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Diploma of Otolaryngology Head & Neck Surgery Course St. Mary’s Hospital London 25 - 28th February
Diploma of Otolaryngology Head & Neck Surgery Course St. Mary’s Hospital London 25 - 28th February

Diploma of Otolaryngology Head & Neck Surgery Course

St. Mary’s Hospital London

25 - 28th February 2008

St. Mary’s Hospital ENT Department

Founded by Joseph Toynbee in 1851

Faculty Mr Charlie Huins (SpR) Mr Neil Tolley Professor A Narula Mr S Abramovich Mr A

Faculty

Faculty Mr Charlie Huins (SpR) Mr Neil Tolley Professor A Narula Mr S Abramovich Mr A

Mr Charlie Huins (SpR) Mr Neil Tolley Professor A Narula Mr S Abramovich Mr A Parikh Mr A Arora (SpR)

Miss E Blenke (Research SpR)

Miss S Ifeacho (Senior SHO)

Professor V Mahadevan

(Barbers' Company Reader in Anatomy at RCS Eng)

Mr G Mochloulis (Lister Hosp,

Stevenage)

Dr A Hartle (Anaesthetics)

Mr S Liyanage (Radiology SpR)

Tara Cleary

St. Mary’s DO-HNS Course Monday Embryology, Otology, Paediatric ENT, Anatomy Course photo, then drinks at Steam
St. Mary’s DO-HNS Course Monday Embryology, Otology, Paediatric ENT, Anatomy Course photo, then drinks at Steam

St. Mary’s DO-HNS Course

Monday

Embryology, Otology, Paediatric ENT, Anatomy

Course photo, then drinks at Steam Bar, Paddington Hilton

Tuesday

Rhinology, Micro/Histo, Tips & Pearls, Anaesthetics, Radiology, Emergencies

St. Mary’s DO-HNS Course Wednesday Thyroid, VII Nerve, Head & Neck, Exam techniques, MCQs Course Dinner,
St. Mary’s DO-HNS Course Wednesday Thyroid, VII Nerve, Head & Neck, Exam techniques, MCQs Course Dinner,

St. Mary’s DO-HNS Course

Wednesday

Thyroid, VII Nerve, Head & Neck, Exam techniques, MCQs

Course Dinner, Stuzzico (Italian)

Thursday OSCE - non-patient & patient

Praed Street Bonne Bouche Entr’acte Bagel Factory La Taaza Costa Steam Bar

Praed Street

Praed Street Bonne Bouche Entr’acte Bagel Factory La Taaza Costa Steam Bar

Bonne

Bouche

Entr’acte Bagel Factory La Taaza Costa Steam Bar
Entr’acte
Bagel
Factory
La Taaza
Costa
Steam Bar
Praed Street Bonne Bouche Entr’acte Bagel Factory La Taaza Costa Steam Bar
Steam Bar, Hilton

Steam Bar, Hilton

Steam Bar, Hilton
Steam Bar, Hilton
The DO-HNS Exam
The DO-HNS Exam

The DO-HNS Exam

The Exam DO-HNS if fair Good pass rate Practical knowledge tested as opposed to minutiae Exam
The Exam DO-HNS if fair Good pass rate Practical knowledge tested as opposed to minutiae Exam

The Exam

DO-HNS if fair

Good pass rate

Practical knowledge tested as opposed to minutiae

Exam technique important

The Exam DO-HNS if fair Good pass rate Practical knowledge tested as opposed to minutiae Exam
The Exam DO-HNS if fair Good pass rate Practical knowledge tested as opposed to minutiae Exam
  • 2004 Apr 07

The Exam DO-HNS if fair Good pass rate Practical knowledge tested as opposed to minutiae Exam

Sept 07

%

Source: RCS DO-HNS Exam Results 2007

Exam Makeup Part 1: MCQs & EMQs ?30 MCQs (T/F) ?20 EMQs (best match) 2 hours
Exam Makeup Part 1: MCQs & EMQs ?30 MCQs (T/F) ?20 EMQs (best match) 2 hours

Exam Makeup

Part 1: MCQs & EMQs

?30 MCQs (T/F)

?20 EMQs (best match)

2 hours

Pass mark varies each time

Part 2: OSCE

25 stations (5 clinical with actors), 3 rest, 7 mins each

Emphasis on practical ENT

3 1 / 4 hours

Pass mark 66%

MCQs & EMQs MCQs: True / False no negative marking single best answer Example: The recurrent
MCQs & EMQs MCQs: True / False no negative marking single best answer Example: The recurrent

MCQs & EMQs

MCQs:

True / False no negative marking single best answer

Example:

The recurrent laryngeal nerve is intimately related to:

  • a. Cricothyroid joint

  • b. Oesophagus

  • c. Inferior thyroid artery

  • d. Internal carotid artery

EMQs:

best match answer

Example:

Match the following conditions that affect hearing with these PTA findings:

  • a. Otosclerosis

  • b. Hereditary (genetic) hearing loss

  • c. Presbyacusis

1. Hearing thresholds reduces particularly in middle frequencies 2. Air-bone gap, narrows at 2kHz 3. High-tone hearing loss

OSCE 25 stations, 3 rest, 7 mins each bell at end of each station - move

OSCE

OSCE 25 stations, 3 rest, 7 mins each bell at end of each station - move

25 stations, 3 rest, 7 mins each

bell at end of each station - move to next & start IMMEDIATELY (no second bell)

collect answer sheet for each station at each station - all into folder

candidate number on each sheet

OSCE Previous stations included: 5 patient stations 9 clinical photograph stations 3 clinical scenarios/short answer stations

OSCE

Previous stations included:

OSCE Previous stations included: 5 patient stations 9 clinical photograph stations 3 clinical scenarios/short answer stations

5 patient stations

9 clinical photograph stations

3 clinical scenarios/short answer stations

3 clinical radiograph stations

2 anatomy prosections

1 audiogram station

1 histology photomicrograph station

1 surgical instruments station

OSCE Examples Patient-based: Consent for Superficial Parotidectomy Examine neck Take history from pt c/o anosmia Examine
OSCE Examples Patient-based: Consent for Superficial Parotidectomy Examine neck Take history from pt c/o anosmia Examine

OSCE Examples

Patient-based:

Consent for Superficial Parotidectomy

Examine neck

Take history from pt c/o anosmia

Examine pt’s ears & write down findings

choice of tuning forks etc

Non-patient OSCEs:

Photo ear é vesicles, VII palsy

65yr man, epistaxis on Warfarin

CT Sinuses / # Rt Temp Bone with dead ear on PTA

Temporal Bone specimen

PTA findings

Surgical instruments

ENT Consent
ENT Consent

ENT Consent

CONSENTS C c ondition & natural history O o ptions / alternatives N n ame of
CONSENTS C c ondition & natural history O o ptions / alternatives N n ame of

CONSENTS

C

condition & natural history

O

options / alternatives

N

name of procedure

S

side effects

E

extra procedures involved (PEG, Trachy)

N

named person operating

T

trial / training

S

second opinion

Enjoy the course! Questions? Charlie Huins <a href=mail@dohns.org " id="pdf-obj-15-2" src="pdf-obj-15-2.jpg">
Enjoy the course! Questions? Charlie Huins <a href=mail@dohns.org " id="pdf-obj-15-4" src="pdf-obj-15-4.jpg">

Enjoy the course! Questions?

Charlie Huins