Introduction
Bobby R. Alford, M.D.
Program Overview General Surgery
Otolaryngology Head and Neck Surgery
Research
Lectures, Conferences and Workshops
Visiting Professor
Faculty
Baylor College of Medicine
Affiliated Hospitals
Houston
Application Information |
The formal otolaryngology-head and neck surgery training consists of four years of dedicated clinical experiences. During the four years of training, residents rotate through St. Luke's Episcopal Hospital, The Methodist Hospital, Veterans Affairs Medical Center, Ben Taub General Hospital, Texas Children's Hospital, and The University of Texas M.D. Anderson Cancer Center. Each hospital has comprehensive services with outpatient clinics, inpatient services, dedicated operating room time, emergency services, and diagnostic testing.
PGY-2
Having completed the surgery internship, the four clinical residents will then begin the Otolaryngology - Head and Neck Surgery rotations as year PGY-2. The research resident will begin a 2 year research block prior to returning to clinical rotations.
During the PGY-2 year, residents rotate on a quarterly basis through four Baylor affiliated Hospitals: Ben Taub General Hospital (BTGH), The Methodist Hospital (TMH), the Michael E. DeBakey Veterans Affairs Medical Center (VAMC) and Texas Children's Hospital (TCH). PGY-2 residents also participate in a six-week basic science course that provides the necessary scientific background and clinical fundamentals for the physician entering this phase of training. Subjects include acoustics and audiology, head and neck anatomy and embryology, temporal bone anatomy, audiovestibular physiology, allergy, and otolaryngic emergencies.
PGY-3
During the PGY-3 year, residents assume greater responsibilities in patient care and surgery. The typical year includes a dedicated 3-month research block and rotations at the the VAMC, TMH and TCH. The Methodist Hospital rotation includes responsibilities working with Dr. Bobby R. Alford. The Texas Children's Hospital rotation includes special exposure to pediatric patients with airway anomalies, head and neck masses, hearing loss, neonatal and pediatric intensive care needs, and chronic sinusitis.
PGY-4
The PGY-4 year of training provides intensive operating room exposure with rotations at the BTGH, the VAMC, the UT-M.D. Anderson Cancer Center, and as Chief Resident at The Methodist Hospital. This year offers comprehensive experiences with increasing levels of responsibility in otology, neurotology, skull base surgery, head and neck oncology, facial plastic surgery, reconstructive surgery, maxillofacial surgery, aerodigestive endoscopy, endocrine surgery of the head and neck, endoscopic sinus surgery, microlaryngeal surgery, head and neck pathology, and radiology of the head and neck.
PGY-5
The PGY-5 year of residency is the chief residency year with a 3-month rotation at the Veterans Affairs Medical Center, 6 months at Ben Taub General Hospital, and 3 months at UT M.D. Anderson, with fellow level responsibilities. During this year, the Chief resident is responsible for patients under his/her auspices at these two hospitals during outpatient clinics, inpatient hospitalizations, surgical procedures, and emergency consultations. The chiefs are directly responsible to the attending staff at each hospital. The Chiefs are responsible for overseeing and teaching junior residents in clinic, the operating room, and ER care. Medical students from Baylor College of Medicine rotate throughout the year, and the Chiefs are responsible for teaching the students the head and neck exam as well as basic otolaryngologic principles.
Resident responsibilities and educational goals are level-dependent as the resident progresses from junior to senior resident level. The experience at Ben Taub General Hospital allows a comprehensive, hands-on experience with both adult and pediatric general otolaryngology patients as well as trauma patients. Rotations at the Michael E. DeBakey Veterans Affairs Medical Center provide unique opportunities in head and neck cancers, otology and laryngology. The Methodist Hospital provides a high volume of specialty referral cases. The UT M.D. Anderson rotations provide a comprehensive exposure to head and neck cancer cases, with an opportunity to return as a senior level resident fulfilling fellow level responses on a busy head and neck service. Texas Children's Hospital provides experience will all facets of pediatric otolaryngology.
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