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DEPARTMENT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY

PRE-CLERKSHIP LONGITUDINAL EXPERIENCE HANDBOOK

2013• OHNS HANDBOOK

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Acknowledgements: The Department of Otolaryngology - Head and Neck Surgery is grateful to Al Chiodo, Audrea Martin, Sandra Kellogg and Joel Davies for the development of this handbook. This publication represents the efforts of many individuals who contributed and verified the content, and also provided feedback on the design of the publication.

Please direct any questions or comments:

Sandra Kellogg Course Administrator University Office, UHNTGH RFE3S-438, 190 Elizabeth Street Toronto, ON, M5G 2N2 Tel: 416-946-8743 Fax: 416-946-8744 Email: [email protected]

© 2013 Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine, University of Toronto This version published: August 2013

TABLE OF CONTENTS COURSE OVERVIEW

Course Overview - OHNS Longitudinal Elective ......................................................... 4 SITES

Toronto East General Hospital .......................................................................................... 5 North York General Hospital .............................................................................................. 7 The Scarborough Hospital ................................................................................................... 9 Humber River Regional Hospital ...................................................................................... 11


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Markham Stouffville Hospital ............................................................................................ 13 William Osler Health System .............................................................................................. 15

RESOURCES ............................................................................................................................................ 16

COURSE OVERVIEW: YEAR II LONGITUDINAL EXPERIENCE IN COMMUNITY OTOLARYNGOLOGY-HEAD & NECK SURGERY

The Otolaryngology - Head and Neck Surgery Longitudinal Experience (OHNS-LE) is a

new initiative offered by the Department of Otolaryngology - Head and Neck Surgery to encourage

student exposure to otolaryngology - head and neck surgery at community sites. During OHNS-LE,

students will participate in community-based otolaryngology - head and neck surgery over four

afternoons spread throughout the second year of pre-clerkship. These half days would encompass


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clinic and operative exposure. This handbook can be used to identify potential preceptors and

establish contact prior to initiating a longitudinal experience. Once a preceptor has been selected,

please contact the undergraduate medical education director, Dr. Al Chiodo ([email protected]) or

the undergraduate administrator, Sandra Kellogg ([email protected]). Your request will be

forwarded to the appropriate preceptor. Dates may be arranged and agreed on jointly by the student

and preceptor once your request has been approved.

The goal of OHNS-LE is for students to develop an appreciation of the importance of

otolaryngology-head and neck surgery in a community setting. During OHNS-LE, students can

practice some of the basic history-taking and physical examination skills learned in ASCM-1 and

ASCM-2 along with reinforcing the knowledge learned in the MMMD course. Students may have an

opportunity to accompany preceptors in the operating room and in most cases being the first

assistant in operations.


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Toronto East General Hospital

Preceptor(s) Dr. Al Chiodo

Undergraduate Medical Education Director Sub-specialt(ies): Sinus Surgery, Thyroid Surgery and Paediatric Surgery Contact Information: 840 Coxwell Avenue, Suite 201 Toronto, ON M4C 5T2 Office: (416) 946-8742 Fax: (416) 946-8744 Email: [email protected]

Dr. Oakley Smith

Sub-specialt(ies): Rhinoplasty and Revision Rhinoplasty Contact Information: 688 Coxwell Ave Toronto, ON M4C 3B7 Office: (416) 465-0919 Fax: (416) 465-5701

Dr. William El

Masri

Sub-specialt(ies): Head and Neck Endocrine Surgery Contact Information: 340 College St., Suite 340 Toronto, ON M5T 3A9 Office: (416) 406-6540 Fax: (416) 406-6541


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Location 825 Coxwell Avenue, Toronto, M4C 3E7 TTC Directions Take Eastbound subway to Coxwell Station, board bus #70A (O'CONNOR TO

EGLINTON). The bus will stop at Toronto East General Hospital (Coxwell Avenue and Mortimer Avenue).

Clinical Experience/ Strengths

• Community general otolaryngology - head and neck surgery experience • Image guided endoscopic sinus surgery • Paediatric surgery • Thyroid surgery • Rhinoplasty • Head and neck endocrine surgery


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North York General Hospital

Preceptor(s) Dr. Everton

Gooden

Sub-specialt(ies): Head and Neck Endocrine Surgery Contact Information: 4800 Leslie St., Suite 303 Toronto, ON M2J 2K9 Office: (416) 499-5558 Fax: (416) 499-9392

Dr. Alma Smitheringale

Sub-specialt(ies): Paediatric Surgery Contact Information: 1100 Sheppard Ave. East, Suite 411 Toronto, ON M2K 2W1 Office: (416) 226-5012 Fax: (416) 226-5015

Dr. Thileep Kandasamy

Sub-specialt(ies): Otology Contact Information: 4800 Leslie Street, Suite 303 Toronto, ON M2J 2K9 Office: (416) 499-5558


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Dr. Manish Shah

Sub-specialt(ies): Head and Neck Oncology and Laryngology 4800 Leslie Street, Suite 303 Toronto, ON M2J 2K9 Office: (416) 499-5558 Fax: (416) 499-9392

Dr. David Goldfarb

Sub-specialt(ies): Paediatric Surgery, Management of Snoring, Sleep Apnea and Related Disorders Contact Information: 4800 Leslie St., Suite 303 Toronto, ON M2J 2K9 Office: (416) 499-5558 Fax: (416) 499-9392

Location General Site - 4800 Leslie Street, Toronto, M2J 2K9

Branson Site - 555 Finch Avenue, North York, M2R 1N5 TTC Directions General Site - Take Yonge line North to Sheppard station and transfer to

Sheppard line Eastbound to Leslie station. Walk East on Sheppard Avenue to Leslie Street, turn left and head North on Leslie Street to North York General Hospital. Branson Site - Take Yonge line North to Finch station, board bus #36B (FINCH WEST TOWARDS HUMBERWOOD) and get off at Finch Avenue West and Virgilwood Drive (Branson Site).


• Head and neck endocrine surgery • Paediatric surgery • Otology • Head and neck oncology • Laryngology • Snoring, sleep apnea and related disorders

The Scarborough Hospital


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Preceptor(s) Dr. Deron Brown

Sub-specialt(ies): Facial plastic surgery Contact Information: 3420 Finch Avenue, East, Suite 306 Office: (416) 340-3490

Dr. Sumeet Anand

Sub-specialt(ies): Head and Neck Oncology Contact Information: 3000 Lawrence Ave. E., Suite 3304 Scarborough, ON M1P 2V1 Office: (416) 438-6292

Dr. Jack Shahin

Sub-specialt(ies): Facial Plastic Surgery Contact Information: B2204-3000 Lawrence Ave. E. Scarborough, ON M1O 2V1 Office: (416) 289-1225 Fax: (416) 289-0970

Dr. Robert

Mounsey

Sub-specialt(ies): Facial Plastic Surgery Contact Information: 3030 Lawrence Avenue East, Suite 207 Toronto, ON M1P 2T7 Office: (416) 438-8110

Dr. Hany Guirgis

Sub-specialt(ies): Sleep Medicine Contact Information: 4040 Finch Ave. E., Suite 108


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Scarborough, ON M1S 4VS Office: (416) 293-3233

Dr. Berge Marcarian

Sub-specialt(ies): Endoscopic Sinus Surgery Contact Information: 4040 Finch Ave. E., Suite 209 Scarborough, ON M1S 4V5 Office: (416) 293-5511 Fax: (416) 293-5077

Dr. Nadarajah

Sanjeevan

Sub-specialt(ies): Otology Contact Information: 3420 Finch Ave. E., Suite 306 Scarborough, ON M1W 2R6 Office: (416) 913-8738

Location General Campus - 3050 Lawrence Avenue East, Scarborough, M1P 2V5 Birchmount (Grace) Campus - 3030 Birchmount Road, Scarborough, M1W 3W3

TTC Directions General Campus - Take Eastbound subway to Warden station, board bus #16 (MCCOWAN TO SCARBOROUGH CTR) and get off at McCowan Road and Lawrence Avenue. Walk 230m West on Lawrence Avenue to The Scarborough Hospital (General Campus). Birchmount (Grace) Campus - Take Yonge line North to Finch station, board bus #39D (FINCH EAST TO NEILSON) and get off at Finch Avenue and Birchmount Road. Walk 400m North on Birchmount Road to The Scarborough General Hospital (Birchmount Grace Campus).


• Facial plastic surgery • Head and neck oncology • Sleep medicine • Endoscopic sinus surgery • Otology

Humber River Regional Hospital

Preceptor(s) Dr. Roman Chaban

Sub-specialt(ies): Sleep medicine and Surgery Contact Information: 1017 Wilson Avenue


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North York, ON, M3K 1Z1 Office: (416) 781-4000

Dr. Victor Toran

Sub-specialt(ies): Sleep medicine and Surgery Contact Information:

2301 Weston Rd Toronto, ON, M9N 1Z7

Office: (416) 241-6701

Dr. Raewyn Seaberg

Sub-specialt(ies): Laryngology Contact Information: Mount Sinai Hospital 600 University Avenue, Room 401 Toronto, ON, M5G 1X5 Office: (416) 244-5506

Dr. Alfred Oh

Sub-specialt(ies): Endoscopic Sinus Surgery Contact Information: 8333 Weston Road, Woodbridge, ON, L4L 8E2 Office: (905) 265-2280

Dr. Jamil Asaria

Sub-specialt(ies): Facial Plastic and Reconstructive Surgery Contact Information: 186 St. George Street Toronto, ON M5R 2N3 Office: (416) 479-4244 Fax: (416) 920-4244

Dr. Anil Katyal Sub-specialt(ies): Head and Neck Endocrine Surgery and Facial Plastic Surgery Contact Information: 2065 Finch Ave. West Toronto, ON M3N 2V7 Office: (416) 744-1211 Fax: (416)744-2644


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Location Church Street Site - 200 Church Street, Weston, M9N 1N8

Finch Avenue Site - 2111 Finch Avenue West, Toronto, M3N 1N1 TTC Directions Church Street Site - Take Northbound subway on University-Spadina line to

Lawrence West station, board bus #59B (MAPLE LEAF TOWARDS WESTON ROAD VIA CHURCH) and get off at Church Street and Uphill Avenue. Walk 210m North on Uphill Avenue to Humber River Regional Hospital (Church Street Site). Finch Avenue Site - Take Northbound subway on University-Spadina line to Downsview station, board bus #84D (SHEPPARD WEST TOWARDS STEELES VIA OAKDALE) and get off at Norfinch Drive and Finch Avenue West. Walk 350m West on Finch Avenue to Humber River Regional Hospital (Finch Avenue Site).


• Sleep medicine and surgery • Laryngology • Endoscopic sinus surgery • Facial plastic and reconstructive surgery • Head and neck endocrine surgery

Markham Stouffville

Preceptor(s) Dr. Jeff Werger Sub-specialt(ies): Rhinology and Otology

Contact Information: Boxgrove Medical Arts Centre


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105-110 Copper Creek Drive Markham, ON, L6B 0P9 Office: (905) 472-6511 Fax: (905) 472-5436

Dr. Bosco Lui

Sub-specialt(ies): General Otolaryngology - Head and Neck Surgery Contact Information:

101-7155 Woodbine Avenue Markham, ON, L3R 1A3

Office: (416) 628-4020 Fax: (416) 628-4021

Dr. Phil Wade

Sub-specialt(ies): Otology Contact Information: 271 Spadina Road Toronto, ON, M5R 2V3 Office: (416) 920-1717

Dr. Jerry Halik

Sub-specialt(ies): Otology Contact Information: 377 Church Street, room 202 Markham, ON, L6B 1A1 Office: (905) 472-7123

Location

379 Church Street, Markham, L3P 7P3

TTC Directions Take Northbound subway on Yonge line to Finch station, board bus #303 (TOWARDS MOUNT JOY GO STATION). The bus will stop at Markham-Stouffville hospital (Church Street and Bur Oak Avenue).


• Rhinology • General otolaryngology - head and neck surgery • Otology


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William Osler Health System (Etobicoke General Site)

Preceptor(s) Dr. David Hacker

Sub-specialt(ies): Rhinology and Facial Plastic Surgery Contact Information: 89 Humber College Boulevard Etobicoke, ON, M9V 4B8 Office: (416) 745-1661

Dr. Jason Atlas

Sub-specialt(ies): Head and Neck Oncology and Facial Plastic Surgery Contact Information:

135 Queen's Plate Drive Etobicoke, ON, M9W 6V1

Office: (416) 749-0869

Dr. Phil Solomon

Sub-specialt(ies): Facial Plastic Surgery, Thyroid Surgery Contact Information: 57 Centre Street Thornhill, ON, L4J 1G2 Office: (905) 764-0774 Fax: (905) 881-2393


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Location Etobicoke General Hospital - 101 Humber College Boulevard, Etobicoke, M9V 1R8

TTC Directions Etobicoke General Hospital - Take Northbound subway on University-Spadina line to Wilson station, board bus #96 (TOWARDS HUMBER COLLEGE) and get off at Humber College boulevard and Highway 27. Walk 120m East on Humber College boulevard to William Osler Health System (Etobicoke General Hospital).


• Rhinology • Facial plastic surgery • Head and neck oncology • Thyroid surgery


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RESOURCES The following resources will be useful throughout the Otolaryngology - Head and Neck Surgery rotation. Please look at portal for additional resources and course content.

Online Resources:

ENT Physical Examination (American Academy of Otolaryngology - Head and Neck Surgery): http://www.entnet.org/EducationAndResearch/The-ENT-EXAM.cfm

Baylor College of Medicine: http://www.bcm.edu/oto/gr-archive

Otolaryngology Houston: http://www.ghorayeb.com/pictures.html

Martindale's the "Virtual" Medical Centre: http://www.martindalecenter.com/MedicalAudio_2_C.html

E-Books:

American Academy of Otolaryngology - Head and Neck Surgery: http://www.entnet.org/mktplace/ebooks.cfm

Textbook:

Head and Neck Surgery – Otolaryngology. Byron J Bailey and Jonas T Johnson eds.

http://www.entnet.org/mktplace/ebooks.cfm�

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