Weekly outline

  • General

  • Course Description

    Course Description for ORL 251 SY 2022-2023 

    Warm Welcome to ORL 251! We hope you will have a fruitful learning experience from this course. 

    ORL 251 is an intensive 2-week course for Learning Unit 6 students where they  integrate and apply concepts learned in history taking, physical examination, diagnosis and  management of ORL patients at the ward, emergency room, major operating room, minor operating  room and out-patient clinic. Students are also exposed to the specialty clinics where they encounter the not-so-common  and complicated cases. 

    Additional details can be read in this document: 

    https://docs.google.com/document/d/1HQwKHsGRjNBVtG7ZoilaioiGVHvEVdoM56OzKGcSv0E/edit?usp=sharing

    Over-all general guidelines for LU6 students have been provided for by the LU6 Committee of the College of Medicine and are to be followed accordingly. Similarly any updates from UP-PGH, or the HICU regarding health protocols, personal protective equipment are to be followed accordingly and supercede instructions in this document.

    Additionally, we also provided remote/online teaching content to supplement the student's learning  experience in the UPM VLE ORL 251 SY 2023-24 Course. These include the following: 

    1) Asynchronous didactic modules on key topics in ORL to be completed by the students anytime  prior to the completion of the academic year. Content of these modules may also be included as part of the end of  year exam and comprehensive examination. 

    • Deep Neck Space Infections 

    • Foreign Bodies in the Esophagus and Airway 

    • Head and Neck Malignancies (SCCAs) 

    • Surgical Management of Voice Disorders

    • Facial Fractures 

    • Temporal Bone Trauma 

    • Penetrating and Blunt Neck Trauma 

    • Laryngotracheal Stenosis and Tracheostomy 

    • Obstructive Sleep Apnea 

    2) Hybrid clinical integration through: 

    • Access to selected previous ORL department grand rounds case presentations, subspecialty  lectures, reading materials 

    • Invited attendance to the weekly departmental census and grand rounds presentation  currently being held via zoom web-conference or in-person (Friday morning) 

    • Group powerpoint slideshow presentation discussion of 1 clinical case each week via  synchronous zoom-teleconference or in-person preceptorship (to be held Friday or Saturday depending on  agreement with consultant of the week) 

    ORL 251 Grading Rubrics:  

    • Completion of Asynchronous Didactic Modules within the academic year  

    &  Attendance, Punctuality, and Performance in Hospital Clinical Posts (5%)

    Access to the ORL 251 VLE Module should be available throughout the year. Please inform your resident monitor immediately if with difficulty in accessing the module or any of its component files so connectivity concerns can be addressed in a timely manner.

    Each student should maintain and have the following forms signed daily at the their clinical posts:

    o Daily Attendance Record (may request from resident monitors for form template)

    o Patient Log (may request from resident monitors for form template)

    Both forms to be submitted to resident monitor at last day of rotation. Please take a picture as well for your own records.

          Students are expected to be punctual and participate and perform duties at their clinical posts. Administrative sanctions may also be given if warranted depending on incident severity. 

    • Case Discussion (25%) 

    o Group Zoom Case Presentations or Individual Papers Submission 

    o 2 Cases (12.5% each) 

    • End of year ORL 251 Final Exam (60%) and LU6 Comprehensive Examination (10%)

    • I. ASYNCHRONOUS DIDACTIC MODULES

      Below are several didactic modules designed by the Consultants of Department of ORL.  These have been created or curated to cover topics relevant to ORL in LU6.

      • Deep Neck Space Infections
      • Foreign Bodies in the Esophagus and Airway
      • Head and Neck Malignancies (SCCAs)
      • Surgical Management of Voice Disorders
      • Facial Fractures
      • Temporal Bone Trauma
      • Penetrating and Blunt Neck Trauma
      • Laryngotracheal Stenosis and Tracheostomy
      • Obstructive Sleep Apnea

      These are asynchronous learning activities which you can go though at your own pace anytime within your ORL 251 rotation but will be available throughout the entire academic school year to give ample opportunity for students with poor connectivity. You will be evaluated based on completion of the modules as documented through your recorded activities in the UPM VLE LMS. 

      Additionally, these modules may also be included as part of the topic coverage of your end of rotation and/or end or the year examination.

      • A. MODULE 1: DEEP NECK SPACE INFECTIONS

        Please click on and complete the module on Deep Neck Space Infections Below.  Prepared by Cesar Vincent L. Villafuerte III, MD

      • B. MODULE 2: FOREIGN BODIES OF THE ESOPHAGUS AND AIRWAY

        Please click on and complete the module on Foreign Bodies of the Esophagus and Airway below. Prepared by Daryl Anne A. Del Mundo, MD

      • C. MODULE 3: HEAD AND NECK CANCERS

        Please click on and complete the module on Head and Neck Cancers below. Prepared by Christine Joy S. Arquiza, MD

      • D. MODULE 4: SURGICAL MANAGEMENT OF VOICE DISORDERS

        Please click on and complete the module on Surgical Management of Voice Disorders below. Prepared by Anna Pamela Dela Cruz, MD

      • E. MODULE 5: FACIAL FRACTURES

        Please click on and complete the module on Facial Fractures below. Prepared by Kathleen R. Fellizar-Lopez, MD

      • F. MODULE 6: TEMPORAL BONE TRAUMA

        Please click on and complete the module on Temporal Bone Trauma below. Prepared by Rosario R. Ricalde, MD

      • G. MODULE 7: PENETRATING AND BLUNT NECK TRAUMA

        Please click on and complete the module on Penetrating and Blunt Neck Trauma below. Prepared by Anna Lore G. Ignacio, MD

      • H. MODULE 8: LARYNGOTRACHEAL STENOSIS AND TRACHEOSTOMY

        Please click on and complete the module on Laryngotracheal Stenosis and Tracheostomy below. Prepared by Jennifer Almelor-Alzaga, MD

      • I. MODULE 9: OBSTRUCTIVE SLEEP APNEA

        Please click on and complete the module on Obstructive Sleep Apnea below. Prepared by Agnes T. Remulla, MD

      • II. REMOTE CLINICAL INTEGRATION

        In order to augment your in-person clinical exposure we have prepared the following activities:

        • Access to a repository of selected recent prior grandrounds presentations, lectures, and learning material
        • Access to the weekly departmental conference summary rounds and grandrounds presentation 
        • Weelky clinical case discussion via small group discussion with an ORL consultant preceptor.

        Details of each activity are further discussed below.

        • A. ORL-PGH Grand Rounds Case Presentations and Lectures

          The ORL department has compiled below several recent grand rounds case presentations as well as selected lectures and learning material for your review. The content of these presentations may be included in your end-of-rotation as well as end-of-the-year examinations. If you have any questions or clarifications regarding the cases or learning material, you may reach out to the ORL LU6 resident and consultant preceptor/coordinator.

        • B. Participation in the Department of ORL Weekly Summary Rounds & Grandrounds

          Every friday morning at 8am the Department of ORL conducts a summary rounds presentation of all cases managed by the department for the week. This is usually followed by grandrounds presentations of one pre-operative case and one post-operative case. Currently these activities are held via zoom webconference or in-person with the department consultants, residents, and rotating students in attendance.

          LU6 students are requested to be present during these departmental activities, and may be called upon to react or answer theoretical questions relevant to the cases presented. You may ask your resident coordinators for the diagnosis of the cases to be presented as well as for the physical venue when held in-person or zoom invitation link if the conference will be held remotely 

          • C. Clinical Paper Case Assignments

            Below are six clinical paper cases. In case face-to-face rotations are not allowed (instead of a ward case) each rotating LU6 block is to select one of the six clinical paper cases and present and discuss the cases  and their corresponding guide questions via powerpoint presentation and group discussion during a zoom web-conference small group discussion with their ORL consultant preceptor. Unless otherwise specified, this preceptorial will be held on the Friday or Saturday of the Rotation Week based on mutual agreement with the ORL consultant preceptor of the week. 

            • The ORL resident monitor will assist in coordinating this small group discussion.
            • This format would allow for the most optimal opportunity for interactive discussion and immediate feedback between the rotating block and the ORL consultant preceptor. 
            • Each student would be graded individually based on the content of the presentation as well as in their participation in the discussion.

            All power point presentations and clinical paper case word document submissions must also be emailed to orl251.202324@gmail.com in order for the assignment to be deemed completed. This will provide a compiled repository of all group presentations and individual paper submissions.

            Students are firmly reminded to prepare and submit original work (group power point presentations and individual word document papers) without influence from work done by prior rotating blocks and students. Appropriate referencing of sources must also be cited in the presentations and papers. Student work with evidence of plagiarism (from prior students' work or from uncited sources) will be subject to disciplinary action based on the codified rules of the College of Medicine. The block or students also cannot repeat the same case for both preceptorials.

            This activity will constitute 25% of each students' ORL 251 grade. 12.5% allocated for each of the two selected clinical cases.

          • III. COMMENTS AND FEEDBACK

            We value your opinion as adult learners.

            In order to relay concerns or feedback (positive or negative) you may have with this ORL 251 course voluntary feedback can be given openly with identification or anonymously to my email address as course coordinator clvillafuerte@up.edu.ph. Your inputs will aid in improving this course in the future.

            For emergent concerns you may reach out to your resident monitors or myself so we may address them in a timely manner. Please just contact us or have the department secretary contact us on your behalf.

            Thank you and we look forward to having you at our department during your ORL 251 rotation.