Otolaryngology-Head & Neck Surgery

The University of Chicago Otolaryngology residency training program provides an outstanding clinical experience. It is founded on resources that are varied and mature. The section of Otolaryngology has produced such academic leaders as John R. Lindsay, Harold Schuknecht, Cesar Fernandez, Theodore Walsh, W. Garth Hemenway, Ralph Naunton, George Singleton, Paul Ward, John Fredrickson, Robert Kohut, George Conner, Willard Moran, Gregory Matz, Joan Zajtchuk, Horst Konrad, Lloyd Minor, Dennis Poe and James Stankiewicz.

The otolaryngology residency training program is under the leadership of Dr. Fuad Baroody. Chief residents graduate with experience on more than 2,000 surgical cases, which are distributed over the entire range of the specialty. Each operative case represents the time of an attending physician's direct instruction and supervision. While the residents are supervised in all aspects of patient care (clinic, operating room or on consult), we encourage their independent growth.  Our residency program's superior clinical experience is supported by the multiple sites and facilities used in our residency program.

The otolaryngology residency training program has the resources and expertise to educate its incoming residents and to train them to be comprehensive, independent clinicians.

Otolaryngology Residency Didactic Program

In the course of five years of otolaryngology training, the residents learn the latest methods of diagnosis and treatment of congenital, infectious, metabolic and neoplastic diseases of the ear, nose, throat, head and neck. By the time of graduation, their expertise encompasses head and neck cancer, facial plastic surgery, trauma and reconstructive surgery, rhinology and sinus surgery, otology/neurotology, skull base surgery, surgery of the salivary, thyroid and parathyroid glands, laryngology, bronchoesophagology, allergy and immunology, pediatric otolaryngology and speech and swallowing pathology. The residents learn to use innovative therapies such as laser surgery, radiofrequency tissue ablation, computerized image-guided endoscopic sinus surgery, transnasal esophagoscopy, microvascular surgery, osseointegrated implant surgery, cochlear implants, sialoendoscopy and microneurologic procedures of the skull base.

In addition to this foundation of medical knowledge, the residents are taught state-of-the-art techniques and the use of specialized equipment. They learn how to perform videostroboscopy, video-naso-endoscopy, FEES, TNE and videofluoroscopy and how to use these techniques in the evaluation of laryngeal and velopharyngeal disorders, as well as in oropharyngeal dysmotility. The residents also learn how to conduct audiometric, tympanometric and auditory brainstem response tests.

The residents are taught all this in weekly seminars and conferences, which occur in protected time during the regular workday. Specialists who have direct experience in their subject give didactic conferences.

Didactic laboratory courses for residents are included each year. They are a head and neck dissection course with cadavers, temporal bone dissection course, plating and local flap workshop, endoscopic sinus surgery workshop with cadavers and bronchoesophageal foreign-body removal in animals.  PGY-1 and PGY-2 residents attend a boot camp at the beginning of each academic year.

In addition to the residents' didactic lectures, continuing medical education and patient care lectures are mandatory. A head and neck oncology patient conference occurs weekly. Seminars in the principles of basic science research occur every two weeks. Grand rounds are given each month by specialists in their field at the medical center or from outside institutions. Journal Club evaluation of articles in our literature occurs each month. Morbidity and mortality review is held monthly. Residents develop a quality improvement project.

Funds are also provided for residents to attend national meetings or courses, in addition to local or regional meetings. Supplemental travel money will be provided for residents who will be presenting papers, posters, abstracts or lectures.

Structure of the Otolaryngology Residency

The preliminary year of training will include six months rotations in otolaryngology with the rest of the year spent rotating within the following specialties: anesthesia, general surgery, neurological surgery, thoracic surgery, pediatric surgery, plastic surgery and intensive care. Services are staffed so that the basic surgery resident has maximum responsibility and opportunity for growth and development. Formal teaching programs are offered during each assignment. During the preliminary year of experience, the resident acquires expert knowledge of the pre- and post-operative care of acutely ill patients and of the principles of surgical physiology and wound management.

Residents in the second of otolaryngology spend all their time at the medical center. They spend six months each on the Head and Neck service and six months on the Pediatric/General Otolaryngology team. The third year residents will spend nine months at the medical center including a month rotating with the Plastic and Reconstructive surgery service. Three months of the PGY3 year will be spent at Northshore University health system. Call averages every seventh night. Senior residents and attendings who take call from home back them up. (The University of Chicago Medicine provides exercise facilities for house staff.) Fourth-year residents will spend three months at the University doing research, three months on the Head and Neck team at the University and six months at North Shore. The fifth-year resident is at the medical center full-time as the chief resident.

The dedicated otolaryngology research faculty and the research interests of the clinical faculty plus the associated faculty within the University of Chicago Medicine provide excellent opportunities for resident research. The interests of the basic science and clinical faculty combined encompass a wide range of research expertise in the areas of temporal bones, otology, computerized imaging, statistical analyses, allergic disease, nasal physiology, vestibular research and oncology.