Otolaryngology for the Future Surgeon: OTO404

Course Number: OTO404
Offered continuously throughout the year

Offered by: 
Daniel Karakla, M.D. 
Department of Otolaryngology 
Head and Neck Surgery 
Sentara River Pavilion, Suite 1100 
Phone: 757-388-6200

Departmental Offices - Senara River Pavilion and Children's Hospital of the King's Daughters 
Duration: 4 weeks 
Number of Students: 1-2 
Student Level: Year 3-4 
Night Call: No 

Report First Day:
Students should page the Otolaryngology - Head & Neck Surgery Chief Resident for instructions before beginning the rotation. 

Course Description:
This elective offers and orientation to otolaryngology for the future surgeon. An emphasis will be placed on medical and surgical aspects of diseases of the head and neck with the development of specific surgical skills related to these diseases. The course will be divided between operating room experiences and office otolaryngology. The elective will be fashioned to meet the needs of the student. 

Distribution of Student's Efforts:
Patient Contact: 40% Inpatient, 60% Outpatient. Conferences 3 hours perweek, Rounds 4 hours per week, study and reading time provided. Faculty contact 40 hours per week. 


  1. Learn the basics of the ear, nose and throat examination.
  2. Diagnose and treat the spectrum of diseases related to chronic serous otitis media, acute otitis media and chronic otitis media.
  3. Diagnose and treat the spectrum of diseases related to tonsillitis, adenoiditis and sinusitis.
  4. Evaluate and treat nasal/sinus disorders.
  5. Learn the basic work-up and follow-up of the head and neck cancer patient.
  6. Diagnose and treat voice and swallowing problems.
  7. Develop surgical skills, such as performing myringotomy, tympanostomy tube placement, sinus irrigation, laryngoscopy, wound closure and tracheotomy.
  8. To understand practical head and neck anatomy as it relates to the patient with surgical disease.
  9. To understand the preop and postop care of patients with head and neck cancer.

Evaluation: 100% clinical observation. 

* Students applying to this department for residency in Otolaryngology - Head and Neck Surgery must submit a C.V. prior to being considered for the elective.