Temporary housing for the duration of the rotation is available, however space is limited. Please contact Maria Flatt at the email below for more information. Maria Flatt 3901 Beaubien Detroit, MI 48201 ph (313) 745-5402 | fax (313) 745-5848 | email mflatt2@dmc.org

All application materials are processed by the Electronic Residency Application Service (ERAS) at http://www.aamc.org/students/eras/ . The application process requires the following: Completion of the ERAS application form COMLEX/USMLE scores Medical school transcripts Three letters of recommendation from supervising physicians/researchers Dean's Letter Interviews are by invitation only and are generally held in January. Priority is given to students who have rotated with our program. Interviews cannot be scheduled until all materials are received by ERAS. Residents will be matched through the National Match Service in mid-February. For more information, please contact: Maria Flatt Children’s Hospital of Michigan 3901 Beaubien St Detroit, MI 48201 ph (313) 745-5402 Fax: 313-993-0393 email MFlatt2@dmc.org

The AAO-HNS website (www.entnet.org) provides several educational resources for medical students. We highly recommend Primary Care Otolaryngology as it provides a wonderful general overview of common problems faced in ENT. Other suggested reading: AAO-HNS Clinical Practice Guidelines Cummings Otolaryngology Head and Neck Surgery Bailey’s Head and Neck Surgery – Otolaryngology K.J. Lee - Essential Otolaryngology Raza Pasha – Otolaryngology Head and Neck Surgery ENT Secrets

The first year of Otolaryngology – Head and Neck Surgery training is a specialty track surgical internship and includes: 2 months hospital-based general surgery 1 month anesthesia 1 month intensive care unit 1 month neuroradiology 1 month internal medicine 3 month pediatric ENT 3 month adult ENT During years 2 through 5 of Otolaryngology/Facial Plastic Surgery training include rotations in the following subspecialties: Neurotology Reconstructive and Craniofacial Surgery Oral and Maxillofacial Surgery Head and Neck Surgery Pediatric Otolaryngology Allergy and Immunology Residents are trained in a multidisciplinary approach to patient care as they participate in Tumor Board, Multidisciplinary Cleft and Craniofacial Team Clinic and Pediatric Sleep Conference.

Residents have access to both Detroit Medical Center’s and Michigan State University’s extensive medical library and electronic resources. A generous yearly stipend is allotted for educational pursuits. PGY-2 residents attend a 6-week Otolaryngology Basic Science course at the University of Iowa. The Temporal Bone Lab provides an individual workstation for each resident complete with operating microscopes and updated drill and instrument systems. Residents have access to a virtually unlimited supply of temporal bones. In addition, there are multiple opportunities throughout the year to attend academy meetings, laboratory courses, and hands-on workshops. Regularly scheduled didactics include: Monday evening COCLIA and board review Tuesday evening journal club Wednesday morning Grand Rounds AAO-HNSF Home Study Course Monthly Morbidity & Mortality meetings Twice monthly Head & Neck tumor board Monthly Michigan Ear Institute grand rounds Monthly Michigan State University educational events

Our program strongly encourages residents to be actively involved in research throughout their residency. Department faculty and residents are involved in a variety of major research areas including laryngology and voice disorders, sleep disorders, pediatric otolaryngology, sinus/rhinology, otology, and immunology. To view a list of past and current research projects, please see the Past Residents Accomplishments section below.

Students rotating on the two-week schedule will spend one week with the Harper University Hospital/Detroit Receiving Hospital Otolaryngology team and one week with the Pediatric Otolaryngology team at Children's Hospital of Michigan. Those on the four-week schedule will rotate two weeks on each service.

Where do I report on my first day? Contact Maria Flatt, Residency Program Coordinator, ENT Clinic-3rd Floor Carls Bldg, Children's Hospital of Michigan (313) 745-5402 mflatt2@dmc.org . What will happen on my first day? You will receive a hospital ID, parking pass, map of the facilities and computer access (if doing a 1 month rotation. Request must be at least 2 weeks prior to start of rotation), then meet with your team. Where do I park? Day 1, park at Children's Hospital's main parking deck. Please make sure to get a ticket so it can be validated. For the remainder of your rotation you will park in the assigned lot/garage given to you by parking services. Where do I meet for rounds? Pediatrics: CHM 2nd floor Surgical Lounge Adult: Ground floor Harper Surgical Lounge For a 4-week rotation, there will be 2 weeks on children's and two weeks on adult service. How do I page? To page internally, use any hospital phone, dial 122, enter pager#, (Peds 5914) (Adult 90030), dial your call back number and press # What is the didactic schedule? Every Wednesday: Coclia –resident led didactics 9-10 am 2nd Tuesday: Journal Club 4th Tuesday: Temporal Bone Lab 1st & 3rd Wednesday Grand Rounds 7-9 am 2nd & 4th Wednesday Tumor Board 7:30 am What will my role be as a student on the ENT team? This will vary, but in general, you should have supplies ready for rounds. You will be asked to see patients in clinic and present them to the resident/attending. Also, you may be asked to see consults in the hospital and present them to the resident and write notes if you have computer access. Know the cases for the upcoming day and be familiar with the indications and relevant anatomy. What materials do I need to bring for daily duties? Otoscope, with speculum, tuning fork, stethoscope, headlight (if you have one), and tongue depressors. How long should I rotate? For an audition rotation, a four week rotation is preferred, but not required. What do I need to read? Books: Cummings' or Bailey's for case preparation (Bailey's is an easier read) Lalwani Current Diagnosis and Treatment: quicker read KJ Lee or Pasha for bulleted points/summaries Online Resources: http://www.entnet.org/content/ebooks Primary Care Otolaryngology Resident Trauma Manual of Face, Head and Neck Quick Reference Guide to TNM Staging of Head and Neck Cancer and Neck Dissection Classification, 4th Edition Be familiar with the AAO-HNS Clinical Practice Guidelines: http://www.entnet.org/content/clinical-practice-guidelines What is the DMC Department of Otolaryngology ACGME Status? The DMC Department of Otolaryngology has been granted ACGME accreditation. We will continue to strive to meet the expectations of both the AOA and ACBME as well as serve as an outstanding learning environment for our medical students and residents.

Otolaryngology - Head and Neck Surgery

Q: Prospective Residents

Otolaryngology – Head and Neck Surgery remains a very competitive specialty. COMLEX scores, clerkship and medical school grades, as well as extracurricular accomplishments are just a few of the criteria used to evaluate potential candidates. Students interested in applying to our residency program are strongly encouraged to rotate at our facility during their 3rd or 4th year. Additionally, please refer to the document attached at the bottom of this page for frequently asked questions. To schedule a rotation, please contact: Maria Flatt 3901 Beaubien Detroit, MI 48201 ph (313) 745-5402 | fax (313) 745-5848 | email mflatt2@dmc.org

Q: Specific Expectations

Medical students are expected to be active participants while on service. Evaluations are based on the following aspects: Medical knowledge - head and neck anatomy, basic otolaryngology concepts as discussed in the above reading material Patient care - participation during rounds, surgeries, and clinic Problem-based learning - 5-10-minute presentation given on patient/topic based on exposure during rotation Professionalism - punctual, engaged members of a team Communication skills, bedside manner Otolaryngology skills - upon completion of the rotation, students should demonstrate proficiency in the following: Comprehensive head and neck examination Interpretation of audiograms Assist flexible laryngoscopy with identification of structures Tracheostomy tube change Basic wound closure/suturing/care

Q: Helpful Links & Contact Us

Helpful Links American Osteopathic Colleges of Ophthalmology & Otolaryngology – Head & Neck Surgery American Osteopathic Association list of residencies Michigan State College of Osteopathic Medicine Statewide Campus System Electronic Residency Application Service (ERAS) National Matching Services American Society of Pediatric Otolaryngology American Rhinologic Society American Academy of Otolaryngology - Head and Neck Surgery American Academy of Otolaryngic Allergy Contact Us Residency Program Director Noah Stern, DO 4160 John R St Suite #1007 Detroit, MI 48201 ph (313)-966-947 | email: nstern@dmc.org Residency Program Coordinator Maria Flatt Children’s Hospital of Michigan 3901 Beaubien St Detroit, MI 48201 ph (313) 745-5402 | fax: (313) 993-0393 | email MFlatt2@dmc.org Medical Education Coordinator Tracy Kotwicki 1 William Carls Dr. Commerce Township, MI 48382-2201 ph (248) 937-5085 | fax (248) 937-5088 | email tkotwicki@dmc.org

Our Program

Detroit Medical Center Otolaryngology – Head and Neck Surgery is a five-year program approved under the American Osteopathic Colleges of Ophthalmology & Otolaryngology – Head & Neck Surgery with current pre-accreditation under the American Council for Graduate Medical Education. Two highly qualified candidates are chosen per year. The goal of our program is to train residents to become exceptional, highly skilled otolaryngologists and head and neck surgeons. This is accomplished through an intensive clinical experience, strong didactics, and required research. Under the close supervision of our widely recognized faculty, residents receive broad training and experience in diagnosis and treatment of diseases and abnormalities of the ear, nose, throat, sinuses, larynx, esophagus, trachea, and bronchi. The program integrates training at six university-based medical centers: DMC Detroit Receiving Hospital, DMC Harper University Hospital, DMC Children’s Hospital of Michigan, DMC Sinai-Grace Hospital, DMC Huron Valley-Sinai Hospital, and Michigan Ear Institute.