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Pathway of Competency Requirements in Otolaryngology - Head and Neck Surgery (2017)

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Pathway of Competency Requirements in Otolaryngology - Head and Neck Surgery (2017) PATHWAY OF COMPETENCY REQUIREMENTS IN OTOLARYNGOLOGY - HEAD AND NECK SURGERY (2017) 2017 VERSION 1.0 Effective for residents who enter training on or after July 1st 2017 MEDICAL EXPERT MILESTONES: RESIDENCY Transition to discipline Foundations of discipline Core of discipline Transition to practice 1. Practice medicine within their defined scope of practice and expertise Comment [FV2]: TTP 1 ab, TTP 2 Demonstrate compassion and Demonstrate a 1.1. Demonstrate a a commitment to high-quality commitment to high- commitment to high- care and for patients quality care of their quality care of their Comment [FV1]: F 9 patients patients Explain how the Intrinsic Demonstrate the application Integrate the CanMEDS Intrinsic 1.2. Integrate the CanMEDS Roles need to be integrated of the CanMEDS Intrinsic Roles into their practice of Intrinsic Roles into their in practice of Otolaryngology Roles when managing Otolaryngology – Head and Neck practice of – Head and Neck Surgery to patients under supervision Surgery Otolaryngology – Head deliver optimal patient care and Neck Surgery Comment [FV3]: C 11 a Comment [FV40]: TTP 2 , TTP 3 , TTP 6 1.3. Demonstrate the Apply the competencies of Consolidate the competencies of Comment [FV4]: F 1 a, F 2 a, F 3 a, F 4 a, competencies of Surgical Surgical Foundations Surgical Foundations F 6 , F 7ab, F 8 , F 10 a, F 11, F 12 Foundations Comment [FV28]: C 4 C 8 a , C 15 a, C 16 a, C 20 a, C 21 , C 22 a, C 25 a, C 26 Demonstrate an a , C 27 a 1.4. Apply knowledge of the Apply knowledge of clinical Apply a broad base and depth of awareness of the context clinical and biomedical and biomedical sciences as Comment [FV5]: F 4 a, F 6 , F 7 a knowledge in the basic and clinical of practice, including what sciences relevant to relevant to Otolaryngology – sciences relevant to is required to practice Comment [FV6]: F 1 a, F 2a , F 4a, F 6, F Otolaryngology – Head Head and Neck Surgery safely and effectively in a 7 F 10 a, F 12 and Neck Surgery Otolaryngology – Head and Neck • Embryology community practice, and Comment [FV7]: F 4 a, F 6, F 7 Surgery • Anatomy exercise the ability to Comment [FV8]: F 11 • Histology adapt to that context • Neuroanatomy Comment [FV9]: F 6 , F 7 , F 8, F 11 F • Physiology 12 • Pathophysiology Comment [FV10]: F 1 a, F 6 , F 7 © 2017 The Royal College of Physicians and Surgeons of Canada. All rights reserved. This document may be reproduced for educational purposes only provided that the following phrase is included in all related materials: Copyright © 2017 The Royal College of Physicians and Surgeons of Canada. Referenced and produced with permission. Please forward a copy of the final product to the Office of Specialty Education, attn: Associate Director, Specialties. Written permission from the Royal College is required for all other uses. For further information regarding intellectual property, please contact: [email protected]. For questions regarding the use of this document, please contact: [email protected]. PROGRESSION OF COMPETENCY REQUIREMENTS IN THE SPECIALTY OF OTOLARYNGOLOGY – HEAD AND NECK SURGERY (2017) • Pathology Laryngology Comment [FV11]: F 7 • Microbiology Comment [FV12]: F 1a, F 2a, F 4 a , F 6 • • Biochemistry Anatomy and physiology of , F7 • Genetics upper aerodigestive system • Comment [FV13]: F 7 Immunology related to swallowing, • Pharmacology including phases of normal Comment [FV29]: C 8 a Comment [FV14]: F 7 swallowing Apply knowledge of Comment [FV15]: F 6 , F 7 Head and Neck Surgery tumorigenesis of benign Comment [FV16]: F 6 F 7 neoplasms and cancers of the head and neck • principles of diagnosis, Comment [FV17]: C 19 a treatment, and adjuvant Comment [FV18]: C 18 a Apply knowledge of the therapy for salivary gland physics of sound, voice, and neoplasia Comment [FV30]: C 22 a speech production • endocrinologic and metabolic Comment [FV31]: C 20 a, C 21 Apply knowledge of pathophysiology neurophysiology and neuropsychology of hearing • pharmacology pertaining to Comment [FV32]: C 20 a management of head and neck perception Comment [FV19]: F 7 a neoplasia and Apply knowledge of edocrinologic/metabolic cutaneous anatomy, disorders aesthetic subunits, relaxed skin tension lines and non- distortable landmarks of the Facial Plastic and Reconstructive face Comment [FV20]: Surgery F 9 Apply knowledge of common fracture patterns of the facial • principles of restoration and Comment [FV33]: C 16 a, C 22 a, C 25 a, skeleton and their enhancement of form and C 26 a, C 27 a mechanisms of injury function including but not Comment [FV21]: F 10 a , C 26 a limited to: Apply knowledge of medication dosing in o principles of cervicofacial Comment [FV34]: C 25 a, C 26 a, C 27 a pediatric patients aesthetic surgery Comment [FV22]: F 5 a, F 6 Apply knowledge in clinical o biomechanical Comment [FV23]: F 7 a and biomedical sciences as characteristics of skin and Comment [FV35]: C 25 a, C 26 a, C 27 a, they apply to the diagnostic bone in the facial region as they relate to techniques C 22 a techniques/procedures used in facial plastic and relevant to Otolaryngology – reconstructive surgery Head and Neck Surgery: including tissue expansion, and plating maxillofacial • conducting hearing Page 2 of 64 © 2017 The Royal College of Physicians and Surgeons of Canada. All rights reserved. PROGRESSION OF COMPETENCY REQUIREMENTS IN THE SPECIALTY OF OTOLARYNGOLOGY – HEAD AND NECK SURGERY (2017) assessments using tuning fractures forks Comment [FV24]: F 7 o principles and techniques of • conventional audiometry facial reconstruction, Comment [FV36]: C 25 a, C 26 a, C 27 a, (including but not limited including local and regional Comment [FV25]: F 7 to tympanometry and flaps and grafts stapedial reflex testing) principles and techniques of and otoacoustic emission o Comment [FV37]: C 26 a, C 27 a C 22 a facial reanimation testing principles of trauma Comment [FV38]: • audiological assessments o C 26 a, C 27 a management as it pertains in different age groups Comment [FV26]: F 7 to the maxillofacial region o maxillofacial structural, Comment [FV39]: C28 a Apply the principles of cosmetic and functional Comment [FV27]: F 1 a , C 17 a, C 20 a, diagnostic imaging principles including but not C 22 a, C 26 a , C 30 limited to facial buttresses, occlusion, and orbital function Comment [FV41]: F 2 a , F 3 , F 6, F 3 a , Apply clinical and biomedical Apply a broad base and depth of F 4 a, F 5 a , F 6 , F 7 a sciences to manage patient knowledge in clinical and presentations in biomedical sciences to the medical Comment [FV48]: C 1 , C 3 , C 5 a , C 7 a Otolaryngology – Head and and surgical management of the ,C 9 a, C 11 a, C 12 a , C 13 a , C 14 ad, Neck Surgery: breadth of patient presentations in C 15 a, C 17 a , C 18 a, C 19 ad, C 20 ac , C 24 a , C 25 a, C 26 a, C 27 a, C 28, Otolaryngology – Head and Neck • epistaxis C 29 a, C 30 , C 10 , C 22 a Surgery: Comment [FV42]: • nasal fracture F 3 a • peritonsillar abscess General Otolaryngology Comment [FV43]: F 2a • neck mass/swelling • head and neck manifestations Comment [FV49]: C 7 a of systemic disease • airway management Comment [FV44]: F 4 a • blunt and penetrating neck • infections and trauma Comment [FV45]: F 5 a inflammatory conditions and other pharyngeal • laryngeal trauma and adenotonsillar • acute and chronic infections of disorders in both children the head and neck and adults • superficial and deep neck • otitis externa space infections Page 3 of 64 © 2017 The Royal College of Physicians and Surgeons of Canada. All rights reserved. PROGRESSION OF COMPETENCY REQUIREMENTS IN THE SPECIALTY OF OTOLARYNGOLOGY – HEAD AND NECK SURGERY (2017) • acute otitis media • airway obstruction and acute airway emergencies Comment [FV50]: C 5 a, C 11 a hearing loss • sleep disordered breathing, Comment [FV46]: F 7 a • dizziness including obstructive sleep Comment [FV51]: C 9 a • acute and chronic apnea and snoring, in both sinusitis children and adults • nasal obstruction • non-neoplastic disorders of the Comment [FV52]: C 7 a salivary glands • hoarseness and Comment [FV47]: F 6 • dysphagia epistaxis Comment [FV53]: C 13 a • neck mass or swelling • nasal obstruction and rhinorrhea • post-operative head and neck wounds • middle ear disorders in both Comment [FV54]: C 12 a children and adults • facial lacerations • facial fractures • disorders of the external ear Comment [FV55]: C 12 a • acute and chronic • complications of treatment Comment [FV56]: wounds and management , including C 1 , C 9 a, C 14 ad, C 17 a , C 10 iatrogenic injury Demonstrate an awareness Understands steps of Pediatric Otolaryngology Comment [VF57]: O-score: of the spectrum of diseases procedure, potential risks, F 1b , F 2 b, F 3 b, F 4 b , F 5 b • infectious and inflammatory and means to F 7b, F 10 b, F 13 b, C 5 b, C 6, C 7 b, C and conditions affecting airway conditions avoid/overcome them 8 bc, C 9 b, C 11 b, C 12 b, C 13b, C 14 children that require prompt bc, C 15 b, C 16 b , C 17 b , C 18 bc, C • neoplastic and vascular attention, including but not 19 bc, C 20 b, C 22 b, C 23, C 24 b, C 25 anomalies b, C 26 b, C 27 b, C 29 bc limited to airway compromise, post-operative • congenital and inherited complications, and the toxic conditions patient • pediatric airway obstruction, both acute and non-acute, and the determination of the urgency of intervention • speech, hearing, voice, and Comment [FV58]: C 12 a swallowing disorders • allergic, inflammatory and neoplastic disorders of the nasal cavity and septum • acute and chronic Page 4 of 64 © 2017 The Royal College of Physicians and Surgeons of Canada.
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