During the fourth year, residents begin to perform advanced inpatient and operative duties and rotate as senior resident on the KUMC Blue and Red Teams. The PGY-4 residents also rotate at Truman Medical Center. PGY-4 residents increasingly perform major outpatient surgical procedures such as endoscopic sinus surgery, facial plastic surgery, phonosurgery, tympanomastoidectomies, and major head and neck oncologic/reconstructive procedures.
Most of the training during this year is in the operating room. However, the PGY-4 resident continues to spend at least one day a week in clinic to maximize the longitudinal exposure to OTOHNS outpatient subspecialties and pre- and post-operative care.
PGY-4 residents begin to assume a greater role teaching the junior residents and rotating medical students. Residents also assume more administrative responsibility and a greater leadership role in the inpatient and ER consultation services.
Residents also spend one month on the Research/Clinical Competency rotation. This allows residents to further their PGY-3 research as well as to complete their required Practice-Based Improvement Project (PBLI). The departmental Resident Research Committee and Residency Program Director oversee their PBLI projects, which involves identifying an existing problem in OTOHNS patient care and implementing a solution.