Clinical volume at Jefferson is in the top tier of US residency programs, making for a very robust operative experience starting from the very first year of training (i.e. internship year). With 8-10 rooms starting almost every day there is no shortage of cases. Our chief residents for the past three years have graduated with approximately 3,000 operative cases each (please refer to the key indicator operative procedures table provided). Residents are assigned to cases based on PGY level and experience-appropriate criteria, and are trained to become highly resourceful, confident and independent in the operating room under appropriate attending supervision. In addition, residents gain a tremendous amount of experience managing acute airway emergencies and become extremely well versed with both endoscopic and surgical approaches to the compromised airway.
What Sets Us Apart
Pioneering the effort of shaping resident education in Otolaryngology to maximize learning and skill-building, our department values the ever increasing role of physician extenders in the day-to-day management of our patients on the floor. During the operative day, the in-patient and consultation services are overseen by our five skilled physician extenders who communicate closely with the on-service residents. This enables our residents to focus on the surgical management of patients in the operating room during the day while developing excellent team-oriented leadership skills to direct patient care on the floor. All clinical decisions are ultimately the responsibility of our residents with oversight by our attending staff.
Another very unique aspect of our program is the experience gained by working closely with some of the other departments within Jefferson, especially the Departments of Ophthalmology (Will's Eye Institute) and Neurosurgery. We have fostered a close relationship with the Oculoplastics and Ocular Oncology Services at the Will's Eye Institute, one of the nation's leading eye hospitals. In addition to aiding in the care of patients with orbital and mid-face fractures, our residents work in close partnership with attending ophthalmologists to perform orbital exenterations, endoscopic dacrocystorhinostomies and endoscopic/transnasal orbital decompressions. The Department of Otolaryngology-HNS has also partnered with the Department of Neurosurgery to develop the Minimally Invasive Cranial Base Surgery and Endoscopic Neurosurgery Center co-directed by our Dr. Marc Rosen and neurosurgeon, Dr. James Evans. Jefferson has one of the busiest skull base programs in the country and through the work of our center, we are continually working to push the boundaries of what is possible in endoscopic skull base surgery (www.jeffersonhospital.org/cranialbase).
The Department of Otolaryngology at Thomas Jefferson University Hospital has reserved its right to provide multiple fellowship opportunities for subspecialty training (currently offering only a Rhinology and Skullbase Fellowship under Dr. Marc Rosen), despite the experience, expertise and national recognition of our other academic faculty. This has translated to increased case load diversity for our residents. As the volume of cases at Jefferson expands, so too will the clinical responsibilities of our faculty and residents. We therefore anticipate an expansion of our program in the years to come to accommodate fellows in various subspecialty fields to help bolster resident education and mentoring, as well as spread out the clinical workload to optimize patient care and physician training.
Additional benefits our residents enjoy include the provision of a full set of Cummings or Baileys texts (based on resident preference) upon entrance to the program with a yearly textbook for each resident over the course of their training at Jefferson filling out his/her own personal library. Subscriptions to each of the major journals as well as membership dues for the major societies are also provided in order to keep our residents current. Furthermore, multiple academic and skill-based courses are provided to the residents throughout the academic year for their continued learning.
William Keane, MD
Edmund Pribitkin, MD
Maurits Boon, MD
Associate Program Director