Introduction to Head and Neck Surgery for 3rd Year Medical Students
Students should page the Chief Resident on call for Head and Neck Surgery at their assigned hospital rotation (RR-UCLA, Harbor UCLA, WLA-VA, Olive View), the Sunday before the beginning of the rotation week, for information regarding morning rounds on the Monday of your rotation. The name of the resident can be found on the Head and Neck rotation schedule located at the surgery website: http://www.surgery.ucla.edu/resident/ - Rotation schedules
Goals and Requirements of the 2 Week Rotation
The overall goal of this rotation is to introduce you to the principles of evaluation and management of head and neck patients. As directed by the Chief Resident of the Service Site, you will be required to participate as a team member by attending the following:
a.) morning rounds
b.) inpatient and outpatient surgery settings
c.) outpatient clinic settings
d.) Meet with Clerkship Director, Dr. Vishad Nabili every Wednesday at 12pm for feedback during 1st and 2nd week of rotation. (meet at 200 Med Plaza Ste 550)
e.) Multidisciplinary conferences, Wednesdays 1-3pm at 200 Med Plaza Ste 550 or CHS 6th fl classroom.
f.) Didactic Resident and Faculty teaching conferences, Wednesdays from 330pm-530pm
g.) Sign-out from Chief Resident daily before leaving the hospital.
h.) You are encouraged to round with the team on one weekend day during the rotation.
i.) You are encouraged to participate in any overnight call surgeries or procedures. (*optional)
j.) Make sure to have seen or been taught the following areas for your case logs: “neck mass”, “otitis”, and “thyroid/parathyroid diseases.”
Evaluation of Student Performance:
Your evaluations will be done by at least one faculty member and the chief residents you will be working with.
A. Evaluation of patients
The head and neck patient often has a very focused problem. You will be exposed to evaluation and management of such problems. The H&P should be aimed at focusing on the specific problem and salient concerns related to the problem as the primary goal of the evaluation. However, many head and neck patients have multiple medical problems that will need to be addressed as well. These should be incorporated as part of your evaluation. Many of the new patients that you see will have either undergone surgery or will require surgery. Thus, a comprehensive H&P is still required.
Your physical examination should include primarily a thorough head and neck examination.
You will also begin to develop skills in the succinct oral presentation of pertinent points of the H&P to the residents and attending faculty both on inpatient wards and on the outpatient clinic setting.
B. Diagnostic Aspects of Surgical Head and Neck Diseases
By the end of the rotation, you should be familiar with a variety of diagnostic techniques in the field of head and neck surgery, and be aware of their indications, limitations, and risks. These included flexible nasopharyngoscopy, flexible laryngoscopy, direct laryngoscopy and bronchoscopy, nasal endoscopy, sinus CT scans, MRI and CT scan of the neck, and biopsy of the aerodigestive tract.
C. Surgical Treatment of Head and Neck Diseases
You will have operative exposure to inpatient and outpatient head and neck surgery, and should become familiar with the preoperative diagnostic evaluation of these patients, as well as the basic instrumentation utilized for various procedures. You should gain knowledge of the potential risks of the surgery that you are observing, as well as the postoperative care and follow-up that will be required.
D. General Structure for a successful 2 week rotation:
**note please contact Dr. Vishad Nabili (pgr 20958) H&N Surgery Residency Program Director and Clerkship Director, for any problems or concerns during the rotation.
HEAD & NECK CHECKLIST - Third Year Core Rotation
TRACK A site: Ronald Reagan UCLA
RR-UCLA
Name: Dates of H&N Rotation:
TUES or THURS Doctoring Dates:
(If faculty are out please page the H&N chief resident assigned to UCLA)
Day / LocationMonday / INPATIENT ward rounds 0630 am or Call Chief Res
(Multiple FACULTY)
OR, Clinic and Wards
Tuesday / INPATIENT ward rounds 0630 am or Call Chief Res
(Multiple FACULTY)
OR, Clinic and Wards
Wednesday / 7:00 am Gen Surgery Conf
(73-105 CHS) and
Required Core Lectures
12pm Dr. Nabili (course director)clinic, 200 MP #550
1-3pm Conference, 200 MP Suite #550
3-30-530pm Lectures 6th Fl CHS
Thursday / INPATIENT ward rounds 0630 am or Call Chief Res
(Multiple FACULTY)
OR, Clinic and Wards
Friday / INPATIENT ward rounds 0630 am or Call Chief Res
(Multiple FACULTY)
OR, Clinic and Wards
Sat or Sun / AM Rounds INPATIENT
Call Chief Res for time.
Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY)
1.
2.
3.
Clinic, Surgical and/or Didactic Observations:
REQUIRED: _____ NECK MASS _____OTITIS ______THYROID/PARATHYROID DISEASES
OPTIONAL:
Rigid nasal endoscopy Endoscopic sinus surgery
Flexible laryngoscopy Direct laryngoscopy
Otomicroscopy
Comments:
Faculty Member Signature______Date______
Please turn in this completed form to Iris Mau in Room 72-215 CHS.
HEAD & NECK CHECKLIST - Third Year Core Rotation
TRACK B: site: Harbor UCLA
Harbor UCLA Medical Center – 1000 West Carson Street, Torrance, CA 90509
Name: Dates of H&N Rotation:
TUES or THURS Doctoring Dates:
(If faculty are out please page the H&N chief resident assigned to UCLA)
Day / LocationMonday / INPATIENT ward rounds 0630 am or Call Chief Res
Dr. Gopen (FACULTY)
OR, Clinic and Wards
Tuesday / INPATIENT ward rounds 0630 am or Call Chief Res
Dr. West (FACULTY)
OR, Clinic and Wards
Wednesday / 7:00 am Gen Surgery Conf
(73-105 CHS) and
Required Core Lectures
12pm Dr. Nabili (course director)clinic, 200 MP #550
1-3pm Conference, 200 MP Suite #550
3-30-530pm Lectures 6th Fl CHS
Thursday / INPATIENT ward rounds 0630 am or Call Chief Res
Dr. St. John (FACULTY)
OR, Clinic and Wards
Friday / INPATIENT ward rounds 0630 am or Call Chief Res
Dr. Abemayor(FACULTY)
OR, Clinic and Wards
Sat or Sun / AM Rounds INPATIENT
Call Chief Res for time.
Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY)
1.
2.
3.
Clinic, Surgical and/or Didactic Observations:
REQUIRED: _____ NECK MASS _____OTITIS ______THYROID/PARATHYROID DISEASES
OPTIONAL:
Rigid nasal endoscopy Endoscopic sinus surgery
Flexible laryngoscopy Direct laryngoscopy
Otomicroscopy
Comments:
Faculty Member Signature______Date______
Please turn in this completed form to Iris Mau in Room 72-215 CHS.
HEAD & NECK CHECKLIST - Third Year Core Rotation
TRACK C site: WLA-VA
WLA VA – 11301 Wilshire Blvd., Los Angeles, CA 90073
Employee Parking located on the West side of the main bldg.
Name: Dates of H&N Rotation:
TUES or THURS Doctoring Dates:
Day / LocationMonday / INPATIENT ward rounds– Call Chief Res for time.
Drs. Suh, Mendelsohn, Wang (FACULTY)
OR, Clinic and Wards
Tuesday / INPATIENT ward rounds– Call Chief Res for time.
Drs. Head, Nabili, Long (FACULTY)
OR, Clinic and Wards
Wednesday / 7:00 am Gen Surgery Conf
(73-105 CHS) and
Required Core Lectures
12pm Dr. Nabili (course director)clinic, 200 MP #550
1-3pm Conference, 200 MP Suite #550
3-30-530pm Lectures 6th Fl CHS
Thursday / INPATIENT ward rounds– Call Chief Res for time.
Dr. Nguyen (FACULTY)
OR, Clinic and Wards
Friday / INPATIENT ward rounds– Call Chief Res for time.
Dr. Andrews, Suh (FACULTY)
OR, Clinic and Wards
Sat or Sun / AM Rounds INPATIENT
Call Chief Res for time.
Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY)
1.
2.
3.
Clinic, Surgical and/or Didactic Observations:
REQUIRED: _____ NECK MASS _____OTITIS ______THYROID/PARATHYROID DISEASES
OPTIONAL:
Rigid nasal endoscopy Endoscopic sinus surgery
Flexible laryngoscopy Direct laryngoscopy
Otomicroscopy
Comments:
Faculty Member Signature______Date______
Please turn in this completed form to Iris Mau in Room 72-215 CHS.
HEAD & NECK CHECKLIST - Third Year Core Rotation
TRACK D site: Olive View UCLA
Olive View Medical Center
Name: Dates of H&N Rotation:
TUES or THURS Doctoring Dates:
Day / LocationMonday / INPATIENT ward rounds– Call Chief Res for time.
Dr. Tsai (FACULTY)
OR, Clinic and Wards
Tuesday / INPATIENT ward rounds– Call Chief Res for time.
Dr. Chhetri (FACULTY)
OR, Clinic and Wards
Wednesday / 7:00 am Gen Surgery Conf
(73-105 CHS) and
Required Core Lectures
12pm Dr. Nabili (course director)clinic, 200 MP #550
1-3pm Conference, 200 MP Suite #550
3-30-530pm Lectures 6th Fl CHS
Thursday / INPATIENT ward rounds– Call Chief Res for time.
Drs. Ishiyama, Cohen, Armin (FACULTY)
OR, Clinic and Wards
Friday / INPATIENT ward rounds– Call Chief Res for time.
Drs. Cohen, Armin (FACULTY)
OR, Clinic and Wards
Sat or Sun / AM Rounds INPATIENT
Call Chief Res for time.
Clinic Patient Work-Ups (patient name, diagnosis, date of H&P OBSERVED BY CHIEF RES OR FACULTY)
1.
2.
3.
Clinic, Surgical and/or Didactic Observations:
REQUIRED: _____ NECK MASS _____OTITIS ______THYROID/PARATHYROID DISEASES
OPTIONAL:
Rigid nasal endoscopy Endoscopic sinus surgery
Flexible laryngoscopy Direct laryngoscopy
Otomicroscopy
Comments:
Faculty Member Signature______Date______
Please turn in this completed form to Iris Mau in Room 72-215 CHS.
Academic Year 2012-13
Head & Neck Surgery
UCLA Resident Pager List
R6
Jennifer Bergeron - 25844
Alan Chu - 25856
Adam DeConde - 25858
Jonathan Salinas - 25916
Darshni Vira - 25925
R5
Sameer Ahmed - 26489
Victor Duarte - 26525
Matthew Lee – 26577
Christopher Thompson - 26646
Bonnie Vorasubin - 26659
R4
Kim (Kimanh) Nguyen - 27372
Kevin Peng - 27388
Ali Razfar – 27403
Bobby Tajudeen - 27450
Soroush Zaghi - 27487
R2
Irene Kim - 28053
Isabelle Liu - 28054
Jon Mallen-St. Clair - 28055
Julianna Pesce - 28056
Travis Shiba - 28057