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Program Details

The residency training program in otolaryngology at Loma Linda consists of five years of progressive training in otolaryngology - head and neck surgery.  The program provides excellent clinical training under the supervision of fellowship trained attending staff representing every subspecialty in otolaryngology.

The first year consists of a rotating internship with three months as the intern on the head and neck surgical oncology service at Loma Linda University Medical Center, three months of general surgery, and then one month long rotations in SICU, plastic surgery, neurosurgery, cardiothoracic sugery, anesthesia, and emergency medicine.

The second year 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 third year 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 fourth yearof 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. 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 fourth yearof 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.


Facilities

Loma Linda University Medical Center is a 427 bed tertiary care hospital that is the level I trauma center and only academic teaching hospital in the Inland Empire which has a population of over 4 million and represents the third largest metropolitan area in California. Complex head and neck resections with microvascular reconstructions, airway reconstruction, and skull base cases are performed at this hospital.

Loma Linda University Children's Hospital is a 232 bed tertiary care children's hospital and is the sole children's hospital in the Inland Empire serving 1.3 million children and youth.  There is a dedicated children's emergency room and a 25 bed PICU and 73 bed level III NICU. Inpatient pediatric cases are performed here including airway reconstruction, tumor resection, and otologic surgery.

The Faculty Medical Offices house the clinic for head and neck oncology, otology, and pediatric otolaryngology.  There is an attached 6 room outpatient surgery suite where outpatient pediatric surgeries are performed.

Loma Linda University Heart and Surgical Hospital is a 28 (20 fully private) bed hospital where short stay and outpatient surgeries are performed.  This is a recently opened facility with 6 operating suites with full spectrum led lighting, ceiling mounted HD montors and video towers and surgical robotics. Over 200 thyroid and parathyroid surgeries are performed a year here as well as 200+ endoscopic sinus cases.

Centrally located in the city of Moreno Valley, Riverside County Regional Medical Center (RCRMC) is a 520,000 square foot state-of-the-art tertiary care and Level II adult and pediatric facility. RCRMC has 439 licensed beds, 12 operating rooms, a helipad located adjacent to the Trauma Center as well as adult, pediatric and neonatal intensive care units. This hospital is staffed by head and neck oncology, rhinology, otology, and pediatric otolaryngology attendings on a weekly rotating basis and serves patient that would otherwise be neglected.

The Jerry L. Pettis Memorial Veterans Affairs Medical Center is a 560-bed facility located in the city of Loma Linda, just a few blocks from Loma Linda University Medical Center. Serving over 57,000 veterans, the hospital provides a wide variety of services through inpatient, outpatient and home care programs. This hospital is staffed by four attendings in otology and head and neck oncology but attendings in rhinology, facial plastics and laryngology also perform cases there on an as needed basis.


Stipend and benefits

See the LLUMC residency program stipend and benefits page.


Other details

Currently, we are approved for 3 residents a year, for a total of 15 otolaryngology residents. With a ratio of 15 attendings to 15 residents, operative experience is ample and comprehensive.

Loma Linda University Medical Center is located in a vast metropolitan area east of Los Angeles known as the Inland Empire. It is considered to be the crossroads of Southern California. The beaches of Newport, Laguna, and Malibu are only 60 to 90 minutes to the west, offering swimming, kayaking, sailing, surfing among other watersports. Also 60 minutes to the west is downtown Los Angeles, with its top-quality restaurants, world-renowned museums, opera, theater, and other cultural opportunities.  Just 90 minutes south is San Diego.

The Inland Empire also provides a number of cultural opportunities of its own. The town of Redlands, adjacent to Loma Linda, turns its Main Street into an outdoor market once a week. The Redlands Theatre Festival puts on performances ranging from Shakespearean plays to musicals to contemporary drama. The Redlands Bowl provides a free outdoor concert series with world-class musical, dance, and dramatic performances each season. Traditionally, members of the audience bring blankets to sit on and a light dinner to enjoy before the Bowl performances begin. The Redlands and Inland Symphonies perform at concert halls within a 15-minute drive of the Loma Linda campus.

Those who enjoy snow skiing have easy access to the San Bernardino Mountains, only 45 to 60 minutes to the north. During the spring, summer, and fall seasons, these forested mountains also provide first-rate hiking, backpacking, mountain biking, fishing, and rock climbing. Water-skiing and sailing are also an option at nearby Lake Arrowhead, Big Bear Lake, and Lake Perris.

The golf courses, shopping, and spas of Palm Springs are a 60-minute drive to the east. World-class Mammoth Mountain resort is a six-hour drive to the north.

The area around Loma Linda is a mountain biker's paradise. Miles of challenging trails are found in the unpopulated hills above the city of Loma Linda, within five minutes of the Medical Center. Other excellent mountain bike-riding areas can be found throughout the San Bernardino Mountain range a few miles to the north.

Winters are clear and cool with spectacular views of snow-covered Mt. Baldy, Mt. San Bernardino, Mt. San Gorgonio, and Mt. San Jacinto. Temperatures rarely dip below 60o F on winter days. Summers are hot and dry, with temperatures ranging from 80o to 100o F on average.

Loma Linda University Medical Center is located in a quiet suburban neighborhood. Typically, LLUMC residents live in attractive, family-oriented, and relatively crime-free neighborhoods in or around Loma Linda. Housing costs in the area are among the lowest in Southern California and some residents choose the option of buying a home.

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