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ENT Otolaryngology Otorhinolaryngology Otorhinolaryngology – Head & Neck Surgery. A Career in Otorhinolaryngology. ENT related problems constitute 15% of general practice (greater in pediatrics) Less than proportionate representation in medical school. Multidisciplinary work
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ENT Otolaryngology Otorhinolaryngology Otorhinolaryngology – Head & Neck Surgery A Career in Otorhinolaryngology
ENT related problems constitute 15% of general practice (greater in pediatrics) • Less than proportionate representation in medical school
Multidisciplinary work Wide spectrum of medical and surgical cases Good scope for clinical research Human touch – close contact and rapport with patients Pros of ENT
Pros of ENT • Less onerous on call than other surgical specialties – good quality of life • Wide scope for subspecialization • Ability to be hospital based, tertiary care or community based
Cons of ENT • Highly competitive at entry level • Not a “glamorous” specialty
Subspecialties • Otology, neurotology, skull base surgery • Rhinology • Facial plastic and reconstructive surgery • Laryngology • Head and neck surgery • Pediatric otolaryngology
New technological developments – microsurgery, fiberoptics, microchip miniaturizations Testing of newborn hearing Cochlear implantation, digital hearing aids Recent Advances
Recent Advances • Osseointegrated implants as bone anchored hearing aids • Endoscopic surgery – skull base lesions • Endoscopic and laser aesthetic facial surgery • Microvascular free flaps
Prerequisite • Good grades, or improving grades • Excellent reference letters • Research in some area to show motivation (not necessarily ENT) • Some (not all) electives in ENT • Personal letter • Well rounded, broad interests
1 year General Surgery 4 years ENT At home call 1 in-funded, 0-1 out-funded residents per year 4 months research/diagnostics rotation 7 months pediatric ENT Training
Training • Increasing complexity with increase in seniority • POS exam PGYII • Royal College exam at the completion of PGYV • Research • Academic half days with structured teaching
Strengths of U of O • Collegial staff • Few-no fellows • Good staff/resident ratio • Baffin Island program
Weaknesses of U of O • Research, especially basic science, historically weak • Currently not US Board eligible • More difficult to obtain American fellowships
Aging specialty Community ENT Outside big cities - huge demand Larger cities – more hit and miss Tertiary care Fellowship dependent Career Opportunities
History of U of O Graduates • 2005 • Fellowship in Rhinology (USA) • Fellowship in Laryngology (BC) • 2004 • Offered fellowship Neurotology (returned to Saudi Arabia) • 2003 • Community ENT, BC, now Ottawa • Head & Neck Fellowship (On/Que) • 2002 • Fellowship Paediatric ENT (Australia) • 2001 • Head & Neck Fellowship (On)
Great mix of cases All ages Outpatient work primarily, 15% require surgical intervention Summary
Wide diversity surgical procedures Clinical, experimental, laboratory based research Good quality of life Reasonable on call commitment Varied practice opportunities