Program Curriculum

 RESIDENCY PROGRAM CURRICULUM

Curriculum Details:

This Otolaryngology-Head & Neck Surgery program at the University of Toronto consists of two years of Core Surgery training followed by 3 years of specialty training at University of Toronto teaching hospitals. In core surgery, thirteen months are in rotations undertaken in General Surgery, Neurosurgery, Plastic Surgery, Emergency Medicine, Internal Medicine, Medical Imaging, Anesthesia and Critical Care Medicine. These rotations provide an important knowledge base to complement the core otolaryngology training. Seven months of clinical otolaryngology and four months of otolaryngology research comprise the remainder of the two year core training. Otolaryngology rotations for PGY 1 residents are usually provided at the University Health Network (UHN), the Hospital for Sick Children (HSC), and/or St. Michael’s Hospital (SMH). The 4-month research block is undertaken with the supervision of a clinical or basic science researcher after discussion/approval of the project by Dr. R.V. Harrison, the Director of Research for our Department, and the Program Director.

The PGY3 year involves 10 months of clinical otolaryngology at University of Toronto teaching hospitals (usually Sinai Health System, HSC, Sunnybrook, and/or UHN). PGY3 residents spend a total of one month in the Department of Anatomy at the University of Toronto learning from Anatomy Professors, dissecting cadaver specimens, and teaching head and neck anatomy to first year medical students. PGY3 residents also have 1 month of elective time. There is no restriction in topic or site provided that learning objectives are clearly established with the approval of the supervisor and Program Director.

The PGY4 year involves 10-11 months of clinical otolaryngology at University of Toronto teaching hospitals (usually HSC, SMH, Sunnybrook, and/or UHN). The PGY4 resident is the Senior Resident at HSC and SMH. PGY4 residents have one month of elective time and one month of head and neck pathology.

The PGY5 year involves 12 months of clinical otolaryngology at University of Toronto teaching hospitals (usually UHN, SHS, Sunnybrook, and MGH). The PGY5 residents are the Senior or Chief Resident during each rotation. They have an unparalleled exposure to all aspects of otolaryngology-head & neck surgery and by the end of their year are expected to function at the consultant level.

The graded responsibilities of residents are clearly outlined to them by the Postgraduate Director and the site co-ordinators/Hospital Chiefs during their orientation sessions at each new rotation.

PGY1

  • Otolaryngology - 8 blocks
  • Anesthesia – 1 block
  • Neurosurgery - 1 block
  • Adult Emergency Medicine - 1 block
  • Internal Medicine - 1 block
  • Medical Imaging - 1 block

PGY2

  • Otolaryngology - 4 months (formal research)
  • General Surgery - 2 months
  • Plastic Surgery - 3 months
  • Intensive Care Medicine - 2 months
  • Elective rotation - 1 month

All PGY-1 and PGY-2 residents participate in the Principles of Surgery (POS) course within the Department of Surgery. PGY1 residents participate in a unique hands-on surgical skills training program on a weekly basis during the academic year.

PGY3

This is a year of clinical otolaryngology. Trainees have ten months of rotations at University of Toronto Teaching Hospitals, as well as 1 month of elective. In addition, PGY3 residents have a unique opportunity by spending 1 month of dedicated time in the anatomy laboratory.

PGY4-5

Two years of Clinical Otolaryngology-Head & Neck Surgery at the University of Toronto Teaching Hospitals including a minimum of 3 months of community otolaryngology (Michael Garron Hospital or St. Joseph ’s Health Centre). A 1-month pathology rotation and a 1-month elective are included during these 2 years. Residents in their PGY4-5 years generally spend 3-4 month rotations at the University Health Network, Sinai Health System, the Hospital for Sick Children, Sunnybrook Health Science Centre, and Michael Garron Hospital (and/or St. Joseph ’s Health Centre).
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