and Anomalies
- Pediatric Rhinosinusitis – Chronic and Acute
- Complications of Pediatric Rhinosinusitis
- Congenital Laryngotracheal Diseases
- Acquired Laryngotracheal Diseases
- Pediatric Stridor
- Foreign Bodies in Aerodigestive Tract
- Caustic Ingestions
- Voice Disorders and Analysis in Children
- Gastroesophageal Reflux in Children
- Feeding and Swallowing Issues
- Pediatric Malignancies of Head and Neck
- Pediatric Deep Neck Space Infections
- Pediatric Head and Neck / Facial Trauma
- Cleft Lip and Palate
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
- Tonsillectomy/ Adenoidectomy
- Excision of Congenital and Sinus Cysts (Branchial Cleft, and Thyroglossal Duct)
- Neck Abscess Drainage (Pediatric)
- Treatment of Laryngeal Clefts / Tracheoesophageal Fistulas
- Reconstruction of Cleft Lip and Palate Deformities
- Repair of Caustic Ingestion Injuries of Pharynx and Esophagus / Thermal Injury of Upper or Lower Airway
- Removal of Foreign Bodies of Aerodigestive Tract
- Laryngotracheoplasty
- Epiglottoplasty
- Supraglottoplasty: video (3 min) and outline
- Resection of Vascular Malformations (Lymphatic, Venous, and Hemangioma)
UNIT 7: OTOLOGY / AUDIOLOGY
MODULES:
- Temporal Bone Anatomy
- Skull Base Anatomy
- Physiology of Eustachian Tube / Middle Ear / Mastoid
- Physiology of the Auditory System
- Audiologic Testing
- Physiology of the Vestibular System
- Vestibular Testing
- Facial Nerve Testing
- Intraoperative Nerve Monitoring
- Anesthesia for Otologic Surgery
- Temporal Bone and Lateral Skull Base Imaging
- Disorders of the External Ear and External Canal
- Neoplasms of Ear and Lateral Skull Base
- Congenital Aural Atresia
- Acute Otitis Media and Complications
- Chronic Otitis Media and Cholesteatoma
- Conductive Hearing Loss
- Sensorineural Hearing Loss
- Third Window Disorders
- Tinnitus
- Ménière’s Disease
- Benign Paroxysmal Positional Vertigo (BPPV)
- Vestibular Migraines
- Other Vestibular Disorders / Dizziness
- Amplification
- Cochlear Implantation and Other Implantable Technology
- Vestibular Rehabilitation
- Facial Nerve Disorders
- Vestibular Schwannoma
- Petrous Apex Disease
- CSF Otorrhea: Encephalocele and CSF Leaks
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
- Canaloplasty / Meatoplasty
- Myringotomy
- Tympanoplasty
- Middle Ear Exploration
- Stapedotomy
- Ossiculoplasty
- Congenital Middle Ear Reconstruction
- Tympanomastoidectomy
- Transtympanic Installation of Ototopical Drugs
- Labyrinthectomy
- Resection of Vestibular Schwannoma and Other Cerebellopontine Angle Tumors
- Superior Canal Dehiscence Repair
- Cochlear Implantation
- Bone Anchored Hearing Aid/ Implantation
- Approach to the Jugular Foramen
- Approaches to the Lateral Skull Base
- Encephalocele and CSF Leak Repair
- Facial Nerve Surgery
- Perilymph Fistula Repair
UNIT 8: HEAD AND NECK SURGERY
MODULES:
- Head and Neck Cancer Epidemiology and Statistics
- Principles of Chemotherapy and Chemoprevention
- Principles of Radiation Oncology and Organ Preservation Strategies
- Tumor Biology and Immunology of Head and Neck Cancer
- Nutrition in Head and Neck Cancer
- End-Of-Life Issues
- Supportive Care / Pain Management
- Head and Neck Manifestations of Immunocompromised Patient
- Head and Neck Cancer in the Elderly
- Cutaneous Melanoma
- Non-Melanoma Skin Cancer
- Mucosal Melanoma
- Orbital Neoplasms
- Salivary Gland Disease and Neoplasms
- Stomatitis
- Odontogenic Cysts and Related Jaw Tumors
- Dental Occlusion and Dentistry - in progress
- TMJ Disorders
- Oral Cavity Neoplasms
- Pharyngitis
- Tonsillitis
- Oropharyngeal Neoplasms
- Hypopharyngeal Neoplasms
- Nasopharyngeal Carcinoma
- Laryngeal Neoplasms
- Paranasal and Nasal Malignancies
- Head and Neck Soft Tissue Sarcoma
- Benign Neck Diseases
- Deep Neck Space Infections
- Neck and Parapharyngeal Space Neoplasms
- Skull Base Surgery and Transfacial Surgical Approaches
- Unknown Primary Neck Disease: Considerations and Workup
- Principles of Neck Dissection
- Post-Laryngectomy Voice Rehabilitation
- Regional Advancement and Rotation Flaps for Large Defects of the Head and Neck
- Principles of Microvascular Free Tissue Transfer for Soft Tissue Reconstruction of the Oral Cavity, Pharynx, and Larynx
- Principles of Microvascular Free Tissue Transfer for Reconstruction of the Mandible, Midface, and other Prosthetics
- Thyroid Disease
- Parathyroid Disease and Neoplasms
- Tracheal Neoplasms
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
SALIVARY GLAND
LIP AND ORAL CAVITY
- Lip Resection
- Intraoral Resection
- Glossectomy
- Mandibulectomy/ Mandibular Osteotomy
PHARYNX/ PARAPHARYNGEAL SPACE
- Tonsillectomy (Adult)
- Excision of Parapharyngeal Space Mass (Including Chemodectoma, Neurilemmoma Removal)
- Pharyngotomy
- Transoral Surgery (TORS, TLM)
- Video Panel Transoral Surgery (AHNS)
- Tranoral Laser Surgery (AHNS)
LARYNX
- Direct Laryngoscopy / Microlaryngoscopy (Cancer)
- Partial (Laser and Open) Laryngectomies
- Supraglottic Partial Laryngectomy (AHNS)
- Total Laryngectomy / Pharyngectomy
- Surgical Voice Restoration (TEP)
- Larygofissure
NECK
- Drainage Deep Neck Abscess (Adult)
- Cervical Lymph Node Biopsy
- Sentinel Node Biopsy (Cutaneous and Mucosal)
- Neck Dissection
THYROID/PARATHYORID
- Thyroidectomy
- Parathyroidectomy
TRACHEA
- Tracheal Resection
RECONSTRUCTION
- Oral Cavity Reconstruction
- Pharyngoesophageal Reconstruction
- Mandibular Reconstruction
MISCELLANEOUS
- Maxillectomy (with or without Orbital Exenteration)
- Partial Maxillectomy
- Nasal Resection
- Skull Base Surgery (Anterior Fossa)
UNIT 9: FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
MODULES:
- Normal Cutaneous Anatomy and the Aging Process including Aesthetic Assessment
- Facial Analysis and Cephalometrics
- Wound Healing
- Basic Surgical Principles
- Implants and Biomaterials
- Grafts (Autografts, Homografts, and Alloplastics) - in progress
- Cutaneous Flaps
- Unit Reconstruction (Ear, Nose, Lip, Eye)
- Facial Reanimation
- Tissue Expansion
- Skin Resurfacing
- Brow Lift
- Blepharoplasty
- Rhytidectomy
- Liposuction
- Botox / Fillers / Fat Injection
- Otoplasty
- Functional Rhinoplasty
- Primary Rhinoplasty
- Secondary Rhinoplasty
- Hair Restoration - in progress
- Chin and Malar Augmentation
- Benign Cutaneous Lesions – Pigmented
- Benign Cutaneous Lesions – Non-Pigmented
- Scar Revision
- Pediatric Auricular Reconstruction and Otoplasty
- Psychologic Evaluation
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
- Rhinoplasty / Revision Rhinoplasty / Aging Rhinoplasty / Reduction
- Rhytidectomy
- Forehead/ Browlift
- Blepharoplasty and Other Periorbital Procedures
- Facial Implants
- Scar Revision
- Otoplasty and Auricular Reconstruction/ Microtia Repair
- Extratemporal Facial Reanimation
- Soft Tissue Expansion
- Excision of Skin Lesions
- Reconstruction of Soft Tissue Defects – Traumatic and Mohs
- Skin Resurfacing Techniques
UNIT 10: TRAUMA
MODULES:
- ABCs of Initial Trauma Management
- Soft Tissue Trauma
- Nasal Bone Fractures
- Orbit Fractures
- Midface and Zygoma Fracture
- Frontal Sinus and Anterior Skull Base Trauma
- Nasoorbitoethmoid (NOE) Fracture
- Mandible Fracture
- Temporal Bone Trauma
- Laryngeal Trauma
- Penetrating and Blunt Neck Trauma
- Burn Management
SURGICAL VIDEO TOPICS:
The following are links to short videos on surgical procedures.
- Soft Tissue Simple and Complex Closure
- Closed Nasal Reduction
- Closed Reduction (Gilles / Keen) Reduction Zygomatic Arch Fracture)
- Approaches to the Midface
- Mandibulomaxillary Fixation
- Orif Zmc Fracture
- Orif Mandible Fracture
- Approaches to the Orbit
- Nasolobitoethmoid (NOE) Fracture
- Penetrating Neck Trauma (Zones I, II, III)
UNIT 11: BUSINESS OF MEDICINE
MODULES:
- Advocacy and Health Policy - How to Keep Up and Participate
- Electronic Medical Records
- Alternative Payment Models
- CPT Process for Code Creation
- RUC Process for Code Valuation
- Coding and Documentation
- Types of Surgical Facilities
- Information and Knowledge Management
- Patient Privacy Legislation and HIPPA
- Patient Safety and Quality Improvement in Otolaryngology
- Compliance and Audits
- Types of Practice
- Business Models / Office Management / Systems Based Practice
- Systems Based Practice
- Job Search and Contract Negotiation
- Incorporating Mid-Level Providers into Your Practice
- Marketing and Practice Growth
- Incorporation of Ancillary Services
- Incorporating Quality Reporting / MACRA into Your Practice
- Otolaryngology Outreach
- Taxes, Retirement and Financial Planning