OTOL 701A - Otolaryngology Research (4-12 weeks, credit(s) vary)

Faculty contact: 
This research offering is intended to acquaint students with the basic pretexts of research project design and execution. Research topics are chosen in consultation with Dr. Wax and should focus on basic soft tissue and flap surgical principles and physiology (offered on a part-time basis only). The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting.

OTOL 701C - Special Topics in Auditory Research (6-12 weeks, 2 credits)

Faculty contact: Peter Steyger, PhD
Basic and applied research in (1) agents that damage the ear, including ototoxic drugs, excessive noise, aging, and other factors; (2) tinnitus, including measurement, treatment, and investigation of underlying mechanisms; and (3) development of new devices (implantable hearing aid, novel equipment for testing hearing, etc.) Depending on the topic chosen, students may be involved in one or more of the following: animal or human electrophysiology, histology, computer applications, and/or testing and interviewing patients. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting.

OTOL 709A – Medical/Surgical Otolaryngology (4 weeks, 6 credits) MS3, 4

Faculty contact: Mark Wax, MD
The student will function as a sub-intern during this four week rotation. In-house call is encouraged. Students will be expected to track patients assigned to the Otolaryngology-Head & Neck Surgery service throughout the patient's hospital stay including planned and emergent surgery. Attendance at weekly grand rounds (Monday 7 – 9 am) and didactic lecture (Tuesday 6 – 7 pm) are required. The student will be required to complete an oral case presentation at Grand Rounds, including a literature review to answer a specific clinical question illustrated by a chosen case. This is an intense clerkship experience intended for those students who are seriously considering a residency in Otolaryngology. Maximum number of students, 2 per block. This elective is also offered to non-OHSU students.

Conferences
Medical Student lecture: All rotating medical students are expected to give a 10 minute talk on the topic of their choosing. This lecture should be chosen and constructed with guidance from the chief resident with regard to suitability and amount of depth that can be covered in the allotted time.

Monday 7 – 9AM – Otolaryngology Grand Rounds (SJH 5314, Sam Jackson Hall, 5th floor)
Tuesday 6 – 7PM – Quiz (SJH 5314, Sam Jackson Hall, 5th floor)

OTOL 709B - Microvascular Reconstruction & Rehabilitation (4 weeks, 6 credits), MS3 and above

Faculty Contact: Mark Wax, MD
The student will function as a sub-intern during this four week rotation. In-house call is encouraged. They will be an integral part of the Microvascular reconstructive team. It is expected that the student will see patients in the clinic, follow them to the operating room and during any associated inpatient hospital stay. Surgical exposure will be intense with opportunity to first assist. Attendance at weekly grand rounds (Monday 7 – 9 am) and didactic lecture (Tuesday 6 – 7 pm) are required. The student will be required to complete an oral case presentation at Grand Rounds, including a literature review to answer a specific clinical question illustrated by a chosen case. It is also expected that the student will participate in a clinical project that will be published. Maximum number of students, 2 per block. This elective is also offered to non-OHSU students.

Conferences
Medical Student lecture: All rotating medical students are expected to give a 10 minute talk on the topic of their choosing. This lecture should be chosen and constructed with guidance from the chief resident with regard to suitability and amount of depth that can be covered in the allotted time.

Monday 7 – 9AM – Otolaryngology Grand Rounds (SJH 5314, Sam Jackson Hall, 5th floor)
Tuesday 6 – 7PM – Quiz (SJH 5314, Sam Jackson Hall, 5th floor)

OTOL 709C – Ambulatory Care in Otolaryngology (2 weeks, 3 credits) MS3, 4

Faculty contact: Mark Wax, MD
This elective offers an ambulatory care experience in a busy department of otolaryngology. This rotation is open to all third and fourth year medical students but is most appropriate to those who are pursuing additional training in a field other than otolaryngology. This rotation is designed to teach these students to identify and treat common head and neck medical problems and to learn appropriate criteria for referral to an Otolaryngologist. Students will be assigned to various otolaryngology clinics where they will encounter a variety of non-surgical, pre- and post-operative patients. The elective is designed to provide intense clinical experience at OHSU. Requirements include attendance of weekly grand rounds (Mon 7-9am) and weekly didactic teaching session (Tues 6-7pm), daily clinical duties in the Department of Otolaryngology and reading assignments. The elective is 2 weeks long and 2 students can be accommodated per block.  During the third year elective time only third year students are accepted and 8 students can be accommodated per two week block.

Goals
1)  Be able to perform comprehensive head and neck physical exam
2)  Understand basic anatomy and embryology of the head and neck
3)  Understand basic work-up/ treatment of otolaryngologic emergencies
4)  Gain exposure to otolaryngology spectrum of practice (Clinic and/or OR)

Conferences
Monday 7 – 9AM – Otolaryngology Grand Rounds (SJH 5314, Sam Jackson Hall, 5th floor)
Tuesday 6 – 7PM – Quiz (SJH 5314, Sam Jackson Hall, 5th floor)

OTOL 709E - Facial Plastic and Reconstructive Surgery (2-4 weeks, 6 credits), MS3 and above

Faculty Contact: Tom Wang, MD
This elective offers experience in both the ambulatory care setting as well as facial plastic and reconstructive surgical techniques in the operating room. Requirements during this rotation include attendance at Grand Rounds every Monday morning 7 – 9 am and didactic lecture on Tuesday from 6 – 7 pm. Specific reading assignments and viewing of 4 educational videotapes showing operative techniques in facial plastic surgery are also expected. No in-house call is required. Maximum number of students, 2 per block.

Conferences
Monday 7 – 9AM – Otolaryngology Grand Rounds (SJH 5314, Sam Jackson Hall, 5th floor)
Tuesday 6 – 7PM – Quiz (SJH 5314, Sam Jackson Hall, 5th floor)

OTOL 709F – Otolaryngology - Soft Tissue Technique Practicum

Faculty: Mark Wax, MD
Practical application of soft tissue surgical techniques using video tape instruction segments as well as individual instruction by Otolaryngologist/ Facial Plastic Surgeons during a two day intensive course. The course is focused on soft tissue handling and reconstructive techniques  with particular emphasis for those that are applicable around the face. The basic principles of soft tissue surgery proceeding to moderately advanced techniques will be taught. Incisions, excisions, appropriate instrument usage and broad variety of wound closure techniques will be taught and practiced (subcuticular suturing, deep suturing, surface suturing and staple usage). Surface flaps of all types (advancement, rotation, interposition, Rhombic, bilobed) Z-plasty and scar camouflage surgery are covered. Priority is given to students in the first year of medical school as they have had the least exposure to soft tissue reconstruction.
Two sessions (4 hours each) – 1 credit
Maximum number of students – 8
Minimum number of students – 4

Faculty contact:
This preceptorship is organized through the Department of Otolaryngology with outside physicians and is largely observational. This preceptorship is for first and second year students and requires a minimum outside effort other than attendance. It meets one half day per week with that specific day being organized with the preceptor. Maximum number of students, 2 per block.

Faculty contact: 
This elective has been designed to give students an overview of Pediatric Otolaryngology-Head & Neck Surgery and to give an extensive picture of the program and the way it functions. A prerequisite (and during internship), review the Clinical Otolaryngology Online (COOL) modules on the American Academy Otolaryngology-HNS website- they're interactive cases geared toward primary physicians, and medical students, as well as modules for general/ pediatric otolaryngology: modules on the approach to the pediatric neck mass, indications for tonsillectomy, aerodigestive, Fbs, neck pus, stridor, general nasal exam, and orbital complications of rhinosinusitis. While on the service, the student will serve as a sub-intern, expected to be in surgery when a senior (junior) resident is in surgery, and in clinic when a senior (junior) resident is in clinic. Other expectations include doing hospital rounds on patients in the morning and in the late afternoon, as well as on weekends, unless excused. Every Monday morning the student will be expected to attend Grand Rounds from 7:00a.m. to 9:00a.m. During the fall months (September through June) it is advantageous for students to attend the Quiz Sessions on Tuesday evenings from 6:00

Faculty contact: Mark Wax, MD
Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting.

Faculty contact:
Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation.  Students may work with any physician within the state of Oregon.  Out-of-state rotations must take place at accredited medical school or residency programs.

Faculty Contact: Joshua Schindler, MD
The OHSU Department of Otolaryngology has a strong commitment to medical school education with a leadership role in the first year anatomy curriculum.  Many of the members of the faculty are involved in organizing, lecturing and hands-on cadaveric dissection with the medical students during the head and neck component of the course.  Otolaryngology residents join the staff in cadaveric dissections to increase the student exposure to surgical anatomy. 

Faculty Contact: Joshua Schindler, MD
Faculty members from the Department of Otolaryngology-Head & Neck Surgery are available to serve as PCM mentors.

From the OHSU PCM website:
"Patient-focused education through integration of basic and clinical sciences"
Principles of Clinical Medicine is a required course for first- and second-year OHSU students only. Principles of Clinical Medicine (PCM) encompasses a body of knowledge, skills, and attitudes required by every medical student to become a competent practicing physician in the community. The PCM curriculum, which spans the first two years of medical school, is fully integrated with the other courses of the curriculum, especially the basic science courses. The PCM learning objectives are addressed at multiple points throughout the curriculum. In addition, PCM takes the opportunity to reinforce basic science material.

The philosophy of teaching within PCM is based on the principle that students will take increased responsibility for their education and will achieve the skills required for life-long learning. The course is taught in a number of learning environments, including preceptorship, lab, small group, lecture hall, and independent study, in order to maximize student interaction and learning. The Preceptorship serves as a cornerstone of PCM, allowing students to apply the knowledge, skills, and attitudes to real patients within the medical community. The experience has an ambulatory care focus with emphasis on continuity of care.

The curriculum for PCM is administered directly by the PCM Steering Committee, which will work closely with other course committees in order to assure maximal integration and relevance. Participation in PCM teaching and faculty development receives high administrative priority and strong support. Instructors, whether academic or clinical faculty, are required to participate in faculty development and are rewarded for their participation through the promotion and tenure system or through other appropriate means. Systematic program and student evaluation for PCM is imperative to assure that the goals are being met.

Faculty Contact: Carol MacArthur, MD
The Continuity Curriculum Series is part of the 3rd year medical student education.  Once a year, the Otolaryngology Department hosts the entire 3rd year medical student class for an entire day.  In the morning, we deliver 4 lectures covering topics of interest to the 3rd year medical student about our specialty, including such topics as facial trauma, evaluation of neck masses, evaluation of thyroid masses and disease, and pediatric otolaryngology.  Then, in the afternoon, we have the class come to the otolaryngology clinic to learn the head and neck exam in a hands-on fashion.  They rotate through 5 exam rooms in groups of 12, learning the following parts of the head and neck exam:  ear, neck, larynx (including stroboscopy), nasal, pharynx (including dysphagia evaluations and video presentations).  The faculty and residents of our department participate in this day-long teaching session, so that the students get exposure to attendings and residents with the opportunity to interact with all of us in a small group setting.  This course gets very high marks from the students.  They often remark that our session is the best organized and most informative of the entire week.

Faculty contact: Mathew Geltzeiler
For those interested in basic science research, there are opportunities to work with scientists and physicians in our department. Our summer opportunities are substantial, and other ongoing projects are available as well. You can contact Dr. Geltzeiler for information about specific, ongoing projects or the summer research opportunities. The Ed Everts Medical Student Summer Research Award is also available to fund one basic science summer research fellow. Application information for this award, and the summer opportunities, can be obtained by contacting Dr. Geltzeiler.

For those interested in clinical research, there are ongoing clinical research projects. 

Faculty Contact: Mark Wax, MD
While the Department of Otolaryngology offers many educational and mentoring opportunities, the OMSIG allows interested medical students to organize their own activities in collaboration with the department to achieve their goals. The group is typically led by medical students in the pre-clinical years and handed down to representatives of successive medical school classes.

The purposes of the OMSIG are as follows:

• Expose medical students to Otolaryngology, thereby giving them an opportunity to gain a greater understanding and appreciation for this exciting specialty.
• Interact with fourth year medical students who have applied to Otolaryngology residency, current residents and faculty from the Department of Otolaryngology at OHSU.
• Gain experience with the head and neck physical exam as well as some of the technology and tools used every day by Otolaryngologists.

Faculty Contact: Mark Wax, MD
Medical students are matched up with an Otolaryngologist-Head & Neck Surgeon with similar interests in specialty, clinical care, and / or research. Mentors act as a guide / advisor through medical school and the residency application process as needed.

Otolaryngology faculty are highly interested in exposing medical students to their medical and surgical practice. Regardless of your year in training, faculty in all disciplines of Otolaryngology-Head & Neck Surgery are available for operating room shadowing. Interested medical students will have an opportunity to observe faculty members, their residents and fellows in the operative setting.  Please contact the physician you would like to shadow to have it arranged.