In the PGY-2 year, residents experience the breadth and depth of the specialty. Rotations include (2) months on KU Blue, (2) months on KU Red, (3) months at the VA, (3) months at Children's Mercy Hospital and (2) months on the KU Purple rotation. Residents take primary call during the PGY-2 year.
The PGY-2s are integral members of the KU Blue and KU Red Services. They are responsible for pre- and post-operative patient care, as well as for inpatient consults. Rotations in the OTOHNS subspecialty clinics introduce and instruct residents in the OTOHNS physical examination and basic clinic procedures, such as fiberoptic laryngoscopy, nasal endoscopy, and binocular microscopy. During the KU Purple rotations, residents get to see more outpatient and subspecialty care. Residents also spend time in Audiology/Vestibular Rehabilitation, Speech Language Pathology and Allergy Clinics on the Purple rotation.
At Children's Mercy Hospital, the PGY-2 is on a team with the fellow and 1-2 other residents. Residents learn to assess and manage a range of pediatric OTOHNS disorders, from the common to the more complex conditions seen at a tertiary care pediatric institution. Typical cases include myringotomy with tube placement, adenotonsillectomy, lymph node biopsy, tracheostomy, excision of congenital neck masses, and routine laryngoscopy/bronchoscopy. Residents also assist in endoscopic sinus surgery, otologic surgery and airway reconstruction during this rotation.
A faculty member and a chief resident supervise the PGY-2 resident on the VAMC rotation. This rotation is an opportunity for the PGY-2 resident to perform inpatient consultations, clinic evaluations, as well as surgical procedures, more independently and with increased responsibility. In the OR, the resident is predominately responsible for aerodigestive tract endoscopy, myringoplasty, tonsillectomy, uvulopalatopharyngoplasty, septoplasty, simple facial trauma, and soft tissue excision with local flap reconstruction. In addition, the resident assists in the more extensive surgical oncologic cases, and begin learning the basics of open head and neck procedures.
In the PGY-2 year, residents begin to build their clinical and surgical skills. Residents typically finish the year having performed 700- 800 surgeries.
PGY-2 residents attend the AO Basic Course to facial trauma plating skills in anticipation of increased participation in FPRS cases during the PGY-3 year.