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ENTtoday: November 2024

Features

The Time Is Now to Prepare for the Next VBC Wave

VBC (value-based care) is coming to otolaryngology offices within the next five years through the Centers for Medicare and Medicaid Services (CMS) initiatives, and otolaryngology needs strategies for responding to how value, outcomes, and cost will be captured and measured

ENTs Take on Far-Flung Gig Work

Gig work has generally been on the rise, fueled largely by a shortage of otolaryngologists, ENT physicians’ desire to limit demanding call work that can lead to burnout, and the need to fill the gaps while healthcare systems conduct time-consuming searches to staff vacancies. 

Departments

Evolution of Surgical Care—the Power in Asking Why

The evolution of patient care can be caused by technological advancements, patient experiences, peer learning, conferences, and simply the refinement of one’s own surgical skills. The goal, however, remains the same—providing the highest quality care to our patients. 

Court Issues Nationwide Injunction on FTC Rule Banning Noncompetes

On April 23, the FTC issued a final rule banning non-competition agreements. After a roller coaster of litigation and uncertainty that lasted months, the FTC Final Rule was halted by a federal court in Texas, in the form of a nationwide injunction. Now the question looms: What does this mean for current and future physician noncompetes?

Use of Prophylactic Antibiotics in Otolaryngology

Fundamental to medical decision making is the challenging task of weighing the benefits against the risks of any given treatment decision. Clinical guidelines and protocols help with this decision making, which is further informed by physician judgment, particularly when the evidence is weak or lacking.

Other

How To: Modified Technique for Retrograde Placement of the Tracheoesophageal Voice Prosthesis in the Office

This article describes an updated and straightforward technique for in-office retrograde placement of the voice prosthesis in patients with challenging TEP tracts.

How To: Endoscopic Anterior Laryngotracheal Reconstruction

This article introduces a new endoscopic technique for anterior LTR using costal rib cartilage grafting in a two-year-old patient with acquired grade III subglottic stenosis.

Literature Reviews

ML Model Classifies, Detects, Segments Structures During NE

A CNN-based model can accurately localize and segment turbinates in images obtained during NE, signifying the feasibility of future machine learning (ML) algorithms to interpret NE findings.

Literature Reviews

Commensal Microbiota Have Impact on the Laryngeal Immune System in Mice

The cellular landscape of the mouse model larynx contains multiple macrophages and secretory epithelial cell populations; commensal microbiota has an extensive impact on the laryngeal immune system.

Literature Reviews

Tirzepatide Reduces Sleep Impairment and Cardiovascular Risk Factors in Patients with Moderate-to-Severe OSA

In two trials, participants with OSA and obesity who received tirzepatide had a clinically meaningful change in sleep-disordered breathing and alleviation of perceived sleep disturbance and sleep-related impairment, as well as reductions in common OSA-related cardiovascular risk factors.

Career Development

TRIO Receives R25 Grant To Cultivate The Next Generation Of Otolaryngologist–Scientists

The Triological Society (TRIO) has been awarded an R25 grant from the National Institute on Deafness and Other Communication Disorders (NIDCD) to establish the Neely National Clinician–Scientist Mentorship Network. This program aims to cultivate the next generation of otolaryngologist–scientists through comprehensive mentorship, training, and networking opportunities. It will be the first national mentorship network for otolaryngologist–scientists.

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