Residency Program Application Procedure

Otolaryngology residents banner image - residents at a conference table

Application Procedure

Each year, three residents are accepted into the program. The Otolaryngology Residency Program match is handled through the National Residency Matching Program (NRMP). Students may register with the NRMP beginning in June. See the 2013 Main Match Schedule.

Students applying to our program will also need to register with ERAS (Electronic Residency Application Service). Residency applications, recommendation letters, transcripts, etc., will be sent to our program through ERAS. A complete application will include: CAF, three recommendation letters, personal statement, medical school transcript. USMLE Step 1 transcript and Step 2 transcript (if available).

Applications must be complete by October 15th (though Dean's letters may arrive later). We will inform applicants via email when their application is complete. Invitations to interview will be sent after November 1st.

Residents will spend all 5 years under the auspices of the Otolaryngology program. There is no need to register with the NRMP for a General Surgery-Preliminary position.

Our Resident Program Committee reviews applications and offers interviews to select candidates. We schedule the interviews during the months of December and January.

This year, our interviews are taking place from 1- 5 pm.

Chronological Description

First Year (PGY-1)
This year is very similar to the traditional general surgery internship, though first year residents are also exposed to emergency medicine, critical care, anesthesia, and neurosurgery. Other surgical rotations provide the basic education and experience necessary for the eventual care of head and neck surgery patients. Three months of this year are spent rotating on the Otolaryngology service.

Dr. Quinn teaching
Dr. Quinn teaching

Second Year (PGY-2)
During the first full year of Otolaryngology training, we emphasize the development of a high level of diagnostic skills and early exposure to operative techniques. During the first three months of the second year, the new residents participate in a series of one to two hour conferences per day which are entitled "The Basic Introduction to Otolaryngology." These sessions provide an overview of the specialty and serve as a springboard for in-depth training. At the present time, the second year resident is a part of a larger team on a specific service for four months. These services provide care for private and non-private patients at John Sealy Hospital. During this time, the second year resident works under the direct supervision of a senior resident. Emphasis is placed on out-patient diagnostic and therapeutic skills, preoperative evaluation, assistance with more complex otolaryngologic surgical procedures, audiology and speech pathology, and mastering minor surgical procedures. It is during this year that the residents rotate through St. Lukes Hospital in Houston. The second year resident also begins to develop a research plan to be executed during the third year.

Third Year (PGY-3)
During this year, there are required rotations.

There is a 4-month research rotation during which the resident participates in an independent scientific project under the direction of faculty. This rotation is fully supported financially and logistically by the department's research resources.

This year is spent working with an eight person otolaryngology group practice in Houston. This rotation is affiliated with Memorial Hospital System of Houston and provides an excellent opportunity for the resident to view and participate in the private practice of our specialty on a very high level. (This group consists of individuals who have special areas of expertise and interests that include neuro-otology, otolaryngic allergy, head and neck cancer surgery, and facial plastic and reconstructive surgery.) The general office practice of otolaryngology is emphasized during this rotation. At the same institution, there is interaction with residents in a Family Practice training program, and residents provide consultation for the patients on that service. This rotation is supervised by G. Walter McReynolds, MD.

Fourth Year (PGY-4)
The fourth year of the residency program begins the phase of training which is comparable to the senior resident year in most otolaryngology programs. This is the year with the heaviest concentration of surgical activities. It is during this year that the residents rotate through the M. D. Anderson Cancer Center in the Houston Medical Center. There are also major responsibilities for the care of in-patients as well as the out-patient clinic. It is our goal that by the time the resident completes this year of training, he or she should be thoroughly grounded in all aspects of otolaryngology and capable of functioning independently as a general otolaryngologist.

Fifth Year (PGY-5)
This year completes the final portion of the senior resident experience and is designed to permit the resident some flexibility to pursue areas of special interest. We feel that this year often eliminates the need for a post-residency fellowship and permits the graduating resident to enter either an academic environment or a private practice situation with the necessary preparation to function at a high level of expertise. Residents rotate on 3 different services and function as the chief, with responsibilities for patient care and teaching. The residents in this year will share the responsibility for the coordination of teaching conferences and the selection of some topics to be discussed.

Facilities

The University of Texas Medical Branch
UTMB is the oldest medical training facility in Texas. It was established in 1881 by a vote of the people of Texas and has a long and rich tradition of high quality medical education. The UTMB research enterprise has enjoyed a period of rapid growth and development during the past decade, due to the generous support of the state legislature, private foundations, and successful competition for federal research funds. In fiscal year 2003, UTMB was ranked 19th in NIH funding out of all US medical schools. UTMB is the only state supported general hospital in Texas and, as such, serves as the primary referral hospital for many of the indigent patients in the state who are not residents of one of the four major metropolitan communities.

Otolaryngology/Head and Neck Surgery Out-Patient Clinic
The building that houses University Hospital Clinics (UHC) was opened July, 1983 and provides a major expansion of our out-patient clinical care activities and teaching. All private and non-private patients are seen in this clinic. Within the 7200 square feet, there are twelve examining rooms, three audiometric suites, a minor operating room, and several teaching areas.

John Sealy Hospital, Galveston, Texas
John Sealy Hospital, Galveston, Texas

The John Sealy Hospital
This facility provides the otolaryngology service with up to sixteen beds, each located in a private room. The otolaryngology beds are located on the ninth floor and are closely adjacent to departmental offices.

Texas Department of Criminal Justice Hospital (UTMB-TDCJ)
This facility is a general acute care facility accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO). The UTMB-TDCJ Hospital remains the first and only hospital specializing in offender care on the campus of a major medical center and teaching institution. The TDCJ service constitutes an invaluable part of the Otolaryngology training program with a great variety of interesting pathology and trauma cases that contribute to the medical and surgical education components of our program.

Center for Audiology and Speech Pathology
The center is a comprehensive regional facility for the diagnosis and rehabilitation of patients with communicative disorders. Administratively, it is a Division of the Department of Otolaryngology. The Center includes areas for teaching and research as well as a broad range of diagnostic and rehabilitative facilities for hearing and speech disorders.

Temporal Bone Lab
This lab is supervised by Tomoko Makshima, MD. It is a 6-station temporal bone lab complete with microscopes, drills, suction, irrigation, and instruments available for resident use. Cadaver temporal bones are readily available through our anatomy department.

Computer Science Lab
This lab is supervised by Francis B. Quinn, M.D., Professor of Otolaryngology and Pathology.

Microvascular Lab
This lab is supervised by Vicente Resto, MD, PhD.. Microvascular surgery is performed by our residents. This facility provides opportunities for residents to hone their skills in microvascular anastomosis in preparation for free flap reconstruction cases.

Surgical Skills Lab
This facility is our very own "anatomy lab." Residents perform anatomic dissections as well as simulated surgical procedures during their training. An important philosophy of our training program, developed by Dr. Bailey, is that knowledge and ability, not pre-determined timelines, should dictate the operative responsibilities given the residents. Expert anatomic knowledge, a pre-requisite for this approach, is obtained in the surgical skills lab.

Molecular Biology Lab
This lab is supervised by Tomoko Makishima, M.D. This facility, which is immediately adjacent to the departmental offices, is a state-of-the-art, multipurpose wet lab, developed through a generous investment of departmental resources by Dr. Bailey and provides faculty and residents with a convenient and low-cost venue for the pursuit of basic or translational research projects. We have equipment and instrumentation for tissue processing and storage, tissue culture, electrophoresis, hybridization, RT-PCR, ELISA, cell separation, etc. Residents using this facility have gone on to secure Triologic Society Research Grants and faculty members have successfully obtained NIH funding from pilot projects originated here.

Research & Publications

Resident education research
Resident education research

Each resident is required to participate in research and publication efforts during the period of his/her training. Substantial direction and assistance is provided by the faculty and support personnel within the department which permits this experience to be maximally productive with a minimal investment of time. Residents may pursue their own interests or participate in some manner in ongoing projects within the department. In the second year of training, residents begin the process of choosing a project and mentor. During the third year of training, a 4 month block of protected time is set aside for the execution of the research plan. Monthly research conferences assist the residents as they prepare, perform, and then analyze the results of their study.

Resident Publications

Andrew Coughlin, MD
» A novel use of a landmark to avoid injury of the anterior ethmoidal artery during endoscopic sinus surgery.
» Oral cavity squamous cell carcinoma and the clinically n0 neck: the past, present, and future of sentinel lymph node biopsy.

Stipends & Fringe Benefits

For current salary information, see UTMB Health's Graduate Medical Education Salary.

Fringe benefits at the present time include medical insurance for the entire family, dental insurance for the Resident, and Professional Liability Insurance. A variable amount of money is available for travel to meetings and the purchase of books and journals.

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