Otolaryngology - Head and Neck Surgery

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

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

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

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.

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

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.

Bianca Siegel, MD

• Medical School: Wayne State University, Detroit, MI
• Residency: Einstein-Montefiore Medical Center, Bronx, NY
• Fellowship: Pediatric Otolaryngology – Children’s Hospital of Pittsburgh, Pittsburgh, PA

Nathan Gonik, MD

• Medical School: Wayne State University, Detroit, MI
• Residency: Albert Einstein College of Medicine, Bronx, NY
• Fellowship: Pediatric Otolaryngology – C.S. Mott Children’s Hospital, Ann Arbor, MI

Mallory O’Niel, MD

• Medical School: Medical College of Wisconsin, Milwaukee, WI
• Residency: Medical College of Wisconsin, Milwaukee, WI
• Fellowship: Pediatric Otolaryngology – Children’s Hospital and Clinics of Minnesota, Minneapolis, MN
• Recent Publications:
  • O’Niel MB, Cassidy LD, TR Link, Kerschner JE. Tracking tympanostomy tube outcomes in pediatric patients with otitis media. Int J Pediatric Otorhinolaryngology. 2015 Aug;79(8):1275-8.
  • O'Niel MB, Runge CL, Friedland DR, Kerschner JE. Patient outcomes in magnet-based implantable auditory assist devices. JAMA Otolaryngol Head Neck Surg. 2014 Apr 24.
  • O'Niel MB, Chun RH, Conley SF. Ulcerative lesions as a rare cause of laryngotracheitis in the pediatric population. Am J Otolaryngol. 2013 Sep-Oct;34(5):541-4.

Arlene Rozzelle, MD

• Medical School: University of Massachusetts, Worcester, MA
  Residency: General Surgery and Plastic Surgery, Brown University, Providence, RI
  Fellowship: Pediatric Plastic and Craniofacial Surgery, Washington University/St. Louis Children’s Hospital, St. Louis, MO
• Recent Publications:
  • Busuito C, Vandjelovic N, Flis D, Rozzelle A. Comparison of Pre and Postoperative Sleep Studies on Patients Undergoing Sphincter Pharyngoplasty. Cleft Palate-Craniofacial Journal. In press April 2017.
  • Hashmi A, Marupudi NI, Sood S, Rozzelle A. Effect of Preoperative Molding Helmet in Patients with Sagittal Synostosis. Journal of Craniofacial Surgery. 2017 June 28(4):898-903
  • Bangiyev JN, Traboulsi H, Abdulhamid I, Rozzelle A, Thottam PJ. SleepnArchitecture in Pierre-Robin Sequence: The Effect of Mandibular Distraction Osteogenesis. International Journal of Pediatric Otorhinolaryngology. 2016 Oct;89: 72-75. doi: 10.1016/j.ijporl.2016.07.019
  • Hashmi A, Marupudi NI, Sood S, Rozzelle A. Effect of Preoperative Molding Helmet in Patients with Sagittal Synostosis. Journal of Craniofacial Surgery. 2017 Jun;28(4):898-903. doi: 10.1097/SCS.0000000000003512
  • Ahmed Z, Stricker L, Rozzelle A, Zestos M. Aprotinin and transfusion requirements in pediatric craniofacial surgery. Paediatric Anaesthesia. 2014 Feb;24(2):141-5. doi: 10.1111/pan.12279

Jason Brown, DO (chief)
Medical School: Kirksville College of Osteopathic Medicine
Undergraduate: University of Missouri - B.S. Biological Sciences

Benjamin Kelley, DO (chief)
Medical School: Lake Erie College of Osteopathic Medicine
Undergraduate: University of Alaska, Anchorage - B.S. Natural Sciences

Chantal Barbot, DO
Medical School: Pacific Northwest University of Health Sciences
Undergraduate: North Dakota State University – B.S. Microbiology

Luxman Srikantha, DO
Medical School: Philadelphia College of Osteopathic Medicine – Georgia Campus
Undergraduate: University of North Carolina – Chapel Hill – B.A. Chemistry, B.A. Biology

Aileen Larson, DO
Medical School: Pacific Northwest University of Health Sciences
Undergraduate: Susquehanna University – B.S. Biology

Dustin Jones, DO
Medical School: Ohio University College of Osteopathic Medicine
Undergraduate: Wright State University – B.S. Microbiology and Immunology

Steven Engebretsen, DO
Medical School: Pacific Northwest University of Health Sciences College of Osteopathic Medicine
Undergraduate: Brigham Young University – B.S. Exercise Science

Tyler Patrick, DO
Medical School: University of New England College of Osteopathic Medicine
Undergraduate: United States Coast Guard Academy – B.S. Marine Science

2017 Graduates

Michel Evans, DO
Current Appointment: Private Practice – Danville, VA
Medical School: Philadelphia College of Osteopathic Medicine
Undergraduate: Clearwater Christian College – B.S. Pre-Med

Jennifer Christenson, DO
Fellowship: Head and Neck Surgery – Oregon Health & Sciences University, Portland, OR
Medical School: Ohio University College of Osteopathic Medicine
Undergraduate: University of Michigan – B.A. Spanish

2016 Graduates

John Bangiyev, DO
Current Appointment: Private Practice – Greater Detroit Area
Fellowship: Pediatric Otolaryngology – University of Utah
Medical School: Kirksville College of Osteopathic Medicine
Undergraduate: University of Missouri – Columbia

Monica Kieu, DO
Current Appointment: Private Practice – Marina Del Rey, CA
Fellowship: Facial Plastic and Reconstructive Surgery – University of Toronto
Medical School: Western University of Health Sciences
Undergraduate: University of California – Riverside – B.S. Anthropology

2015 Graduates

Sweeti Shah (Patel) – Former Chief Resident
Fellowship in Pediatrics: Children’s Mercy/University of Kansas – Kansas City, MO
Medical School: Philadelphia College of Osteopathic Medicine Georgia Campus

Shoib Sana, DO
Fellowship in Otology: Paparella Ear / Head and Neck Institute – Minneapolis, MN
Medical School: Western University of Health Sciences, College of Osteopathic Medicine
Undergraduate: Creighton University – B.S. Chemistry

Terry Yeung, DO
Fellowship in Facial Plastics and Aesthetics:  Atlanta, GA
Medical School: Kirksville College of Osteopathic Medicine
Undergraduate: University of California, Los Angeles – B.A. Sociology

2014 Graduates

Ian Humphreys, DO (Past Chief Resident)
Current Position: Assistant Professor Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology – Head and Neck Surgery, University of Washington School of Medicine – Seattle, WA
Fellowship: Stanford University - Rhinology
Medical School: Lake Erie College of Osteopathic Medicine
Undergraduate: University of Pittsburgh -  B.S. Biology

Jennifer Lane, DO
Private Practice: Otolaryngologist at Swedish American Medical Group – Rockford, IL
Medical School: Des Moines University
Undergraduate: University of South Florida – B.S. Biology

Prasad Thottam, DO (Past Chief Resident)
Current Position: Michigan Pediatric Ear, Nose, and Throat Associates – Detroit, MI
Fellowship
University of Pittsburgh Medical Center - Pediatric Otolaryngology
Medical School: Ohio University College of Osteopathic Medicine
Undergraduate: John Carroll University - B.S. Biology, B.A. History

At DMC it is our priority to train physicians who will make significant contributions to the advancement of our specialty. To that end, intensive research experience is provided under the mentorship of distinguished faculty. Our residents continue to publish articles in major scholarly journals and present at national academy meetings. Financial support is provided for all residents participating in podium or poster presentations.  Below is a brief summary of more recent achievements. 

Honors and Awards

Ig Nobel Prize in Medicine 2014 - Ian Humphreys

AOCOO-HNS GME Foreign Travel Grant 2014 - Monica Kieu

The Michigan Otolaryngological Society 2012, Walter M. Belenky MD Resident Research Award, 3rd place.  "Intraoperative use of FloSeal with adenotonsillectomy to prevent adverse postoperative outcomes" - Steven Dyer

AAOCOO Resident Research Award in Otolaryngology – HNS 2012, 3rd place 2012, Isolated Unilateral Sphenoid Sinusitis Leading to Contralateral Cavernous Sinus Thrombosis: A Case Report" - Steven Dyer

MOA Scientific Convention, Scientific Research Competition 2012, 2nd place, Intraoperative use of FloSeal with adenotonsillectomy to prevent adverse postoperative outcomes - Steven Dyer

AAO-HNSF Resident Leadership Grant 2012, grant to attend annual meeting - Prasad Thottam

Society Pediatric Urology (SPU) Annual Research Grant 2012-13, "Is Adenotonsillectomy the therapy of choice for enuresis, L. Kovacevic, PJ Thottam, DN Madgy, I Abdulhamid, Y Lakshmanan. Team awarded a $30,000 grant by the SPU for ongoing research evaluating nocturnal enuresis resolution after adenotonsillectomy - Prasad Thottam

AAO-HNSF Humanitarian Efforts Grant 2012  - Ian Humphreys

AOCOO-HNS Humanitarian Travel Grant 2012 - Ian Humphreys

Publications

Treatment of inflammatory myofibroblastic tumor of the subglottis with KTP laser. M.C. Kieu, V. DaCosta, D.N. Madgy. Accepted for publication, Journal of Voice 2014.

Sleep Architecture Parameters Predicting Post-operative Nocturnal Enuresis Resolution in Children with Obstructive Sleep Apnea. P.J Thottam, L. Kovacevic, D.N. Madgy, I. Abdulhamid. Ann Otol Rhinol Laryngol.2013; Nov;122(11):690-4.

Submucosal Resection of a Microcystic Oropharyngeal Lymphatic Malformation using Radiofrequency Ablation. P.J. Thottam, R. Al-Barazi, D.N. Madgy, A. Rozzelle. Int. J. Pediatr. Otorhinolaryngol. 2013; Sep;77(9):1589-92.

Congenital Lobular Capillary Hemangioma – A Case Report. Steven Dyer DO, Sonal Saraiya, MD, Ranga Sirigiri, MD, Illi Landolfi, MD, James Dworkin, PhD, Walter M. Belenky, MD. Int J Ped Oto Extra 6 (2011) 339-345,

Functional endoscopic sinus surgery (FESS) alone versus balloon catheter sinuplasty (BCS) and ethmoidectomy: A comparative outcome analysis in pediatric chronic rhinosinusitis.  Prasad Thottam, Michael S. Haupert, DO, James P. Dworkin, PhD, Ranga Sirigiri, MD, Walter M. Belenky, MD. Int. J. Pediatr Otorhinolaryngol.

Complete Second Branchial Cleft Anomaly Presenting as a Tonsillar Cyst & Fistula: An Interesting Congenital Anomaly.  Prasad J. Thottam DO, Samba Bathula, MD, Ian M. Humphreys, DO, Janet M. Poulik, MD, David N. Madgy, DO. Ear Nose Throat J.

Pathologies that Threaten the Pediatric Airway. James P. Dworkin, PhD, Prasad Thottam, DO, David N. Madgy, DO, Sonal Saraiya, MD. J Med Speech-Language Pathology.

Mycobacterium Avium Complex Associated Bronchocentric Granulomatosis of the Mainstem Bronchus in an Immunocompetent Child Presenting as an Airway Foreign Body. Meshkinfam S, Haupert MS, Poulik J, Dworkin JP, Tabassum F, Zegarra-Linares R, McGrath E. Accepted for publication 2012,

Nasal Packing with Strips of Cured Pork as Treatment for Uncontrollable Epistaxis in a Patient with Glanzmann Thrombasthenis. Humphreys I, Saraiya S, Belenky W, Dworkin J. Journal Otology, Rhinology & Laryngology(2011)

Masses that arise within or encroach upon the parapharyngeal space. Dworkin JP, Klapchar R, Madgy DN,Journal of Medical Speech-Language Pathology, 2011

Poster & Podium Presentations

Predictors of outcome in angiotensin-converting enzyme inhibitor-induced angioedema. M.C.Kieu, A. Rajasekhar, J.N. Bangiyev, P.J. Thottam, J. Wilburn,  N.A. Stern, P.D. Levy. Upcoming podium presentation, AAO-HNS 2014 Annual Meeting, Orlando, FL

Utility of high dose corticosteroids in the treatment of ACE-Inhibitor induced angioedema. J. Bangiyev, M.C. Kieu, S. Cavaliere. Upcoming podium presentation, AAO-HNS 2014 Annual Meeting, Orlando, FL

Endoscopic Guided Radiofrequency Treatment of Airway Stenosis in a Pediatric Patient.  Humphreys I, DaCosta V, Haupert M.  Poster, ASPO/COSM, Las Vegas, NV 2014

Treatment of inflammatory myofibroblastic tumor of the subglottis with KTP laser. M.C. Kieu, V. DaCosta, D.N. Madgy. Poster, ASPO/COSM, Las Vegas, NV 2014

The association between pediatric general emergency department visits & post operative tonsillectomy & adenoidectomy hospital returns.  P.J. Thottam, C. Metz, J. Christenson, D. Cohen, S. Saraiya. Poster, ASPO/COSM, Las Vegas, NV 2014

The utility of common surgical instruments for pediatric adenotonsillectomy: analysis of time, hemorrhage & cost. P. Thottam.  Poster,  Detroit Medical Center, GME, QuESST Research Day Conference, 2014. 

FESS versus balloon sinuplasty as long-term treatment for pediatric chronic rhinosinusitis: a 2-year post-operative analysis. Rhinology. PJ Thottam, MC Kieu, R Al-Barazi, S Saraiya, J Dworkin, WM Belenky. Podium presentation, AAO-HNSF 2013 Annual Meeting, October 2, 2013, Vancouver, BC

FloSeal with adenotonsillectomy to prevent adverse postoperative outcomes. S. Dyer.  Podium presentation, AAO-HNSF Annual Meeting Washington, DC 2012.

Congenital Lobular capillary Hemangioma: A Case Report. S. Dyer. Poster, SENTAC, December 2012.

Sleep Architecture Patterns in Enuretic Children with OSA, P. Thottam.  Podium Presentation, AAO-HNSF Annual Meeting, Washington, DC 2012.

Cambodia: A Mission of Sustainability. I. Humphreys. Podium presentation, AAO-HNSF Annual Meeting, Washington, DC 2012

Sleep Architecture Patterns in Enuretic Children with OSA. P Thottam.  Poster, MSMS Foundation 2012,

Swallowing function after non-surgical treatment for advanced hypopharyngeal or laryngeal cancer. Amy Rutt. Poster, AOCOO - HNS and MSMS meetings 2012.

Isolated Unilateral Sphenoid Sinusitis Leading to Contralateral Cavernous Sinus Thrombosis: A Case Report. S. Dyer. Poster, AOCOO-HSN Mid-year Meeting, Dearborn, MI 2011.

Functional Endoscopic Sinus Surgery (FESS) Alone vs Ballon Sinuplasty: A comparative Analysis in a Pediatric Population with Chronic Rhinosinusitis, Podium presentation,  AAO-HNSF Annual Meeting,  San Francisco, CA 2011