title: Otolaryngology-specific emergency room as a model for resident training.
abstract: OBJECTIVE
  There is a paucity of data on junior resident training in common otolaryngology procedures such as ear debridement, nasal and laryngeal endoscopy, epistaxis management, and peritonsillar abscess drainage. These common procedures represent a critical aspect of training and are necessary skills in general otolaryngology practice. We sought to determine how a dedicated otolaryngology emergency room (ER) staffed by junior residents and a supervising attending provides exposure to common otolaryngologic procedures.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Diagnostic and procedural data for all patients examined in the Massachusetts Eye and Ear Infirmary ER between January 2011 and September 2013 were evaluated.
  
  
  RESULTS
  A total of 12,234 patients were evaluated. A total of 5,673 patients (46.4%) underwent a procedure. Each second-year resident performed over 450 procedures, with the majority seen Monday through Friday (75%). The most common procedures in our study included diagnostic nasolaryngoscopy (52.0%), ear debridement (34.4%), and epistaxis control (7.0%)
  
  
  CONCLUSIONS
  An otolaryngology-specific ER provides junior residents with significant diagnostic and procedural volume in a concentrated period of time. This study demonstrates utility of a unique surgical education model and provides insight into new avenues of investigation for otolaryngology training.
authors.affiliation: Department of Otology and Laryngology, Harvard Medical School, Boston.
authors.forename: Rosh K V
authors.initials: RK
authors.lastname: Sethi
authors.forename: Elliott D
authors.initials: ED
authors.lastname: Kozin
authors.forename: Aaron K
authors.initials: AK
authors.lastname: Remenschneider
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Lee
authors.forename: Richard E
authors.initials: RE
authors.lastname: Gliklich
authors.forename: Mark G
authors.initials: MG
authors.lastname: Shrime
authors.forename: Stacey T
authors.initials: ST
authors.lastname: Gray
mesh_terms: D000068:Accreditation; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D003479:Curriculum; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D017145:Models, Educational; D010036:Otolaryngology / Q000193:education*; D013517:Otorhinolaryngologic Surgical Procedures / Q000193:education; D012189:Retrospective Studies; D055815:Young Adult
keywords: Milestones project; otolaryngology emergency room; otolaryngology procedures; residency education