About the program
The division of otolaryngology - head and neck surgery is a member of the department of surgery at Loma Linda University Medical Center. The training program in otolaryngology at Loma Linda consists of four years of progressive training in otolaryngology - head and neck surgery, preceded by one year in general surgery.
The first year in otolaryngology is directed towards developing clinical skills by taking histories and performing examinations of the head and neck, as well as learning about the special techniques and diagnostic tests used in the specialty of otolaryngology - head and neck surgery. OTO-1 residents will also learn basic surgical techniques such as, endoscopy of the upper aerodigestive tract, tympanostomy and tube placement, simple neck surgery, and tonsillectomy and adenoidectomy.
The second year of otolaryngology training expands upon the skills developed in the first year. Increasing responsibilities are reflected in the resident's involvement in patient consultation, continuation of experience in managing patients seen in the outpatient clinic, and refining diagnostic and treatment skills. Further surgical skills are learned, including neck dissection, endoscopic sinus surgery, laser surgery, nasal and paranasal sinus surgery, and repair of facial fractures.
In the third year of otolaryngology training, the resident bears tremendous responsibility in the management of patients, and develops knowledge and experience in the management of various medical and surgical complications, as well as rehabilitative techniques and procedures. All elective and emergency in-house consultations are performed by the resident. Surgical skills are refined and new skills are learned in otologic surgery and tumor surgery of the head and neck, as well as complex reconstructive surgery. During the OTO-3, each resident also spends six months developing research skills while carrying out a personally selected project. The other six months are spent as the senior resident at the Riverside county hospital.
The fourth year of otolaryngology (chief resident, OTO-4) is one of total responsibility involving administrative duties pertaining to scheduling, residency training, teaching assignments, and the completion of ongoing research projects. Six months are spent at the Loma Linda University and six months at the Loma Linda Veterans Administration hospital. This year the resident will oversee the care of all patients on the assigned otolaryngology service. Total exposure to the surgical experience of the full-time and part-time staff is the highlight of this year, including neuro-otologic and micro-vascular surgery. This surgical experience prepares the chief resident for certification in the specialty of otolaryngology - head and neck surgery.