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ENTtoday: December 2010

Departments

Career Development

Mission Accomplished?: Measuring success on humanitarian trips

The first time Gayle Woodson, MD, went on an international otolaryngology outreach mission 15 years ago, she was “a little afraid to go.” The chair of otolaryngology at Southern Illinois University in Springfield was traveling to Tanzania, a country prone to violence and war, and there was no telling what kind of environment she was entering.

Experimental Tort Reform: States take different approaches to implement change

The health care reform law passed in March created a $50 million demonstration program to test alternatives to the current medical liability system. But reaction is mixed as to whether the new project will help fix what the physician and medical liability insurance communities view as a flawed and inefficient system.

Advertise with Caution: State laws restrict how physicians can market themselves

In this economy, investing in advertising as a way to increase profits is an attractive idea. But, before you reach out to a marketing firm, let me tell you about a recent scenario that happened to one of my physician clients.

A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate

Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.

A Coping Mechanism: Child life specialists can ease hospital stays for pediatric patients

Seven-year-old Michael is scheduled to have a hemangioma removed from his face at the Arkansas Children’s Hospital (ACH) Ambulatory Surgery Center in Little Rock. The morning of surgery, he and his mother meet with child life specialists Cassandra C. James, MS, CCLS, and Camille Dante, MS, CCLS, who show him pictures of the operating room. They let him play with an anesthesia mask and a pulse oximeter, and talk about what to expect when he goes to sleep.

Safety Net: With violence on the rise, otolaryngologists implement prevention strategies

The shooting of a doctor and two patients at Johns Hopkins Hospital in Baltimore in September sent a shudder of fear through all physicians, but for those who knew the late otolaryngologist John Kemink, MD, it was particularly saddening.

Other

Literature Reviews

Disposable Sterile Sheaths Effective Against Cross-Contamination

What is the efficacy of sterile sheath use to prevent cross-contamination when using a fiberoptic nasopharyngolaryngoscope (FNPL) in an otolaryngology clinic? Background: After each use of FNPL, the endoscope must be […]

Literature Reviews

Babbling Is Necessary for Speech and Language Development

What is the importance of pre-linguistic vocalization? Background: The characterization and significance of pre-linguistic vocalization has long been the subject of research and debate. Pre-linguistic vocalization can generally be classified into […]

Literature Reviews

New Interview Questions for Better Resident Selection

Can commercially available business tools be used to identify competencies specific to the junior otolaryngology resident and to develop behavioral-based interview questions and techniques? Background: The resident selection process cannot predict […]

Literature Reviews

Surgery May Be Unnecessary for Some Small Thyroid Cancers

What are the trigger events that lead to detection of otherwise asymptomatic thyroid cancers? Background: The incidence of thyroid cancer has more than doubled in the past 30 years, but mortality […]

Literature Reviews

Smoking Increases Risk of Inverted Papilloma Recurrence

What clinical and environmental factors can predict recurrence or malignant transformation of sinonasal inverted papilloma (IP)? Background: IP is a benign neoplasm that is locally aggressive, with a less than 10 […]

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