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A Career in Otorhinolaryngology

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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A Career in Otorhinolaryngology

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  1. ENT Otolaryngology Otorhinolaryngology Otorhinolaryngology – Head & Neck Surgery A Career in Otorhinolaryngology

  2. ENT related problems constitute 15% of general practice (greater in pediatrics) • Less than proportionate representation in medical school

  3. 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

  4. 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

  5. Cons of ENT • Highly competitive at entry level • Not a “glamorous” specialty

  6. Subspecialties • Otology, neurotology, skull base surgery • Rhinology • Facial plastic and reconstructive surgery • Laryngology • Head and neck surgery • Pediatric otolaryngology

  7. New technological developments – microsurgery, fiberoptics, microchip miniaturizations Testing of newborn hearing Cochlear implantation, digital hearing aids Recent Advances

  8. Recent Advances • Osseointegrated implants as bone anchored hearing aids • Endoscopic surgery – skull base lesions • Endoscopic and laser aesthetic facial surgery • Microvascular free flaps

  9. 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

  10. 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

  11. 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

  12. Strengths of U of O • Collegial staff • Few-no fellows • Good staff/resident ratio • Baffin Island program

  13. Weaknesses of U of O • Research, especially basic science, historically weak • Currently not US Board eligible • More difficult to obtain American fellowships

  14. Aging specialty Community ENT Outside big cities - huge demand Larger cities – more hit and miss Tertiary care Fellowship dependent Career Opportunities

  15. 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)

  16. Great mix of cases All ages Outpatient work primarily, 15% require surgical intervention Summary

  17. Wide diversity surgical procedures Clinical, experimental, laboratory based research Good quality of life Reasonable on call commitment Varied practice opportunities

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