Fourth Year Residents (Chief) PGY-5 [OTO-4]

Educational Program

Knowledge Base: The fourth year resident:

  • Should demonstrate mastery of the course content in Otolaryngology/Head and Neck Surgery
  • Knowledge level demonstrated by above average performance, as compared to Program Year peers nationally, on annual in-service examination

Clinical Skills Development:

  • Builds on clinical skills developed in prior years, and gives evidence to Attendings of maturity in approach to patient care and follow-up; i.e. the fourth year resident should demonstrate mastery of the surgical techniques and medical management in Otolaryngology/Head and Neck Surgery.
  • Explores advanced techniques and adapts them to personal style.

Resident Duties


  • Under the supervision of the Attendings, manages the service and is responsible for all patients on the otolaryngology service
  • Makes final decisions regarding management under Attending supervision
  • Can operate with direct visual supervision when he/she feels comfortable with a particular case.
  • Runs the clinics under Attending supervision
  • Supervises the ward service under Attending supervision.


  • Develops the resident call schedule
  • Assigns caseloads
  • Administers the service under Attending supervision
  • Forms the link for resident feedback to the Attending surgeons
  • Arranges grand rounds speakers


  • Participates the education of junior residents
  • Teaches the medical students
  • Instructs junior residents in clinic and in the operating room.

Progression of Responsibilities

  • Acts in a supervisory role within the operating room setting and when performing procedures outside the OR when the responsible Attending is immediately available by telephone and readily available onsite when needed.
  • The Attending physician must be present for the key portion of the procedure. In an emergency situation, when a supervising physician is not present, the resident shall document the emergency treatment provided by said resident. This shall include the nature of the emergency, the treatment provided, and the contact of the supervising physician. With arrival of the supervising physician, he/she will concur with the resident and contact the Attending physician for appropriate management decisions.
  • As Chief Resident, is fostered in development of skills in supervisory and administrative skills, such as organizing Grand Round Schedule
  • Has an increased supervisory role over other residents [with Attending coverage] and instruct them in clinic.
  • Supervises [with Attending coverage] in the operating room for the following cases: panendoscopy, tracheotomy, septoplasty, turbinectomy, and basic facial fractures.
  • Attends a monthly meeting with the Program Director and Associate Director to explore resident concerns or feedback, and provide guidance on administrative responsibilities.
  • Other administrative duties may be assigned as needed by the Program Director.

[1] Under direct visual supervision of Attendings

Location and Contact