Location: St. Louis Children's Hospital (3S35)
Elective contacts: Katie Buffington, bkatie@wustl.edu; Laura Bradley, lmbradley@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2
Reporting information: Report to the Pediatric ENT Admin Office (St. Louis Children's Hospital, Third Floor, Suite 3S35), at 8:00 am on the first day.

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M55 Oto 804

Otolaryngology (Clinical Elective)

Four-week rotation includes evaluation of ENT problems presented to specialist for diagnosis and treatment. The student participates in the clinic, hospital, and operating room. This may also include time on the Pediatric ENT Service, Audiology, Voice Laboratory, and Vestibular Evaluation Laboratory. Option of rotation on the ENT Service at VAMC is possible.

Student time distribution: Inpatient 50%; Outpatient 40%; Conferences/Lectures 10%; Primary Care 20%; Subspecialty Care 80%
Patients seen weekly: 50
On call/weekend responsibility: Optional

Med: WUSMEC

N/A

TBA

Drescher

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999

Desc:

Location: Mid Campus Center (Eighth Floor, Suite 8600)
Elective contact: Katie Buffington, bkatie@wustl.edu; Laura Bradley, lmbradley@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2

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M55 Oto 833

Ambulatory Otolaryngology for the Primary Care Physician (Clinical Elective)

This course offers a two-week exposure to ambulatory care of patients with diseases of the head and neck. Eight half-day sessions per week will be offered in attending clinics for general otolaryngology, head and neck cancer, otology, and pediatric otolaryngology. Two half-day sessions are reserved for audiology, vestibular lab, and voice lab experience. Surgical exposure is available for selected cases as identified by the student and attending physician, but the main goal of this rotation is outpatient diagnosis and management.

Student time distribution: Outpatient 100%; Primary Care 50%; Subspecialty Care 50%
Patients seen weekly: 100
On call/weekend responsibility: None

Med: VSEC, WUSMEC

N/A

TBA

Drescher

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Desc:

Location: Center for Advanced Medicine, Barnes-Jewish West County, St. Louis Children's Hospital Clinics
Elective contact: Katie Buffington, bkatie@wustl.edu; Laura Bradley, lmbradley@wustl.edu
Rotation length: 2 weeks only
Enrollment limit per block: 1

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M55 Oto 910

Otolaryngology Advanced Clinical Rotation (ACR)

The Otolaryngology Advanced Clinical Rotation (ENT-ACR) is a four-week rotation designed to provide a comprehensive sub-internship otolaryngology experience during the Phase III Gateway WUSM Curriculum. Student assessments will be competency-based evaluating performance in patient care, communication, technical skills, professionalism, and medical knowledge.

Students will primarily rotate through the adult Head and Neck Service at Barnes-Jewish Hospital, Pediatric Otolaryngology Service at St. Louis Children's Hospital, and may include time at the John Cochran VA hospital. The services at Barnes and Children's have the highest inpatient census amongst the Otolaryngology sub-specialties. A typical day will begin with morning rounds alongside the Otolaryngology residents. The ENT-ACR student will be responsible for all care associated with assigned patients. This includes getting sign-out from the overnight call team, obtaining vitals, communicating plans with nursing and auxiliary care providers, and helping residents with progress notes and orders. Throughout the day the student will be expected to maintain communication with nursing and other medical teams assisting in the care of those patients and communicating those updates with the otolaryngology residents and attendings. During the day, the student will be expected to spend time in the operating room, clinic, and shadowing the on-call consult resident. There will be an expectation to take at least one overnight or 24 hour call during the rotation. Additional weekend assistance with rounds and cases will mirror internship expectations.

The ENT-ACR is a sub-internship experience. As such, the student will get hands on practice with patient care, common bedside procedures (e.g. flexible nasolaryngoscopy; control of epistaxis; laceration repair), assisting in the operating room, and continuity of care via the clinic and inpatient rounding. The Head and Neck and Pediatric Services will provide much of the ENT-ACR student's exposure due to the relative complexity and multidisciplinary care of their patients. The students will stay at Barnes-Jewish Hospital, St. Louis Children's, or the VA and will not be rotating at our satellite offices. When appropriate there may be opportunity to spend time on other Otolaryngology sub-specialties (Otology/Neurotology; Rhinology; Laryngology; Facial Plastics; General Otolaryngology), however greater exposure to those fields should be sought via other ENT electives that have been designed as a complimentary experience to the ENT-ACR.

To assist the rotating ENT-ACR student, there will be one meeting with a course director at the beginning of the rotation. This meeting is to serve as an introduction, set clear expectations, confirm the schedule, and provide relevant educational resources. There will be a second meeting with a course director at the end of the rotation to provide two-way feedback on the student's performance and the rotation experience.

Student time distribution: Inpatient 50%; Outpatient 40%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 50
On-call/weekend responsibility: One call night required; intermittent weekend rounds

Attributes:

Med: VSEC, WUSMAC, WUSMEC

N/A

TBA

Dunsky, Wick

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999

Desc:

Location: Mid Campus Center (Eighth Floor)
Elective contact: Katie Buffington, bkatie@wustl.edu; Laura Bradley, lmbradley@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2

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C	=	Credit (letter grade)
P	=	Pass/Fail
A	=	Audit
U	=	Satisfactory/Unsatisfactory
S	=	Special Audit
Q	=	ME Q (Medical School)
Please note: not all grade options assigned to a course are available to all students, based on prime school and/or division. Please contact the student support services area in your school or program with questions.