During the fourth year, residents take on more administrative responsibility and a greater leadership role in the department, while significantly expanding their surgical skills. Residents as senior resident on the KUMC Blue (3 months) and Red Teams (3 months). The PGY-4 residents also rotate at Truman Medical Center (3 months), where they run their service under the supervision of rotating faculty. 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. While a large part of the PGY-4 year is spent in the operating room, PGY-4 residents continue 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 also have a 3-month research block. This allows residents to continue their PGY-3 research, as well as to complete their required Practice-Based Improvement Project (PBLI).