title: The residency experience in pediatric otolaryngology.
abstract: OBJECTIVE
  To assess the residency experience in pediatric otolaryngology, determine the impact of pediatric fellowship programs on residency training, and evaluate the need for fellowship training in pediatric otolaryngology.
  
  
  METHODS
  An anonymous, web-based survey of chief residents in otolaryngology.
  
  
  METHODS
  Respondents described their experience in pediatric otolaryngology using a 5-point Likert scale and reported their comfort levels (yes/no) with various medical and surgical issues in pediatric otolaryngology.
  
  
  RESULTS
  The survey was successfully completed by 70 respondents, representing a response rate of 26%. The majority of the respondents reported positive experiences with regard to the following aspects of pediatric otolaryngology training: didactics (81%), clinical research opportunities (78%), positive faculty role models (87%), career mentorship (74%), independent medical (84%) and surgical (81%) decision-making, and overall comprehensive residency experience (87%). Basic science research opportunities (50%) were reported as less available than clinical research opportunities (78%) (P = .002). Compared with other surveyed issues, a lower comfort level was reported for management of craniofacial anomalies (P < .001), excision of large lymphatic malformations (P < .001), cochlear implantation (P < .001), laryngotracheal reconstruction (P < .001), and surgical correction of velopharyngeal insufficiency (P < .001). No statistically significant difference was noted in responses based on the presence of a fellowship program at the institution.
  
  
  CONCLUSIONS
  The residency experience in pediatric otolaryngology is perceived as comprehensive by graduating chief residents participating in this survey. The presence of a fellowship program does not appear to negatively impact the residency experience. Based on the reported comfort levels, the management of complex issues in pediatric otolaryngology may require additional training.
authors.affiliation: New York Presbyterian Hospital-Columbia University College of Physicians and Surgeons, New York, New York, USA.
authors.forename: Kara
authors.initials: K
authors.lastname: Kerscher
authors.forename: Abtin
authors.initials: A
authors.lastname: Tabaee
authors.forename: Robert
authors.initials: R
authors.lastname: Ward
authors.forename: Joseph
authors.initials: J
authors.lastname: Haddad
authors.forename: Eli
authors.initials: E
authors.lastname: Grunstein
mesh_terms: D001291:Attitude of Health Personnel; D019929:Cochlear Implantation; D019465:Craniofacial Abnormalities / Q000601:surgery; D003657:Decision Making; D005180:Faculty, Medical; D005257:Fellowships and Scholarships; D006801:Humans; D007396:Internship and Residency; D007400:Interprofessional Relations; D007830:Larynx / Q000601:surgery; D008208:Lymphatic System / Q000002:abnormalities; D008611:Mentors; D010036:Otolaryngology / Q000193:education*; D013517:Otorhinolaryngologic Surgical Procedures; D010372:Pediatrics / Q000193:education*; D019651:Plastic Surgery Procedures; D012106:Research / Q000193:education; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods; D014132:Trachea / Q000601:surgery; D014481:United States; D014681:Velopharyngeal Insufficiency / Q000601:surgery