Goals and Objectives


 

1. Develop an expanded and deeper knowledge of the basic sciences, particularly as they pertain to clinical applications and research in pediatric otolaryngology.

Otolaryngology Fellow and Residents2. Demonstrate an effective, lifelong methodology for maintaining current knowledge and competency in the practice of pediatric otolaryngology.

3. Continue regular surveillance and reading of new literature and information pertinent to the “cutting edge” practice of pediatric otolaryngology.

4. Be able to interpret results of specialized diagnostic tests (e.g., vestibular and audiometric tests, polysomnography, imaging studies, laboratory studies, histopathology) and apply them to the diagnosis and treatment planning in clinical situations.

5. Be frank and realistic about procedures and operations the fellow feels confident in performing independently, and know when he/she needs to refer or ask for help.

6. Develop leadership skills and decision-making capabilities.

  • Function as a fellow on the pediatric otolaryngology service, fulfilling the duties and responsibilities required of that position.
  • Delegate responsibilities to chief residents, junior residents and medical students, commensurate with their abilities to accept those responsibilities.
  • Serve as a role model for residents and medical students.
  • Serve as a resource for residents and medical students, providing advice, information, and guidance.
  • Monitor the progress of residents and provide constructive criticism and feedback on their performance.

7. Be able to show evidence of a mature networking system. 

  • Have a system (card, computer, PDA, etc.) for recording information about professional contacts.

8. Master and become proficient in advanced clinical examination techniques and procedures in the office (e.g., videolaryngostroboscopy, FEES,  frenulotomy).

9. Be able to teach basic otoscopic skills and the head and neck examination to medical students, residents, and primary care physicians.

10. Gain proficiency as surgeon and surgeon supervisor in major otolaryngologic surgical procedures.

11. Demonstrate independence in surgical judgment, carrying an operative procedure to completion, and instructing residents in proper surgical technique and how to function as a surgical assistant.

12. Maintain a record of operative experience on the ACGME data collection system.

13. Develop the habit of intermediate and long-range planning by having identified year-end goals.

14. Master the orchestration of running a busy service, taking into consideration all the details that go into providing excellent clinical care and meeting the responsibilities incumbent upon the fellow.

15. Present research conducted during the year at a national or regional conference.

16. Determine career path and begin process of securing a post-fellow position in the private or academic sectors.


Objectives by Rotation
For each rotation, the fellow is expected to:

Sleep Clinic

  1. Collaborate with the sleep medicine faculty on surgical and non-surgical management for children with sleep disorders. 
  2. Develop a basic understanding of the interpretation of pediatric sleep studies.

Saliva Control Clinic

  1. Understand the collaborative role of otolaryngology, physical medicine and rehabilitation physicians (PMR), and speech therapists in the evaluation and management of children with difficulty with salivary control.
  2. Understand the different options for medical therapy, swallow therapy, and surgical management.

Tracheotomy and Ventilation Clinic

  1. Understand the management of chronic tracheostomies and potential complications
  2. Develop a collaborative relationship with pulmonary medicine, nutrition, speech and language pathology in the management of tracheostomy patients. 
  3. Understand the process of decannulation, including airway assessment 

Multidisciplinary Sinus Clinic

  1. Understand the medical evaluation for chronic sinusitis in children and medical therapy options
  2. Understand the surgical management of children with chronic sinus disease

Children’s Hospital of Wisconsin Digestive and Airway Clinic

  1. Understand the complex nature and overlap that children may have with complex feeding and airway issues, including tracheoesophageal repair, chronic dysphagia, esophageal strictures, laryngotracheomalacia, laryngeal clefts, chronic aspiration and lung disease, vocal cord immobility, subglottic stenosis, gastroesophageal reflux, eosinophilic esophagitis, etc. 
  2. Demonstrate knowledge of medical and surgical evaluation for this patient population
  3. Perform functional endoscopic evaluation of swallow

Vascular Anomalies Clinic

  1. Participate in the complex patient care with physicians from varying specialties.
  2. Differentiate treatment modalities based on type of vascular anomaly.
  3. Demonstrate competence in the use of sclerotherapy agents for macrocystic lymphatic malformations.

Cleft Lip/Cleft Palate Clinic

  1. Evaluate for velopharyngeal insufficiency in children the palatal deficiencies.
  2. Understand the management of chronic ear disease in this population.
  3. Perform nasopharyngoscopy as indicated in the evaluation of patients.

Velocardiofacial Syndrome Clinic

  1. Identify patients with velocardiofacial syndrome.
  2. Understand the role of genetics, speech/language pathology, audiology, psychology, and occupational therapy, in the management of these patients.

Cochlear Implant Program

  1. Understand patient candidacy for cochlear implantation.
  2. Demonstrate knowledge of the surgical steps in cochlear implantation.
  3. Understand services involved with cochlear implantation including device programming, aural rehabilitation therapy, speech/language evaluation and therapy.
  4. Identify and manage complications related to cochlear implantation.

The Fetal Concerns Program

  1. Participate in the prenatal diagnosis of masses in the head and neck.
  2. Participate in patient management including pre-procedure evaluation, Ex-uterine Intrapartum Treatment procedures, and post-delivery management of the patient, including surgical resection or other procedures, if indicated.
  3. Present patients with head and neck lesions at the Maternal-Fetal Conference.

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Milwaukee, WI 53226
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