Year Four Courses

SURG 770 - Otolaryngology Acting Internship


Credits: 5


Program Directors:

  • Johnathan McGinn, M.D.


Administrative Coordinator:

Elizabeth "Beth" Shultz (


Contact Information:




Third year core clerkships.


Maximum Number of Students:

2 (HY) and 1 (York)


When Offered:

All Rotations


Length Of Course:

1 month



6:00 AM, first day of rotation, C4833. Please contact the chief resident via the hospital operator the day before the rotation starts (or the Friday before if Monday) to confirm a time and location to meet.



This course is designed to expand the fourth year students understanding of the evaluation and management of patients with ear, nose, throat and neck problems. Students on this AI will serve as an integral part of the Otolaryngology – Head & Neck Surgery team. This rotation should serve to enhance the head and neck history and examination skills of the student. Student will be expected to personally evaluate patients in the clinic, as well as possibly through the emergency room and inpatient consultation service. Management of these patients will be discussed with resident and attending faculty in formulating a treatment plan. Operative experience will be directed mostly towards routine ear, nose, throat, and neck surgeries. More intense head and neck cases may be utilized as opportunities for head and neck anatomy experiences for all students. For those expressing an interest in otolaryngology – head & neck surgery as a potential career, operative experience can be tailored for the exposure necessary to demonstrate the breadth of otolaryngology – head & neck surgery. Daily conferences and lectures will serve as formal didactics, in addition to the teaching opportunities provided in outpatient clinics and inpatient rounds.

The purpose of this rotation are to enhance head and neck skills and to reinforce for students the otolaryngologic pathology which they are likely to see in their clinical practice, regardless of specialty.


Course Outline:

This course will expose students to the key concepts in the evaluation of head and neck symptoms and diseases.



Learning opportunities will include:
a. The student will plan an integral role on inpatient Otolaryngology team rounds, both for inpatient service and consultations.
b. Students will work with the faculty in the outpatient clinic, both playing a role of initial evaluation of new patients, as well as discussion of patients after evaluation.
c. Attendance at Otolaryngology – Head & Neck Surgery conferences, including Grand Rounds, Board Review, Journal Club, Multidisciplinary Tumor Board, pre-operative conference, and Morbidity and Mortality conference are required.
e. Emphasis will be placed on common otolaryngologic diagnoses seen both in a general medical practice, as well as subspecialty clinic.
Topics which will be covered include: 
     a.     Complete head and neck examination.
     b.     Adenotonsillar disease in children.
     c.     Sleep apnea in children and adults.
     e.     Neck Masses
     f.      Hearing Loss
     g.     Vertigo
     h.     Surgical thyroid and parathyroid disease
      i.      Trauma


Course Objectives:

1. To solidify the basic knowledge of surgical diseases and trauma acquired during the third year clerkship. This involves the evaluation of patients in the Emergency Department, the Surgical Intensive Care unit and on the wards.
2. To expand the fund of knowledge acquired during the third year clerkship, including pathophysiology, anatomy, and surgical principles.
3. To expand the recognition of clinical presentations of a variety of surgical diseases and develop a broad differential diagnosis.
4. To critically design an appropriate diagnostic plan to rule in or rule out diseases in the differential diagnosis.
5. To know the medical and surgical options to treat surgical diseases and trauma.
6. To understand the principles of evidence based therapeutic options for patients with surgical diseases and trauma patients.
7. To assume the care of several patients with a variety of surgical diseases, to observe the course of the disease and how it is modified by medical or surgical intervention.
8. To assume the total care, as appropriate, of patients initially seen in the clinic or Emergency Department and admitted to the hospital: attending to their needs, developing rapport with them, being with them in the operating room and participating in their disposition at discharge.
9. To further develop interpersonal skills with patients, students, residents, and faculty.
10. To understand the financial aspects and ramifications of surgical intervention and the concept of "best practice".


Additional Information:

Report To:

Please contact the chief resident via the hospital operator the day before the rotation starts (or the Friday before if Monday) to confirm a time and location to meet.