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ENTtoday: November 2010

Departments

Career Development

Career Shift: Mid-career mentors can help you change course

Like many physicians, otolaryngologists at mid-career may experience some form of burnout and be looking to make a professional shift. Indeed, a study published in the Annals of Surgery last year found that otolaryngologists had high rates of career burnout that paralleled those of trauma and vascular surgeons.

Health Policy, Practice Management

The Medical Home Gains Momentum: Could a team-based model work for otolaryngology?

The patient-centered medical home’s star appears to be rising. Thirty-eight states are testing this model of care in some way, according to the National Academy for State Health Policy. The federal health system reform law, passed this spring, includes several provisions encouraging the concept.

Medical Education

Lingering Issues: Challenges remain in repairing CSF leaks

Once the province of neurosurgeons, cerebrospinal fluid (CSF) leak repair is now handled mostly by otolaryngologists. This change has occurred over the past couple of decades, during which time the evolution of endoscopic tools and techniques has made possible extracranial rather than intracranial repair. The success rate for repairing these leaks from below has reached about 90 percent, particularly for small leaks.

Viewpoint

Headlight vs. Head Mirror

September’s Poll Results

Career Development, Medical Education, Practice Management, Resident Focus, Viewpoint

Response from the editor

Dr. Sims has eloquently identified the value of diversity not only in otolaryngology, but also its contribution to the strength of the U.S. as a nation. Drs. Kuppersmith and Thomas have responded to his editorial indicating steps that the AAO-HNS has taken and is currently taking to increase diversity.

Career Development, Practice Management, Viewpoint

Response from Dr. Sims

My Viewpoint was intended to call attention to a problem and inspire us to act with more alacrity.

Career Development, Practice Management, Viewpoint

Change Is Already Here

We read with great interest Dr. Steven Sim’s recent op-ed, “More of the Same: Why isn’t otolaryngology becoming more diverse?” in ENT Today (Viewpoint, Sept. 2010).

Practice Management, Tech Talk

Compliance Made Easy: High-tech systems remind patients to take their meds

Neil Chheda, MD, assistant professor of otolaryngology at the University of Florida in Gainesville, realized a few years ago that nearly half of his patients on proton pump inhibitors were taking them incorrectly.

Career Development, Health Policy, Resident Focus

Resident Restructure: Attendings adjust to new work-hour rules

The new duty hour regulation from the Accreditation Council for Graduate Medical Education (ACGME) that limits first-year residents to 16-hour shifts has drawn a conflicted chorus of reactions from attendings, who have only seven months before the stipulation goes into effect.

Other

Literature Reviews

Intraoral Removal Has Advantages over Submandibular Gland Resection

Are surgical outcomes better for intraoral removal of proximal submandibular stones or traditional submandibular gland (SMG) resection? Background: Salivary stones, the most common cause of salivary ductal obstruction, usually occur in […]

Literature Reviews

Injection Laryngoplasty Helps in Recovery of Vocal Fold Motion

What are the long-term outcomes of patients with unilateral vocal fold paralysis (UVFP) who are treated with injection laryngoplasty (IL)? Background: IL, a temporary intervention for UVFP, is often performed in […]

Literature Reviews

Diagnosis of Supraglottitis in the Post-Immunization Era

What are the demographics, presentation, interventions and outcomes of acute supraglottitis in the era following widespread immunization against Haemophilus influenza type b? Background: The overall incidence of acute supraglottitis has decreased […]

Literature Reviews

Mandible Vascularized Bone Graft Reconstruction Successful in BRONJ

Does vascularized bone reconstruction provide optimum reconstruction among patients with bisphosphonate-related osteonecrosis of the jaw (BRONJ)? Background: Bisphosphonates, a commonly prescribed class of medications used in the treatment of multiple myeloma […]

Literature Reviews

Dysphagia May Lengthen Hospital Stay

Does the presence of dysphagia in hospitalized patients result in prolonged hospital stay and increased morbidity? Background: Dysphagia is a symptom that may be an indication of swallowing dysfunction. Swallowing dysfunction […]

Literature Reviews

Scoring System for Esophageal Cancer Requires Other Considerations

Can a simple scoring system identify individuals at high risk of esophageal cancer?1 Background: The prevalence of esophageal cancer is rapidly expanding. The prognosis for late stage esophageal cancer is dismal, […]

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