Your 2012 Annual Meeting & OTO EXPO

L BULLETIN 04.12—Vol.31 No.04

American Academy of Otolaryngology—Head and Neck Surgery April 2012—Vol.31 No.04 Your 2012 Annual Meeting & OTO EXPO p20

The Art of Tonsillectomy: The UK Experience for the Past 100 Years 15

Congressional Hearing Health Caucus Revived 36

AAO-HNSF Annual Meeting Research and Quality Miniprograms 39

Your 2012 Annual Meeting & OTO EXPO 20

Plan Ahead to Explore Washington, DC p. 27 www.entnet.org

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PosiSep™ X is the First Chitosan-Based Expandable Intranasal Splint commercially available 20 in the USA. 23 From the 2012 Scientific Program Coordinator sæ %XPANDSæTOæOCCUPYæSPACEæWITHINæTHEæNASALæCAVITY 24 Instruction Course Committee Coodinator sæ -INIMIZESæBLEEDING æEDEMA ANDæPREVENTSæADHESIONS David R. Nielsen, MD Executive Vice President, CEO, and Editor, Speaks the Bulletin sæ $ISSOLVESæNATURALLYæORæCANæBEæEASILYæREMOVEDæWITHæGENTLE IRRIGATIONæANDæASPIRATION Letters to the Editor Questions, concerns, 25 Meeting Voices: Academy Leaders Talk sæ "IOCOMPATIBLEæ æMANUFACTUREDæFROMæNATURALLYæOCCURINGæChitosan polymers or comments about Bulletin articles and other content may be addressed to the about What Goes Into a Great Annual Editor via email at [email protected]. Schedule an Evaluation Today! Meeting Experience Article Submissions Author guidelines are 800.773.4301 online at www.entnet.org/press/bulletin/ and AAO-HNS members are encouraged 27 Plan Ahead to Explore Washington, DC to submit articles via email to [email protected]. Bulletin staff will contact the author at the completion of the editorial review process for any GYRUS ENT, L.L.C. article submitted. 2925 Appling Rd., Bartlett, TN 38133-3901 www.olympusamerica.com

© 2011 Gyrus ACMI. All rights reserved. ™and ® Trademarks and Registered Trademark, respectively, of Olympus and Gyrus ACMI, Inc. RUWKHLUDIÀOLDWHGHQWLWLHVLQWKH86DQGRURWKHUFRXQWULHVRIWKHZRUOG3RVL6HSLVGLVWULEXWHGIRU+HPRVWDVLV//& 3RVL6HSLVDWUDGHPDUNRI+HPRVWDVLV//&6XEMHFWWRFKDQJHZLWKRXWQRWLFH 5(9$$ 07 aao-hns/f news 7 Remembering the Past to Celebrate the Future April 2012 | Vol.31 No.04 9 The Call of Spring The Bulletin (ISSN 0731-8359) is published 11 ICD-10 and Version 5010 monthly by the American Academy of 12 Attend the First AAENTA Congress in Zimbabwe Otolaryngology—Head and Neck Surgery 12 Dates to Remember 1650 Diagonal Road, Alexandria, VA 22314-2857. 15 The Art of Tonsillectomy: The UK Experience for the Past 100 Years © Copyright 2012 16 Singing, Speaking Salvation-Applied Diversity Rodney P. Lusk, MD, President; David R. Nielsen, MD, Executive Vice President, CEO, Editor, the Bulletin; Jeanne McIntyre, CAE, Managing 20 feature: annual meeting Editor ([email protected]); Periodical 20 Your 2012 Annual Meeting & OTO EXPO postage paid at Alexandria, VA, and additional 23 From the 2012 Scientific Program Coordinator mailing offices. Yearly subscription included 24 Instruction Course Committee Coodinator Speaks in dues of Academy Members: $27 U.S., and $52 International. Nonmembers: U.S. $55 per 24 Member Service year; International $65 per year. Allied Health 25 Meeting Voices: Academy Leaders Talk about What Goes Into a Personnel: $25 per year. Copy deadline: first of Great Annual Meeting Experience preceding month. 27 Plan Ahead to Explore Washington, DC 30 Three Days in DC Changes of address must reach the Academy four weeks in advance of the next issue date. 30 Join Our Millennium Society, Get Early Registration to Annual Copyright 2011 by the American Academy of Meeting & OTO EXPO Otolaryngology—Head and Neck Surgery. 31 AAO-HNS/F Events 32 Schedule at a Glance POSTMASTER Send address changes to the 33 AAO-HNS/F Commmittee Schedule American Academy of Otolaryngology— Head and Neck Surgery 34 Top Five Reasons to Attend the AAO-HNSF 2012 1650 Diagonal Road, Alexandria, VA 22314-2857 Annual Meeting & OTO EXPO Telephone: 1-703-836-4444. Member Toll-Free Telephone: 1-877-722-6467. 36 legislative & political advocacy Advisory Board Eduardo M. Diaz, Jr., MD; John 36 Congressional Hearing Health Caucus Revived H. Krouse, MD, PhD; Gregory W. Randolph, MD; John S. Rhee, MD; Richard M. Rosenfeld, 36 Wanted: A Long-Term Medicare Physician Payment Proposal MD, MPH; Michael Setzen, MD; Richard W. 36 Political Resource: Bookmark the 2012 Federal Elections Webpage Waguespack, MD; and Sonja Malekzadeh, MD 37 U.S. Supreme Court Hears Constitutionality Arguments of Healthcare Reform The AAO-HNS Bulletin publishes news and 37 Time’s Running Out: Register for the 2012 OTO Advocacy Summit & opinion articles from contributing authors as BOG Spring Meeting Today a service to our readers. The views expressed in these articles are solely those of the individual and may or may not be shared by the AAO-HNS. Acceptance of advertising in the Bulletin in no way constitutes approval 38 regulatory advocacy & business of medicine or endorsement by AAO-HNS of products or 38 Clarifying Medicare Audiology Billing Services: FAQ on Audiology services advertised unless indicated as such. 39 AAO-HNSF Annual Meeting Research and Quality Miniprograms 40 Reach Patients Anywhere, Anytime, on Any Device with Mobile Websites 42 MIPPA Accreditation Requirements for Providers of Advanced Bulletin Advertising Diagnostic Imaging Take Effect: How Do Otolaryngologists Rate? 44 Mark Your Calendars: Health Policy Education Opportunities at Ascend Integrated Media, LLC 2012 Annual Meeting Suzee Dittberner 45 Managing Your Practice in Challenging Times 7015 College Blvd., Suite 600 Overland Park, KS 66211 Phone: 1-913-344-1420, Fax: 1-913-344-1492 46 our community [email protected] 46 2012 G-I-N Conference Scholars, G-I-N North America Online Classified Advertising 47 Thyroid Outreach to Kenya [email protected] 48 Providing Hope 4,000 Miles Away Publications Mail Agreement NO. 40721518 49 Cleft Mission to Phalodi, India Return Undeliverable Canadian Addresses to PO Box 503, RPO West Beaver Creek, Richmond Hill, Ontario, Canada L4B 4R6 BFW 4c page 5 Simplicity EMR 4c page 6 aao-hns/f news

Remembering the Past to Celebrate the Future

t was a cold snowy December only increased his airway distress and he Thursday—his clothes were soaked after appeared to almost suffocate. By eleven imarking trees for cutting on his land. By o’clock he was worse. The general decided the time this robust 67-year-old made it bloodletting would be a better course and back to his mansion it was one o’clock and Rawlins withdrew a pint. he was chilled to the bone. The general’s Dispatchers were sent for the family neck was wet and snow was hanging from physician and friend, Dr. James Craik, and his hair. By four o’clock the weather was two other physicians, Dr. Elisha Cullen perfectly clear; but the rain, hail, and snow Dick and Dr. Gustavus Richard Brown. Dr. from that day would take its toll. That Craik performed two bloodletting venesec- night he developed a sore throat. When he tions of 20 ounces each, placed a blister of awakened Friday, he felt ill and the sore dried beetles around the throat, and gave throat had worsened. He stayed in, which the general vinegar and hot water, which was out of character as he was seldom ill. led to near suffocation and severe coughing. By dinner his throat was so sore he could When Dr. Dick arrived, he performed a hardly eat and hoarseness was setting in. fourth venesection of 32 ounces. In despera- As usual, after dinner he retired to his study tion, the physicians administered calomel Rodney P. Lusk, MD to finish up the day’s “indoor” work. His and tartar rectally; but the patient did not AAO-HNS/F President

he murmured, “I am just going. Have me decently buried; and don’t let my body be put into the vault in less than three days With our 2012 AAO-HNSF Annual Meeting & OtO eXpO in Washington, DC, after I am dead.” Lear could not speak and Sept, 9-12; it seemed fitting that we recount the last days of the father the general whispered with all his remain- of our country. His vibrant life was snuffed out in 30 hours by a head and ing strength, “Do you understand?” Lear answered “yes.” George Washington, the neck disease that otolaryngologists continue to treat. In my next letter, great general, patriot, and father of our great I will discuss the likely diagnosis and the treatments which may have country, uttered these last words—“Tis contributed to his death. well.” Between ten and eleven o’clock, Lear noted the breathing became easier. Washington lay quietly and felt his own pulse. “I saw his countenance change. I wife, Martha, retired; but, by his grandson’s improve. Dr. Dick recommended perforat- spoke to Dr. Craik, who sat by the fire. As account, was stressed by the general’s ing the trachea, but was overruled because he came to the bedside the general’s hand illness and couldn’t sleep. When he finally the procedure was too controversial. fell from his wrist and he expired without came to bed around eleven o’clock, she The general knew his time had come. struggle or a sigh,” Lear stated. With a firm chided him. His memorable response, “I He instructed Lear and Rawlins on how and collected voice Martha asked, “Is he came so soon as my business was accom- to put his military letters and papers in gone?” Lear signaled that he was no more. plished. You well know that through a long order. He told Dr. Craik, “Doctor, I die hard, “Tis well,” she said. “All’s now over; I shall life, it has been my unvaried rule, never but I am not afraid to go. I believed from soon follow him; I have no more trials to to put off till the morrow the duties that my first attack that I should not survive it. pass through.” should be performed today.” My breath cannot last long.” By his grand- With our 2012 AAO-HNSF Annual He awakened at three o’clock with shak- son’s account, he sent Martha to his private Meeting & OTO EXPO in Washington, DC, ing chills. He could hardly speak and had desk drawer to bring him two papers—his Sept., 9-12, it seemed fitting that we recount trouble breathing. At daybreak, Caroline, wills. He told her to preserve one and burn the last days of the father of our country. his longtime maid, found the general in the other. His vibrant life was snuffed out in 30 hours severe respiratory distress. Martha sent her By six o’clock, he told Lear, “I feel by a head and neck disease that otolaryn- for Tobias Lear, his trusted secretary. The myself going; thank you for your attentions; gologists continue to treat. In my next letter, estate’s overseer, George Rawlins, prepared but I pray you take no more trouble about I will discuss the likely diagnosis and the a mixture of molasses, vinegar, and butter, me. Let me go off quietly. I cannot last treatments that may have contributed to but when the general tried to swallow, it long.” He labored to breathe. At ten o’clock his death. b

AAO-HNS BulletiN ||||||||||||||| April 2012 7 Docs Pro Plugs 4c page 8 aao-hns/f news

The Call of Spring

or many of us along the Eastern to predict the topics of debate and the Seaboard, this past winter has been nature of campaign discussions six Frelatively warm and mild. By the months from now as people are prepar- time you read this, spring will have ing to go to the polls, we can be assured formally begun, blossoms will be turning that the economy in general, and the the trees and shrubs into palettes of cost of healthcare in specific, will be at multi-colored splendor, and preparations the top of the list. Once again, the entire to enjoy the warmer weather, and even house of medicine must endure a short- plans for summer outings, will be under term “patch” to the “UN”-Sustainable way. Here at your Academy headquarters Growth Rate formula (SGR) during 2012, in Alexandria, VA, we are already put- only to face the specter of huge reduc- ting the finishing touches on our program tions in payment for services on January for September 9-12 in Washington, 1, 2013, unless Congress acts once and DC, which you will see outlined in the for all to replace the SGR with a fair and preliminary program in this Bulletin. viable solution. Each year the wonderful pageantry of We are not just sitting on the sidelines David R. Nielsen, MD research, clinical instruction, scien- watching the debate, nor are we limiting AAO-HNS/F EVP/CEO tific presentations, and miniseminars our involvement to vocally objecting to is blended by the hard work of our unworkable proposals. The Academy Coordinators for Scientific Program and is proactively engaged in addressing our annual meeting a priority for your Instruction Course Program and their quality improvement in the delivery of professional life. At this year’s meeting, committees into the Annual Meeting otolaryngology care and specifically you will see increasing evidence of the & OTO EXPO that is such an essential identifying gaps in knowledge and exceptional value of Academy member- part in the professional life of every delivery of care, overuse of certain types ship and meeting attendance through otolaryngologist. of care, and ways in which we can more the focus and targeting of educational In addition to the critical clinical effectively provide better value for the content to address quality improvement, content, your Academy and Foundation care we provide. Much of this work is documentation, use of technological boards of directors, elected leaders, being carried out specifically for oto- accelerators of care, such as electronic committees, staff, and other societies laryngology by our Research & Quality health records, new devices and drugs, and friends organize essential leader- and Health Policy Departments, by our and systems approaches to delivering ship, sub-specialty society, governance, Patient Safety and Quality Improvement care, and preparation for participation planning, allied health, and develop- Committee, Outcomes Research and in Maintenance of Certification (MOC) ment meetings to carry on the work of Evidence-Based Medicine Committee, for our board certification through the fostering excellence in healthcare. The Advisory Committee on Quality, American Board of Otolaryngology tremendous support and collegiality Guidelines Development Task Force, and state licensure requirements. The of our international fellows, members, and the many content committees, which education you receive through the honored guests, and friends solidifies systematically contribute suggestions, clinical content of the annual meeting, this meeting as the premier gather- as well as review material and proposals and through other Academy/Foundation ing for otolaryngologists worldwide. from other sources. In the past, health educational offerings, is the best value Opportunities for social interaction also policy groups, such as our Physician hour for hour, and dollar for dollar, that abound with alumni events and reunions Payment Policy Workgroup (3P) and you can receive anywhere in the world. of many kinds taking place during the BOG Socioeconomic, and Grassroots As we share this fall’s preliminary evening and social hours. There is no Committee would discuss policy con- program with you, we urge each of you better opportunity anywhere in the world siderations and make recommendations to increase your involvement in, and for the breadth and depth of clinical and to the boards for action. Today, many of expand your understanding of, the roles societal interaction than can be found our clinical content committees are also we, as practicing otolaryngologists, each year at our annual meeting. effectively using their clinical expertise must play in healthcare reform. Do this Having our meeting in Washington, and evidence to inform our health policy by planning to register early and attend DC, in 2012 is especially auspicious, directions and decisions. the best meeting in the world this fall considering that this is a presidential I encourage each of you to continue in Washington, DC. I hope to see you election year. Although it is difficult to make attendance and participation in all there! b

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ICD-10 and Version 5010

he Ninth Revision of ICD-10, you will have to the use of “super-bills” will, in turn, have (ICD-9) coding system review a few extreme examples significant consequences for physician tfor reporting diagnoses of these codes: W61.11XA office procedures and productivity. and procedures will officially = injury related to macaws The HHS agrees that implementation of be replaced with two new codes and V91.07XA = injury from ICD-10 code sets may cause serious cash in October 2013: the ICD-10 water skis on fire. I used to flow problems for providers, but argues Clinical Modification (ICD- water ski quite a bit, but I am that these could be addressed through 10-CM) for diagnoses and the hard pressed to remember the mechanisms such as periodic interim ICD-10 Procedure Coding Michael Seidman, MD last time the skis were on fire! payments. However, these mechanisms are System (ICD-10-PCS) for pro- Another example of a new neither automatic nor problem-free, and cedures. From the conception of ICD-10 and code is Y93.F4 = injury from playing AAO-HNS believes their use should rarely the 5010 HIPAA standards, our Academy brass instruments. Perhaps more interest- be required. Thus, HHS should begin by has worked tirelessly to stave off implemen- ing to zoologists, there are 312 animal adopting a reasonable compliance date to tation before preparation is complete. The codes compared to nine in the previous minimize cash flow and other problems, changes seem to do no more than add to the version. There are separate codes for “bit- and should listen carefully to the physi- layers of bureaucracy, further challenging ten by a turtle” and “struck by a turtle.” cians, vendors, and payers who will be our ability to do what we do best—provide Likewise, a poorly healed fracture can affected by changes in the code standards. quality care for our patients. now fall into one of 2,595 different codes. An Academy member reached out to me The previous snail’s pace of govern- With 10- to 15-minute patient visits, it in early January regarding a billing issue ment information related to ICD-10 and seems virtually impossible for a physician related to the switch. She learned that the 5010 seems like a bullet now. Many of my to code properly. While the physician or system she was using was sold to another colleagues are already reporting holdups an administrator can research the appro- company, and decided that this switch in reimbursement, increased bureaucracy, priate code, it is important to consider that would be the best way to transition EMR and severe challenges in meeting the this requires extensive time away from the to EHR. Her practice made the change last requirements of the new 5010 HIPAA patient and may detract from a physician’s April and spent countless hours to prepare standards, which took effect January 1, ability to provide expert and compassion- for 5010. Despite their best efforts and 2012, and will be actively enforced by ate patient care. intentions, they received communication the Office of E-Health Standards and The AAO-HNS is advocating continu- on January 6, 2012, informing them to Services (OESS), starting July 1. Although ously on our behalf. The reporting and expect payment delays. She found it diffi- the Department of Health and Human coding undoubtedly requires increased cult to believe that EMR vendors and large Services (HHS) has announced its intent physician documentation for hospitals insurance companies, such as BlueCross, to delay the date, the current deadline for to take full advantage of ICD-10-PCS, Aetna, Cigna, and Medicare, were not implementing ICD-10-CM is October which applies only to care provided in ready for the 5010 transition. 2013. The Academy has disseminated this the inpatient hospital setting. The impact Karen Zupko & Associates suggested information in many formats, includ- analysis accompanying the proposed establishing several lines of credit and ing mail, the Bulletin, email, tweets, rule seemingly ignores the impact of the having them readily accessible for the dis- Facebook, conferences, and more, but I increased documentation requirements ruption, which is expected to last at least suspect many of us are still unaware of that are permanently required to permit the three to six months. Requirements that these changes. fullest use of ICD-10. force the physician community to incur The ICD change affects all of us. There The AAO-HNS has seriously ques- new loans and accumulate interest against are many more ICD-10 diagnosis codes tioned how “super-bills” can be effec- their practices just to survive ICD-10 are, (70,000 ICD-10-CM and 70,000 ICD-10 tive. ICD-10, if fully utilized, will likely quite frankly, intolerable. PCS) than ICD-9 codes (17,000), with require that the bills be many pages ICD-10 should not be implemented ICD-10 codes having a maximum length (instead of today’s convenient one-pager), until it can run without significant finan- of seven characters compared to five and be converted to electronic format cial hardship or demand absurd implemen- characters under ICD-9. In the case of at an additional cost to affected physi- tation deadline requirements. New signs acute sinusitis, for example, there are 14 cian practices. For example, a study by will need to be created for our waiting ICD-10 diagnosis codes compared to only Nachimson Advisors, LLC, noted that one rooms and here are just a few suggestions: six under ICD-9. While amusing to some, software firm currently offers an elec- Watch out for falling turtles! Beware my immediate response to seeing some of tronic “super-bill” add-on to their practice angry macaws! Fire-throwing mountain these codes was a wave of nausea. In order management system for $995 per user. At bikes ahead! And yes, there are codes for to fully comprehend the extraneous burden the very least, the impact of ICD-10 on most of these. b

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Attend the First AAENTA Congress in Zimbabwe

or the first time, the AAO-HNSF MD, chair of the Organizing Committee, will meet June 3-6 in Central Africa invite you to combine this meeting with Fwith leaders of the Zimbabwean a memorable tour of magnificent Victoria Society of Otolaryngology and otolaryn- Falls and opportunities for safaris and gologists from Central, South, and East sightseeing. Africa. “AAENTA, the All Africa ENT & James L. Netterville, MD, Academy Audiology Congress, was born out president-elect; Gregory W. Randolph, of a dire need to promote intra- and MD, coordinator for international affairs; inter-regional cooperation among Clemence Chidziva, MD James L. Netterville, MD James E. Saunders, MD, immediate colleagues in Africa and globally,” Dr. past chair of the Humanitarian Efforts Chidziva said. “PAFOS, the Pan-African Committee; and Clemence Chidziva, Federation of Otorhinolaryngological Societies, will have its executive committee meeting as part of this initiative.” The congress program also will include Drs. Prahlad Basanth, Charles Buturo, Chris Prescott, Merry Gregory W. Randolph, MD James E. Saunders, MD E. Sebelik, and Richard Wagner, and Professor Johan Fagan. at +263-4-778215, or by cell phone at To register for the meet- +263-774-356-186. There are 10 safari ing, book your hotel, and and day tour packages ranging from two arrange pre/post congress to four nights and starting at $660 per tours, visit www.aaenta.org person. or contact Mukta Cardozo by Come to Victoria Falls where wilder- email at African.incentive@ ness and sophistication blend in perfect Helicopter over Victoria Falls, Zimbabwe. omone.co.zw, by phone harmony. b

Dates to Remember

April 7 WHO World Health Day: 2012 April 27-28 AAO-HNSF Coding & May 7 General Registration opens for theme Aging and Health. Reimbursement Workshop, Chicago. 2012 AAO-HNSF Annual Meeting & OtO EXPO. April 12-15 ENT for the PA-C Westin April Notification: acceptance sent for Arlington Gateway Hotel, Arlington, VA. oral and poster scientific presentations May 31 Humanitarian Resident Travel for 2012 AAO-HNSF Annual Meeting & Grants application deadline: humani- April 15 International Travel Grant OTO EXPO. [email protected]. application deadline: international@ entnet.org. May 1 International Visiting Scholars June 1 Proposed 2012-2013 Combined application deadline: international@ Budget presented in the Bulletin. April 16 Millennium Society Early entnet.org. Housing and Registration for Annual June 1 Monthly mini PR and media Meeting & OTO EXPO Opens. May 1 Otolaryngology Historical outreach tools available for members. Society Call for Papers closes: April 16 World Voice Day. [email protected]. June 22 Early registration discount deadline to save for the 2012 April 22-28 OHANCAW (Oral Head and May 6-8 BOG Spring Meeting and OtO AAO-HNSF Annual Meeting & OTO EXPO. Neck Cancer Awareness Week) (see Advocacy Summit. . January 2012 Bulletin).

Visit www.entnet.org for more.

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The Art of Tonsillectomy: The UK Experience for the Past 100 Years

Napoleon Charaklias, MRCS, DOHNS, MSc Constantinos Mamais, MRCS, DOHNS, MCh B. Nirmal Kumar, MBBS, MPhil, DLO, FRCS (ORL-HNS)

onsillectomy is one of the oldest operations in surgery. Celsus in De tMedicina (47 BC) gives the earliest description of tonsillectomy. Various Subcapsular blunt dissection pioneered by Dr. Waugh. descriptions exist in the world’s literature dating from Galen and Paul of Aegina to Ambrose Paré. Oswald Popper introduced the haemo- The ‘‘cold steel’’ technique, as per- George Ernest Waugh is the father of static guillotine in 1929. formed 100 years ago, is still associated tonsillectomy, as it is known today. In The introduction of various instruments with fewer complication rates than new 1909, he pioneered the subcapsular blunt has greatly facilitated tonsillectomy. In techniques. In the last 100 years, we have dissection and reported no complications 1948, Sir Victor Negus introduced curved failed to agree to an optimal technique for in more than 700 patients. forceps and the knot pusher. tonsillectomy. Maybe in the next 100? b An alternative method of “cold steel” The Boyle-Davis gag (Dr. Henry tonsillectomy is the guillotine technique, Edmund Gaskin Boyle was a pioneer where the tonsil is amputated using a anesthetist) was designed for use with specially designed guillotine device. Otto tracheal tubes to improve surgical access to the oropharynx. Initially, the anesthetic team had to hold it in position while the surgeon operated. David Alexander Draffin’s idea was to suspend it on a bipod consisting of two rods dedicated “to the weary hands of cooperative anesthetists and nurses.” Boyle-Davis mouth gag, Draffin rod, and A key event in the history of tonsil- the Negus curved forceps and knot pusher. lectomy was the National Prospective Tonsillectomy Audit in 2005. It was References the biggest audit conducted in the UK, 1. Waugh GE. A simple operation for the involving 250 institutions and more complete removal of tonsils, with notes on 900 cases. Lancet. 1909;1:1314-1315. than 40,000 patients. After a review of 2. Draffin DA. A useful bipod. Br Med J. practice and complication rates in the 1951;2:52-53. first 28 days, hot techniques, such as 3. ENT Comparative Audit Group and RCS electrocautery or coblation tonsillectomy, (Eng.) Clinical Effectiveness Unit National were shown to be associated with double Prospective Tonsillectomy Audit: Final Report. London: The Royal College of Surgeons; George Ernest Waugh, father of modern the complication rates compared with 2005. http://www .entuk.org/members/audits/ tonsillectomy. cold techniques (table 1). tonsil/Tonsillectomyauditreport_Pdf.

% postoperative Technique % return to theatre hemorrhage This article is based on a paper presented September 12, 2011, Cold steel dissection with ties and packs 1.30 1.0 during the Otolaryngology Cold steel dissection with diathermy 2.9 1.7 Historical Society meeting. If you haemostasis are interested in presenting at the Bipolar scissors 3.9 2.4 2012 OHS meeting on September 10 in Washington, DC, or wish to Monopolar diathermy 6.1 4.0 join or renew as an OHS member, Coblation 4.4 3.1 email [email protected]. Table 1: Various tonsillectomy techniques and hemorrhagic rates from the 2005 study.

AAO-HNS BulletiN ||||||||||||||| April 2012 15 aao-hns/f news

Singing, Speaking Salvation-Applied Diversity

H. Steven Sims, MD The less adulterated, visceral cry of the misconception often drives a wedge Chicago, IL heart, however, is much more likely in a between physician and patient. Far too Chicago church on Sunday morning. The many patients have come to my office y practice is based in message and the delivery are distinctly primarily to feel a sense of vindication Chicago—a city with a rich different and our approach to these after having been told that if they wanted Mtradition of gospel music. individual artists must be professional to take care of their voices, they should Thomas Dorsey, Mahalia Jackson, and and culturally competent. stop singing gospel music. It is, however, the Barrett Sisters laid a foundation All culture has its language and fair to assess the singer and what he or she knows about voice production. Here are a few sample questions you can ask: N Have you ever worked with a voice coach or teacher? N When did you start singing? N Do you know your voice part? N Do you warm up? What is your warm-up? N Does your choir director talk about taking care of your voice? The answers to these questions not only help establish a rapport with the patient, but they also help you understand the singer. A person who started singing at an early age may have continued singing during puberty and developed some bad habits while his or her voice was changing. This is good information to have. A singer who does not know his or her voice part is more susceptible to singing out of their natural range and encountering vocal fatigue issues. As part of the ensuing discussion with the patient, analogies can help show upon which Donald Lawrence, Heather idioms, so this is a good place to start. connections to concepts that are more Headley, and Smokie Norful continue I would not suggest that anyone who familiar. An experienced runner would to build. Covering Chicago, Detroit and, is unfamiliar with the vernacular begin never get out of bed, put on brand new recently, Indianapolis, I have the wonder- using terms associated with gospel music running shoes, and head for the door to ful privilege of caring for those who lead with patients or clients. Feigned familiar- run a half-marathon without stretching worship. I grew up in a singing family, ity is seldom appreciated. It is helpful, or breaking in the running equipment. so this is as much a mission ministry however, to have a common understand- The clinician can share this idea and then as it is a practice, and it is this specific ing of how some terms are used and what point out that experienced singers often background that can be celebrated in its ideas are often being conveyed by the embark on a vocal half-marathon without application to my work today. Gospel usage of these terms. If a patient explains conditioning the vocal tract muscles or music is home for me, so I welcome you to you that he or she “blew,” “tore it up,” rehearsing. We can then draw the parallel to a wonderful world. or “sang hard,” chances are there may be that in both instances, the performance is We begin by recognizing that gospel a pattern of voice overuse to address. likely to be suboptimal. singing was birthed from a unique, vener- Hearing and actually processing what We can also ask about the singing able, and passionate cultural experience. the patient says is the beginning of any environment: Certainly marquee artists at the Lyric healthy interaction between a care pro- N Does the church have a sound system? Opera of Chicago tend to have more for- vider and someone in need of care. N Who runs the soundboard at your mal training, academic degrees in music, It is equally important to remember church—a professional or volunteer? and their own diverse backgrounds. that gospel singing is not synony- N What is the background music? What mous with vocal abuse. This common is competing with your voice?

16 AAO-HNS BulletiN ||||||||||||||| April 2012 aao-hns/f news

N Do you sing in an old or new building? helpful suggestions can further build a How are the acoustics? rapport with the patient. N How long is the average song? If a patient explains to you Keeping gospel tradition in mind, we Once again, these questions help the work with the singers to optimize their that he or she “blew,” “tore it clinician build an accurate picture of individual voices and not to transform what the patient’s voice is being asked up,” or “sang hard,” chances them into bel canto artists. We try to to do. The call-and-response tradition of are there may be a pattern of adhere to a few simple principles: African-American gospel music lends voice overuse to address. N Stay focused on the goal. Praise is not itself to comparatively long songs. One performance. song can last 10 to 15 minutes with an N Don’t overcomplicate things. upward modulation of the key (often N We should study to show ourselves two to three times) as the emotional approved. intensity in the congregation builds. We For choir singing, the typical structure N You don’t have to lay your voice on the can earnestly honor the gospel tradi- is a 1-3-5-chord triad with a relatively altar every Sunday. tion by understanding that a quest for high tenor and taxing soprano line. The N Pride is an enemy. brilliance is not designed to ruin voices, brilliance of the music is maintained by N We must all know our limitations and but rather to underscore the tradition of the piercing sound of men and women use our own, unique gifts. a psalmist. Few could read the writ- singing in full voice at the upward end of Using the precepts as guides, we ings of King David and not understand their vocal registers. are more likely to be helpful, cultur- the emotional weight of “as a deer Typically, the accompaniment includes ally appropriate, and good caregivers. pants for water, so my soul yearns for a heavy bass presence and liberal percus- Hopefully we allow worshippers to you.” These words carry such heft as sion. So, a good sound person elevates continue making a joyful noise. to inspire exuberant singing. So, as we the voice over the music by using a seek to instruct gospel singers, we cre- microphone and an amplifier. This is far H. Steven Sims, MD, is director of the ate alternatives to convey the message. preferable to having the singers “clench Chicago Institute for Voice Care, under- Hand and body gestures, enunciation, harder and sing louder,” as is sometimes stands the vocal needs of the performing and proper phrasing can accomplish the the remedy suggested. Being aware of the artist and professional communicator as same goals. performance environment and providing a vocalist/lecturer himself. b

| [email protected]

Your Academy in Action We Need Your Help!

The AAO-HNS is embarking The goals of this initiative are as follows: on a new initiative, J Offer key staff experts as speakers/presenters to educate physicians on issues facing their Your Academy in Action, practice, their patients, and the specialty, and provide insight into Academy policies and initiatives. to engage with members and J Promote the value of Academy membership to members and nonmembers. nonmembers by strategically J Provide a venue for gathering feedback by initiating discussions with a wide variety of members and identifying and participating nonmembers on topics of mutual importance. in key state, local, and other society and specialty meetings. Some topics include: Legislative Maintenance of Membership and Research We look forward to hearing advocacy and Certiﬁ cation, CME, additional ways and quality from you! health policy educational meetings to get involved In some cases, we would like to incorporate interested Academy members into these presentations as subject matter experts. If you are interested in participating in Your Academy in Action, or would like to suggest a meeting for the group to attend, please contact: [email protected].

Empowering otolaryngologist—head and neck surgeons to deliver the best patient care 1650 Diagonal Road, Alexandria, Virginia 22314-2857 U.S.A.

AAO-HNS BulletiN ||||||||||||||| April 2012 17 AAO Annual Meeting Top Five Reasons to Attend the 4cAAO-HNSF 2012 Annual Meeting & OTO EXPO

1 Be Part of the World’s Largest pageGathering 18 of Otolaryngologists! You’re Invited! More than 6,000 medical experts gather from around the globe to participate in this annual conference.

2 Exceptional Educational Offerings Earn up to 27.5 CME credit hours by attending instruction courses, miniseminars, and scientiﬁ c oral presentations. 3 Networking Opportunities Learn from your colleagues at lectures, presentations, and educational programs delivered by world-renowned physicians. 4 The Latest Evidence-Based Information When: September 9–12, 2012 Analyze evidence-based information and updates on practical applications affecting operative procedures, Where: Washington, DC drugs, and medical devices. Walter E. Washington 5 The Practice of Medicine Extends Convention Center Beyond the Exam Room At the OTO EXPO, review products and services from more than Online Registration & Housing 300 companies that will help you provide the best patient care. Opens May 2012 Visit www.entnet.org/annual_meeting Register early to save up to 50% to learn more!

Empowering otolaryngologist—head and neck surgeons to deliver the best patient care 1650 Diagonal Road, Alexandria, Virginia 22314-2857 U.S.A.� Celebrating Trusted ENT 40 YEARS Products Since 1972 ity Products & Service Qual

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ith this Bulletin you have presentations, honorary guest lectures, clinical and translational basic research received the Preliminary and hundreds of scientific posters. aspects of otolaryngology. WProgram for this year’s pre- N Miniseminars—Presentations, case mier educational event. Professionals Annual Meeting & OTO EXPO studies, and/or interactive discussions from around the world will come together Program Overview that provide an in-depth, state-of-the-art in Washington, DC, in September to take The Program Advisory Committee and look at a specific topic. part in the 2012 Annual Meeting & OTO the Instruction Course Advisory Committee N Scientific posters—Nearly 400 posters EXPO. Tailored specifically for practicing have worked tirelessly to construct a pro- are on display throughout the annual otolaryngologist–head and neck surgeons gram that meets your current and future meeting in Hall C. and associates, researchers in otolaryn- needs. From basic practice management gology, senior academic professors and skills and techniques to cutting-edge sur- Tracks for Learning department chairs, leaders of ORL inter- gical procedures, the annual meeting is The robust menu of offerings includes national societies, fellows-in-training, and focused on making you a better doctor. nine tracks that reflect bodies of knowledge residents, the annual meeting will pro- in the traditional areas of knowledge: vide everything you need to broaden and Scientific Program and Its Tracks enrich your understanding of otolaryngol- The annual meeting’s Scientific Program ogy–head and neck surgery. is composed of scientific oral presentations, In its 116th year, the annual meeting is miniseminars, and scientific poster pre- “the world’s largest gathering of otolaryn- sentations. The posters will be on display gologists.” Each fall, the annual meeting throughout the conference during regis- provides an opportunity for thousands of tration hours. The oral presentations and Academy members, non-member physi- miniseminars are included in the price of a cians, allied health professionals, admin- full conference registration and take place istrators, and exhibiting companies to at 10:30 am on Sunday and from 8:00 am- In crafting this year’s Scientific Program, assemble. It attracts more than 6,000 med- noon Monday through Wednesday. the Program Advisory Committee also ical experts and professionals from around N Scientific oral presentations—A series assembled five new mini-programs within the world and, again this year, will feature of eight-minute oral presentations that the overall scientific curriculum. They are the sought-after components of instruc- take place within either 50-or 80-minute briefly described on the following pages. tion courses, miniseminars, scientific oral sessions that focus on cutting-edge

20 AAO-HNS BulletiN ||||||||||||||| April 2012 Balkans, Europe, Latin America, and the Pacific Rim will introduce eminent speakers to describe the state of otolaryngology in these regions, including socioeconomic and workforce issues. Nancy L. Snyderman, MD, member of the International Steering Committee, will introduce the first Snyderman International Visiting Scholar as Ambassador.

Tuesday—Career Development and Succeeding in Practice To be geared toward residents, fellows, and young physicians, the Tuesday morning program will consist of three miniseminars focused on those individuals interviewing, setting up, or running a practice, and provide tips for balancing your personal life with the demands of being a physician. The miniseminars’ highlights will cover “Interviewing: What to Ask and How,” “Top 10 Business Mistakes I Have Made in Practice,” and “Finding Balance in a Surgical Career.” During “Interviewing: What to Ask and The 2011 Annual Meeting & OTO EXPO brought members together. How,” physicians who are starting or changing careers will be exposed to mock Also read highlights from the program by its Tuesday—Basic and Translational interviews, learn successful interview tips, coodinators on page 23. Sleep Apnea–From Bench to and discover some important questions Bedside and Beyond that physicians should expect during the Monday—Patient Safety and Developed under the guidance of face-to-face. “Top 10 Business Mistakes I Quality Improvement Edward M. Weaver, MD, MPH, and his Have Made in Practice” will focus on what The Patient Safety and Quality co-chairs Scott E. Brietzke, MD, MPH, is often not discussed in practice manage- Improvement (PSQI) miniprogram was and Pell Ann Wardrop, MD. This program ment—the mistakes made in setting up developed under the guidance of David was developed in collaboration with the and running a practice. It will present four W. Roberson, MD, and Rahul K. Shah, AAO-HNS/F OREBM and Sleep Medicine otolaryngologists who have all formed their MD, co-chairs of the AAO-HNS PSQI Committees. The goal of the miniprogram is own practices, all in different stages of their Committee. This year’s program will start to start at the basic science level of a disease, careers. The experts will discuss errors they with a session on the leadership view of walk through the steps of how the disease made along the way, including poor job PSQI. Our membership must be prepared develops, and then review the latest treat- selection, bad choice of partners, errors in with programs that support measuring per- ments of the disease. In 2008 the focus was forming professional relationships, isolation formance and taking steps to make improve- otology, 2009 rhinology, 2010 facial plas- of referring physicians, and failed business ments in our practice when necessary as tics, and 2011 pediatrics. ventures. payers, government, consumers, and medi- See more about this program on page 39 At the conclusion of the residents, fellows- cal/surgical boards all increase their demand of this issue. in-training, and young physicians program, for documentation. This miniprogram will “Finding Balance in a Surgical Career” will include sessions focused on making patient Tuesday—Global Health 2012 address real-life case histories for maintain- safety a national priority, advancing pro- International ing a work-life balance. As physicians, we grams that support clinicians and patients, An international symposium focused on face extraordinary demands on our time and and the PSQI Committee’s current projects, Academy relations and activities in a variety need to learn how to balance the demands of including injuries in sinus surgery and ton- of key regions around the globe will take our careers and family, while also allowing sillectomy disasters. place Tuesday morning. President Rodney time to cultivate personal interests. During See more detail in this program on page P. Lusk, MD, will welcome the audience, this interactive miniseminar, otolaryngolo- 39 in this issue. and President-elect James L. Netterville, gists will share practical techniques and MD, will describe his vision for enhanced pearls regarding time management and international collaboration. The AAO- work-life balance. The panel will include HNSF Regional Advisors for Africa, the both private and academic otolaryngologists

AAO-HNS BulletiN ||||||||||||||| April 2012 21 feature: Annual Meeting

N “Chronic Cough and Other Sensory Disturbances,” presented by Robert W. Bastian, MD N “Controversies in the Management of Thyroid Nodule,” presented by Ashok R. Shaha, MD N “Current Trends in the Management of Sudden Hearing Loss,” presented by David S. Haynes, MD, and George Wanna N “Ear Pressure and Pain,” presented by William H. Slattery, MD, and Eric P. Wilkinson, MD who manage busy practices and make sub- Surgery: Current and Future.” This panel Early registration for these one-or two- stantial contributions to their institutions and will introduce specific simulator models hour courses increases the possibility of specialty societies while maintaining strong that can be used to teach psychomotor, receiving your first-choice selections and relationships with their friends and families, technical, and team skills for a variety of saves you money. Instruction course fees and pursuing interests outside of medicine. procedures. Both biologic tissue and plas- are $50 an hour and $70 an hour for hands- tic organs can be used as models, ranging on courses, if you register before June 22. Wednesday—Simulation in from the incredible egg to organosilicate Instruction course fees increase after the Otolaryngology models and commercial manikins. The advance registration deadline to $70 an A special Simulation in Otolaryngology panel will address model procurement and hour and $90 an hour for hands-on courses. program will take place Wednesday morn- the development of educational activities. ing. Featuring “ORL Simulation FORUM: OTO EXPO A Potpourri from the Cutting Edge,” Instruction Course Program The OTO EXPO is a central gathering “Simulation: Disruptive Innovation and Presented by experts in the field of point for attendees to meet and greet each Our Quest to Excel,” and “Simulators for otolaryngology and other healthcare other while learning more about the latest in Endoscopic Airway Surgery: Current and professionals, the instruction course pro- products and services in our industry. The Future,” the simulation program focuses gram will include some of the “essential” OTO EXPO has more than 300 companies on the rapidly developing area of educa- courses presented throughout the years, that cater to every aspect of your practice— tional innovation within otolaryngology. and new courses designed to offer con- device manufacturers, pharmaceutical com- “ORL Simulation FORUM: A Potpourri structive techniques and wisdom. Of the panies, collections, EMR systems, waiting from the Cutting Edge” will specifi- more than 200 courses, you should plan room solutions, financial management cally address simulation-based education to attend one or more of our most popular firms, and more. (SBE) and the continuum from surgical offerings: New this year! A Practice Management techniques to management of complex N “Five New Landmarks to Make You a Pavilion has been designed to highlight the clinical scenarios, in which residents and Better Sinus Surgeon,” presented by latest in advanced technologies for health- medical students are able to learn and Ralph B. Metson, MD care professionals, such as electronic practice SBE skills in a controlled, safe N “Common Causes of Hoarseness That health records, database management soft- environment absent of time pressures and Are Commonly Missed,” presented by ware, business services, and other prod- duty hour restrictions imposed by clinical Jacob Pieter Noordzij, MD, and Seth ucts and services related to the practice operations. Following this introduction, M. Cohen, MD, MPH of otolaryngology. This designated area is “Simulation: Disruptive Innovation and N “Red, White, and Ulcerative Lesions of your one-stop shop for practice manage- Our Quest to Excel” will discuss patient the Oral Cavity,” presented by Susan ment solutions, providing an opportunity safety, medical education, and ongoing Muller, DMD, MS for quick comparison of company prod- professional development. Learn how N “Sinus Headache, Migraine, and the ucts/services, and will help you maximize simulation lets surgeons and entire OR Otolaryngologist,” presented by Mark your time on the show floor. teams harness technologic advances and Mehle, MD Attendees registered for the full annual new educational strategies for the benefit N “The Ten-Minute Exam of the Dizzy meeting will also have two options for of our patient. Patient,” presented by Joel A. Goebel, lunch in the OTO EXPO this year. They To conclude the Wednesday program, MD may select the traditional box lunch option attendees will have the opportunity to N “Improving Outcomes in Septal or opt for a $15 daily meal voucher to be learn how simulation in surgical education Surgery,” presented by Grant redeemed at any concession stand on the is gaining momentum within otolaryngol- Gillman, MD Walter E. Washington Convention Center’s ogy in “Simulators for Endoscopic Airway show floor.

22 AAO-HNS BulletiN ||||||||||||||| April 2012 feature: Annual Meeting

Planning for the Meeting later this month. The revamped interactive Medical Education to provide continu- Resources itinerary planner will allow you to search ing medical education for physicians. Preliminary Program—Registration the educational program by area of inter- The AAO-HNSF designates this live information can be found in the est/track, date, and time, and/or by the activity for “AMA PRA Category 1 Preliminary Program booklet and online. program type. Networking opportunities, Credits™.” For the first time ever, phy- Online—The Ultimate Resource, Use such as the Alumni Receptions, will be sicians from outside the United States Its Interactive Itinerary Planner helps searchable as well, along with the AAO- will be awarded CME certificates for you choose and create a personalized HNSF committee meetings and other attending the session at the annual meet- schedule. association events. ing. Visit our website for additional The interactive itinerary planner has information. grown more sophisticated, with new ways Continuing Medical Education Registration opens May 7. We encour- to design your schedule and customize Credit age everyone to register and book your your annual meeting experience. The edu- The AAO-HNSF is accredited by the hotel room early. We’ll see you in cational program will be available online Accreditation Council for Continuing Washington, DC. b From the 2012 Scientific Program Coordinator

Interviewed by M. Steele Brown were we to add any more, I think we would “We will also have a simulation expo, so John H. Krouse, MD, PhD begin to dilute what has become an outstand- people can move around and look at differ- Scientific Program Coordinator ing program. So, pragmatically, we don’t ent stuff. This isn’t so much of a workshop, want to be any bigger, because at 13 rooms but a forum to discuss how simulation can he Scientific Program at this year’s running consecutively, we are at a good size be used in education to enhance clinical Annual Meeting & OTO EXPO in that meets the needs of our attendees.” practice.” tWashington, DC, features some sig- So with the program’s base as solid as nificant additions to what has been a very ever, Dr. Krouse said the PAC looked to Clearly Defined Tracks successful formula during the past several make improvements to the early segment, Dr. Krouse said both programs will take years. adding two morning seminars focused on place in the same room and will be split into According to Scientific Program adding value for attendees. three parts to allow for a comprehensive Coordinator John H. Krouse, MD, PhD, “One of our ‘hot button’ issues this year— review of the topics. the 2012 Scientific Program will again be how to move into practice—is geared for Dr. Krouse said the PAC also increased integrated across residents and fellows, but it really can apply the number of business-minded sessions by all areas of the to anyone,” he said. “So on Tuesday morning 50 percent this year, to roughly 16 sessions, specialty—from from 8:00 am–noon, we will talk basic and transla- about how you get into a prac- tional science to tice setting for the first time. Or clinical research maybe you want to move and and practice—and establish a new practice, so we One of the big trends in education and will offer all of will go over interviewing, set- clinical development has been the use of the same features ting up contracts, the mistakes attendees have people make, etc. This is all clinical simulators to allow physicians to John H. Krouse, MD, phD come to expect. geared toward letting people get training in various competencies in a “The program know what to do and how to do lab-based setting. will have approximately the same number of it.” miniseminars (90) that we had last year,” he The second morning block said. “The same is true of the oral presen- will focus on simulation. tations (250), and the poster presentations (400).” Simulation and will, for the first time, clearly delineate Dr. Krouse said the AAO-HNSF Program “One of the big trends in education and tracks by topic in the program this year. Advisory Committee (PAC), which has clinical development has been the use of “We want to make sure, from a lifelong increased the number of presentations and clinical simulators to allow physicians to get learning perspective, it is easy to track what miniseminars regularly during the past few training in various competencies in a lab- you need to know from room to room,” he years, has the program where it wants it. based setting,” he said. “So on Wednesday said. “We want to make that knowledge eas- “Just in terms of size, I think that we, as a morning we will have back-to-back sessions ily accessible from session to session and program committee, feel we are right where from 8:00 am–noon, which will be led by make it easier to get through the meeting we want to be now,” he said. “At this point, experts from around the world. successfully.” b

AAO-HNS BulletiN ||||||||||||||| April 2012 23 feature: Annual Meeting

Instruction Course Committee Coodinator Speaks

Eduardo M. Diaz, Jr., MD would have been a much more daunting Blitzer, and, I hope, evolved further under Instruction Course Coodinator task. Their insight and experience helped all my leadership. of us stay true to the committee’s mission. After serving as coordinator for instruc- t seems like just yesterday I assumed I also want to thank the Academy staff tion courses, I know that I leave the com- the role of coordinator for instruction members whom I have been so fortunate mittee in good hands, but also pass a great icourses for the Academy, and yet, here to work with. Their guidance, attention to committee on to Sukgi S. Choi, MD. I have we are four years later and I’m writing my detail, and ability to keep the process moving every confidence that under her leadership last article for the Bulletin as coordinator. forward while I tended to other things made the committee will continue to select excel- my tasks much easier. It is with lent topics to be presented by experienced their support I am proud to say lecturers with a track record of producing While the subjective that the Instruction Course quality, well-received courses, while assur- input of the committee Advisory Committee was ing that new presenters are given the oppor- remains important, we selected as a model committee tunity to provide insights into their own have tried to rely more for the Academy in 2010. expertise. The committee’s workflow Like many others these days, the Academy on objective evaluations has changed significantly dur- faces pressure to provide more with less. It of past courses and their ing the last few years. When is asked to help prepare its newest members presenters. I first joined the committee, for the practice of otolaryngology–head and after recently completing my neck surgery and its “older” members with fellowship, the process for access to quality educational resources in selecting suitable abstracts order to facilitate maintenance of certifica- The past four years have, with few excep- to present as instruction courses was, in tion, all while continuing to face economic tions, been a pleasure. I’ve had the honor my opinion, more subjective. While the pressures and provide greater support for of working with some fantastic clinicians subjective input of the committee remains research and humanitarian projects—two who have made every effort to produce important, we have tried to rely more on very important foci. what, year to year, has been outstanding objective evaluations of past courses and I’m confident the committee will con- instruction course curricula. I thank each their presenters. This has resulted in fewer, tinue to serve the AAO-HNSF well with all of those committee members for making but better-received courses that have pro- of the above. I will miss being an integral my tenure such an easy one. Special thanks duced significant savings for the Academy part of that evolution, but want to thank each are extended to Robert H. Maisel, MD, and while positively influencing the content of you and the leadership for giving me the Andrew Blitzer, MD, DDS, the two imme- of our curricula. That important transition opportunity to serve in this important role. diate past instruction course coordinators. began with Dr. Maisel, was continued by Dr. Thank you. b Without their help, leading this committee

Humanitarian efforts and the Gold Millennium Society Donor Member Service Award for Humanism in Medicine talk Appreciation Lounge about their programs, and Academy We are pleased to offer all Millennium Maximize Your Membership–Get members and residents returning Society members exclusive access to Involved with AAO-HNS/F from overseas missions present a special Appreciation lounge. the Saturday, September 8, 4:30 pm–5:30 pm short informal reports. this is a great lounge will offer a relaxing environ- networking opportunity for anyone ment to enjoy complimentary break- Find out more about the value of your planning a medical mission. fast and lunch, make plans for the membership any time during the annual evening, check email, and network with meeting. Update your profile, pay your other Millennium Society members. dues, check on your subscriptions, buy a Humanitarian Booth Millennium Society Members will receive member directory CD, and much more at there are many opportunities to volun- their official Donor Appreciation Lounge the Member Service kiosk. teer around the world, so let us help you invitation in late summer 2012. to find one that suits you best. Visit our join the Millennium Society, visit www. humanitarian display in the registration Humanitarian Forum and Booth entnet.org/donate. See a full listing area to talk with members who have Sunday, September 9, 3:30 pm–5:30 pm of members in the Donor Spotlight lived this rewarding experience and pick polybagged in the July Bulletin During this popular forum, the recipi- up resource materials. ents of the Distinguished Award for

24 AAO-HNS BulletiN ||||||||||||||| April 2012 feature: Annual Meeting

Meeting Voices: Academy Leaders Talk about What Goes Into a Great Annual Meeting Experience

he Bulletin asked some of the “Just because a session is popular, that etc., I feel more engaged and I get more out Academy’s leaders a few questions doesn’t mean you need to choose it,” he of it.” tregarding what goes into getting the said. “I have been to so many miniseminars Dr. Rosenthal said it is also important to most of the Annual Meeting & OTO EXPO. where only 12 people are in the room, but it schedule time with colleagues with whom Look for additional views in upcoming was probably the best thing I learned about he wants to catch up. issues. They shared what works for them all day. The miniseminars are really under- “That makes for a really good year if I’ve and what doesn’t. Here’s what they had to represented—there are always little-known emailed ahead and set up those meetings,” say: secrets in there.” he said. “It always makes a big difference in how much I enjoy my time. Doing that Michael G. Glenn, MD Eben L. Rosenthal, MD planning prior to the trip makes for a great Presidential candidate Michael G. Glenn, Coordinator-Elect for Scientific meeting.” MD, Virginia Mason Medical Center, Programs Eben L. Rosenthal, MD, Seattle, WA, said it is important for physi- UAB School of Medicine, Division of Kathleen Yaremchuk, MD, MSA cians to challenge themselves and take Otolaryngology, Head & Neck Surgery, Kathleen Yaremchuk, MD, MSA, courses outside their area of interest and Birmingham, AL, said planning ahead is as Henery Ford Hospital, Detroit, MI, a can- expertise. He said, for him, this has always didate for academic director-at-large, also been an entertaining way to catch up on stressed planning other areas of the specialty. ahead. “I am the medical director of a large “Register for clinic here in Seattle, and I think it is A great year for me is all about the meeting and fascinating to learn all of the things about involvement—the more i the hotel as soon other specialties as possible,” she that I’ve never had participate, the more i enjoy it. said. “If you need other exposure to make changes to,” he said. “With to your arrival the meeting, I and departure can go deep into dates you can do Kathleen Yaremchuk, something I’ve important from a social standpoint as it is so easily if you MD, MSA not been exposed from an educational one. have reservations to to because the “If I know as much about the schedule as begin with. Review the course selection and schedule makes it I can ahead of time, I can schedule lunches lectures to plot out a strategy as to where to Michael Glenn, MD easy to get access with colleagues,” he said. “I can also get to spend your time.” and provides me as much of the meeting as I want and make Dr. Yaremchuk, who serves as the chair an opportunity to keep up on areas outside it to all of the sessions I want to attend.” of the Department of Otolaryngology–Head my areas of expertise.” Dr. Rosenthal said he also encourages Dr. Glenn said he also makes sure to plan meeting attendees to participate in commit- out his daily schedule prior to the meeting, tees and get involved in the meeting itself. but makes sure not to subscribe to too many Part of that process includes registering sessions. early. register for the meeting and “You’ll always be running off to session “Getting all of that taken care of— the hotel as soon as possible after session when you might want to stop registering for the meeting, your hotel, and catch up with a colleague or talk to identifying any particular areas you want to if you need to make changes someone you wanted to meet,” he said. increase your knowledge, and scheduling to your arrival and departure “But you also don’t want to show up at the two or three miniseminars—helps a lot,” meeting without a plan, because then you’ll he said. “I feel I get more out of it if I have dates you can do so easily if probably miss out on a popular session. You some sort of focus for the year. you have reservations to begin have to find that balance.” “A great year for me is all about involve- Dr. Glenn also cautioned against follow- ment—the more I participate, the more I with. ing the flock. enjoy it. When I’m giving an instruction course or I’m involved with a committee,

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and Neck Surgery and Sleep Medicine at research sessions in between if I had meetings, which the Henry Ford Health System in Detroit, time,” she said. “I also always blocked off are open to all said morning lectures often stimulate her two hours—and not at lunch, because you attendees. thoughts and are usually the best lectures don’t get to talk to the exhibitors when it “This increases of the meeting. She said the social aspect of is so crowded—mostly in the afternoon your chances of the meeting is also important to her. to walk through and look at the presenta- being placed on “It is helpful to contact friends and tions at a quieter time. And with regard that committee arrange to catch up with the people you to the miniseminars, it was always fun to in the future,” trained with,” she said. “I am amazed learn about something outside what I do she said. “So it is Jayme r. Dowall, MD how many ex-residents get together at the everyday and stretch myself a little bit.” important to look annual meeting and tell stories of the ‘good Dr. Pryor said she also encourages on the website and old days’ in residency. Many have stayed in attendees to attend committee meetings to plan your flights and activities around close contact ever since residency.” and see what is going on. these events.” Lastly, she said, leave time to stop and “Go to Dr. Dowdall also stressed how take a breather. the Board of important it is to attend the Residents and “Leave time to enjoy yourself,” she said. Governors meet- Fellows General Assembly. “Don’t over commit to many courses. Be ing,” she said. “This is typically on Monday after- spontaneous and enjoy the city where the “Take advantage noon and it has been beneficial to me in meeting is at.” of those oppor- the past because of the breakout sessions tunities and the Shannon P. Pryor, MD committee meet- Section for Women in Otolaryngology ings, too. I think Chair Shannon P. Pryor, MD, with Mid- most are open to Atlantic Permanente Medical Group, said Shannon p. pryor, MD all to attend and if you search to see if any her approach to meetings today is quite I hope people go of these dovetail into the different than it was during her early years to those functions. There is a lot going on at the Annual Meeting & OTO EXPO. that people need to know about.” Adacemy Meetings, you can “Now I have so many committee meet- Dr. Pryor said the sessions on socioeco- really make the most out of ings, I’m not able to take advantage of nomic, practice management, and quality as much of the meeting as I was before,” improvement initiatives are also important the trip. she said. “But when I wasn’t so com- and should not be overlooked. mitted, I looked at the schedule ahead of “It is not just all science and clinical out time and arranged my work schedule to there,” she said. see what was available each day, decide what courses I did not want to miss, and Jayme R. Dowdall, MD planned my days around those courses I Section for Residents and Fellows and the opportunity to talk with Academy wanted to take.” representative Jayme R. Dowdall, MD, leaders,” she said. “For instance, one year Dr. Pryor said she always preferred Massachusetts Eye and Ear Infirmary, I was able to get a lot of information about the miniseminars and longer-format Boston MA said she tells newer members CORE grants and how to review grants for presentations. to plan ahead, but also encourages them CORE, which was important to me. The “I always looked at those and planned to become familiar with the Academy’s assembly is also a great place to check my day from there, then I’d go to the website, www.entnet.org/annualmeeting. out things that interest you. It is a great “It is important to have a list of first-, information session, and it also provides second-, and third-line choices for you an opportunity to talk to lots of people courses, because free tickets are available in a short amount of time.” to residents and fellows and they need Dr. Dowdall said a new tool will be to sign up and take advantage of those,” available for residents and fellows this year. And with regard to the she said. “There are also a lot of other “I always found the annual meeting to miniseminars, it was always meetings surrounding the Academy’s be overwhelming as a resident,” she said. meeting that are especially pertinent to “So this year, we are putting together fun to learn about something new members. If you search to see if a Section for Residents and Fellows outside what i do everyday any of these dovetail into the Adacemy Guide to the meeting. It will be up on the Meetings, you can really make the most website prior to this year’s meeting. And and stretch myself a little bit. out of the trip.” we will also be offering free resident and Dr. Dowdall said she also encourages fellow miniseminars, just as we have in residents and fellows to attend committee past years.” b

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For more information, call the White Plan Ahead to Explore Washington, DC House Visitors Center at 1-202-456-7041 or visit whitehouse.gov. You can locate the office of your U.S. representative by n Washington, DC, you’ll enjoy Frequently Asked Questions visiting house.gov. For your U.S. sena- access to fascinating free attrac- about Washington, DC tor’s office, visit senate.gov. itions and historic sites. Touch a moon rock, marvel at the Hope How can I tour the White House? How can I tour the U.S. Capitol or Diamond, view Dorothy’s ruby slippers, Tours of the White House are available see Congress in session? or explore Native American culture by advance arrangement through your To visit areas of the U.S. Capitol at the Smithsonian Institution’s 15 U.S. representative or senators. Tours are beyond the Capitol Visitor Center, you Washington, DC, area facilities. There arranged for groups of 10 or more, but must make a reservation in advance. Note are many ways to approach a look at smaller groups and families can request that tour schedules can fill up quickly, the Washington DC Metro area sites. Depending on your interests and available time, a little planning can ensure a great experience. See some options on these pages. Discover treasures like the Gutenberg Bible at the Library of Congress, the only Leonardo da Vinci painting in North America at the National Gallery of Art, and historic documents like the Declaration of Independence at the National Archives. Away from these celebrated sites, Washington, DC, unwinds into a fascinating network of neighborhoods where visitors discover trendy boutiques, hip bars, and restaurants, plus art galleries, historic homes, and lush parks and gardens. Shoppers love the store-lined streets of Georgetown, while jazz music fans won’t want to miss a trip to U Street, where Duke Ellington played his first notes. The city’s international DC at night character shines through in the Adams Morgan and Dupont Circle neighbor- to join a tour. Submit a request through so it is advisable to book your tour well hoods, two prime destinations for eclec- your elected official’s office at least one in advance of your visit. The Capitol tic dining and nightlife, and the historic month, and up to six months, in advance. is open to the public for tours Monday center of the city’s embassy community. Tours are arranged on a first-come, first- through Saturday. U.S. residents can go The arrival of several new eateries served, basis. Visitors who are not U.S. directly through the offices of their U.S. has made the nation’s capital a prime citizens should contact their embassy representative or U.S. senators. Many destination for dining out, with many in DC about tours for international Congressional offices offer their own of the city’s top tables located in the visitors, which are arranged through the staff-led tours to constituent groups of downtown Penn Quarter neighborhood. Protocol Desk at the State Department. up to 15 people, and most can assist you DC is also earning new recognition as a These self-guided tours are available in booking a general tour. Tours can also thriving performing arts town, with 65 from 7:30 am-11:00 am Tuesday through be arranged directly through the U.S. professional theatre companies based Thursday, 7:30 am-noon on Fridays, and Capitol Visitor Center using the online in the metropolitan area presenting 7:30 am-1:00 pm on Saturdays (exclud- reservation system at visitthecapitol.gov. edgy world premieres and celebrated ing federal holidays or unless otherwise A limited number of same-day tour tick- Broadway musicals throughout the year. noted). All guests 18 and older will be ets may also be available at the Capitol As you begin to plan your trip to required to present valid, government- Visitor Center. Tickets are not required to Washington, DC, consider extending issued photo identification. All foreign tour the Capitol Visitor Center, which is your stay to take full advantage of nationals must present their passport. All open 8:30 am-4:30 pm, Monday through everything the nation’s capital has to other forms of foreign identification will Saturday. Visit aoc.gov for more informa- offer. not be accepted. tion. The Senate and House Galleries are

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do not require tickets, including the museums of the Smithsonian system, the National Zoo, the National Gallery of Art, and the national monuments and memorials. Some of Washington, DC’s most popular ticketed attractions, including the Newseum, National Museum of Crime & Punishment, Madame Tussauds, the U.S. Holocaust Memorial Museum, and the International Spy Museum, allow visitors to avoid waiting in line by reserving their tour tickets for a small fee. Timed passes are needed for the permanent exhibition at the U.S. Holocaust Memorial Museum. Passes are free and are distributed daily beginning at 10:00 am on a first-come, first-served basis. You can reserve tickets for a service charge of $1.75 (for groups of 21 or smaller). Groups of 21 or more qualify to make a scheduled visit Air and Space museum to the museum for the permanent exhibition: The Holocaust or the current special open to visitors whenever either body is House and Senate Appointment Desks on exhibitions. Group reservations are free in session. In addition, the House Gallery the upper level. and must be submitted using the museum’s is open 9:00 am-4:30 pm, Monday Information about tours for visitors online reservation system. Requests are through Friday, when the House is not in with special needs is available from the processed on a first-come, first-served session. The Senate Gallery is open 9:30 Congressional Special Services Office basis, and may be submitted from 24 hours am-4:00 p.m., Monday through Friday, at 1-202-224-4048 or 1-202-224-4049 to 12 months in advance of the visit date. when the Senate is not in session. Passes (TDD). Visit ushmm.org or call 1-202-488-0400 are required to enter either gallery at any for additional information. time. Visitors may obtain gallery passes Which attractions require Tickets are also required to tour from the offices of their U.S. senators or tickets? the U.S. Capitol. To guarantee avail- U.S. representative. Gallery passes are Many of Washington, DC’s major ability, you should reserve your tour in available for international visitors at the attractions are open for the public and advance online at visitthecapitol.gov or

Mount Vernon

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marked with the color of the line. Trains indicate the direction in which they are traveling with the name of the end-point of the line. During rush hour, trains usually come every five to six minutes. At off-peak times, trains come every 12 minutes. Late-night trains come every 15 to 20 minutes Tickets can be purchased by cash or credit cards from vending machines located at the stations. Station managers are on hand to assist you in purchasing your tickets.

Mount Vernon–Home and estate of the father of our country. George Washington’s plantation on the banks of the beautiful Potomac River offers visitors a chance to understand America’s first hero and the fascinat- the Kennedy Center ing world in which he lived. Since the through the offices of your U.S. represen- Agency at 1-703-697-1001 to determine Mount Vernon Ladies’ Association tative or U.S. senators. A limited number escort status. The Pentagon tour office bought the nearly empty Mansion in of same-day tour tickets may also be will accept and process group tours from 1858, it has gathered Washington objects available at the Capitol Visitor Center. educational institutions (schools/colleges/ and used archaeology and research to While the Library of Congress, academies), churches, government agen- piece together clues about the build- the Supreme Court, Ford’s Theatre, cies, or military organizations consisting ings and gardens of a bygone era. More the National Gallery of Art, and the of five or more visitors. Please review the than one million visitors come to walk Smithsonian museums do not require Group Tour Guidelines before making a in Washington’s footsteps each year, tickets, you may want to check schedules Group Tour request. Call 1-703-697-1776 making Mount Vernon the most popular in advance to take advantage of guided or visit http://pentagon.afis.osd.mil for historic estate in America. Open 365 days interpretive tours, lectures, IMAX mov- more information. of the year. September hours are 9:00 ies, and other programs. am–5:00 pm. To purchase tickets call How does Metro work? 1-800-429-1520 or email onlineticket- Can we tour the FBI building? Washington, DC, is proud to have one [email protected]. b At this time, the FBI tour at the J. of the world’s best public transportation Edgar Hoover Building is closed for systems. Most visitors quickly master the renovations. Please call 1-202-324-3447 Metro system and, in the process, they Top 10 Things to Do or visit fbi.gov for more information. discover that it’s a quick, efficient, and in Washington, DC affordable way to get around the city, and Can we tour the Pentagon? many find it to be an enjoyable attraction. 1. Visit the Smithsonian museums and Members of the general public must The Metro operates Monday through galleries. contact the offices of their U.S. repre- Thursday from 5:00 am-midnight; Friday 2. tour the national monuments and sentative or U.S. senators to request a until 3:00 am; Saturdays from 7:00 am to memorials. tour. You can find your senators’ contact 3:00 am; and Sunday from 7:00 am- 3. tour the three Houses of Government. information at senate.gov and your midnight. Base fares start at $1.75 per trip 4. take a walk through Georgetown. representative’s information at house. (including trips between all downtown 5. Walk, bike, or kayak along the gov. All tour requests must be made at points), but the rates are higher for visitors Chesapeake and Ohio Canal. least two weeks in advance and no earlier traveling from the suburbs and during rush 6. Attend a concert at the Kennedy than three months prior to the requested hour. To calculate the distance and fares Center. tour date. Military personnel assigned between two stops, visit metroopensdoors. 7. Visit other museums. to the Pentagon with escort privileges com. 8. take in a baseball game at Nationals park. may request to accompany their friends There are five lines, Red, Blue, Orange, 9. Explore Mount Vernon. and family on tours of the facility. If you Yellow, and Green, connected to each other 10. take a walking tour of Old town, are assigned to the Pentagon or if you at transfer stations in downtown and the Alexandria. are visiting a Pentagon staff member, close-in suburbs. Some stations are serviced contact the Pentagon Force Protection by more than one line. Trains are clearly

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Three Days in DC

Day 1 and stop on your way back from dinner the city. Animal lovers may also wish to pay The National Mall, home to many to see a few of them at night time. a visit to the National Zoo, home to giant of the magnificent museums of the pandas, cheetahs, tigers, and other exotic Smithsonian Institution, is a great place Day 2 species. Discover DC’s theatre scene. The to start your day. See the magnificent Head to U Street for breakfast at a DC Kennedy Center’s Millennium Stage offers jewels, dinosaurs, and mammals on dis- institution, Ben’s Chili Bowl. Or, if you’re free performances at 6:30 pm nightly. Other play at the National Museum of Natural visiting on a weekend, visit the colorful theatres, such as the Shakespeare Theatre History; the airplanes and interactive flea market at Eastern Market on Capitol Company, Arena Stage, Warner Theatre, and flight simulators at the National Air and Hill. After breakfast, tour the Capitol National Theatre, regularly present familiar Space Museum; and the stories, arts, Hill neighborhood and explore the U.S. classics. For something more contemporary, and crafts at the National Museum of Capitol, Library of Congress, and Supreme catch a show at Woolly Mammoth Theatre the American Indian. And it’s all free Court. The neighborhood is also home to Company or Studio Theatre. of charge. The museums also offer free Union Station and the Folger Shakespeare tours to groups who reserve in advance. Library, which houses the largest collec- Day 3 There’s more to explore on the tion of Shakespeare memorabilia outside Start your morning in one of DC’s National Mall than just the Smithsonian England. For lunch, take the Metro to prized neighborhood attractions, like the Institution. Art lovers won’t want to miss downtown’s Penn Quarter neighborhood. Anacostia Community Museum, The a visit to the National Gallery of Art, You’ll also find lots of dining options (from Phillips Collection, Washington National while the National Archives is a must for casual barbeque to elegant French) near the Cathedral, or Hillwood Museum and any American history buff. Enjoy a quick Verizon Center. Or, feast on fresh noodles Gardens, and then head to Georgetown dinner in downtown or at a Capitol Hill and flavorful soups in DC’s Chinatown. for fantastic shopping and sightseeing in neighborhood eatery, then visit Union Go undercover at the International Spy a charming historic setting. Step back in Station. The glorious train station is the Museum, where you can crack codes, take time with a mule-driven barge ride on the departure point for tours of the monu- on covers, and even help your group take historic Chesapeake and Ohio Canal, and ments at moonlight offered by Old Town on its own covert operation. Or, stop by the stop for lunch at a casual bistro. Sports Trolley. Bike and Roll and City Segway National Portrait Gallery and Smithsonian fans can watch the Washington Nationals, Tours (ages 16 and older) also offer American Art Museum, the newest addi- Washington Mystics, or DC United in evening tours in season departing from tion to the Smithsonian system. Sorry, action. If your group is looking for night- other points in the city. If you’ve booked you can no longer ride to the top of the life, head to U Street for live jazz music a private charter, resist the temptation to Washington Monument, but the Old Post or Adams Morgan to experience DC’s see all of the monuments during the day Office Pavilion offers a panoramic view of eclectic, international scene. b

Join Our Millennium Society, Get Early Registration to Annual Meeting & OTO EXPO We are pleased to announce that early in Washington, DC. Millennium Society refreshments, and the lounge is a great registration and housing for the 2012 members take advantage of booking place to network. AAO-HNSF Annual Meeting & OtO eXpO registration and housing online first. are exclusively available to Millennium please take time to join the Millennium Society members. One of the many Current Millennium Society members Society by visiting www.entnet.org/ ways we thank Millennium Society will receive a registration link on April donate by April 15 to take advantage members for their generosity is by 16. of this special Millennium Society offering access to early registration. if members-only registration, and get As in previous years, Millennium Society your first pick of our highly rated you are not yet a Millennium Society members will receive an invitation member, you can join by visiting www. instruction courses. We look forward to prior to the annual meeting with the a continued relationship with you and entnet.org/donate. it’s easy to make a details of what they can look forward to tax-deductible gift online. seeing you at the upcoming meeting. while in Washington, DC, including the Again, thank you for your support! With every donation, our members Millennium Society Donor Appreciation make a genuine difference. through lounge. Since its inception, we have For questions regarding the Millennium their philanthropy, we are able to help received incredible feedback from our Society and early housing and regis- meet the needs of our physicians and donors about how much they value tration opportunities, contact rudy empower all to deliver the best patient having this “VIP” donor benefit avail- Anderson, development manager, care. the 2012 Annual Meeting & OtO able to them during the meeting. it at [email protected] or eXpO is taking place September 9-12 provides concierge services, meals, and 1-703-535-3718. b

30 AAO-HNS BulletiN ||||||||||||||| April 2012 feature: Annual Meeting

AAO-HNS/F Events

presentation of the 2012 survey results, resolutions, and a presentation of awards.

Women in Otolaryngology (WIO) General Assembly Luncheon Monday, September 10, Noon–2:00 pm

the Assembly is the business meeting of the WiO Section. the agenda will feature presentations from AAO-HNS leaders, a keynote speaker, and presentation of awards.

Committee Meetings please refer to our website for a full Academy Business Meeting national otolaryngology–head and neck listing of scheduled committee meeting Saturday, September 8, surgery societies from around the united information, including the date and time. 4:30 pm–5:00 pm States and Canada. Members of the BOG Committee meeting locations will be are primarily community practitioners in finalized and published online in August. the Academy’s Annual Business Meeting the field. The governor, legislative repre- Since committee meeting schedules takes place in conjunction with the sentative, and public relations represen- sometimes change, we urge you to book- Annual Meeting & OtO eXpO. Join your tative from each society are encouraged mark www.entnet.org/annual _meeting leaders on Saturday, September 8, for to attend the BOG meeting during the and check back before the meeting to this official event where the president, annual meeting. make sure your committee schedule secretary-treasurer, Audit Committee has not changed and to confirm the chair, and executive vice president/CeO location. Before you register online for present their reports. Section for Residents and Fellows the annual meeting, use the Annual (SRF) General Assembly Meeting & OtO eXpO site to review this Monday, September 10, year’s Scientific and Instruction Course First-Time Attendees’ Orientation 2:30 pm–4:30 pm programs to make sure there are no Saturday, September 8, conflicts with your committee meeting the Assembly is the business meeting of 5:30 pm–6:30 pm schedule. For details about the activi- the SrF Section. the agenda will feature ties of AAO-HNS/F committees, email the AAO-HNSF Annual Meeting & OtO presentations from AAO-HNS leaders, [email protected]. eXpO can be an overwhelming experience a keynote speaker, section elections, a b for someone who has never attended. Don’t miss the First-time Attendees’ orientation on Saturday, September 8. this event will help you discover how to get the most from the annual meeting and will connect you with other newcomers. You will have an opportunity to participate in small group discussions led by Academy leaders and staff. Academy leaders also facilitate special roundtable discussions for english and Spanish-speaking visitors.

Board of Governors (BOG) General Assembly Monday, September 10, 5:00 pm–7:00 pm established in 1982 as the grassroots member network of AAO-HNS, the BOG is made up of local, state, regional, and

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Schedule at a Glance SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY September September September September September TIME 8 9 10 11 12 TIME 5:30 AM 5:30 AM 6:00 AM Corporate Symposia Corporate Symposia Corporate Symposia 6:00 AM 6:30 AM 6:30 AM 7:00 AM 7:00 AM 7:30 AM 7:30 AM 8:00 AM 8:00 AM 8:30 AM 8:30 AM Opening Ceremony and 9:00 AM John Conley Lectureship Miniseminars, Scientific 9:00 AM Sessions, and Honorary Miniseminars, Miniseminars, 9:30 AM Guest Lecture Scientific Scientific 9:30 AM Sessions, and Sessions, and 10:00 AM Honorary Honorary 10:00 AM Guest Lecture Guest Lecture OTO EXPO 10:30 AM Research Award 10:30 AM Miniseminars Ceremony Women in Otolaryngology

11:00 AM and Scientific Luncheon and 11:00 AM Sessions

11:30 AM OTO EXPO 11:30 AM Ultrasound Assembly 12:00 PM Workshop 12:00 PM

12:30 PM General 12:30 PM OTO EXPO OTO EXPO 1:00 PM 1:00 PM

1:30 PM Instruction Courses 1:30 PM

2:00 PM Instruction 2:00 PM 2:30 PM Courses 2:30 PM Instruction Instruction

Courses Fellows General Courses

3:00 PM Residents & 3:00 PM Section for Assembly 3:30 PM 3:30 PM 4:00 PM 4:00 PM 4:30 PM Business Mtg 4:30 PM

5:00 PM Maximize your 5:00 PM Membership Board of 5:30 PM Governors 5:30 PM General 6:00 PM First Time Assembly 6:00 PM Symposium 2012 Otolaryngology 2012 Otolaryngology Attendee Orientation President’s Reception Corporate 6:30 PM Historical Society 6:30 PM (OHS) Meeting 7:00 PM 7:00 PM President’s Reception 7:30 PM 7:30 PM 8:00 PM 8:00 PM 8:30 PM 8:30 PM International 9:00 PM Reception 9:00 PM (by invitation) 9:30 PM 9:30 PM 10:00 PM 10:00 PM

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AAO-HNS/F Commmittee Meetings & Events (Schedule as of 3/21/12)

AAO-HNS/F Board of Directors Breakfast Education Steering Committee Journal Editorial Board Meeting Rhinology & Allergy Education Committee (by invitation only) Saturday, September 8, 4:00 pm-6:00 pm Monday, September 10, 12:30 pm-2:30 pm Sunday, September 9, 2:00 pm-3:00 pm Saturday, September 8, 7:00 am-8:00 am Endocrine Surgery Committee Laryngology & Bronchesophagology Rhinology and Paranasal Sinus AAO-HNS/F Board of Directors Lunch Tuesday, September 11, 6:30 am-8:30 am Education Committee Committee (by invitation only) Sunday, September 9, 5:00 pm-6:00 pm Monday, September 10, 8:00 am-9:00 am Saturday, September 8, 12:00 pm-1:00 pm ENT PAC Board of Advisors (by invitation) Sunday, September 9, 2:00 pm-4:00 pm Laryngology & Sleep Steering Committee Rhinology, Allergy, Immunology and AAO-HNS/F Board of Directors Meeting Tuesday, September 11, 3:00 pm-4:00 pm Infections Disease Steering Committee Saturday, September 8, 8:00 am-3:00 pm Equilibrium Committee Monday, September 10, 4:30 pm-5:30 pm Monday, September 10, 1:00 pm-2:00 pm Maximize Your Membership – Get AAO-HNS/F Business Meeting Involved with AAO-HNS/F Science and Educational Committee Saturday, September 8, 4:00 pm-4:30 pm Ethics Committee Saturday, September 8, 4:30 pm-5:30 pm Tuesday, September 11, 3:30 pm-4:30 pm Sunday, September 9, 10:00 am-12:00 pm AAO-HNS/F Executive Committee Media and Public Relations Committee Section for Residents and Fellows (by invitation only) Finance & Investment Subcommittee of Monday, September 10, 9:00 am-10:30 am Governing Council/Transitioning Meeting Friday, September 7, 5:00 pm-7:00 pm the E & F Tuesday, September 11, 12:00 pm-1:00 pm Sunday, September 9, 2:30 pm-4:00 pm Medical Devices and Drugs Committee AAO-HNS/F Executive Committee Tuesday, September 11, 2:00 pm-3:00 pm Section for Women in Otolaryngology (by invitation only) First-Time Attendees Orientation General Assembly/Luncheon Saturday, September 8, 5:30 pm-6:30 pm Wednesday, September 12, 7:30 am-9:00 am Medical Informatics Committee Monday, September 10, 12:00 pm-2:00 pm Sunday, September 9, 10:00 am-11:00 am General Otolaryngology Education Airway and Swallowing Committee Skull Base Surgery Committee Committee Monday, September 10, 1:00 pm-2:00 pm Member Relations Steering Committee Sunday, September 9, 10:00 am-11:00 am Sunday, September 9, 3:30 pm-4:30 pm Tuesday, September 11, 1:30 pm-2:30 pm Allergy, Asthma and Immunology Sleep Disorders Committee Geriatric Otolaryngology Committee Committee Tuesday, September 11, 8:00 am-9:00 am Otology & Neurotology Education Sunday, September 9, 4:30 pm-6:00 pm Monday, September 10, 2:30 pm-3:30 pm Committee Head & Neck Surgery and Oncology Monday, September 10, 4:30 pm-5:30 pm Specialty Society Advisory Committee Board of Governors Executive Committee Committee (by invitation only) (by invitation only) Sunday, September 9, 5:00 pm-6:00 pm Outcomes Research and EBM Monday, September 10, 2:00 pm-4:00 pm Sunday, September 9, 4:00 pm-6:00 pm Subcommittee Head & Neck Surgery Education Monday, September 10, 2:00 pm-3:00 pm Trauma Committee Board of Governors General Assembly Committee Monday, September 10, 10:30 am-11:30 am Monday, September 10, 5:00 pm-7:00 pm Monday, September 10, 8:00 am-9:00 am Panamerican Committee Sunday, September 9, 12:30 pm-1:30 pm Treatment Modalities Steering Committee Board of Governors Legislative Head and Neck Steering Committee Monday, September 10, 4:00 pm-5:00 pm Representatives Committee Tuesday, September 11, 4:30 pm-5:30 pm Patient Groups Steering Committee Saturday, September 8, 1:00 pm-2:45 pm Tuesday, September 11, 3:00 pm-4:00 pm Voice Committee Hearing and Equilibrium Steering Monday, September 10, 8:00 am-9:30 am Board of Governors Luncheon/Leaders Committee Patient Safety and Quality Improvement Training Monday, September 10, 4:00 pm-5:00 pm Committee Women In Otolaryngology Saturday, September 8, 12:00 pm-12:55 pm Sunday, September 9, 3:30 pm-4:30 pm Communications Committee History and Archives Committee Monday, September 10, 8:00 am-9:00 am Board of Governors Socioeconomic Sunday, September 9, 10:00 am-11:00 am Pediatric Otolaryngology Committee Grassroots Committee Sunday, September 9, 2:00 pm-3:00 pm Women In Otolaryngology Development Saturday, September 8, 10:00 am-11:30 am Humanitarian Efforts Committee Endowments Sunday, September 9, 2:00 pm-3:00 pm Pediatric Otolaryngology Education Monday, September 10, 8:00 am-9:00 am Certificate Program for Otolaryngology Committee Personnel Humanitarian Efforts Committee (Open Monday, September 10, 9:30 am-10:30 am Women in Otolaryngology Governing Tuesday, September 11, 8:30 am-9:30 am Forum) Council Meeting Sunday, September 9, 3:30 pm-5:30 pm Physician Payment Policy Workgroup (by Tuesday, September 11, 7:00 am-8:30 am Complementary/Integrative Medicine invitation only) Monday, September 10, 1:00 pm-2:00 pm Imaging Committee Monday, September 10, 3:00 pm-4:30 pm Women In Otolaryngology Leadership Tuesday, September 11, 10:30 am-11:30 am Development & Mentorship Committee CORE Otolaryngology & Practice Plastic & Reconstructive Surgery Monday, September 10, 8:00 am-9:00 am Management Education Committee Implantable Hearing Devices Committee Monday, September 10, 1:30 pm-2:30 pm Subcommittee Sunday, September 9, 2:00 pm-3:00 pm Women In Otolaryngology Program Sunday, September 9, 3:00 pm-4:00 pm Committee CPT and Relative Value Committee Program Advisory Committee Monday, September 10, 7:00 am-8:00 am Monday, September 10, 1:00 pm-3:00 pm Infectious Disease Committee Saturday, September 8, 2:00 pm-4:00 pm Sunday, September 9, 10:00 am-11:00 am Women In Otolaryngology Research & Credentials and Membership Program Advisory Committee Survey Committee Tuesday, September 11, 9:00 am-10:00 am Instruction Course Advisory Committee Monday, September 10, 3:00 pm-4:00 pm Monday, September 10, 7:00 am-8:00 am Tuesday, September 11, 10:30 am-11:30 am Diversity Committee Research Steering Committee Young Physicians Committee International Otolaryngology Committee Tuesday, September 11, 1:00 pm-2:00 pm Tuesday, September 11, 10:00 am-11:30 am Tuesday, September 11, 10:30 am-12:00 pm Sunday, September 9, 11:00 am-12:00 pm

Refer to the April Bulletin or the AAO-HNS/F website for a complete listing of committee and AAO-HNS/F meetings.

AAO-HNS BulletiN ||||||||||||||| April 2012 33 feature: Annual Meeting

Top Five Reasons to Attend the AAO-HNSF 2012 Annual Meeting & OTO EXPO

Washington Monument Exceptional Educational Offerings Washington Monument Earn up to 27.5 hours of continuing education by attending instruction courses, miniseminars, and 1 scientific oral presentations. The Latest Evidence-Based Information Analyze evidence-based information and updates on practical applications affecting operative 2 procedures, drugs, and medical devices. Networking Opportunities Learn from your colleagues at lectures, presentations, and education programs 3 delivered by world-renowned physicians. Be Part of the World’s Largest Gathering of Otolaryngologists! More than 6,000 medical experts gather from around the globe to participate in this annual 4 conference. The Practice of Medicine Extends Beyond the Exam Room At the OTO EXPO, review products and services from more than 300 companies that will help you 5 provide the best patient care. Register for the AAO-HNSF 2012 Annual Meeting & OTO EXPO and reserve your hotel room online at Register Today! www.entnet.org/annual_meeting. AAO-HNSF encourages all prospective attendees to register as soon as possible for the Annual Meeting & OTO EXPO to take advantage of reduced registration fees and to avoid waiting in lines onsite. Registration must be completed by midnight, Eastern Daylight Time, on June 22, 2012, to obtain the lowest discounted rate. Fees increase at midnight Eastern Daylight Time on June 22, 2012. AAO-HNS Members are Entitled to Sizable Savings on Registration Rates Save on the cost of Annual Meeting & OTO EXPO registration by becoming a member, at http://www.entnet.org/join. Support Your Foundation Without the generous help of individual donors, corporate supporters, and private foundation donors, many of the programs and services you value would not be possible. Please donate at http://www.entnet.org/donate. Social Media at the Annual Meeting & OTO EXPO Stay connected before, during, and after the annual meeting with social media tools dedicated to sharing information and connecting individuals.

34 AAO-HNS BulletiN ||||||||||||||| April 2012 We hate lawsuits. We loathe litigation. We help doctors head off claims at the pass. We track new treatments and analyze medical advances. We are the Doctors Companyeyes in the back of your head. We make CME easy, free, and 4conline. We do extra homework. We protect good medicine. pageWe are35 your guardian angels. We are The Doctors Company. Donald J. Palmisano, MD, JD, FACS Board of Governors, The Doctors Company Former President, American Medical Association

The Doctors Company is devoted to helping doctors avoid potential lawsuits. For us, this starts with patient safety. In fact, we have the largest Department of Patient Safety/Risk Management of any medical malpractice insurer. And, local physician advisory boards across the country. Why do we go this far? Because sometimes the best way to look out for the doctor is to start with the patient. To learn more about our medical professional liability program for AAO-HNS members, call us at (800) 352-0320 or visit www.thedoctors.com.

www.thedoctors.com legislative & political advocacy

Congressional Hearing Health Caucus Revived

fter a six-year absence, the related to the wars in Afghanistan and and direction for the Audiology and Congressional Hearing Health Iraq.” Speech Pathology Service (ASPS), ACaucus is being reestablished Since the onset of military activity in Blind Rehabilitation Service, Physical on Capitol Hill. In an effort led by U.S. Afghanistan and Iraq, the incidence of Medicine, and the Rehabilitation Reps. Tom Latham (R-IA) and Carolyn hearing loss and/or tinnitus cases has Service, and Polytrauma and Recreation McCarthy (D-NY), and the support grown exponentially for the nation’s Therapy Service. Dr. Packer is an of various organizations within the servicemen and women. In an effort Air Force neurotologist, recently hearing health community—including to appropriately address this grow- appointed as the interim director of the AAO-HNS—work is underway to ing trend, the VA and military have the Congressionally mandated Hearing rebuild membership in the previously been working in earnest to establish Center of Excellence (HCE). The HCE inactive caucus. was established to In February, the specifically address AAO-HNS and prevention, diagnosis, nine additional mitigation, treatment, organizations hosted and rehabilitation of a joint kick-off hearing loss and audi- event on Capitol tory system injury for Hill designed to the U.S. Department officially announce of Defense and the the renewed Caucus activity. During programs to adequately document VA. More information about the HCE the luncheon event, Reps. Latham service-connected hearing injuries and can be found at http://hearing.health. and McCarthy discussed the impor- provide the care necessary to mitigate mil. tance of hearing healthcare and their the repercussions of hearing-related The AAO-HNS hopes the caucus dedication to establishing a bipartisan injuries. kick-off event will be the first of many forum to address the broad spectrum Drs. Beck and Packer are on the successful activities on Capitol Hill of issues associated with appropriate frontlines of the aforementioned efforts. that highlight the importance of robust hearing healthcare. In addition, invited As the chief consultant for the Office programs to promote and protect hear- guests Lucille Beck, PhD, and Mark of Rehabilitation Services and the ing health. For more information about D. Packer, MD, spoke to the event’s director of the Audiology and Speech the Academy’s legislative priorities and/ theme, “How the military and Veterans Language Pathology Program at the or activities on Capitol Hill, email the Administration (VA) are handling the VA’s Office of Patient Care Services, Dr. AAO-HNS Government Affairs team at surge in hearing loss/tinnitus cases Beck’s responsibilities include oversight [email protected]. b

Wanted: A Long-Term Medicare Political Resource: Bookmark the 2012 Federal Physician Payment Proposal Elections Webpage the 2012 election season in late February, Congress again passed legislation (H.r. is heating up, and the 3630) to halt the 27.4 percent cut in Medicare physician AAO-HNS Federal elections payments that was scheduled to take effect on March 1. webpage has great this latest legislative compromise extends the payment resources and key infor- cut reprieve through December 31, 2012. the AAO-HNS mation to help you know and others in the physician community continue to urge more about the upcoming federal lawmakers to permanently repeal the flawed races in your state and Sustainable Growth rate (SGr) formula and reject across the country. Visit short-term patches that provide little-to-no stability the Federal elections webpage to learn more about voter regis- for physician practices and their patients. While there tration in your state, Congressional retirements, primary dates remains strong bipartisan support for such legislation, and results, and applicable polling data. Visit www.entnet.org/ the required budgetary offsets continue to hamper the politics to find your 2012 election information today. process.

36 AAO-HNS BulletiN ||||||||||||||| April 2012 legislative & political advocacy

U.S. Supreme Court Hears Constitutionality Arguments of Healthcare Reform

rom March 26-28, the U.S. the individual mandate was a valid Supreme Court heard arguments exercise of Congress’ legislative powers. Fon the constitutional challenges to Private and state plaintiffs have argued the Patient Protection and Affordable that Congress does not have the power Care Act (ACA). The main issue under to enact a law requiring all citizens to consideration by the court is whether the purchase health insurance or pay a pen- “individual mandate” section of the law, alty. If the court upholds the individual requiring all Americans to be insured by mandate, it is scheduled to take effect in 2014, is constitutional. 2014. However, if the court determines The court’s first determination on the that this minimum coverage requirement law will fall under the Anti-Injunction is unconstitutional, the court will then Act, and whether the challenges to the determine the “severability” of the indi- individual mandate can even be chal- vidual mandate and whether some, or lenged in court at this time. If found all, of the comprehensive law must fail. to be applicable, the Anti-Injunction Lastly, the court also heard argu- Act could prevent the court from ruling ments regarding the constitutionality of November elections. The Academy will on the issue until after taxpayers have the ACA’s expansion of the Medicaid continue to closely monitor the proceed- actually incurred a financial penalty for program to cover all adults younger than ings and determine the influence of the failing to comply with the individual 65 with household incomes below the decision on Academy members and their mandate. poverty level. patients. For more information, ques- If the court decides the case can The court will release its decision on tions, or comments, email legstate@ proceed, it would then rule on whether these issues this summer, prior to the entnet.org. b

Time’s Running Out: Register for ACGME Approved Otology Neurotology and The 2012 OTO Advocacy Summit Skull Base Surgery Fellowship & BOG Spring Meeting Today Michigan Ear Institute Help elevate our visibility and strengthen our voice on Providence Hospital Capitol Hill by attending the 2012 OtO Advocacy Summit. this year’s advocacy summit is scheduled for May 7-8, in An ACGME approved Neurotology Fellowship is offered by conjunction with the AAO-HNS Board of Governors Spring the Michigan Ear Institute in conjunction with Providence Meeting. Attendees will: Hospital, South eld, Michigan and Wayne State University. N learn about common advocacy “do’s and don’ts” Two positions are available commencing July 1, 2013 for a period of two years N receive an “insiders” legislative update about issues important to the specialty A strong otology residency training experience is required. The N Hear Members of Congress discuss various AAO-HNS candidate must be board eligible or certi ed and be able to legislative priorities obtain a license to practice medicine in the State of Michigan. N Benefit from pre-scheduled meetings with Members of Congress and/or staff Contact: N Visit the AAO-HNS Capitol Hill office and popular DC monuments (space limited: first-come, first-served) Michael J. LaRouere, MD Fellowship Program Director N Network with colleagues at an exclusive eNt pAC reception Michigan Ear Institute 30055 Northwestern Hwy., #101 Take advantage of this free AAO-HNS member benefit by Farmington Hills, MI 48334 registering today at www.entnet.org/bog&summit. Phone (248) 865-4444 Fax (248) 865-6161

AAO-HNS BulletiN ||||||||||||||| April 2012 37 regulatory advocacy & business of medicine

Clarifying Medicare Audiology Billing Services: FAQ on Audiology

e have received a number under the supervision of an otolaryn- There is currently no provision in the of questions regarding gologist and normally bill for services law for Medicare to pay audiologists for Wthe requirements for bill- using the otolaryngologist’s NPI” are therapeutic services, such as vestibular ing audiology services. In response, required to obtain and use their own treatment, auditory rehabilitation, and the Academy developed resources to NPI designating them as the “rendering auditory processing treatment. While provide clarification and guidance provider.” The audiologists must also be they are considered within the scope of for the billing of audiology services. enrolled in Medicare if they are seeing practice for an audiologist, they are not (See http://www.entnet.org/Practice/ Medicare beneficiaries; Medicare will diagnostic tests and therefore cannot Medicareupdates.cfm#AUDHP and the not consider the billed charges if the be billed to Medicare by audiologists. March Bulletin article titled “Clarifying audiologist is not enrolled as a provider. CMS produced MedLearn Matters Medicare Audiology Billing Services.”) To enroll as a provider, visit https:// article #MM5717 http://www.cms.hhs. pecos.cms.hhs.gov. gov/MLNMattersArticles/downloads/ What is an NPI and does an MM5717.pdf that provides a more audiologist need one to bill What services can an audiolo- detailed assessment of which audiology Medicare? gist perform? services are covered by Medicare. Any audiologist who is seeing According to Medicare, as defined in It is important to note that Medicare Medicare patients must obtain a the Social Security Act, section 1861(ll) requires a referral from a qualified National Provider Identifier (NPI) (3), the term “audiology services” spe- physician for audiological services ren- and enroll in Medicare as a provider. cifically means such hearing and bal- dered by an audiologist. Also, Medicare These two separate processes must be ance assessment services furnished by a no longer allows audiologists to use the incident-to billing that had been widely used. Regulatory language from 2003 requires that services with their own benefit category cannot be billed under the incident-to billing methodology. it is important to note that for codes where the technician may perform the technical component, they must meet qualifications determined by What is “incident-to” billing and what does it mean that the local Medicare contractor. Medicare allows the Medicare Administrative audiologist services can’t be Contractor (MAC) to determine what services technicians can perform and billed as “incident-to”? According to Medicare Medlearn what the qualifications are. Matters article #SE0441, “‘Incident to’ services are defined as those services that are furnished incident to physician professional services in the physician’s office (whether located in a separate completed before Medicare will con- qualified audiologist as the audiologist office suite or within an institution) or sider payment of the claims. (Medicare is legally authorized to perform under in a patient’s home. These services are does not reimburse any provider or state law (or the state regulatory mecha- billed as Part B services to your carrier practitioner who is not enrolled in the nism provided by state law), as would as if you personally provided them, program.) Please note that this is not a otherwise be covered if furnished by and are paid under the physician fee new policy from CMS; it has been in a physician. These hearing and bal- schedule. You do not have to be physi- effect for several years, but CMS has ance assessments are covered as “other cally present in the patient’s treatment been strengthening its data collection of diagnostic tests” and therefore private room while these services are provided, provider numbers. practice audiologists can bill Medicare but you must provide direct supervi- The NPI is a unique identifica- directly for diagnostic services. sion. That is, you must be present in tion number for covered healthcare Audiological diagnostic testing refers the office suite to render assistance, if providers. All health plans and health- to tests of the auditory and vestibular necessary.” care clearinghouses use the NPIs systems, e.g., hearing, balance, auditory Because audiologists are now in the administrative and financial processing, tinnitus, and diagnostic pro- required to have their own NPI, transactions adopted under HIPAA. gramming of certain prosthetic devices, services performed by the audiologists Audiologists who “perform services performed by qualified audiologists. must be billed under the name and NPI

38 AAO-HNS BulletiN ||||||||||||||| April 2012 regulatory advocacy & business of medicine

of the audiologist, not the physician’s the qualified physician and not to the regarding Medicare audiology billing. name and NPI. Services provided by audiologist. The Academy has several resources other non-physician providers (such as For a more thorough explanation available for members to help them audiology/oto-technicians, physician of what services an audiology techni- navigate Medicare’s audiology billing assistants, and nurse practitioners) cian or oto-tech can provide, see the requirements, including a newly revised would be billable as “incident-to” Academy’s March Bulletin article Audiology FAQ available on our website. the physician service, but only if the titled “Clarifying Medicare Audiology The Academy also provides a coding service meets the qualifying criteria for Billing Services” or the Academy’s hotline to members for specific questions Medicare (reference to Social Security newly revised audiology services about coding, which can be reached Act, Title XVIII, Chapter 15, Section informational webpage at http://www. from Monday through Friday, 7:00 1861). It is important to note that if a entnet.org/Practice/Medicareupdates. am-4:00 pm MST at 1-800-584-7773. non-physician provider is performing cfm#AUDHP. Additional questions can be submitted the technical component of a service, The Academy realizes this is a com- to the Health Policy team at health- it can only be billed “incident-to” plex issue and other questions may arise [email protected]. b

AAO-HNSF Annual Meeting Research and Quality Miniprograms

Patient Safety and Quality Improvement Miniprogram Presenters: David R. Nielsen, MD; Robert The Patient Safety and Quality Improvement (PSQI) miniprogram is developed Miller, MD; and Kylanne Green under the guidance of David W. Roberson, MD, and Rahul K. Shah, MD, co- chairs of the AAO-HNS PSQI Committee. Tonsillectomy Disasters This year’s program will include a session on the Leadership View of PSQI. Our 10:00 am–10:50 am membership must be prepared as payers, government, consumers, and medical/ Moderator: Michael J. Brenner, MD surgical boards increase their demand for documentation that we are measuring per- Presenters: Lee D. Eisenberg, MD, MPH, formance and taking steps to make improvement when necessary. This miniprogram and Reginald F. Baugh, MD will include sessions focused on making patient safety a national priority, advancing programs that support clinicians and patients, and current projects of the PSQI Zones of Risk in Facial Plastics Committee, including injuries in sinus surgery and tonsillectomy disasters. Surgery: Where Errors Do and Can Occur for the Plastic Surgeon Monday, September 10 Presenters: Ryan K. Sewell, MD; Giri 11:00 am–11:50 am 8:00 am–11:50 am Venkatraman, MD; and Subinoy Das, MD Moderator: Matthew A. Kienstra, MD Presenters: Brian Nussenbaum, MD Injuries in Sinus Surgery Leadership View of PSQI 8:00 am –8:50 am 9:00 am–9:50 am Moderator: David W. Roberson, MD Moderator: Rahul K. Shah, MD

Basic and Translational Miniprogram Novel Sleep Apnea Surgical Sleep Apnea–From Bench to Bedside and Beyond Treatments Developed under the guidance of Edward M. Weaver, MD, MPH, and his 9:30 am–10:20 am co-chairs Scott E. Brietzke, MD, MPH, and Pell Ann Wardrop, MD. This Moderator: Scott E. Brietzke, MD, MPH program was developed in collaboration with the AAO-HNS/F OREBM and Sleep Presenters: Erica R Thaler, MD; Eric J. Medicine Committees. The goal of the miniprogram is to start at the basic science Kezirian, MD, MPH; and B. Tucker level of a disease, walk through the steps of how this produces disease, and then Woodson, MD review the strategies to treat the disease that are currently in development. In 2008 the focus was Otology, 2009 Rhinology, 2010 Facial Plastics, and 2011 Pediatrics. Sleep Surgery Treatment Outcomes and Policy Tuesday, September 11 Moderator: Edward M. Weaver, MD, 10:30 am–11:50 am 8:00 am–11:50 am MPH Moderator: Pell Ann Wardrop, MD Presenters: Atul Malhotra, MD; Danielle K Presenters: Ofer Jacobowitz, MD, PhD; Obstructive Sleep Apnea Friberg, MD; and Nelson B. Powell, DDS, Edward M. Weaver, MD, MPH; and Pathophysiology MD Jonathan R. Skirko, MD 8:00 am–9:20 am

AAO-HNS BulletiN ||||||||||||||| April 2012 39 regulatory advocacy & business of medicine

Reach Patients Anywhere, Anytime, on Any Device with Mobile Websites

eople are now accessing the the urgency for physicians to launch Web access is moving to mobile at an Internet from multiple devices and their own mobile presence so they can incredible pace, and not having a mobile plocations. Whether you’re in the be available to patients anywhere and version of your website is going to hin- comfort of your home, at the office, or anytime. der your practice growth. If there is one walking through the grocery store, you Optimizing your practice website to marketing entity your practice should can connect to the web from virtually any a mobile version is a complex process focus on in 2012 it’s mobile. Don’t place, at any time. that involves decreasing image size, miss out on an amazing opportunity to Mobile is the preferred channel of improving performance speed, and rec- expand the breadth and depth of your engagement for a fast-growing number reating the look and feel of your website marketing reach to a growing number of of on-the-go patients. Since 2010, to a mobile-compatible format that patients who use their smartphones for mobile searches have grown by four integrates seamlessly with your existing everything. times. In fact, after 5 pm more people site. It’s about making all of those great Academy Advantage Partner Officite perform Google searches on their smart- features and functions available on offers premium practice websites and phones than on their desktop comput- your full website, such as your office online marketing solutions, includ- ers, and by 2013 mobile phones will directions and appointment requesting, ing local search engine optimization, overtake PCs as the most common web accessible on a patient’s smaller mobile pay-per-click advertising, blog manage- access devices worldwide. There will be device. Medical website and Internet ment, social networking, reputation one mobile device for every person on marketing companies can help you management, and new mobile websites earth by 2015. It’s safe to say the future quickly create a mobile version of your at a special member rate. To learn more, of local online search is going mobile, site that will make it faster and easier visit www.websitesforents.com or call and as the number of people relying on for your patients to browse your site 1-877-889-4042. b their mobile devices increases, so does given the minimal screen size.

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MIPPA Accreditation Requirements for Providers of Advanced Diagnostic Imaging Take Effect: How Do Otolaryngologists Rate?

Gavin Setzen, MD requirements. In fact, in 2011 ICACTL Jenna Minton, Esq. received the most applications ever in its history in a single year (311) and of The benefits to point-of-care eginning January 1, 2012, the those, the majority (71 percent) were imaging are extensive. Patient accreditation requirements outlined from otolaryngology practices! The Bin the 2008 Medicare Improvement Academy applauds the membership convenience means prompt for Patients and Providers Act (MIPPA) for this wonderful achievement and is diagnosis and treatment, and took effect. This legislation requires pleased that our membership is leading that all nonhospital-based providers of the way to achieve the highest qual- fewer trips to a medical center the technical component of advanced ity of care in their practices. Likewise, or doctor’s office. diagnostic imaging procedures (nuclear we encourage those who are not yet medicine, CT, and MR) obtain accredi- accredited to contact one of the approved tation from one of three accrediting accreditation organizations listed above bodies in order to be reimbursed for to begin the accreditation process imme- these services by Medicare. The three diately. Additional information can be prompt diagnosis and treatment, and accreditation organizations approved by found on their websites: fewer trips to a medical center or doc- the Centers for Medicare & Medicaid N Intersocietal Accreditation tor’s office. This results in lower costs Services (CMS) are the Intersocietal Commission to the patient and the health plan. In Accreditation Commission (IAC), the http://www.icactl.org/icactl/index.htm addition, office-based imaging provides Joint Commission, and the American N The Joint Commission significantly less time away from work College of Radiology. http://www.jointcommission.org/ for the patient. Time away from work Providers who were enrolled in accreditation/accreditation_main.aspx reduces employee productivity, which, Medicare prior to January 1, 2012, N The American College of Radiology in turn, negatively affects their employ- that have not obtained accreditation by http://www.acr.org/accreditation.aspx ers, often the very entity responsible for January 1 will begin seeing claims denied premium payments. this month. CMS, along with the accredi- Accreditation Important for Further, accreditation helps to ensure tation organizations and Congress, have Your Patients, Practice standardization of CT imaging with been troubleshooting ways to avoid unin- In support of the ongoing accredita- a strong focus on quality and patient tended consequences to new Medicare tion efforts by practices, as chair of safety, including avoiding unnecessary providers who join the Medicare program the AAO-HNS Imaging Committee, I CT testing, recommending steps to after the January 1, 2012, start date, have articulated the critical importance eliminate avoidable exposure to radia- recognizing it will take them time to of becoming accredited. Specifically, tion, and using dose-reduction protocols, obtain the necessary accreditation as a during the past several years point-of- in promoting the principle of “as low as new Medicare provider. The Academy care imaging has grown in response to reasonably achievable” (ALARA), an will continue to monitor any policy such factors as patient convenience, the important contemporary principle in CT changes that would impact new providers availability of prompt clinical diagnosis imaging. entering the field and apprise members of and treatment, and low radiation CT The Academy urges any members any changes. imaging equipment suitable for an office who have already obtained accreditation setting. As such, the Academy strongly to email the health policy department Otolaryngologists Receive High believes in the provision of high quality at [email protected] in the event Marks comprehensive care to otolaryngology they encounter claims processing issues The Academy views the accreditation patients and maintains that point-of- or denial of payment due to processing process as an important initiative and care imaging represents a modality of errors linked to the designation of their recently reached out to the IAC’s accred- service that is in line with the Institute accreditation status on the Medicare iting organization for CT procedures, of Medicine’s six dimensions of high claims form. In addition, we encour- ICACTL, to see how our membership quality care: care that is safe, timely, age members to get more involved and was responding to these new require- effective, efficient, equitable, and participate in the in-person meeting ments. ICACTL reported that otolaryn- patient-centered. of the Imaging Committee this fall gologists have been extremely proactive The benefits to point-of-care imaging during the annual meeting September in in meeting the 2012 accreditation are extensive. Patient convenience means Washington, DC. b

42 AAO-HNS BulletiN ||||||||||||||| April 2012 | www.entnet.org/advantage

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AAO-HNS Seeks Mark Your Calendars: Health Policy Education Coordinator for Opportunities at 2012 Annual Meeting

Practice Affairs uring the 2012 AAO-HNSF Annual Committee (RUC) processes and how A search is underway for the Coordinator Meeting & OTO EXPO September Academy members can participate; coding for Practice Affairs (CPA). This position D9-12, in Washington, DC, the and reimbursement for new technology; (a non-voting member of the Academy Physician Payment Policy (3P) Workgroup dealing with payer policies across the spec- Board of Directors) coordinates the and AAO-HNS Health Policy team will trum (individual to the Academy and new practice affairs efforts of the Academy. present three miniseminars for attendees. public and private payment models [e.g., This position is responsible for developing and maintaining programs that support These miniseminars are essential for Accountable Care Organizations (ACOs), and provide practice management related any member, so remember to mark your quality initiatives]); and the importance of answers to health policy issues. The calendars. the future of quality and payment initia- Coordinator will spearhead collaborative tives. Shared strategies will discuss how efforts with other specialty societies on CMS’ Contractor Advisory members can become actively involved priority payer reimbursement issues. Committee (CAC) Miniseminar to make a difference for our specialty. The Academy is dedicated to ensuring Attendees of this miniseminar will learn Specifi c areas of responsibility include: its members are well versed on Medicare current healthcare reform initiatives, new g Private sector advocacy in third party reimbursement. payment policies and the importance of payment models, and Academy efforts on g Publication of the the Medicare ENT Contractor Advisory Capitol Hill; understand Academy interac- Socioeconomic Survey. Committee network. This CAC minisemi- tion with the AMA’s CPT Editorial Panel g Providing input on any related nar will provide members with an inside and Relative Value Update Committee; and educational programs for the look from CAC Medical Directors at the examine Academy strategies for interaction Annual Meeting. administration of Medicare, including with public and private payers, and effective g And other practice management national and local coverage determina- membership involvement. related issues identifi ed by the tions, denials, and Recovery Audit Health Policy Department. Contractors (RAC), and how CACs serve ICD-9 Transition Hurdles to In addition, the Coordinator is responsible as a means of communication between ICD-10 Diagnostic Coding for publishing periodic practice management physicians, societies, and the contractors. This presentation will assist the ENT articles for the Academy Bulletin. The The session is designed to teach members physician in determining the influence Coordinator will work closely with the about the CAC and how to ensure a posi- ICD-10 will have on their practice and Coordinators for Socioeconomic Affairs to tive experience working with the CACs. other healthcare providers, and present a ensure high quality programs for delivery to This timely and important miniseminar timeline of essential activities for suc- both the Board of Governors and Board of Directors. The Coordinator will act as BOG will provide members with an understand- cessful implementation. This session will Liaison to the Carrier Relations Committee, ing of the role CACs play and how they delve into what physicians should expect and the Residents and Fellows Committee. function, and examine the best ways to to prepare for during implementation This is a fi ve-year commitment as the communicate with contractors. Attendees processes. This is the largest change to candidate will spend a year shadowing will learn about the RAC process and how the healthcare system in our history and the current Coordinator and four years members can prepare for, and properly careful planning will be necessary in order in the position. The CPA also serves handle, audits. to successfully implement both ICD-10 as co-chair of the Physician Payment and 5010. We will also explore common Policy Work Group (3P). Finalists will be interviewed in Alexandria at the Board of Academy Advocacy for Physician implementation hurdles, outlining why it Governors Spring Meeting, Saturday, May 5, Payment: 2012 is important to get started now and how 2012; or a teleconference may be possible Many years of declining reimbursement clinical documentation issues will impact later in May. now threaten the viability of physician physicians. In addition, we will review For more specifi c information practices across specialties and practice the most commonly billed ENT ICD-9 regarding the job description and settings. This miniseminar will outline diagnosis codes and what they will look responsibilities visit www.entnet.org/ the Academy’s efforts, specifically the like in ICD-10-CM. AboutUs/boardsof Directors.cfm. Physician Payment Policy Work Group (3P), These and other miniseminars presented Interested candidates should submit a to advocate for fair reimbursement for its at the annual meeting will educate mem- CV and cover letter to Jenna Kappel at Empowering physicians to deliver the best patient care members in increasingly challenging public bers on issues that affect everything from [email protected] by April 30, 2012. and private payer environments. Topics their practice to the entire specialty. For include updates on government healthcare more information on these and other semi- reform; the Current Procedural Terminology nars, visit the Academy’s annual meeting (CPT) and Relative Value Update website at www.entannualmeeting.org. Empowering physicians to deliver the best patient care b

44 AAO-HNS BulletiN ||||||||||||||| April 2012 regulatory advocacy & business of medicine

Managing Your Practice in Challenging Times

Richard W. Waguespack, MD detail. All physicians agree that it is impor- your know-how. You will leave smarter so Brendan C. Stack Jr., MD tant to optimize revenue and minimize “working harder” is a choice, not a business Co-chairs, Core Otolaryngology and expense. But are you confident that you are necessity. Practice Management Education doing just that in your practice? More than Additional courses this year include: Committee 25 expense reduction tips will be presented. Chicago, IL, April 27-28; Nashville, TN, The Saturday session, “Mastering ENT August 17-18; Baltimore, MD, September or a practicing physician, keeping up- Coding,” will help you take a comprehen- 21-22; Costa Mesa, CA, October 26-27; and to-date is a challenge in today’s mar- sive look at how to code the full array of Chicago, IL, Nov. 16-17. For more informa- Fketplace. The AAO-HNSF-sponsored ENT services. You will leave with a solid tion, visit http://www.entnet.org/conferenc- Coding and Reimbursement Workshops understanding of what modifiers to use, esandevents/codingworkshops.cfm. are designed to show you the “must have” what code combinations to appeal when Enroll three or more people and save 10 information you need in order to stay denied, and more. percent on paid registrations. Save even organized and on track. By attending one more when you put everything you learn to of these Friday-Saturday workshops, you What’s New in Coding in 2012? work in your practice. If the physician is an will be better prepared to understand the Interestingly, many workshop attendees AAO-HNSF member, all practice employ- important practice management issues you find the most useful information isn’t ees may attend at the member rate. Sign will face in 2012. necessarily new. For example, at least up today for education that will keep your These workshops, presented by Karen five practices learned at the most recent practice on the leading edge. b Zupko and Associates, will assist you in workshop that they were incorrectly billing increasing revenue, decreasing your practice audiology services to Medicare under the expenses, and reducing your audit risk. You physician’s name. What Attendees Say about will learn specific actions to better manage Another identified item is the revised the AAO-HNSF Coding your practice by attending a Coding and CPT code 69801 (Labyrinthotomy, with and Reimbursement Reimbursement Workshop this year. perfusion of vestibuloactive drug(s); trans- Workshops: Through the Friday session, “Profitable canal)—you are probably already familiar “the workshops were very infor- Practice Management,” you will learn how with the descriptor revision that occurred mative and easy to follow; they to optimize the business operations of your in 2011. But did you know that Medicare also provided great reference practice at every level. You will leave the changed the postoperative global period materials.” course with a clear plan on how to reduce for this code to zero days? And, the relative expenses, optimize business operations, and value units (RVUs) were reduced as well, “this year’s workshop was ‘spot- improve profitability. so consider reducing your fee accordingly. on,’ addressing smaller practices Medicare Recovery Audit Contractor and their struggle to survive.” Office Staff Issues? (RAC) audits are common in otolaryngology. “i always feel these workshops The recruitment of new office staff Use and misuse of modifiers 24, 25, and 57 are rejuvenating and inspiring members is a time-consuming and chal- are triggering record reviews and paybacks. where i always learn new infor- lenging process. Make sure you recruit the Use of high-level E&M codes, such as mation or a new way of looking right staff to do the right job at the right 99204, 99205, 99214, and 99215, are also at an existing problem.” time in the revenue cycle process. The audit targets. There often is not a medi- “the workshops provided very revenue cycle process and necessary tasks cal need for these high level codes. One useful tips and the interactions are more complex than ever these days. Medicare carrier has even noted the pres- with other attendees is very Using automation and technology to its ence of much “clinically useless informa- helpful.” fullest can help you and your staff become tion” in its review of these high-level codes. more efficient. AAO-HNSF offers you an excellent “i get enough ideas from the opportunity to master the nuances of course every year to pay for it in the first month after I return to improving your practice management Working Harder, Earning Less? the office.” Monitoring your practice’s financial through these eight regional coding and health need not be a full-time job. Running reimbursement workshops taking place “these workshops are always reports, analyzing the results, and opera- throughout the year. The workshops useful and help our practice to tionalizing necessary corrective actions are help you run better business systems and increase revenue and decrease all part of practice management. The Friday provide a comprehensive look at coding coding errors. the course more workshop simplifies the financial indicators the full array of ENT services. Join us than pays for itself.” a busy otolaryngologist needs to review in for fast-paced education that improves

AAO-HNS BulletiN ||||||||||||||| April 2012 45 our community

2012 G-I-N Conference Scholars, G-I-N North America

he AAO-HNSF is pleased to development, adapta- as assistant chair if he or she announce it will sponsor four tion, and implementa- has prior guideline experience. tmembers ($1,500 each) to attend tion. Key themes for Recipients are also expected the annual Guidelines International the G-I-N NA confer- to submit a commentary Network (G-I-N) North America (NA) ence include: to Otolaryngology–Head Conference December 10-11 in New N From bench and Neck Surgery on any York, NY. G-I-N aims to encourage to trench: how aspect of the guideline (e.g. partnerships and foster work in the evidence and development, dissemination, guidelines community, thus support- guidelines shape adaptation, implementation, ing evidence-based healthcare and healthcare policy etc.) within three months of improved health outcomes throughout N What makes a clini- publication of the clinical the world. The theme of the 2012 G-I-N cal practice guideline trustworthy? practice guideline. NA Conference is “Evidence Based N Managing the message: advocates, the Please note that residents are not eli- Guidelines Affecting Policy, Practice, media, and guideline dissemination gible, and applicants must be members and Stakeholders (GAPPS): Promoting N Making it happen: adapting, imple- of the Academy. To access the G-I-N Constructive Dialogue in Guideline menting, and tracking Conference Scholars application, visit Development, Dissemination, and http://www.entnet.org/community/G- Implementation.” Application and Requirements I-N_scholoars.cfm. In addition to plenary sessions, In exchange for receiving a G-I-N The deadline for applications is June conference attendees will have access to travel grant, recipients must agree to 1. For questions about becoming an workshops and breakout sessions, pro- serve on an upcoming AAO-HNS clini- AAO-HNSF G-I-N Scholar, please con- viding additional skills and knowledge cal practice guideline panel. Recipients tact Stephanie Jones at sljones@entnet. to deepen understanding of guideline may serve as either a panel member or org or 1-703-535-3747. b

| www.karenzupko.com

Take Your Practice to the Next Level!

2012 CODING AND REIMBURSEMENT WORKSHOPS DESIGNED FOR THE Attend a 2012 AAO-HNSF Coding Workshop OTOLARYNGOLGY PRACTICE * Dates and Locations— Attend One of Our Upcoming Workshops! J Proﬁ table Practice April 27-28 August 17-18 September 21-22 Management Chicago, IL Nashville, TN Baltimore, MD Wyndham Chicago Hilton Nashville Downtown Wyndham Baltimore Peabody Court J Mastering October 26-27 November 16-17 ENT Coding Costa Mesa, CA Chicago, IL Westin South Coast Plaza Wyndham Chicago

Empowering otolaryngologist—head and neck surgeons to deliver the best patient care 1650 Diagonal Road, Alexandria, Virginia 22314-2857 U.S.A. To register call 1-312-642-8310 or visit www.karenzupko.com

46 AAO-HNS BulletiN ||||||||||||||| April 2012 our community

Thyroid Outreach to Kenya

Ryan K. Meacham, MD 70 orphan boys and girls. They have a thyroglossal duct cyst, and surgery University of Tennessee Health Science constructed a medical clinic complete was modified accordingly. We had an Center, Memphis, TN with exam rooms (including otologic ultrasound machine with an endolumi- microscopes), a pharmacy, and three nal probe that we used to evaluate each n October 2011, I had the fortunate operating rooms. To learn more, visit thyroid goiter and determine, along privilege to be part of a surgical www.kenyarelief.org. with mirror laryngoscopy, the pre-op iteam that traveled to Migori, Kenya, Our team saw more than 1,000 mobility of vocal cords. to provide much-needed humanitarian patients in three days. There was a Although it is highly rewarding to medical care. Our team of 20 provid- preponderance of chronic otitis media participate in a medical mission and and there remains a vast see lives that are forever blessed, it is need for future surgeons equally humbling and disappointing to to perform tympano- realize one’s limitations to help others. mastoidectomies. Our A rural mother brought her 2-year-old group performed about child into our clinic with a massive 30 operations, mostly facial tumor involving the soft tis- subtotal thyroidectomies sues of the upper lip, nose, and malar for goiter patients in this regions. This tumor had been growing iodine-deficient setting. for more than a year, but because of Without resources such as their remoteness, she had previously not T4/TSH, FNA, CT scans, been seen by any healthcare provider. post-op calcium, and Knowing we could not offer her the intra-op nerve monitoring, proper diagnostic workup, extensive it required judicious opera- surgical resection and reconstruction, tive planning. and prosthodontic care she would likely One goiter patient who need post-operatively, we could not was mildly tachycardic provide anything more than some funds Drs. Meacham (left) and Caruana with a pre-operative was empirically placed on for bus passage to Nairobi to be evalu- endemic goiter patient. propranolol and her case ated there. was delayed until it could Both challenging and gratifying, ers included otolaryngologists, nurse be safely performed. Another patient operating in Kenya was something I anesthetists, nurse practitioners, nurses, who was initially thought to have a goi- will never forget. I hope it will be the and a dietitian. The surgeons were head ter was found intra-operatively to have first of many such trips. b and neck surgeons Merry E. Sebelik, MD, University of Tennessee; Bruce H. Campbell, MD, Medical College of Wisconsin; Amy Y. Chen, MD, MPH, Emory; Salvatore M. Caruana, MD, Columbia-Cornell; Kelly M. Malloy, MD, University of Pennsylvania; and myself, PGY III resident, University of Tennessee. Our host organization was Kenya Relief, established in 2003 by Steve James, a CRNA from Cullman, AL. He spearheaded Kenya Relief after grieving the unexpected loss of his daughter, who had sponsored a child in Kenya throughout her high school years. During the last eight years, Kenya Relief has built a full-time orphan- age with an accompanying school, library, water well, and dormitories for in the operating room, Drs. Campbell (left), Sebelik, Chen, Malloy, Caruana, and Meacham.

AAO-HNS BulletiN ||||||||||||||| April 2012 47 our community

Providing Hope 4,000 Miles Away

Philip C. Chen, MD comprising Quechan Indians, Bolivians, University of Virginia resident and Mennonites. and travel grantee Each spring, Charles W. Gross, MD, leads a team of otolaryngologists tolaryngology residents learn who donate their services to further the a tremendous amount of humanitarian and faith-based cause of Omedical knowledge in five years. the Mission. This mission also included Hopefully, they also learn how to be Academy members William E. Gross, more patient, compassionate, and car- MD, and David C. Shonka Jr., MD, ing. After all, human interaction is the and resident Daniel A. Barker, MD. I primary factor differentiating medicine returned from my first trip with a new from basic science. Whether it is a humility and even greater desire to help specific patient or rotation, experiences the indigent. throughout residency help shape one’s With intense enthusiasm for the work Dr. Chen with a taxi driver suffering from years of recurrent respiratory papillomato- eventual practice. My two mission trips of the mission, I asked friends and sis with significant airway difficulties that to Bolivia are experiences that played family to donate to the organization and prevented him from working. potent roles in my personal and profes- used social media to foster encourage- sional development. ment and dialogue among those with including cleft palate and microtia repair, I traveled to Santa Cruz, Bolivia’s larg- similar humanitarian visions. As a junior stapedectomy, tympanoplasty, sinus est city with a population of more than member on the team, I followed the lead surgery, traumatic rhinoplasty, and exci- 1 million people, many of whom live in of others. sions of complex head and neck tumors. utter poverty on $3 a day. The founder However, on my second trip I assumed It was deeply moving during my second of Misión de Esperanza, Cindy Thacker, a leadership role with increased respon- trip when patients from prior years became acquainted with the country that sibilities in surgery and overseeing post- traveled significant distances to greet us is third in the Western hemisphere on operative care and discharge planning. and express how well they have done the Failed States Index after adopting Since resources were so limited, the since surgery. There is no greater gift or three Bolivian children. In 2000, she challenges associated with these respon- payment than their gratitude. Throughout founded Mission of Hope, Bolivia, to sibilities were amplified. my training, I welcomed the day when I provide free medical care. The hospital During my two trips, the group could use my education to help those in treats about 500 patients each week performed more than 125 surgeries, need. Seeing my efforts produce fruit was powerful and inspiring. The media is inundated with stories pertaining to selfish ambition, conflict, and disarray. Organizations like Mission of Hope, Bolivia, however, vividly and emphatically display the strength and beauty of the human spirit. I am profoundly grateful to the AAO- HNSF Humanitarian Efforts Committee and the Alcon Foundation for supporting my efforts in this noble cause. It is heart- warming to know that we are not only competent physicians in otolaryngology– head and neck surgery, but also people who truly care about the well-being of our patients, communities, and world. To learn more about Mission of Hope, Bolivia, contact Executive Director Cindy Thacker by calling 1-434-977- 4748 or emailing [email protected]. b recovering patients and their families are entertained

48 AAO-HNS BulletiN ||||||||||||||| April 2012 our community

Cleft Mission to Phalodi, India AAO-HNS Seeks Coordinator for Scott R. Chaiet, MD Children (MMFC), which provided cleft University of Wisconsin Hospital repair for five missions. Socioeconomic and Clinics, Resident Humanitarian Thanks to the generous travel grant funded Affairs travel grantee by the Alcon Foundation, I joined MMFC A search is underway for the Coordinator in January 2012. It is difficult to capture my for Socioeconomic Affairs (CSA). here once was a woman named feelings of gratitude, respect, and admiration This position (a non-voting member of the Kanti Jain, who grew up near for these two women and their extended Academy Board of Directors) coordinates tPhalodi, Rajasthan, a poor state in family during a truly amazing week. the socioeconomic efforts of the Academy. northwest India. She was granted a chance As a resident, I gained two mentors who This position is responsible for developing to attend medical school in the United gave me 24/7 access to their knowledge of and maintaining programs that support and States with her best friend, Shareen, and surgical skills and humanitarian aid during provide socioeconomic answers to health they established prosperous careers at our 35 cleft lip and palate procedures. policy issues and assists our members with Memorial Sloan Kettering. Farhad Sigari, MD, MS, selflessly gives the socioeconomics of medicine. In a selfless move, they gave up their up multiple weeks a year from his new Specifi c areas of responsibility include: careers to take over a small Phalodi clinic. solo otolaryngology practice for MMFC g Private sector advocacy in third The clinic evolved into the Human Benefit missions. Merry E. Sebelik, MD, head party reimbursement. Services Hospital with a dormitory to and neck surgeon at the University of g Coordinating the Academy’s efforts house poor families, and a school for local Tennessee, Memphis, renewed my passion to infl uence the CPT coding and RVS poor children. for teaching, leadership, and humanitari- systems through work with the Kanti established job training to anism, and inspired me to make many Academy’s Members and Advisors empower local women, a dialysis center, more trips. on the AMA’s CPT Editorial Panel, and a rural mobile vaccination unit that Seven other MMFC team members cre- the Relative Value Update Committee (RUC), and the RUC’s Practice now administers 100,000 vaccines a year. ated a lean, mean patient-care machine in Expense Review Committee (PERC). For the last six years, she has partnered a remarkable week that centered on patient with Boston-based Medical Missions for care … and masala chai tea. b Specifi c attention is given to Medicare physician payment policy as it affects the specialty of ORL-HNS. The CSA is responsible for serving as Board liaison to selected Academy committees. The CSA works closely with the Government Affairs Business Unit and Health Policy department to achieve these directives. This is a fi ve- year commitment as the candidate will spend a year shadowing the current Coordinator and four years in the position. The CSA also serves as co-chair of the Physician Payment Policy Work Group (3P). Candidates should have both experience and passion for these areas, and a visionary approach to ensure that the socioeconomic interests of members are well-served. Finalists will be interviewed in Alexandria at the Board of Governors Spring Meeting May 6-7, 2012. For more information visit www.entnet.org/AboutUs/boardsof Directors.cfm.Interested candidates should submit a CV and cover letter to Jean Brereton at [email protected] physicians to deliver the bestby patientApril car 30,e 2012.

Named after the lucky Hindu elephant, Ganesh had a double-clefted smile that captured our hearts. We hung a stuffed elephant from the anesthesia machine. the day before Ganesh’s operation, we closed the palate of his adorable sister, whose lip was repaired a year ago. Empowering physicians to deliver the best patient care

AAO-HNS BulletiN ||||||||||||||| April 2012 49 academy news

Docs Pro plugs BW page 50

$$2+16%8//(7,1______'(&(0%(5 classifieds: courses & meetings

| www.entnet.org/getinvolved Get Involved with AAO-HNS/F

Learn More! With membership comes many rewarding ways to engage with your colleagues through the Academy and its Foundation. Members can select opportunities based on schedules, Visit our website at interests, and priorities. www.entnet.org/getinvolved for a full list of opportunities. Below are just a few ways to start getting involved: J Education and Clinical Committees J Leadership Development Opportunities Contact us any time Toll-free 1-877-722-6467 (U.S. and Canada); J Component Relations Activities J Submissions to the Otolaryngology – 1-703-836-4444 (international); J Board of Governors (BOG) Head and Neck Surgery, the scientiﬁ c journal or [email protected]. J Sections for Residents and as well as the Academy’s monthly news Fellows-in-Training (SRF) magazine, the Bulletin. J Women in Otolaryngology (WIO)

Empowering otolaryngologist—head and neck surgeons to deliver the best patient care 1650 Diagonal Road, Alexandria, Virginia 22314-2857 U.S.A.

Mark Your Calendar! SECOND BIENNIAL Advanced Techniques in Endoscopic Management of Sinonasal Disorders November 1-3, 2012 - St. Petersburg, Florida Course Director: Donald C. Lanza, MD, MS

Guests of Honor Distinguished Faculty David W. Kennedy, MD 3HWH6%DWUD0' -RKQ:6OHDVPDQ0' Rodney P. Lusk, MD 6DPHU)DNKUL0' (OLQD7RVNDOD0'3K' Heinz Stammberger, MD -DPHV$+DGOH\0' 'DYLG(7XQNHO0' S. James Zinreich, MD 5LFKDUG52UODQGL0' (XJHQLD09LQLQJ0' %UHQW$6HQLRU0' Program Highlights /HFWXUHRQO\2SWLRQ 3HGLDWULF)(66 /DE6WDWLRQ:LWK,PDJH*XLGDQFH +DQGVRQ%DOORRQ'LODWLRQ 0DQDJHPHQWRI&RPSOLFDWLRQVRI6LQXV'LVHDVH6XUJHU\ &RPSUHKHQVLYH)URQWDO6LQXV6XUJHU\ 6NXOO%DVH&KDOOHQJHV

%& To register: (866) 603-6161 7KLVDFWLYLW\KDVEHHQSODQQHGDQGLPSOHPHQWHGLQDFFRUGDQFHZLWKWKH(VVHQWLDOV$UHDVDQG3ROLFLHVRIWKH$FFUHGLWDWLRQ&RXQFLOIRU&RQWLQXLQJ0HGLFDO(GXFDWLRQWKURXJKWKHMRLQWVSRQVRUVKLS RI6W$QWKRQ\·V+RVSLWDODQG7KH6LQXVDQG1DVDO,QVWLWXWHRI)ORULGD6W$QWKRQ\·V+RVSLWDOLVDFFUHGLWHGE\WKH)ORULGD0HGLFDO$VVRFLDWLRQWRSURYLGHFRQWLQXLQJPHGLFDOHGXFDWLRQIRUSK\VLFLDQV 6W$QWKRQ\·V+RVSLWDOGHVLJQDWHVWKLV/LYH$FWLYLW\IRUDPD[LPXPRI$0$35$&DWHJRU\&UHGLW V ™3K\VLFLDQVVKRXOGFODLPRQO\WKHFUHGLWFRPPHQVXUDWHZLWKWKHH[WHQWRIWKHLUSDUWLFLSDWLRQLQWKHDFWLYLW\

AAO-HNS BulletiN ||||||||||||||| April 2012 51 classifieds: employment

Otolaryngology Opportunity with Established Practice Missouri Baptist Medical Center and BJC Medical Group are seeking a BC/BE Otolaryngologist to join Drs. Barry Rosenblum and Robert O’Bert. You will receive an attractive salary plus have the option for bonus, pension, deferred compensation, CME reimbursement and relocation assistance. Our comprehensive benefi ts also provide malpractice coverage including the tail. BJC Medical Group is a dynamic group of providers delivering services to residents in the St. Louis metropolitan region, Illinois and mid-Missouri, and we are part of BJC HealthCare, one of the largest nonprofi t health care delivery organizations in the country. We value physician autonomy and encourage active participation in this physician-led organization as you work to build your practice and uphold the BJC standards of excellence. BJC Medical Group is an Equal Opportunity Employer. BJC Medical Group physicians have access to the latest medical technologies, electronic health care record system, dedicated HR support, centralized billing offi ce and a well-established network of referrals. Missouri Baptist Medical Center is a 489-bed acute care hospital with more than 1,300 staff physicians and more than 2,700 employees providing access to leading specialists and the most advanced medical technology. Known for our commitment to extraordinary and compassionate care, we are a leader in open heart surgery, operate a nationally recognized cancer-care program and off er comprehensive orthopedic, gastrointestinal and women’s health services. Missouri Baptist Medical Center has received numerous awards and honors for exemplary service and performance. For the third consecutive year, Missouri Baptist Medical Center has been ranked one of the nation’s “100 Top Hospitals” by Thomson Reuters as part of it’s annual study. Missouri Baptist was the only St. Louis hospital to receive this award. Forbes calls Missouri Baptist Medical Center one of “America’s Safest Hospitals”. In 2011, Missouri Baptist Medical Center has earned The Joint Commission’s Gold Seal of Approval™ for certifi cation as a Primary Stroke Center. Missouri Baptist Medical Center received the highest level of Chest Pain Center Accreditation from the Society of Chest Pain Centers in 2010. The Breast Health Care Center at Missouri Baptist was granted a three year/full accreditation designation by the National Accreditation Program of Breast Center (NAPBC). For two consecutive years, HealthGrades has ranked Missouri Baptist No.1 overall in Cardiac programs and bestowed on them the 2010 Coronary Intervention Excellence Award. Known as the Gateway to the West, St. Louis is a city rich in history and one that continues to reinvent itself. From its roots as a fur trading post and bustling river port, St. Louis and its’ surrounding suburbs has become home to some of the nation’s largest publicly and privately-held corporations. Take advantage of all the amenities this outstanding community has to off er including, three professional sports teams (baseball Cardinals, football Rams and hockey Blues), the Gateway Arch and world famous St. Louis Zoo, outdoor Muny Opera and St. Louis Symphony. You will also enjoy fi ne dining and world-class shopping. St. Louis ranks 7th in the country as headquarters location for Fortune 500 companies and boasts the 6th lowest cost of living among major metro areas. Home to prestigious universities such as Washington University, excellent suburban school systems and over 300 of the fi nest private schools in the nation, St. Louis is an exceptional place to raise a family. For more information, please contact: Cheryl DeVita 800-678-7858 x63448 | [email protected]

BJC Medical Group is an Equal Opportunity Employer. ID#136169OT

Find BJC Medical Group on Twitter and Facebook BJCMGPhysicians.org

52 AAO-HNS BulletiN ||||||||||||||| April 2012 classifieds: employment

The University of Chicago Department of Surgery, Section of Otolaryngology-Head and Neck Surgery is seeking a full-time Neuro-Otologist.

Responsibilities will include patient care, research, and teaching. Prior to the start of employment, quali ed candidates must: (1) be board certi ed/eligible in Otolaryngology; (2) have completed a fellowship in neuro- otology or equivalent training; and (3) obtain active Illinois licensure. Board eligibility/ certi cation in neuro-otology or equivalent clinical experience preferred. Compensation is dependent upon quali cations and includes a generous package of fringe bene ts. Start up funds may be negotiated for development of research interests.

Quali ed applicants must apply online to the University of Chicago Academic Career Opportunities site at http://tinyurl.com/6z9ut65 by uploading a current Curriculum Vitae.

Division Chief, Pediatric Otolaryngology - Head and Neck Surgery Nemours Children’s Clinic, Jacksonville, FL

We are seeking candidates for this full-time position who possess strong leadership and interpersonal skills and who demonstrate collaborative communication. The candidate should have a strong record in pediatric clinical care and education, as well as the ability to shape annual divisional objectives and plans and to manage the support of these goals. The division currently consists of 6 full-time fellowship-trained physicians, 5 audiologists, 4 speech pathologists and 1 Ph.D. researcher within a 70+ physician pediatric subspecialty practice. Complete ancillary services are available on-site. The practice is 100% pediatric case mix and serves children from Southeast Georgia and Northeast Florida. An opportunity for an academic appointment to the Mayo Clinic College of Medicine is available. Nemours offers a competitive salary and a full array of beneﬁts.

Jacksonville is on the northeast coast of Florida. It is bordered by the Atlantic Ocean, and the St. Johns River travels through the city, offering wonderful water views. We have wonderful weather all year-round, allowing outdoor activities and water sports to be enjoyed during personal time.

For further information, please contact: Gary D. Josephson, M.D., Ofﬁce: 904-390-3690, Cell: 904-226-1231 or [email protected]. Nemours Children’s Clinic, 807 Children’s Way, Jacksonville, FL 32207

Nemours, an Equal Opportunity Employer, is one of the nation’s largest pediatric subspecialty practices operating the Nemours Children’s Clinics throughout Florida and Delaware and the Alfred I. duPont Hospital for © 2012. The Nemours Foundation. Nemours is a registered trademark of the Nemours Foundation. Children in Wilmington, DE.

AAO-HNS BulletiN ||||||||||||||| April 2012 53 classifieds: employment

The Steven & Alexandra Cohen Children’s Affiliated Teaching Hospital of New York Medical Center of New York Medical College Department of Otolaryngology, North Shore-Long Island Jewish Health System

Pediatric Otolaryngologist Opportunity The Division of Pediatric Otolaryngology at the Steven Available for & Alexandra Cohen Children’s Medical Center of NY is Pediatric Otolaryngologist seeking a board certi ed, fellowship trained Pediatric Otolaryngologist to join our full-time academic faculty. The Department of Otolaryngology/Head & Neck Surgery at The Children’s Medical Center system is the largest The New York Eye and Ear Infirmary has a position available provider of pediatric services in New York State. for a fellowship trained pediatric otolaryngologist. Build This position will offer extensive clinical opportunities tertiary level pediatric practice in state-of-the-art settings at in all areas of Pediatric Otolaryngology. Responsibilities NYEE as well as physician satellite offices in multiple include patient care, teaching, and opportunities for geographic areas throughout the New York metropolitan area. clinical and basic science research. Competitive salary Send CV to: [email protected] and bene ts will be offered. Interested candidates should email or send letter of Dan Mui, Department Administrator interest and CV to: 6th Floor North Bldg. Lee P. Smith, MD The New York Eye and Ear Infirmary Chief, Division Pediatric Otolaryngology 310 E. 14th Street Cohen Children’s Medical Center of New York New York, NY 10003 North Shore Long Island Jewish Health System 430 Lakeville Road New Hyde Park, NY 11042 Phone: 717-470-7982 Regularly ranked as one of America’s Email: [email protected] Best Hospitals by US News & World Report.

54 AAO-HNS BulletiN ||||||||||||||| April 2012 classifieds: employment

Dedicated to physicians who are dedicated to children. EVERY LIFE DESERVES WORLD CLASS CARE

Join our Pediatric Otolaryngology team in Pensacola, Florida.

As one of the premier pediatric health care systems in the nation, Nemours has made a promise to do whatever it takes to prevent and treat even the most disabling childhood conditions. That’s why we’re pioneering technology such as the fully integrated electronic medical record (EMR) and innovative new techniques like Clinical Fellowship in Head and Neck minimally invasive and robotic surgery. And why we Oncology and Reconstructive Surgery attract some of the country’s top pediatric physicians. HEAD AND NECK INSTITUTE July 1, 2013 – June 30, 2014 Our opening for a Pediatric Otolaryngologist offers: The Cleveland Clinic Head and Neck Institute is currently seeking candidates for UÊÊ£ää¯Ê«i`>ÌÀVÊV>ÃiÊÝ a one-year fellowship position in Head and Neck Oncology and Reconstructive UÊ ÝViiÌÊLiivÌÃÊ>`ÊÀiV>ÌÊ«>V>}iÃ Surgery. UÊÛ>>LiÊ>V>`iVÊ>««ÌiÌ This Fellowship is primarily clinical in nature with a focus on advanced skull base surgery, microvascular reconstructive surgery and complex head and neck UÊÊLi>ÕÌvÕÊV>ÃÌ>ÊviÃÌÞi tumor/cancer surgery. The Fellow will be expected to develop and complete UÊ,iÃi>ÀV Ê««ÀÌÕÌiÃ one clinical research project, which will result in a presentation and/or publication. The Fellow will be expected to teach the otolaryngology residents, For information, contact specifically in the area of head and neck oncology and reconstruction. Brian Richardson, Physician The applicant must have successfully completed an ACGME-accredited Otolaryngology Residency training program and be ABO board certified/eligi- ,iVÀÕÌiÀÊ>ÌÊ{äÇÈxäÇÈÇäÊ ble and Ohio license eligible. or [email protected]. Please send your letter of intent with a copy of your most current curriculum vitae to: Brian B. Burkey, M.D., Vice-Chairman Cleveland Clinic Head Nemours is an Equal Opportunity Employer and Neck Institute, 9500 Euclid Ave, Desk A71; Cleveland, OH 44195 ©2012. The Nemours Foundation. Nemours is a registered trademark of the Nemours Foundation. (Phone): 216-445-8837 email: [email protected]

Otolaryngologist Expanding Practice in York, PA A well established, busy four physician group in York, Pennsylvania is looking to add a  fth, full time Board Eligible/Board Certi ed Otolaryngologist. Our services include Allergy, Audiology and Hearing Aid Sales. Our of ce has been running on an EMR system since 2006. On-Call rotation with  ve physicians. Your  rst year includes an excellent salary and a production bonus. Partnership available after your  rst year with our practice. York is a fast growing community with excellent schools and a very comfortable cost of living. It is convenient to Baltimore, Washington and Philadelphia. Local inpatient hospital is well run and state-of-the- art. Surgical Center is well equipped, and partnership in the Surgical Center is available. We are looking for a dynamic, motivated individual for partnership track. Income potential in the 90th percentile.

Contact Renee Gohn Of ce- 717-843-9089 Email- [email protected]

AAO-HNS BulletiN ||||||||||||||| April 2012 55 classifieds: employment

THE UNIVERSITY OF NORTH CAROLINA SCHOOL OF Academic Head and Neck Otolaryngologist MEDICINE Eastern Virginia Medical School CLINICAL FACULTY Norfolk, Virginia FULL-TIME FACULTY POSITION The Department of Otolaryngology/Head and Neck OTOLARYNGOLOGY/HEAD AND NECK SURGEON- The Surgery/Eastern Virginia Medical School is recruiting Department of Otolaryngology/Head and Neck Surgery, a third fellowship-trained Head and Neck Surgeon to University of North Carolina at Chapel Hill School of Medicine is seeking a board-certi ed or eligible Otolaryngologist for a complement our practice. Experience in Head and Neck full time position of Assistant Professor Level on the Clinical Oncologic Research is strongly desired. This position Track. The successful candidate should have an interest provides up to 0.5 FTE protected research time as part in developing a strong clinical program in otolaryngology of our new multidisciplinary Cancer Research Center. with a special expertise in Head and Neck Oncology and The successful applicant will join a very busy Head have demonstrated the potential for teaching, patient care and clinical research. Fellowship training in Head and Neck and Neck division, providing extensive experience in Oncology is preferred. Projected start date is fall of 2012. head and neck cancer, endocrine, and microvascular Apply online at http://jobs.unc.edu/2502579. reconstruction. Salary and benefi ts are outstanding, along with graduated administrative responsibilities. Address cover letter to: Harold C. Pillsbury, MD CONTACT: Professor and Chair Otolaryngology/Head and Neck Surgery Barry Strasnick, MD, FACS 170 Manning Drive, Physician Of ce Building, CB# 7070 Professor and Chairman University of North Carolina School of Medicine Department of Otolaryngology/Head and Neck Surgery Chapel Hill, NC 27599-7070 Sentara Norfolk General Hospital/River Pavilion (919) 966-3342 600 Gresham Drive, Suite 1100 Fax (919) 966-7941 Norfolk, Virginia 23507 The University of North Carolina at Chapel Hill is an equal 757-388-6280 opportunity/ADA employer. [email protected]

Academic Head & Neck Surgeon

The Division of Otolaryngology at the University of Alabama Birmingham is seeking an academic head and neck surgeon at the Assistant or Associate Professor level. This individual must be fellowship trained in head and neck oncology, board certifi ed/eligible, and able to attain a medical license in Alabama. Training in microvascular surgery highly valued. Individual will practice in the University hospital setting. Educational opportunities include teaching medical students and residents. Research opportunities in clinical research are available. Academic rank and salary will be commensurate with level of training and expertise.

Interested applicants should contact:

Eben Rosenthal, MD, FACS William R. Carroll, MD, FACS [email protected] [email protected] University of Alabama at Birmingham 205-934-9713 www.uab.edu/oto UAB is an Equal Opportunity/Affi rmative Action Employer.

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CHARLOTTE EYE EAR NOSE AND THROAT MONROE, NC COMPREHENSIVE OTOLARYNGOLOGIST

Charlotte Eye Ear Nose and Throat Associates, PA, (headquartered in Charlotte, North Carolina) a physician-owned and operated dual specialty redened practice is seeking a BC/BE full time comprehensive otolaryngologist to commuting | practice all aspects of the  eld for 2013 in our Monroe facility located 20 miles from Charlotte. The largest provider of eye and ENT services in the Charlotte Marsheld Clinic continues to redene health care through our innovative technology and area, CEENTA offers a full range of services including general otolaryngology, practices, but it doesn’t end there. We’re also redening what it means to be a physician practicing with us. Our setting in the heart of Wisconsin makes it possible for you to explore pediatric otolaryngology, neurotology, laryngology subspecialty representation, all of the lifestyle options which come with living in an environment rich in natural wonders voice center with 2 SLP, sleep medicine and facial plastic surgery. and short on congestion. The group, consisting of forty-seven ENT providers and sixteen locations has state of the art equipped of ces including complete audiology services, Expanding Otolaryngology services has created an opening for a BC/BE General Otolar- allergy clinics, a CT scanner, an ambulatory surgery center, sleep lab and an yngologist at our Center in Wausau; and a BC/BE Otolaryngologist at our Marsheld in-house contract research organization. Center with a subspecialty interest in Laryngology or Head and Neck Surgery. Charlotte, NC is two hours east of the Appalachian Mountains and 3 ½ hours west of the Atlantic Ocean. It is nationally recognized for combining We offer a generous guaranteed salary and comprehensive benets including dental, life, academic rigor with rich opportunities in the arts and humanities as well as disability and occurrence based malpractice insurance, 38 days paid leave to start plus $5,800 CME allowance; fully funded retirement plan and matching 401K plan; outstanding professional and collegiate athletics. It is also recognized as one of the leading schools. Affordable housing. No long commutes. Plentiful outdoor recreation; convenient cultural capitals of the south and spectators can cheer their home favorite in just auto/air transportation to St Paul/Minneapolis, Chicago, Milwaukee, and Madison. about any sport. Excellent salary with partnership anticipated, 401(k), professional liability Please contact: Mary Treichel, Physician Recruitment, Marsheld Clinic, 1000 N. Oak Ave., insurance, health insurance, long term disability and life insurance. Marsheld, WI 54449. Phone: 800-782-8581, extension 15774; Fax #: 715-221-5779; E-mail: treichel.mary@marsheldclinic.org Website: www.marsheldclinic.org/recruit; Facebook: Annette Potts, Director-Human Resources www.facebook.com/marsheldclinicphysrec Charlotte Eye Ear Nose and Throat Associates, PA Marsheld Clinic is an Afrmative Action/Equal Opportunity employer that values diversity. Minorities, females, individuals with 6035 Fairview Road Charlotte, North Carolina 28210 disabilities and veterans are encouraged to apply. Sorry, not a health professional shortage area. Email: [email protected] Fax: 704.295.3415 EOE

Northern California ENT and Otology Opportunities Sutter Health is one of the nation’s leading non-for-profit networks whose health care providers join resources and expertise to deliver care to patients in over 100 Northern California communities. Current opportunities include: Auburn - Establish a practice with Sutter Medical Group (SMG) or Sutter Independent Physicians (SIP) affiliated with Sutter Auburn Faith Hospital (SAFH). SAFH is an 80-bed community based hospital with a service area of 95,000. Vacaville - Join Sutter Medical Group (SMG), affiliated with Sutter Solano Medical Center (SSMC) and Sutter Davis Hospital (SDH). SSMC has 102 licensed beds, is among the top hospital in the region according to independent quality rating organizations. SDH is a 48-bed acute care hospital that provides convenient, quality care. Sacramento – Join SMF affiliated with Sutter Medical Center, Sacramento (SMCS). SMCS has more than 400 licensed beds at three facilities: Sutter General Hospital, Sutter Memorial Hospital and Sutter Cancer Center for Psychiatry. SMG is a multi-specialty, 600+ physician group in the Placer, Sacramento, Solano, and Yolo Counties, recognized as a Top Performing group by the Integrated Healthcare Association. SIP is an independent practice association comprised of 500+ physicians throughout the Placer, Sacramento, Solano and Yolo counties.

No matter where you decide to practice within Sutter Health, you’ll enjoy: ▪ Generous compensation and benefits with relocation assistance ▪ Exceptional Integrated Referral Base ▪ Personal/professional balance with reasonable call and coverage during time off ▪ Enterprise-wide PACS, voice recognition system and EMR

Contact: Sutter Health Sacramento Sierra Region Physician Recruitment 800-650-0625 ▪ [email protected] www.checksutterfirst.org

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Full Time Faculty Opportunities University of Rochester Medical Center

Laryngologist BC/BE, fellowship trained or equivalent experience laryngologist at any rank is sought to help build a nationally prominent laryngology and voice practice. Applicants should have a strong interest in clinical care and academic teaching. Protected research time and resources are available if candidate seeks a career as a clinician-scientist.

Pediatric Otolaryngologist BC/BE, fellowship trained pediatric otolaryngologist at any rank is sought to practice at the Golisano Children’s Hospital. This position offers excellent opportunities to practice the full range of the specialty in state of the art facilities. Resident teaching is expected and scholarly activities strongly encouraged. Protected research time and resources are available for candidates seeking a career as a clinician-scientist.

General Otolaryngology BC/BE otolaryngologists with broad clinical interests are sought to develop a general otolaryngology practice in a community setting with full academic support. HOUSTON Protected research time and resources are available for clinician-scientists. Pediatric Otolaryngology - Our robust clinical practice and training program is af liated with the University of Rochester Medical Center’s Strong Memorial Hospital. The clinical of ce is Academic Position located in a new facility opened in 2004. These are excellent opportunities to The Department of Otorhinolaryngology is recruiting a third Pediatric Otolaryngologist practice with an established group of academic faculty who already have practices to join a busy, tertiary Pediatric Otolaryngology practice. This is a unique opportunity to in all Otolaryngology subspecialty areas, in a growing academic department. join a rapidly growing Department at a major University Children’s Hospital with a large Level III NICU and a Level I Trauma Center. Excellent compensation and benefits. The University of Rochester is an af rmative action/equal opportunity employer Academic appointment commensurate with experience. Strong interest in resident and and strongly encourages applications from women and minorities. medical student teaching and research is encouraged. Interested candidates should send their curriculum vitae and letter of interest to: Applicants should forward a CV and statement of interest to: Soham Roy, MD, FACS, FAAP Shawn Newlands, M.D., Ph.D., M.B.A., F.A.C.S. Director of Pediatric Otolaryngology Professor and Chair Department of Otolaryngology The University of Texas Medical School at Houston Strong Memorial Hospital Department of Otorhinolaryngology-Head & Neck Surgery 601 Elmwood Avenue 713-383-3727 (fax) Box 629 [email protected] Rochester, NY 14642 http://www.ut-ent.org (585) 758-5700 [email protected] UTMSH is an equal opportunity employer.

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58 AAO-HNS BulletiN ||||||||||||||| April 2012 classifieds: employment

Otolaryngology OTOLOGIST / NEUROTOLOGIST Outstanding Opportunity, Amazing Location!

Join Boulder County’s leading, private Otolaryngology Seeking an experienced, fellowship- practice, and enjoy living at the doorstep of the beautiful trained otologist/neurotologist to Rocky Mountains in Colorado. Seeking an experienced, fellowship- trainedreplace otologist/neurotologist a retiring senior partner to replace at • Call 1:4 athe retiring world-renowned senior partner Shea at Earthe world-Clinic • State-of-the-art facility in Memphis, TN. The Shea Ear • daVinci Robot renowned Shea Ear Clinic in Memphis, Clinic was founded in 1926 and is a • Physician owned and governed TN. The Shea Ear Clinic was founded tertiary referral otologic clinic that • Large, established referral network in 1926 and is a tertiary referral otologic • Highly regarded and stable support team specializes in the treatment of all clinic that specializes in the treatment of Named one of the “Best Places to Live” by Money Magazine, diseases of the hearing and balance Boulder boasts breathtaking views, high quality schools allsystem, diseases including of the chronichearing otitisand balancemedia, and abundant hiking and biking trails. The city is an system,stapedectomy, including cochlear chronic implantation, otitis media, outdoor enthusiast’s mecca nestled near Rocky Mountain stapedectomy, cochlear implantation, and National Park and world-class ski resorts. Come live and and inner ear perfusion. We are an work where you can have it all! innerextremely ear perfusion. successful We andare an innovative extremely successfulfour-physician and innovative private practicefour-physician with privateour own practice outpatient with our surgery own outpatient center surgeryand hearing center aid and center. hearing We aid currently center. Wehave currently three otologists have three and otologists one general and Contact Kathleen Kittredge 800.303.6893 oneotolaryngologist. general otolaryngologist. Our state ofOur the state art [email protected] ofaudiology the art departmentaudiology hasdepartment three Aud’s has threeand oneAud’s audiology and one tech.audiology Clinical tech. Clinicalappointments appointments are available are available at the at theUniversity University of ofTennessee Tennessee Department Department BC/BE OTOLARYNGOLOGIST of OtolaryngologyOtolaryngology – HeadHead andand NeckNeck Geisinger Medical Center (GMC) in Danville, Surgery and teaching of residentsresidents is PA is seeking a BC/BE fellowship-trained encouraged. Major Major procedures procedures such such as Head & Neck Otolaryngologist with special as acoustic neuromas are performed at interest in Endocrine Surgery acoustic neuromas are performed at one ofone several of several large large local localhospitals. hospitals. Bring your expertise to an established, growing practice at Geisinger Medical Center – Danville, PA. Extremely competitive salary and Extremely competitive salary and This practice opportunity is pre-built with a broad- bene ts plus fast track to partnership, bene ts plus fast track to partnership, range of referrals coming from community-based generous signing bonus, and relocation primary care physicians. Take part in the growth of generous signing bonus, and relocation package. Memphis is a major regional this dynamic department, teach residents and package. Memphis is a major regional pursue research in your area of interest. medical centercenter that that serves serves patients patients from For more information or to apply for this position, thefrom mid-south the mid-south and beyond. and Memphisbeyond. please contact Autum Ellis, Professional Staff offersMemphis a laid-back offers alifestyle laid-back with lifestyle a low Recruiter, at 1-800-845-7112, email costwith ofa livinglow cost and ofsmall living town and southern small [email protected] or learn more at hospitality, but big-city amenities, Join-Geisinger.org town southern hospitality, but big-city professionalamenities, professionalsports, good sports,schools, good and manyschools, cultural and many attractions. cultural attractions.

HEALTH SYSTEM REDEFINING THE BOUNDARIES OF MEDICINE Please reply ASAP to Join the health system whose innovations are influencing the future of healthcare. Learn more at Join-Geisinger.org [email protected]

AAO-HNS BulletiN ||||||||||||||| April 2012 59 classifieds: employment

ACADEMIC HEAD & NECK SURGEON West Virginia University

The Department of Otolaryngology at West Virginia University is seeking a fellowship-trained head and neck surgeon to expand our well established head and neck oncology service. Expertise with both ablative and microvascular reconstructive procedures is desired. Responsibilities include teaching of residents and medical students, patient care and clinical/basic research.

The Department currently has ten physician faculty members and fifteen residents and has an active NIH-funded research division Ȁ with three PhD scientists. dĞŶŽĐƚŽƌ͕^ŝŶŐůĞ^ƉĞĐŝĂů͕'ĞŶĞƌĂůEdKĨĨŝĐĞ ^ĞĞŬŝŶŐͬKƚŽůĂƌǇŶŐŽůŽŐŝƐƚƚŽƌĞƉůĂĐĞƌĞƚŝƌŝŶŐƉŚǇƐŝĐŝĂŶ West Virginia University is located in beautiful Morgantown, which is rated one of the best small towns in America in regard x ƵƐǇ͕^ƵĐĐĞƐƐĨƵů͕ƐƚĂďůŝƐŚĞĚϯϰͲǇĞĂƌͲŽůĚŐƌŽǁŝŶŐƉƌĂĐƚŝĐĞ x ŽŵƉĞƚŝƚŝǀĞĐŽŵƉĞŶƐĂƚŝŽŶĂŶĚǀĂĐĂƚŝŽŶƉĂĐŬĂŐĞ to quality of life. Morgantown is located 80 miles south of x dǁŽͲǇĞĂƌƉĂƌƚŶĞƌƐŚŝƉƉŽƚĞŶƚŝĂů Pittsburgh and three hours from Washington, DC. The position x &ŽƵƌͲĚĂǇǁŽƌŬǁĞĞŬĨŽƌĂůůĚŽĐƚŽƌƐ;ŝŶĐůƵĚŝŶŐĨƵƚƵƌĞĂƐƐŽĐŝĂƚĞͿ will become available in October 2011 and will remain open x WƌŝǀĂƚĞĂŵďƵůĂƚŽƌǇƐƵƌŐĞƌǇĐĞŶƚĞƌǁŝƚŚƚǁŽŽƉĞƌĂƚŝŶŐƌŽŽŵƐ͕,ĐĞƌƚŝĨŝĞĚ͕ until filled. The WVU Health Sciences Center is a smoke free DĞĚŝĐĂŝĚͬDĞĚŝĐĂƌĞĂƉƉƌŽǀĞĚĂŶĚƐƚĂƚĞůŝĐĞŶƐĞĚ campus. West Virginia University is the recipient of an NSF x >ĂƌŐĞůůĞƌŐǇĞƉĂƌƚŵĞŶƚ ADVANCE award for gender equity. x ƵƐǇ,ĞĂƌŝŶŐŝĚďƵƐŝŶĞƐƐǁŝƚŚĨŝǀĞĂƵĚŝŽůŽŐŝƐƚƐ x ůĞĐƚƌŽŶŝĐDĞĚŝĐĂůZĞĐŽƌĚƐ Contact: x /ŶͲŽĨĨŝĐĞd^ĐĂŶŶĞƌ x dŚƌĞĞƵƉƐĐĂůĞŽĨĨŝĐĞƐŽǁŶĞĚďǇƚŚĞWƌĂĐƚŝĐĞ Hassan Ramadan, MD x 'ƌĞĂƚĞƌŝŶĐŝŶŶĂƚŝͬEŽƌƚŚĞƌŶ<ĞŶƚƵĐŬǇůŝǀŝŶŐĂƌĞĂŽĨĨĞƌƐĐŽƐŵŽƉŽůŝƚĂŶͬƵƌďĂŶ͕ Department of Otolaryngology ƐƵďƵƌďĂŶŽƌĐŽƵŶƚƌǇůŝĨĞƐƚǇůĞƐĂƐǁĞůůĂƐĂǁĂƌĚǁŝŶŶŝŶŐƐĐŚŽŽůƐǇƐƚĞŵƐ R.C. Byrd Health Sciences Center Morgantown, WV 26506-9200 &ŽƌĐŽŶƐŝĚĞƌĂƚŝŽŶ͕ƐĞŶĚǇŽƵƌĐŽǀĞƌůĞƚƚĞƌĂŶĚsƚŽ͗ Telephone: (304) 293-3233; Fax: (304) 293-2902 ^ĂƌĂŚ'ŽƐŶĞǇ͕ĚŵŝŶŝƐƚƌĂƚŝǀĞ^ĞƌǀŝĐĞƐ͕,ĞĂĚĂŶĚEĞĐŬ^ƵƌŐĞƌǇƐƐŽĐŝĂƚĞƐ͕W͘^͘͘ e-mail: [email protected] ϰϬE͘'ƌĂŶĚǀĞŶƵĞ͕^ƵŝƚĞϭϬϯ͕&ŽƌƚdŚŽŵĂƐ͕

PEDIATRIC OTOLARYNGOLOGY OPPORTUNITY San Antonio, Texas CHRISTUS Santa Rosa Medical Group, part of the CHRISTUS Provider Network (CPN), seeks an additional board certified/board eligible Pediatric Otolaryngologist.

In this practice, you will join a well-established department and participate in a shared call arrangement of one in three. Position can accommodate candidates with various areas of special interest. An academic appointment at UT Health Science Center is available if desired.

This practice offers an attractive mix of outpatient and inpatient medicine. The opportunity exists to perform clinical research and to teach residents and medical students. In this position, you will practice at CHRISTUS Santa Rosa Children’s Hospital. An attractive compensation package will be offered along with a full and comprehensive benefits package.

CPN was named a 2009 Distinctive Workplace Award Winner by Press Ganey Associates, Inc.

Located at the foot of the picturesque Hill Country, San Antonio is the most popular travel destination in the state of Texas! Because of its outstanding location, vast array of residential communities, exemplary schools, and low cost of living, San Antonio is also a wonderful place to call home. The city’s success at attracting newcomers and visitors is recognized among many; Forbes magazine named San Antonio as the No. 5 Best Job Market in America; U.S. News & World Report named it as the No. 2 Best Family Vacation Destinations; and NBC’s Today Show ranked it as one of the five friendliest cities in the U.S.

To learn more, visit: www.christusprovidernetwork.org or www.christussantarosa.org. For more information and to apply for this position, contact either: Danise A. Cooper Beth Briggs [email protected] | 800-678-7858 [email protected] | 800-678-7858

ID#141284AD CHRISTUS Santa Rosa Medical Group is an equal employment opportunity/affirmative action employer. cejkasearch.com

60 AAO-HNS BulletiN ||||||||||||||| April 2012 classifieds: employment

COASTAL NORTH CAROLINA PRACTICE OPPORTUNITY

Well established regional Otolaryngology practice is seeking a BC/BE Otolaryngologist. In its fourth decade, this four physician group has three of ce locations serving Eastern North Carolina. Practice includes full audiology and allergy services with CT scanner, EMR, and operating/laser suite. OTOLARYNGOLOGIST Three audiologists and a strong support staff are in OPPORTUNITY place to support further practice growth. All aspects of Otolaryngology are practiced and specialty interests in Maine Coast Memorial Hospital, laryngology, head & neck oncology or facial plastics can be easily integrated into existing practice. Ellsworth, Maine, is seeking an additional Board Certi ed or board Coastal Eastern North Carolina is a beautiful region rich in history and offering abundant access to local rivers eligible Otolaryngologist. The physician and sounds as well as various beach communities along can look forward to a strong referral North Carolina´s Outer Banks. pattern and existing patient base. A well- run small community hospital, MCMH provides an excellent environment for Interested applicants should contact: a busy Otolaryngology practice. In T. Oma Hester, MD, FACS addition, the physician will be able to Coastal Ear, Nose & Throat Associates, PLLC walk into a fully equipped of ce and 3110 Wellons Blvd. will enjoy an experienced surgical staff. New Bern, NC 28562 Surgery is on the hospital campus in 252-638-2515 both an inpatient or outpatient setting. [email protected] As a smaller hospital, ER call is light with minimal trauma. Excellent salary, bene ts, vacation and CME. Signing and relocation bonuses are available, along with medical education loan reimbursement. MCMH is committed to serving our Southern New Hampshire Otolaryngology Group patients with excellence in healthcare. Seeks Fourth Physician The Ellsworth community is nestled on the scenic Maine coast and is Th ree established physicians who appreciate hard work, enthusiasm and the highest quality of medical care are looking for a BC/BE Otolaryngologist surrounded by Acadia National Park who shares the same values. with mountains and exceptional year- round recreation including hiking, Manchester, New Hampshire is conveniently located one hour from Boston, the seacoast and the White Mountains. New Hampshire is known for its biking,  shing, hunting, boating, skiing, excellent skiing, hiking, biking and fi shing. Its beautiful lakes broaden the golf and more. Our neighborhoods appeal to those who enjoy an active outdoor lifestyle set in a temperate four-season climate. are safe, family friendly and have outstanding schools. Money magazine has named Manchester, NH as the top small city in the Northeast. It boasts low unemployment, low crime rate and is a wonderful city to raise a family. New Hampshire is unique for having no sales or Please send your CV to: income tax and has the highest qualities of living in the nation! Maine Coast Memorial Hospital

Southern New Hampshire continues to grow at a rapid pace, therefore Heather Fowler, Physician Recruiter aff ording us the opportunity to expand. Our physicians have worked hard 50 Union Street, Ellsworth Maine 04605 to earn the respect of the community and are held in the utmost regard. Phone: (207) 664-5314 We off er a 2 year partnership tract, competitive salary with incentive bonus Fax: (207) 664-5452 and a very generous benefi t package including 401K and profi t sharing. Email: [email protected]

To learn more about our group, please visit our website: www. entspecialistsnh.com or contact Heather Rice, [email protected] www.mainehospital.org

Ear Nose & Th roat Specialists of Southern New Hampshire, PA Maine Coast Memorial Hospital is an 30 Canton Street, Suite Two equal opportunity employer. Manchester, NH 03103 • (603)656-2100

AAO-HNS BulletiN ||||||||||||||| April 2012 61 classifieds: employment

18th17th Annual UTAH OTOLARYNGOLOGY COLLEGE OF MEDICINE Department of Otolaryngology - Head & Neck Surgery UPDATE JUNEJUNE 2224 & 23,25, 20122011 - Salt Lake City The Department of Otolaryngology – Head & Neck Surgery and Myles L. Pensak, MD, FACS, H.B. Broidy Professor GUESTGUEST SPEAKERS: SPEAKERS: and Chairman, are expanding their clinical/academic • Patrick J. Antonelli, MD programs and recruiting a full-time, board certi ed Richard Chole MD James Parkin Charles Lecturer Ford MD Otolaryngologist with a background and experience University of Florida in adult and pediatric otologic patient care including Peter Hwang MD cochlear implantation. • Shan R. Baker, MD David Dolowitz Memorial Lecturer MeetingUniversity Highlights: of Michigan Ear Disease, Voice Disorders, This position requires a strong interest and commitment to Rhinology and General Otolaryngology the education of residents, fellows and medical students. • David R. White, MD Academic appointment will be commensurate with Steven Gray Memorial Lecturer Medical University of South Carolina experience/quali cations. MD degree and the obtainment For further info please contact: of a permanent Ohio medical licensure required. JulieFor further Borgman info please801.581.7515 contact: Halley Langford, 801-581-7515 [email protected] Interested candidates should send a letter of interest, CV [email protected]

and a list of three references to: Sponsored by University of Utah Otolaryngology - Head and Neck Surgery www.jobsatuc.com and by University of Utah School of Medicine

The University of Utah School of Medicine is accredited by the Accreditation Council for --The University of Cincinnati is an equal opportunity and Continuing Medical Education to provide continuing medical education for physicians. af rmative action employer--

OTOLARYNGOLOGIST NORTHWEST HOUSTON OTOLARYNGOLOGIST Geisinger Health System is seeking Busy, stable general otolaryngology private a BC/BE Otolaryngologist practice in NW Houston seeks a board Bring your expertise to a well-established program certi ed or board eligible Otolaryngologist to at Geisinger Wyoming Valley Medical Center in join our group. All facets of otolaryngology are Wilkes-Barre, PA. Take part in the growth of this covered at this facility, including an allergy lab, dynamic department, teach residents and pursue hearing aid lab, VNG and sleep lab. Practice research in your area of interest. consists of three otolaryngologists (two full time board certi ed with one subspecialty Visit Join-Geisinger.org/266/OtoGWV board certi ed in sleep medicine & one part- to learn more about this position or time) and two audiologists. Practice has two contact Autum Ellis, Physician Recruiter, locations in medical professional buildings. at 1-800-845-7112 or [email protected]. Demographic base of more than two hundred thousand patients in vicinity of nearby hospital and half a million patients in general NW Houston area.

HEALTH SYSTEM Interested physicians should contact REDEFINING THE BOUNDARIES OF MEDICINE Don Unfried at 281-732-9770 Join the health system whose innovations are influencing the future of healthcare. Learn more at geisinger.org/national. or email at [email protected]

62 AAO-HNS BulletiN ||||||||||||||| April 2012 classifieds: courses & meetings

Pittsburgh Ear Research Foundation May 18 - 19, 2012 • New York City Division of Otology Research and Neurotology Allegheny General Hospital Advanced Endoscopic Skull Base and Pittsburgh, Pennsylvania Pituitary Surgery presents COURSE DIRECTORS: Temporal Bone Microanatomy and Vijay K. Anand, MD, FACS Hands-On Dissection Workshop Theodore H. Schwartz, MD, FACS GUEST FACULTY: June 22-23, 2012 John Jane Jr., MD October 26-27, 2012 Charles Teo, MD This workshop is intended for otolaryngologists 2-DAY COURSE DESCRIPTION: This course is a comprehensive overview of the newly emerging field of endoscopic skull base interested in the most recent development in surgery combining didactic sessions with hands-on cadaver temporal bone surgical techniques. dissection. At the completion of this course, participants should be well equipped to start utilizing these approaches in their Registration Fee: $400 own practices. Endoscopic instruments and surgical navigation Location: Allegheny General Hospital equipment will be available to participants for use on fresh Pittsburgh, Pennsylvania cadavers during laboratory sessions. Participants will have an opportunity to discuss difficult cases with the faculty during Course Co-Directors: Douglas A. Chen, MD, FACS panel discussions. Early registration is highly recommended. Todd A. Hillman, MD LOCATION: Weill Cornell Medical College For additional information, please contact Allegheny 1300 York Avenue, New York, NY 10065 General Hospital, Continuing Medical Education, 320 East North Ave., Pittsburgh, PA 15212, by phone at INFORMATION: Course Coordinator (412) 359-4952, by e-mail at [email protected] or Tel: 212-585-6800 email: [email protected] by fax (412) 359-8218. www.cornellneurosurgery.org

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AAO-HNS BulletiN ||||||||||||||| April 2012 63 classifieds: courses & meetings

University Of Michigan Health System Department of Otolaryngology-Head and Neck Surgery

Advanced Research Training in Otolaryngology Program Post-Residency Research Fellowships

July 1, 2012-June 30, 2013 July 1, 2013-June 30, 2014

The Department of Otolaryngology-Head & Neck Surgery is currently seeking candidates for one-year research training fellowships in Otolaryngology. This program has provided research training with internationally recognized faculty for over 20 years. One position is available per year and is renewable. Must be a U.S. citizen or permanent resident holding a green card.

http://www.med.umich.edu/oto/research/artopindex.shtm

Marci M. Lesperance, MD, FACS, FAAP Training Grant Program Director CW 5-702 1540 E. Hospital Drive Ann Arbor, MI 48l09-4241 (734) 936-9816 Fax (734) 763-7802

Tenth Annual An update and overview of current concepts in general otolaryngology, laryngology, rhinology, otology, and Porubsky head and neck surgery.

Symposium Distinguished Guest Speaker and Michael G. Stewart, M.D., M.P.H. Chief Resident Professor of Otolaryngology Graduation/Alumni Weill Cornell Medical College, New York, New York Weekend Program Co-Chairs June 8–9, 2012 Lana L. Jackson, Pharm.D., M.D., F.A.C.S. David J. Terris, M.D., F.A.C.S. Department of Otolaryngology - Head and Neck Surgery Georgia Health Sciences University, Augusta, GA

FOR QUESTIONS: Division of Continuing Education Georgia Health Sciences University Augusta, GA 30912 Phone: 800-221-6437 or 706-721-3967 Fax: 706-721-4642 E-mail: [email protected] Internet: www.georgiahealth.edu/ce/

64 AAO-HNS BulletiN ||||||||||||||| April 2012 Special Thanks To Our IRT Partners

We extend a special thank you to the partners of the AAO-HNSF Industry Round Table (IRT) program. Corporate support is critical to realizing the mission of the Academy, to help our members achieve excellence and provide the best ear, nose, and throat care through professional and public education and research. Our partnerships with these organizations who share this mission allow the Academy to continue to provide the programs and initiatives that are integral to our members providing the best patient care.

IRT Leaders

For more information on support IRT Associates opportunities, please contact:

Development Ofﬁ ce Phone: 1-703-535-3718 Email: [email protected]

As of February 22, 2012

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